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Reducing interruptions to improve medication safety.

Regi Freeman¹, Scott McKee, Bethany Lee-Lehner

¹Cardiovascular Intensive Care Unit, University of Michigan, Ann Arbor, MI 48109, USA. colthorp@umich.edu

Journal of Nursing Care Quality

|October 26, 2012

Summary

Nurses on cardiac surgery units face frequent interruptions, impacting patient safety during medication administration. A new safety intervention bundle significantly reduced these interruptions and medication errors.

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Area of Science:

Nursing
Patient Safety
Healthcare Quality Improvement

Background:

Nurses in cardiac and thoracic surgery telemetry units experience frequent interruptions daily.
Interruptions during medication administration pose a significant risk to patient safety.

Purpose of the Study:

To evaluate the impact of a safety intervention bundle on reducing interruptions during medication administration.
To assess the effect of the intervention on reported medication errors.

Main Methods:

Implementation of a bundle of safety interventions in a cardiac and thoracic surgery telemetry unit.
Measurement of interruptions during medication administration before and after intervention.
Tracking of reported medication errors over a 3-month period.

Main Results:

The safety intervention bundle reduced the average number of interruptions during medication administration by 2.11 per encounter.
A total of 28 incidents of reported medication errors were decreased over the 3-month study period.

Conclusions:

A bundle of safety interventions can effectively minimize nursing interruptions during medication administration.
Implementing targeted interventions improves patient safety by reducing medication errors in high-acuity nursing units.