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Updated: Apr 26, 2026

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
An observational study of how patients are identified before medication administrations in medical and surgical wards
Marja Härkänen1, Marjo Kervinen, Jouni Ahonen
1Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland; Finnish Doctoral Programme in Nursing Sciences, Kuopio, Finland.
Abstract:
The aims of this study were to clarify how a patient's identity was verified before the administration of medication in medical and surgical wards in a hospital, as well as to study the association between patient identification and the registered nurse's work experience, observed interruptions, and distractions. The study material was collected during April and May 2012 in two surgical and two medical wards in one university hospital in Finland, using a direct, structured observation method. A total of 32 registered nurses were observed while they administered 1058 medications to 122 patients. Patients were not identified at all in 66.8% (n = 707) of medication administrations. Patient identifications were made more often by nurses with shorter work experience in the nursing profession or in the wards (4 years or less), or if distractions existed during medication administration. According to the results, patient identification was not adequately conducted. There is a need for education and change in the culture of medication processes and nursing practice.
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