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Updated: Mar 3, 2026

A Cognitive Paradigm to Investigate Interference in Working Memory by Distractions and Interruptions
Published on: July 16, 2015
Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administration Errors
Lily Thomas1, Patricia Donohue-Porter, Joanna Stein Fishbein
1Northwell Health, New Hyde Park, New York (Dr Thomas); Adelphi University College of Nursing and Public Health, Garden City, New York (Dr Donohue-Porter); and Feinstein Institute for Medical Research, Northwell Health, Manhasset, New York (Ms Fishbein).
Abstract:
Medication administration errors are difficult to intercept since they occur at the end of the process. The study describes interruptions, distractions, and cognitive load experienced by registered nurses during medication administration and explores their impact on procedure failures and medication administration errors. The focus of this study was unique as it investigated how known individual and environmental factors interacted and culminated in errors.
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