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Assessment of the Nurse Medication Administration Workflow Process
Nathan Huynh1, Rita Snyder2, José M Vidal3
1Civil & Environmental Engineering, University of South Carolina, Columbia, SC 29208, USA.
Journal of Healthcare Engineering
|October 25, 2017
Summary
Registered Nurse (RN) medication administration process (MAP) observations revealed workflow variations. Bundled MAP, where nurses administer medications alongside other tasks, differs from unbundled MAP, impacting care delivery.
Area of Science:
- Nursing Practice
- Healthcare Operations
- Patient Safety
Background:
- The Registered Nurse (RN) Medication Administration Process (MAP) is critical for patient safety.
- Variations in MAP workflows may impact efficiency and patient outcomes.
- Understanding these variations is essential for process improvement.
Purpose of the Study:
- To observe and analyze the Registered Nurse (RN) Medication Administration Process (MAP) on two medical units.
- To identify and compare variations in MAP performance, specifically unbundled versus bundled workflows.
- To explore the effects of these workflow differences on simulated redesign interventions.
Main Methods:
- An observational study involving 305 individual MAP observations across two comparable medical units.
- Data collection occurred over a 6-week period, with an average of 5 MAP observations per RN participant.
- A discrete-event simulation model was utilized to analyze workflow variations and test redesign interventions.
Main Results:
- A key variation identified was the difference between unbundled MAP (medication tasks only) and bundled MAP (medication administration alongside other patient care responsibilities).
- The study quantified MAP observations per RN participant across different clinical units.
- Simulation modeling was employed to assess the impact of unbundled versus bundled workflows.
Conclusions:
- Workflow design significantly influences the Registered Nurse (RN) Medication Administration Process (MAP).
- Understanding the nuances of bundled versus unbundled MAP is crucial for optimizing nursing workflows.
- Simulation provides a valuable tool for evaluating potential improvements in medication administration processes.
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