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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
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Interruptions and nursing workload during medication administration process.

Renata Longhi Sassaki1, Danielle Fabiana Cucolo2, Marcia Galan Perroca3

  • 1Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil.

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|August 22, 2019
PubMed
Summary

Medication administration interruptions are frequent, with nursing staff and self-interruptions being primary sources. These disruptions significantly increase task time and impact nursing workload.

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Area of Science:

  • Nursing Practice
  • Patient Safety
  • Healthcare Management

Background:

  • Interruptions during medication administration are a known concern in healthcare.
  • Understanding the specific sources and causes is crucial for developing targeted interventions.

Purpose of the Study:

  • To identify the sources and causes of interruptions during medication administration.
  • To quantify the frequency, duration, and impact of these interruptions on nursing workload.

Main Methods:

  • Observational study design.
  • Timed 121 medication rounds involving nurses and nursing technicians in a Neonatal Intensive Care Unit.
  • Recorded interruption frequency, duration, sources, and causes.

Main Results:

  • Over half (52.1%) of medication rounds were interrupted, averaging 1-7 interruptions per round.
  • Interruptions predominantly occurred during the preparation phase (76.4%).
  • Key sources included nursing staff (37.8%) and self-interruptions (22.8%), with information exchange (42.5%) and parallel conversations (22%) as main causes.

Conclusions:

  • Interruptions are frequent during medication administration.
  • These interruptions significantly increase the time spent on medication preparation and administration.
  • Frequent interruptions can negatively affect nursing workload and potentially patient care safety.