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Updated: Jul 1, 2026
06:59
A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
Barriers and Facilitators for Medication Safety in Emergency Care Using a SEIPS Model: A Qualitative Study
Ying Lau1, Lilin Zhou1, Yuen Man Chung2
1The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong, China, cuhk.edu.hk.
Journal of Nursing Management
|June 30, 2026
Summary
This study explored factors affecting independent double-checking (IDC) for high-alert medications. Findings highlight the need for clear documentation, communication, training, and supportive policies to improve medication safety.
Area of Science:
- Patient Safety
- Nursing Practice
- Medication Administration
Background:
- Independent double-checking (IDC) is a critical safety measure for high-alert medications.
- Factors influencing the effectiveness of IDC by nurses are not well understood.
Purpose of the Study:
- To identify facilitators and barriers to the designated independent double-checking (IDC) process.
- To explore the experiences of primary nurses and designated checkers in emergency departments.
- To apply the Systems Engineering Initiative for Patient Safety (SEIPS) framework.
Main Methods:
- Qualitative exploratory study design.
- Purposive sampling of 26 primary nurses and designated checkers.
- Individual semistructured interviews and thematic analysis.
Main Results:
- Identified 15 facilitators and 16 barriers to the IDC process.
- Classified findings across SEIPS domains: environment, organization, people, task, tools/technology, process, and outcome.
Conclusions:
- Findings provide a foundation for developing interventions to enhance medication safety.
- Recommendations include improving documentation, communication, training, and technology adoption.
- Highlights the importance of a supportive work environment and clear guidelines for IDC implementation.
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