Journal
JOURNAL OF NURSING CARE QUALITY
Volume 25, Issue 3, Pages 224-230Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/NCQ.0b013e3181ce3ae4
Keywords
interruptions; medication administration; medication errors; medication safety; nursing; patient safety
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Funding
- Betty Irene Moore Nursing Initiative of the Gordon and Betty Moore Foundation [487]
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The purpose of the study was to evaluate whether a Medication Pass Time Out initiative was effective and sustainable in reducing medication administration errors. A retrospective descriptive method was used for this research, where a structured Medication Pass Time Out program was implemented following staff and physician education. As a result, the rate of interruptions during the medication administration process decreased from 81% to 0. From the observations at baseline, 6 months, and 1 year after implementation, the percent of doses of medication administered without interruption improved from 81% to 99%. Medication doses administered without errors at baseline, 6 months, and 1 year improved from 98% to 100%.
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