期刊
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
卷 31, 期 8, 页码 G67-G73出版社
OXFORD UNIV PRESS
DOI: 10.1093/intqhc/mzz007
关键词
experimental research; general methodology; risk management; patient safety; adverse events; practice variations; appropriate healthcare; hospital care; professions; training/education; human resources; medications; intervention; interruptions; behaviour; nursing; cluster trial
资金
- Nursing and Midwifery Strategy Reserve Funding, Nursing and Midwifery Office, New South Wales Ministry of Health
Objectives: To examine the feasibility of a behavioural e-learning intervention to support nurses to manage interruptions during medication administration. Design: A cluster randomised feasibility trial. Setting: The cluster trial included four intervention and four control wards randomly selected across four metropolitan hospitals in Sydney, Australia. Participants: We observed 806 (402 pre-intervention and 404 post-intervention) medication events, where nurses prepared and administered medications to patients within the cluster wards. Main Outcome Measures: The primary outcome measured was the observed number of interruptions occurring during administration, with secondary outcomes being the number of clinical errors and procedural failures. Changes in the use of behavioural strategies to manage interruptions, targeted by the e-learning intervention, were also assessed. Results: No significant differences were found in the number of interruptions (P = 0.82), procedural failures (P = 0.19) or clinical errors per 100 medications (P = 0.32), between the intervention and control wards. Differences in the use of specific behavioural strategies (engagement and multitasking) were found in the intervention wards. Conclusion: This behavioural e-learning intervention has not been found to significantly reduce interruptions, however, changes in the use of strategies did occur. Careful selection of clinical settings where there is a high number of predictable interruptions is recommended for further research into the impact of the behavioural e-learning intervention. An increase in the intensity of this intervention is recommended with training undertaken away from the clinical setting. Further research on additional consumer-sensitive interventions is urgently needed.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据