Medication safety in the ICU
Vanderbilt University Medical Center Research News Sep 22, 2017
Medication safety is an ongoing challenge for nurses working in complex, fast-paced intensive care unit (ICU) environments.
To better understand situations that contribute to medication errors and adverse drug events, Jie Xu, PhD, Matthew Weinger, MD, and colleagues studied the incidence and nature of nurse-reported, medication-related events (MREs) during 124 structured, four-hour-long observations of ICU nurses in three California teaching hospitals.
Their findings, published in the journal Nursing Research, reported 60 MREs in 44 observations. Four were medication errors and seven were adverse drug events. The rest were Âdeviations from optimal care, such as medication delivery delays. Sixty-five percent of this group had negative patient impact including inadequate pain control.
MREs were associated with nurses doing more tasks and with higher nurse self-reported workload, particularly during the night shift.
The researchers concluded that facilitated MRE reporting can provide valuable information about potential breakdowns in medication management safety as well as opportunities for optimizing ICU clinical work, quality of care and patient safety.
Go to Original
To better understand situations that contribute to medication errors and adverse drug events, Jie Xu, PhD, Matthew Weinger, MD, and colleagues studied the incidence and nature of nurse-reported, medication-related events (MREs) during 124 structured, four-hour-long observations of ICU nurses in three California teaching hospitals.
Their findings, published in the journal Nursing Research, reported 60 MREs in 44 observations. Four were medication errors and seven were adverse drug events. The rest were Âdeviations from optimal care, such as medication delivery delays. Sixty-five percent of this group had negative patient impact including inadequate pain control.
MREs were associated with nurses doing more tasks and with higher nurse self-reported workload, particularly during the night shift.
The researchers concluded that facilitated MRE reporting can provide valuable information about potential breakdowns in medication management safety as well as opportunities for optimizing ICU clinical work, quality of care and patient safety.
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