Automated medication dispensing cabinet and medication errors
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Walsh, Marie by View
Popular Works for Walsh, Marie by Download
The number of deaths due to medical errors in hospitals ranges from 44,000 to 98,000 yearly. More than 7,000 of these deaths have taken place due to medication errors. This project evaluated the implementation of an automated medication dispensing cabinet or PYXIS machine in a 25-bed upper Midwestern critical access hospital. Lewin's stage theory of organizational change and Roger's diffusion of innovations theory supported the project. Nursing staff members were asked to complete an anonymous, qualitative survey approximately 1 month after the implementation of the PYXIS and again 1 year later. Questions were focused on the device and its use in preventing medication errors in the hospital. In addition to the surveys that were completed, interviews were conducted with the pharmacist, the pharmacy techs, and the director of nursing 1 year after implementation to ascertain perceptions of the change from paper-based medication administration to use of the automated medication dispensing cabinet. Medication errors before, during, and after the PYXIS implementation were analyzed. The small sample and the small number of medication errors allowed simple counts and qualitative analysis of the data. The staff members were generally satisfied with the change, although they acknowledged workflow disruption and increased medication errors. The increase in medication errors may be due in part to better documentation of errors during the transition and after implementation. Social change in practice was supported through the patient safety mechanisms and ongoing process changes that were put in place to support the new technology. This project provides direction to other critical access hospitals regarding planning considerations and best practices in implementing a PYXIS machine.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3684502; ProQuest document ID: 1660759268. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
|Review Type||None: Degree-based Submission|
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Impact of the Bar Code Medication Administration (BCMA) System on medication administration errors Davis, Mary P.Medication errors are the second most frequent cause of injury among all types of medical errors (Leape, et al., 1991). Of concern to nursing practice, medication administration errors (MAE) are second only to ordering ...
Tucker, Tawana (2017-09-22)Medication errors are the most commonly identified errors occurring in every healthcare setting costing billions of dollars per year. They have the potential to cause death to a patient or increase hospital length of stay. ...
Use of simulation within nursing education to assist students to meet standardized test plan components Liebrecht, Christina Marie (2017-05-18)Medication errors within the United States healthcare system have been identified as a persistent issue contributing to extended hospital stays, increased healthcare costs, poorer patient outcomes including death, and lack ...
Czaplinski, Lisa (2017-01-19)A hospital located in the Northeastern United States, has an opportunity to improve the number of specimens that are mislabeled. Mislabeled specimens increase costs, create patient inconvenience and can lead to unnecessary ...
A pilot study to evaluate the effectiveness of the National Diabetes Prevention Program in an urban medically underserved community Schroeter, Stefanie AnnetteThis study evaluated the effectiveness of participation in the National Diabetes Prevention Program (NDPP) for weight reduction in a sample of prediabetic individuals in an urban medically underserved community. The NDPP ...