Safety of medication administration in the home: Should we double check?
View File(s)
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Bradford, Natalie K. by View
Title | Page Views |
---|
Popular Works for Bradford, Natalie K. by Download
Title | Downloads |
---|
View Citations
Citations
Purpose: With increasing pressures on hospitals, home care by visiting nurses presents a viable option for care delivery. Nurses routinely provide complex interventions at home that previously were only available in a hospital setting. Medication errors are the most common type of error to occur with potentially serious and harmful consequences. Double checking of medication by a second qualified clinician is recognised as the gold standard practice to prevent medication errors, and routinely used when dangerous drugs such as opioids are administered in the hopsital setting. In the home care setting however there is no second clinician available to double check medication. The aim of this study was to assess the feasibility of using Internet based videoconferencing to facilitate a double check at a distance.
Methods: Following an efficacy study to establish feasibility of checking medication items using Internet video, we undertook a pilot study using laptop computers and mobile Internet. Six nurses were recruited to participate in this study, and received training on using laptop computers and mobile Internet. The computers were taken on scheduled home visits to patient's homes and connectivity back to a base computer located at the hospital was established at each visit. Nurses would then use the integrated web camera in the computer to double check various items associated with the clinical care of the patient.
Results: During the study period, over 300 items were checked. Details of medication names, dosages and segmentations on syringes greater than 1 unit were all observed accurately 100% of the time. Expiry dates and small syringes were not able to be reliably checked using this method.
Conclusion: Patient saftey remains at the heart of nursing care. Providing care at home should not involve a compromise of standards. The use of technology presents and attractive option for facilitating a double check and warrants further research.
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Type | Presentation |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Saftey; Medication; Home Care |
Name | 23rd International Nursing Research Congress |
Host | Sigma Theta Tau International |
Location | Brisbane, Australia |
Date | 2012 |
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.
Related items
Showing items related by title, author, creator and subjects.
-
Medication systems & safety: What's broke & how can we fix it together?
Polis, Nikki S.; Flynn, Allen (Sigma Theta Tau International, 2024-02-22)In this webinar, interdisciplinary colleagues will discuss how data-driven, collaborative approaches are needed to solve long-standing medication safety problems, focusing on issues with people, processes, and technology. ... -
Embedding electronic medication management systems into practice: Identifying barriers to implementation using a theoretical approach
Debono, Deborah; Taylor, Natalie; Travaglia, Joanne; Carter, David; Baysari, Melissa; Day, RicInterventions to improve patient safety, including the integration of technology in clinical practice, require healthcare professionals to change their behavior. This study reports a validated theoretically informed approach ... -
Bar code medication administration-clinic orders (BCMA-CO) increase nurses' satisfaction with the medication administration system - A quality improvement project
Valdez, Maria Jinky R. (2017-08-03)Nurses’ satisfaction was compared before and after implementation of Bar Code Medication Administration- Clinic Orders (BCMA-CO) in a Veterans Affairs (VA) urgent care clinic. Results were significant, revealing ... -
Medication administration safety in medical and surgical units of the Gauteng Province
Blignaut, Alwiena J.; Coetzee, Siedine Knobloch; Klopper, Hester C. (2016-07-13)Session presented on Friday, July 22, 2016; Purpose: Andermann et al. (2013:553) and the WHO (2015:1) agreed that research built upon the aim of measuring harm was essential for raising awareness, increasing the knowledge ... -
[Excerpt from] Self care for nurses: Small doses for wellness
May, Natalie B.; Cunningham, Tim; Fontaine, Dorrie K. (Sigma Theta Tau International, 2023-03)This item record pertains to an excerpt from Self Care for Nurses: Small Doses for Wellness, which is provided free of charge by the publisher. About this book: The term resilience often gets a bad rap, but the ability ...