Medication safety initiative in reducing medication errors.
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%.
Stanford Hospital and Clinics, Stanford, California 94305, USA. enguyen@stanfordmed.org
Elisa E
EE
Nguyen
Phyllis M
PM
Connolly
Vivian
V
Wong
D001288:Attention; D006801:Humans; D008508:Medication Errors / Q000451:nursing* / Q000517:prevention & control*; D008510:Medication Systems, Hospital / Q000458:organization & administration / Q000592:standards*; D009741:Nursing Staff, Hospital / Q000458:organization & administration / Q000592:standards*; D009746:Nursing, Team / Q000458:organization & administration / Q000592:standards; D015397:Program Evaluation; D012189:Retrospective Studies; D012308:Risk Management / Q000458:organization & administration / Q000592:standards*; D016526:Workload / Q000592:standards