title: An observational study of how patients are identified before medication administrations in medical and surgical wards.
abstract: The aims of this study were to clarify how a patient's identity was verified before the administration of medication in medical and surgical wards in a hospital, as well as to study the association between patient identification and the registered nurse's work experience, observed interruptions, and distractions. The study material was collected during April and May 2012 in two surgical and two medical wards in one university hospital in Finland, using a direct, structured observation method. A total of 32 registered nurses were observed while they administered 1058 medications to 122 patients. Patients were not identified at all in 66.8% (n = 707) of medication administrations. Patient identifications were made more often by nurses with shorter work experience in the nursing profession or in the wards (4 years or less), or if distractions existed during medication administration. According to the results, patient identification was not adequately conducted. There is a need for education and change in the culture of medication processes and nursing practice.
authors.affiliation: Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland; Finnish Doctoral Programme in Nursing Sciences, Kuopio, Finland.
authors.forename: Marja
authors.initials: M
authors.lastname: Härkänen
authors.forename: Marjo
authors.initials: M
authors.lastname: Kervinen
authors.forename: Jouni
authors.initials: J
authors.lastname: Ahonen
authors.forename: Hannele
authors.initials: H
authors.lastname: Turunen
authors.forename: Katri
authors.initials: K
authors.lastname: Vehviläinen-Julkunen
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D005387:Finland; D006801:Humans; D007297:Inpatients; D008297:Male; D008508:Medication Errors / Q000517:prevention & control*; D024802:Nurse's Role; D010355:Patient Identification Systems
keywords: Finland; medication administration; nursing; observation; patient identification; patient safety