title: The effect of clinical supervision model on high alert medication safety in intensive care units nurses.
abstract: BACKGROUND
  Medication errors and adverse drug events of high alert medication are one of the major problems in therapeutic system. The purpose of the present study was to investigate ύthe effect of clinical supervision model on high alert medication safety in intensive care units nurses.
  
  
  METHODS
  This was a quasi-experimental study conducted on 32 nurses of intensive care units. The researcher observed the administration of high alert drugs including heparin, warfarin, norepinephrine, dobutamine, and dopamine by nurses and recorded the scores of the work in preventing medication errors, the work in preventing adverse drug events, and medication safety. Then, the researcher performed clinical supervision model and during performance of the model, the researcher reassessed the score of the work in preventing medication errors, The work in preventing adverse drug events and medication safety. Tool of data collection was action plan of high alert medication safety checklists (heparin, warfarin, norepinephrine, dobutamine, and dopamine checklists).
  
  
  RESULTS
  The result of the statistical trials showed that before and after applying the clinical supervision model, there was a statistically significant difference between the average scores of medication safety of heparin (15.7 vs 18.73), warfarin (11.08 vs 15.67), norepinephrine (14.60 vs 19.72), dobutamine (13.80 vs 19.30), and dopamine (14.25 vs 19.47).
  
  
  CONCLUSIONS
  Based on the results of this study, it seems that administration of clinical supervision model in intensive care units can lead to improving the status of safety of high alert medication.
authors.affiliation: School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Asghar Khalifehzadeh
authors.initials: AK
authors.lastname: Esfahani
authors.affiliation: School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Fatemeh Ramezany
authors.initials: FR
authors.lastname: Varzaneh
authors.affiliation: Medical Education Development Center, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Tahereh
authors.initials: T
authors.lastname: Changiz
keywords: Clinical supervision model; Iran; critical care; drug safety; high alert medication; intensive care nurses; medication safety; nurses