CÁC GIẢI PHÁP CAN THIỆP GIẢM GIÁN ĐOẠN TRONG THỰC HIỆN THUỐC CỦA ĐIỀU DƯỠNG TẠI BỆNH VIỆN ĐẠI HỌC Y DƯỢC THÀNH PHỐ HỒ CHÍ MINH

Minh Nguyễn Thị Hồng; Phương Đỗ Thị Nam; Tuyền Võ Thị Thanh; Tâm Phạm Thị Thanh; Phương Phạm Uyên; Nhung Nguyễn Thị Ánh; Phong Lê Hoàng; Quỳnh Nguyễn Đức Nguyệt; Tâm Trần Thị Thanh

Keywords:

Interruption, medication, intervention, nurse

Abstract

Outline: Interruption is one of the major causes of errors in medication administration, Inter-ruption medication solutions have been shown to reduce the interrupting administration.

Methods: This study used Quasi-expermental design on three Departments, University Medical Center HCMC from March to October, 2020 with interruption medication solution were traning KAP of interruption, provide red vest for nurses, provide the broucher and educated for patient. The participants included 52 nurses, 148 patients, 264 times of medication administration before and 345 times after intervention project with the aim to evaluating benefit of interruption solutions throught out measure nursing knowledge- attitudes- practices, the attitudes and practices of patients, and interruption medication rate before and after intervention.

Results: Score of nursing knowledge, attitudes and practice about interruption medication increased (87.1±10.9 – 103.8±10.2; p<0.001); There was change of patient’s attitudes about affectiveness of interruption medication before and after intervention project (p <0.01); The rate of interruption medication decreased after the intervention was 27.1% ( p <0.01).

Conclusion: Interruption medication solutions helped to reduce disruption in nursing medication administration, These solutions need to be maintained and expanded to help nurses reduce inter-ruption, thereby contributing to reducing medication errors.

References

Andrade C, Menon V, Ameen S, Kumar Praharaj S. Designing and Conducting Knowledge, Attitude, and Practice Surveys in Psychiatry: Practical Guidance. Indian Journal of Psychological Medicine. 2020;42(5):478-481

Bower, R., Jackson, C,, & Manning, J, C, (2015), Interruptions and medication administration in critical care, Nursing in Critical Care, 20(4), 183–195.

Colligan, L,, & Bass, E, J, (2012), Interruption handling strategies during paediatric medication administration, BMJ Quality & Safety, 21(11), 912–917.

Flynn, L,, Liang, Y,, Dickson, G, L,, Xie, M,, & Suh, D,-C, (2012), Nurses’ Practice Environments, Error Interception Practices, and Inpatient Medication Errors, Journal of Nursing Scholarship, 44(2), 180–186.

Hayes, C,, Power, T,, Davidson, P, M,, Daly, J,, & Jackson, D, (2015), Nurse interrupted: Development of a realistic medication administration simulation for undergraduate nurses, Nurse Education Today, 35(9), 981–986.

Huckels-Baumgart, S,, Niederberger, M,, Manser, T,, Meier, C, R,, & Meyer-Massetti, C, (2017), A combined intervention to reduce interruptions during medication preparation and double-checking: a pilot-study evaluating the impact of staff training and safety vests, Journal of Nursing Management, 25(7), 539–548.

Johnson, M,, Weidemann, G,, Adams, R,, Manias, E,, Levett-Jones, T,, Aguilar, V,, & Everett, B, (2018), Predictability of Interruptions During Medication Administration With Related Behavioral Management Strategies, Journal of Nursing Care Quality, 33(2), 1–9.

Jett, Q. R., & George, J. M. (2003). Work interrupted: A closer look at the role of interruptions in organizational life. The Academy of Management Review, 28(3), 494–507

Myers, R, A,, & Parikh, P, J, (2019), Nurses’ work with interruptions: an objective model for testing interventions, Health Care Management Science, 22(1).

Palese, A,, Ferro, M,, Pascolo, M,, Dante, A,, & Vecchiato, S, (2019), “I Am Administering Medication-Please Do Not Interrupt Me”: Red Tabards Preventing Interruptions as Perceived by Surgical Patients, Journal of Patient Safety, 15(1), 30–36.

Raban, M, Z,, & Westbrook, J, I, (2014), Are interventions to reduce interruptions and errors during medication administration effective?: A systematic review, In BMJ Quality and Safety (Vol, 23, Issue 5, pp, 414–421), BMJ Publishing Group.

Sabzi, Z,, Mohammadi, R,, Talebi, R,, & Roshandel, G, R, (2019), Medication Errors and Their Relationship with Care Complexity and Work Dynamics, Open Access Macedonian Journal of Medical Sciences, 7(21), 3579–3583, https://doi,org/10,3889/oamjms,2019,722.

Tomietto, M,, Sartor, A,, Mazzocoli, E,, & Palese, A, (2012), Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions, Journal of Nursing Management, 20(3), 335–343.

Westbrook, J, I,, Li, L,, Hooper, T, D,, Raban, M, Z,, Middleton, S,, & Lehnbom, E, C, (2017), Effectiveness of a ‘Do not interrupt’ bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study, BMJ Quality & Safety, 26(9), 734–742.

Wondmieneh, A,, Alemu, W,, Tadele, N,, & Demis, A, (2020), Medication administration errors and contributing factors among nurses: a cross sectional study in tertiary hospitals, Addis Ababa, Ethiopia, BMC Nursing, 19.