Patient safety during medication administration: The influence of organizational and individual variables on unsafe work practices and medication errors - PowerPoint PPT Presentation

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Patient safety during medication administration: The influence of organizational and individual variables on unsafe work practices and medication errors

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Ergonomics Vol. 49, Nos. 5 6, 15 April 15 May 2006, 444 456 Patient safety during medication administration: The influence of organizational and individual ... – PowerPoint PPT presentation

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Title: Patient safety during medication administration: The influence of organizational and individual variables on unsafe work practices and medication errors


1
Patient safety during medication
administrationThe influence of organizational
and individual variables on unsafe work practices
and medication errors
  • Ergonomics Vol. 49, Nos. 56, 15 April15 May
    2006, 444456

??????
2
Study objective
  • Using SEM to measure organizational climate
  • To test a model with hypothesized links between
    climate and unsafe medication administration
    behaviors
  • Mediating role stress and morale

3
Introduction
  • 20 hospital incidents were caused by errors of
    medications. (Malpass et al., 1999)
  • 17 hospital incidents were involved in
    medication errors. (Australian Quality of
    Health Care Study, 1995)
  • Medications iatrogenic injury and illness
    (Bates, 1999)

4
Introduction
  • Most errors occurred in (Leape et al., 1995)
  • Doctor prescribing 39
  • Nurse administration 38
  • Transcription
  • pharmacy dispensing
  • Errors were caused by poor mathematical skills,
    lack of drug knowledge, excess workload,
    inadequate staffing levels, inexperience, failure
    to follow procedures, distractions, and
    interruption and quality of prescriptions.
    (OShea, 1999)

5
Introduction
  • Queensland Public Agency Staff Survey (QPASS
    Hart et al., 1996)
  • Organizational climate
  • Individual stress
  • Morale
  • Quality of working life
  • Organizational climate
  • Workplace morale, supportive leadership,
    participative decision-making, role clarity,
    professional interaction, appraisal and
    recognition, professional growth, and goal
    congruence
  • Workplace distress and excessive work demands

6
Introduction
7
Introduction
  • 176 nurses
  • 11 public sector hospitals
  • 41-50 years old 33.5
  • 92 females
  • 10 years experience with Queensland Health 59.1
  • Work for over 20 years 21.6

8
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9
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11
Methods
12
Conclusions
  • Errors and violations are different.
  • Violations not intended to do harm
  • Stress was a significant mediator.
  • Excessive workload and expectations of doctors
    increased the frequency of medication violations.
  • No evidence showed that nurses are less
    safety-conscious than workers in other high-risk
    industries.
  • Regular monitoring of organizational, safety
    climate and levels of individual distress and
    morale is helpful for achieving better health
    outcomes for everyone.

13
Thank You !
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