Medication Administration Time Study (MATS) Health care Staff Performance of Medication Administration

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Waleed Ashawy Alshammari1, Salah Asmair Alharbi, Amer Maseer Aldhafeeri, Mohammad Owaid Aldhafeeri, Sultan Abdullah Alharbi, Waleed Owaid Aldhafeeri

Keywords

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Abstract

This study aimed to develop and validate a method for evaluating nursing effort and workflow in the medication administration process within a pediatric hospital setting.


Background: Medication errors contribute significantly to patient morbidity and mortality, highlighting the importance of robust systems for medication administration. While bar-coding medication administration systems are commonly used to reduce errors, there is a lack of comprehensive pre-implementation workflow data specific to pediatric hospitals, hindering the evaluation of system effectiveness.


Method: A descriptive observational study was conducted involving 180 nurses across pediatric units in a tertiary care pediatric hospital. A total of 1200 unique medication observations were made to assess nursing effort and workflow during medication administration.


Results: The study revealed that nurses spent an average of 20 minutes per medication pass, with frequent interruptions and distractions during the process. These challenges posed significant threats to patient safety, leading to potential workarounds and workflow inefficiencies.


Conclusion: The findings highlight the critical need for tailored interventions and workflow optimizations in pediatric medication administration processes to mitigate risks, enhance patient safety, and improve overall workflow efficiency.

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