NURSING STRATEGIES FOR ENHANCING PATIENT SAFETY DURING MEDICATION ADMINISTRATION

Main Article Content

Eman Ali Abandi
Fawaz Mohammed Hummadi
Mohammed Amer Asiri
Ahlam Abdulkarim Alsulaiman
Hanadi Mohammad AlDawood
WafaAli Al duhim

Keywords

nursing strategies, patient safety, medication administration

Abstract

Medication administration is a critical aspect of nursing care, impacting patient safety and healthcare outcomes significantly. Despite advancements in protocols and technologies, medication errors continue to pose significant challenges, with consequences ranging from mild to severe. This review examines various nursing strategies aimed at enhancing safety during medication administration, emphasizing the roles of technology, continuous education, and institutional policies. Technological tools, such as electronic health records (EHRs), automated dispensing systems (ADS), and computerized physician order entry (CPOE) systems, have shown substantial efficacy in reducing medication errors. These technologies help automate the medication administration process, ensuring accurate dosing and timing while providing healthcare providers with access to comprehensive patient information. However, the reliance on technology must be balanced with the critical observational skills of nursing staff, ensuring that technology supports rather than replaces professional judgment. Continuing education is crucial for nursing staff to remain current with the latest developments in pharmacology and patient care practices. Regular training and professional development initiatives are necessary to enhance nurses' ability to manage medication safely. These educational efforts focus on improving critical thinking and decision-making skills, which are essential for identifying and mitigating potential safety risks associated with medication administration. Institutional policies that standardize medication administration practices play a pivotal role in promoting patient safety. These policies establish clear guidelines and protocols that reduce variability and human error. Additionally, fostering a safety culture within healthcare institutions encourages the reporting of errors and near misses, which is vital for continuous improvement. Overall, the integration of technology, ongoing education, and robust institutional policies are fundamental to enhancing medication safety. This review highlights the need for a holistic approach that combines these elements to effectively minimize medication errors and improve patient care outcomes. Future research should focus on evaluating the impact of these strategies in diverse healthcare settings to identify best practices and areas for further improvement

Abstract 317 | PDF Downloads 315

References

1- Sharikh EA, Shannak R, Suifan T, Ayaad O. The impact of electronic medical records' functions on the quality of health services. British Journal of Healthcare Management. 2020 Feb 2;26(2):1-3.
2- Giannetta N, Dionisi S, Tonello M, Cappadona R, Di Muzio M, Di Simone E. Educational intervention to improve the safety medication process: A review using the GRADE approach. Journal of Pharmaceutical Health Services Research. 2021 Sep 1;12(3):434-43.
3- Moghaddasi H, Farahbaksh M, Zehtab H. Verbal orders in medicine: challenges; problems and solutions. JOJ Nursing & Health Care. 2017;1(5):98-101.=.
4- Westbrook JI, Li L, Lehnbom EC, Baysari MT, Braithwaite J, Burke R, Conn C, Day RO. What are incident reports telling us? A comparative study at two Australian hospitals of medication errors identified at audit, detected by staff and reported to an incident system. International Journal for Quality in Health Care. 2015 Feb 1;27(1):1-9.
5- Poissant L, Pereira J, Tamblyn R, Kawasumi Y. The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. Journal of the American Medical Informatics Association. 2005 Sep 1;12(5):505-16.
6- Koukourikos K, Tsaloglidou A, Kourkouta L, Papathanasiou IV, Iliadis C, Fratzana A, Panagiotou A. Simulation in clinical nursing education. Acta Informatica Medica. 2021 Mar;29(1):15.
7- Fuller AE, Guirguis LM, Sadowski CA, Makowsky MJ. Electronic medication administration records in long‐term care facilities: A scoping review. Journal of the American Geriatrics Society. 2018 Jul;66(7):1428-36.
8- Chapuis C, Roustit M, Bal G, Schwebel C, Pansu P, David-Tchouda S, Foroni L, Calop J, Timsit JF, Allenet B, Bosson JL. Automated drug dispensing system reduces medication errors in an intensive care setting. Critical care medicine. 2010 Dec 1;38(12):2275-81.
9- Li E, Clarke J, Neves AL, Ashrafian H, Darzi A. Electronic health records, interoperability and patient safety in health systems of high-income countries: a systematic review protocol. BMJ open. 2021 Jul 1;11(7):e044941. .
10- Griscti O, Jacono J. Effectiveness of continuing education programmes in nursing: literature review. Journal of Advanced nursing. 2006 Aug;55(4):449-56.
11- Sarfati L, Ranchon F, Vantard N, Schwiertz V, Larbre V, Parat S, Faudel A, Rioufol C. Human‐simulation‐based learning to prevent medication error: A systematic review. Journal of evaluation in clinical practice. 2019 Feb;25(1):11-20.
12- Risling T. Educating the nurses of 2025: Technology trends of the next decade. Nurse education in practice. 2017 Jan 1;22:89-92.
13- Choo J, Hutchinson A, Bucknall T. Nurses' role in medication safety. Journal of nursing management. 2010 Oct;18(7):853-61.
14- McDonald HP, Garg AX, Haynes RB. Interventions to enhance patient adherence to medication prescriptions: scientific review. Jama. 2002 Dec 11;288(22):2868-79.
15- Early C, Riha C, Martin J, Lowdon KW, Harvey EM. Scanning for safety: an integrated approach to improved bar-code medication administration. CIN: Computers, Informatics, Nursing. 2011 Mar 1;29(3):157-64.