A Time and Motion Study of Nursing Staff in the Performance of Medication Administration

2.50
Hdl Handle:
http://hdl.handle.net/10755/149543
Type:
Presentation
Title:
A Time and Motion Study of Nursing Staff in the Performance of Medication Administration
Abstract:
A Time and Motion Study of Nursing Staff in the Performance of Medication Administration
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Elganzouri, Erika Blake Sharpnack, RN, MSN, MBA
P.I. Institution Name:Loyola University Chicago
Title:Nurse, Nurse Researcher
Co-Authors:Cynthia A. Standish, RNC, BSN; Ida Androwich, RNC, PhD, FAAN
[Scientific session research presentation] Errors can occur throughout the process of ordering a medicine, dispensing, retrieving, and administrating process.  Safety measures have been implemented for physicians prescribing medication and pharmacists dispensing medication through MARs and CPOE.  However, there is no safety net for nursing. Bar coding can offer that safety net and verify the five rights of medication administration. Prior to implementation of a bar coding medication system (BCMA), it is important to understand nursing work flow during the medication administration process to best determine how this solution can be an effective means of medication administration.  The goal of this descriptive observational study was to develop and test a method for assessing the nursing effort required in the medicine administration process and to better understand nursing work flow. This study of nursing effort (time and motion) was conducted at three institutions; a rural community hospital, an urban community hospital, and an academic health center.  Data were collected in each hospital in medical/ surgical units over 72 hour periods (Total N=850 unique medication passes by over 100 nurses). For this study, the medication administration process was divided into four distinct time periods; medication preparation, retrieval, administration, and documentation. Inter rater reliability for data collectors was assessed at 99.6%.  Nurses also wore pedometers during the study. The results of the study to be reported include: timing of each phase of the medication administration process, frequency and sources of interruptions/distractions during the medication administration process, nursing effort (number of steps), identified workflow issues and recommendations for changes. This study will be the largest identified nursing time and motion research conducted to date, and will provide improved understanding of the medication administration process.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Time and Motion Study of Nursing Staff in the Performance of Medication Administrationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149543-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Time and Motion Study of Nursing Staff in the Performance of Medication Administration</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Elganzouri, Erika Blake Sharpnack, RN, MSN, MBA</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Loyola University Chicago</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse, Nurse Researcher</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">esharpna@yahoo.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Cynthia A. Standish, RNC, BSN; Ida Androwich, RNC, PhD, FAAN</td></tr><tr><td colspan="2" class="item-abstract">[Scientific session research presentation] Errors can occur throughout the process of ordering a medicine, dispensing, retrieving, and administrating process.&nbsp; Safety measures have been implemented for physicians prescribing medication and pharmacists dispensing medication through MARs and CPOE.&nbsp; However, there is no safety net for nursing. Bar coding can offer that safety net and verify the five rights of medication administration. Prior to implementation of a bar coding medication system (BCMA), it is important to understand nursing work flow during the medication administration process to best determine how this solution can be an effective means of medication administration.&nbsp; The goal of this descriptive observational study was to develop and test a method for assessing the nursing effort required in the medicine administration process and to better understand nursing work flow. This study of nursing effort (time and motion) was conducted at three institutions; a rural community hospital, an urban community hospital, and an academic health center.&nbsp; Data were collected in each hospital in medical/ surgical units over 72 hour periods (Total N=850 unique medication passes by over 100 nurses). For this study, the medication administration process was divided into four distinct time periods; medication preparation, retrieval, administration, and documentation. Inter rater reliability for data collectors was assessed at 99.6%.&nbsp; Nurses also wore pedometers during the study. The results of the study to be reported include: timing of each phase of the medication administration process, frequency and sources of interruptions/distractions during the medication administration process, nursing effort (number of steps), identified workflow issues and recommendations for changes. This study will be the largest identified nursing time and motion research conducted to date, and will provide improved understanding of the medication administration process.</td></tr></table>en_GB
dc.date.available2011-10-26T10:04:31Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:04:31Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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