Pfeiffer, Yvonne; Zimmermann, Chantal; Schwappach, David L.B. (2020). What do double-check routines actually detect? An observational assessment and qualitative analysis of identified inconsistencies. BMJ open, 10(9), e039291. BMJ Publishing Group 10.1136/bmjopen-2020-039291
|
Text
Pfeiffer BMJOpen 2020.pdf - Published Version Available under License Creative Commons: Attribution-Noncommercial (CC-BY-NC). Download (305kB) | Preview |
OBJECTIVES
Double checking is used in oncology to detect medication errors before administering chemotherapy. The objectives of the study were to determine the frequency of detected potential medication errors, i.e., mismatching information, and to better understand the nature of these inconsistencies.
DESIGN
In observing checking procedures, field noteswere taken of all inconsistencies that nurses identified during double checking the order against the prepared chemotherapy.
SETTING
Oncological wards and ambulatory infusion centres of three Swiss hospitals.
PARTICIPANTS
Nurses' double checking was observed.
OUTCOME MEASURES
In a qualitative analysis, (1) a category system for the inconsistencies was developed and (2) independently applied by two researchers.
RESULTS
In 22 (3.2%) of 690 observed double checks, 28 chemotherapy-related inconsistencies were detected. Half of them related to non-matching information between order and drug label, while the other half was identified because the nurses used their own knowledge. 75% of the inconsistencies could be traced back to inappropriate orders, and the inconsistencies led to 33 subsequent or corrective actions.
CONCLUSIONS
In double check situations, the plausibility of the medication is often reviewed. Additionally, they serve as a correction for errors and that are made much earlier in the medication process, during order. Both results open up new opportunities for improving the medication process.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM) |
UniBE Contributor: |
Schwappach, David |
Subjects: |
600 Technology > 610 Medicine & health 300 Social sciences, sociology & anthropology > 360 Social problems & social services |
ISSN: |
2044-6055 |
Publisher: |
BMJ Publishing Group |
Funders: |
[52] Cancer Research Switzerland |
Language: |
English |
Submitter: |
Andrea Flükiger-Flückiger |
Date Deposited: |
24 Sep 2020 15:41 |
Last Modified: |
05 Dec 2022 15:40 |
Publisher DOI: |
10.1136/bmjopen-2020-039291 |
PubMed ID: |
32948574 |
Uncontrolled Keywords: |
chemotherapy organisation of health services quality in health care |
BORIS DOI: |
10.7892/boris.146623 |
URI: |
https://boris.unibe.ch/id/eprint/146623 |
Actions (login required)
 |
Edit item |