Effect of casting back the whole life cycle of medication orders on the nurse work
10.3760/j.issn.1674-2907.2014.21.002
- VernacularTitle:药物医嘱全生命周期追溯对护理人员工作的影响
- Author:
Kefang ZHONG
1
;
Meixia SU
;
Hongli MA
;
Yajie ZHANG
;
Chulei ZHONG
Author Information
1. 312000 浙江省绍兴市人民医院呼吸内科
- Keywords:
Safety management;
Doctor’s advice;
Cast back;
Whole life cycle
- From:
Chinese Journal of Modern Nursing
2014;20(21):2597-2599
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of casting back the whole life cycle of medication orders on the nurse work .Methods Sixty-two nurses were surveyed by the self-designed questionnaire .The standard of casting back medication orders was carried out through the design of the module for casting back medication orders based on the information of nurse workstation and the check of Itouch bar code .The time of carrying out the medication orders and the medication safety were compared before and after the implementation . Results After the implementation , the time of carrying out the doctor ’ s advice for every bed on daily decreased from (4.36 ±1.28)min to (0.97 ±0.34)min, and the difference was statistically significant (t=20.181,P<0.01).The error rate of carrying out the doctor ’ s advice for every thousand beds on daily decreased from 0.74‰to 0.15‰, and the error rate of medication decreased from 1.33‰ to 0.35‰, and leakage rate of medication decreased from 1.24‰to 0.06‰, and the differences were statistically significant (χ2 =13.548, 19.073, 36.347, respectively; P<0.05).Conclusions Implementation of the management of casting back the whole life cycle of medication orders can improve the work efficiency , and decrease the occurrence of nursing defects, and ensure the safety of patients .
