Construction and application of feedforward control plan for interruptions of nurses performing drug use
10.3760/cma.j.cn115682-20200114-00218
- VernacularTitle:护士用药过程中中断事件前馈控制方案的构建及应用
- Author:
Wei WANG
1
;
Xiaojing ZHAO
;
Fang WANG
;
Aixia WANG
;
Lin JIN
Author Information
1. 山东省立医院心内科，济南 250021
- Keywords:
Nursing care;
Interruptions;
Feedforward control;
Medication safety
- From:
Chinese Journal of Modern Nursing
2020;26(33):4618-4623
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the current situation and influencing factors of interruptions of clinical nurses during drug use, construct a feedforward control plan for nursing interruptions (NI) of nurses performing drug use, and discuss its application effects.Methods:From September 2018 to February 2019, we took the NI that occurred during drug use in four wards of the Cardiovascular Department of Shandong Provincial Hospital as the research object. Nurses involved in the interruptions were observed with the self-designed Observation Record Table and the structured observation method. We built an optimization team to establish a feedforward control plan for interruptions of nurses performing drug use. The plan was implemented in the same ward from March to December 2019, and nurses were observed after the plan was implemented. The research type of this study was a single-blind non-contemporaneous controlled clinical trial.Results:After 10 months of plan application, the frequency of interruptions of nurses performing drug use was reduced from 12.68 to 8.29 times per hour. Low priority events before intervention accounted for 68.34% (2 340/3 424) , and low priority events after intervention accounted for 59.17% (1 216/2 055) with a statistical difference (χ 2=47.390, P<0.001) . Negative outcome events before intervention accounted for 80.02% (2 740/3 424) ; negative outcome events after intervention accounted for 77.52% (1 593/2 055) , and the difference was statistically significant (χ 2=4.872, P=0.027) . The rate of medication hidden dangers caused by NI before intervention was 1.14% (39/3 424) ; after intervention, the rate of medication hidden dangers caused by NI was 0.58% (12/2 055) , and no medication error occurred after the second person filled in the gaps and observer reminded, the difference was statistically significant (χ 2=4.291, P=0.038) . Conclusions:The establishment and application of a feedforward control plan for NI can help to increase the priority of interruptions, avoid or reduce unnecessary interruptions during nursing medication, and improve the outcome of interruptions, which is of a positive significance for ensuring the safety of nursing medication.
