Abstract
Objectives Current literature estimates the error rate associated with the preparation and administration of all intravenous (IV) medications to be 9.4% to 97.7% worldwide. This study aims to compare the number of observed medication preparation and administration errors between the only commercially available ready-to-administer product (Simplist) and IV push traditional practice, including a cartridge-based syringe system (Carpuject) and vials and syringes. Methods A prospective, multisite, observational study was conducted in 3 health systems in various states within the United States between December 2015 and March 2016 to observe IV push medication preparation and administration. Researchers observed a ready-to-administer product and IV push traditional practice using a validated observational method and a modified data collection sheet. All observations were reconciled to the original medication order to determine if any errors occurred. Results Researchers collected 329 observations (ready to administer = 102; traditional practice = 227) and observed 260 errors (ready to administer = 25; traditional practice = 235). The overall observed error rate for ready-to-administer products was 2.5%, and the observed error rate for IV push traditional practice was 10.4%. Conclusions The ready-to-administer group demonstrated a statistically significant lower observed error rate, suggesting that use of this product is associated with fewer observed preparation and administration errors in the clinical setting. Future studies should be completed to determine the potential for patient harm associated with these errors and improve clinical practice because it relates to the safe administration of IV push medications.
| Language | English (US) |
|---|---|
| Pages | 60-65 |
| Number of pages | 6 |
| Journal | Journal of Patient Safety |
| Volume | 14 |
| Issue number | 1 |
| DOIs | |
| State | Published - Mar 1 2018 |
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Keywords
- direct observation
- error rates
- IV push medication administration
- medication errors
- nurse administration
- ready-to-administer IV push medication
- safety
ASJC Scopus subject areas
- Leadership and Management
- Public Health, Environmental and Occupational Health
Cite this
A Comparison of Error Rates between Intravenous Push Methods : A Prospective, Multisite, Observational Study. / Hertig, John B.; Degnan, Daniel D.; Scott, Catherine R.; Lenz, Janelle R.; Li, Xiaochun; Anderson, Chelsea M.
In: Journal of Patient Safety, Vol. 14, No. 1, 01.03.2018, p. 60-65.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A Comparison of Error Rates between Intravenous Push Methods
T2 - Journal of Patient Safety
AU - Hertig, John B.
AU - Degnan, Daniel D.
AU - Scott, Catherine R.
AU - Lenz, Janelle R.
AU - Li, Xiaochun
AU - Anderson, Chelsea M.
PY - 2018/3/1
Y1 - 2018/3/1
N2 - Objectives Current literature estimates the error rate associated with the preparation and administration of all intravenous (IV) medications to be 9.4% to 97.7% worldwide. This study aims to compare the number of observed medication preparation and administration errors between the only commercially available ready-to-administer product (Simplist) and IV push traditional practice, including a cartridge-based syringe system (Carpuject) and vials and syringes. Methods A prospective, multisite, observational study was conducted in 3 health systems in various states within the United States between December 2015 and March 2016 to observe IV push medication preparation and administration. Researchers observed a ready-to-administer product and IV push traditional practice using a validated observational method and a modified data collection sheet. All observations were reconciled to the original medication order to determine if any errors occurred. Results Researchers collected 329 observations (ready to administer = 102; traditional practice = 227) and observed 260 errors (ready to administer = 25; traditional practice = 235). The overall observed error rate for ready-to-administer products was 2.5%, and the observed error rate for IV push traditional practice was 10.4%. Conclusions The ready-to-administer group demonstrated a statistically significant lower observed error rate, suggesting that use of this product is associated with fewer observed preparation and administration errors in the clinical setting. Future studies should be completed to determine the potential for patient harm associated with these errors and improve clinical practice because it relates to the safe administration of IV push medications.
AB - Objectives Current literature estimates the error rate associated with the preparation and administration of all intravenous (IV) medications to be 9.4% to 97.7% worldwide. This study aims to compare the number of observed medication preparation and administration errors between the only commercially available ready-to-administer product (Simplist) and IV push traditional practice, including a cartridge-based syringe system (Carpuject) and vials and syringes. Methods A prospective, multisite, observational study was conducted in 3 health systems in various states within the United States between December 2015 and March 2016 to observe IV push medication preparation and administration. Researchers observed a ready-to-administer product and IV push traditional practice using a validated observational method and a modified data collection sheet. All observations were reconciled to the original medication order to determine if any errors occurred. Results Researchers collected 329 observations (ready to administer = 102; traditional practice = 227) and observed 260 errors (ready to administer = 25; traditional practice = 235). The overall observed error rate for ready-to-administer products was 2.5%, and the observed error rate for IV push traditional practice was 10.4%. Conclusions The ready-to-administer group demonstrated a statistically significant lower observed error rate, suggesting that use of this product is associated with fewer observed preparation and administration errors in the clinical setting. Future studies should be completed to determine the potential for patient harm associated with these errors and improve clinical practice because it relates to the safe administration of IV push medications.
KW - direct observation
KW - error rates
KW - IV push medication administration
KW - medication errors
KW - nurse administration
KW - ready-to-administer IV push medication
KW - safety
UR - http://www.scopus.com/inward/record.url?scp=85042759834&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85042759834&partnerID=8YFLogxK
U2 - 10.1097/PTS.0000000000000419
DO - 10.1097/PTS.0000000000000419
M3 - Article
VL - 14
SP - 60
EP - 65
JO - Journal of Patient Safety
JF - Journal of Patient Safety
SN - 1549-8417
IS - 1
ER -