Improving patient safety using the sterile cockpit principle during medication administration: A collaborative, unit-based project

Journal of Nursing Management

Volumn 21, Issue 1, 2013, Pages 106-111

  Fore, Amanda M ^a   Sculli, Gary L ^a   Albee, Doreen ^b   Neily, Julia ^a  

^a DEPARTMENT OF VETERANS AFFAIRS   (United States)

^b VA WESTERN NEW YORK HEALTHCARE SYSTEM   (United States)

Author keywords

Crew resource management; Distractions; Medication administration; Nursing; Patient safety

Indexed keywords

ARTICLE; ATTENTION; HUMAN; MEDICATION ERROR; NURSING STAFF; ORGANIZATION AND MANAGEMENT; PATIENT SAFETY; STATISTICS; TOTAL QUALITY MANAGEMENT; WORKLOAD;

ATTENTION; HUMANS; MEDICATION ERRORS; NURSING STAFF, HOSPITAL; PATIENT SAFETY; QUALITY IMPROVEMENT; WORKLOAD;

EID: 84872679157     PISSN: 09660429     EISSN: 1365263X     Source Type: Journal    
DOI: 10.1111/j.1365-2834.2012.01410.x     Document Type: Article

References (14)

1. Agency for Healthcare Research and Quality (n.d.) Checklists With Medication Vests or Sash Reduce Distractions During Medication Administration. AHRQ Health Care Innovation Exchange. Available at: http://www.innovations.ahrq.gov/popup.aspx?id=1799&type=1&name=print, accessed 27 July 2011.
2. Bates D.W., Spell N., Cullen D.J. et al. (1997) The cost of adverse drug events in hospitalized patients. Adverse drug events prevention study group. JAMA 277 (4), 307-311.
3. Centers for Disease Control and Prevention (2011) Epi-Info, Version 5.3.5. CDC, Atlanta, GA. Available at: http://www.openepi.com/OE2.3/Menu/OpenEpiMenu.htm, accessed 27 July 2011.
4. Classen D.C., Pestotnik S.L., Evans R.S., Lloyd J.F. & Burke J.P. (1997) Adverse drug events in hospitalized patients. Excess length of stay, extra costs, and attributable mortality. JAMA 277 (4), 301-306.
5. Dean A.G., Sullivan K.M. & Soe M.M. (2011) OpenEpi: Open Source Epidemiologic Statistics for Public Health, Version 2.3.1. Available at: http://www.openepi.com, accessed 27 July 2011.
6. Federal Aviation Administration (1981) Part 121 Operating Requirements: Domestic, Flag, and Supplemental Operations. Section 121.542. Available at: http://rgl.faa.gov/Regulatory_and_Guidance_Library/rgFAR.nsf/0/dd19266cebdac9db852566ef006d346f!OpenDocument, accessed 27 July 2011.
7. Federwisch A. (2008) Keep away: Kaiser South San Francisco don yellow sashes to reduce interruptions and medication errors.Nurse.com. Available at: http://news.nurse.com/apps/pbcs.dll/article?AID=2008307150013, accessed 27 July 2011.
8. Hall L.M., Ferguson-Pare M., Peter E. et al. (2010) Going blank: factors contributing to interruptions to nurses' work and related outcomes. Journal of Nursing Management 18, 1040-1047.
9. Jennings B.M., Sandelowski M. & Mark B. (2011) The nurse's medication day. Qualitative Health Research 21 (10), 1441-1451.
10. Pape T.M. (2003) Applying airline safety practices to medication administration. MEDSURG Nursing 12 (2), 77-93.
11. Pape T.M., Guerra D.M., Muzquiz M. et al. (2005) Innovative approach to reducing nurses' distractions during medication administration. Journal of Continuing education in Nursing 36 (3), 108-116.
12. Sculli G.L. & Sine D.M. (2011) Soaring to Success: Taking Crew Resource Management From the Cockpit to the Nursing Unit. HCPro, Danvers, MA.
13. Sculli G.L., Fore A.M., Neily J., Mills P.D. & Sine D.M. (2011) The case for training Veterans Administration frontline nurses in crew resource management. Journal of Nursing Administration 41 (12), 524-530.
14. Westbrook J.I., Woods A., Rob M.I., Dunsmuir W.T.M. & Day R.O. (2010) Association of interruptions with an increased risk of severity of medication administration errors. Archives of Internal Medicine 170 (8), 683-690.