Improving the safety of medication administration using an interactive CD-ROM program

Philip J Schneider, Craig A. Pedersen, Kathryn R. Montanya, Christine R. Curran, Spencer E. Harpe, Wayne Bohenek, Bonnie Perratto, T. Jane Swaim, Kay E. Wellman

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Purpose. The impact of an interactive CD-ROM program on the rate of medication administration errors made by nurses was studied. Methods. This randomized, controlled, nonblinded study was conducted at three community hospitals. Study participants included 30 registered nurses who had at least one year of nursing experience in acute care and who worked on medical or medical-surgical units. Nurses were randomized to an intervention group that completed an interactive CD-ROM program on safe medication practices or to a control group. Direct observation was used to determine the baseline (preintervention) and postintervention error rates for both study and control groups. Three categories of errors were defined: deviation from safe administration practices (core 1), preparation and administration errors (core 2), and deviations from prescribed therapy (core 3). An error rate was calculated for each nurse, and the error rates for the study and control groups were based on the average error rate for the nurses in each group. Results. The majority of errors made were core 1 errors. The nurse-level data showed a significant decrease in core 1 error rates between baseline and postintervention periods. Core 2 error rates were higher in the postintervention period, but the increase was not significant. Very few core 3 errors were made by either group during either period. Conclusion. An interactive CD-ROM enabled nurses to apply the information learned to identify errors in medication administration and improved adherence to safe medication administration practices.

Original languageEnglish (US)
Pages (from-to)59-64
Number of pages6
JournalAmerican Journal of Health-System Pharmacy
Volume63
Issue number1
DOIs
StatePublished - Jan 1 2006
Externally publishedYes

Fingerprint

CD-ROM
Nurses
Safety
Medication Errors
Control Groups
Community Hospital
Nursing
Observation

Keywords

  • CD ROM
  • Computers
  • Drug administration
  • Errors, medication
  • Hospitals
  • Nurses
  • Toxicity

ASJC Scopus subject areas

  • Pharmaceutical Science
  • Leadership and Management

Cite this

Schneider, P. J., Pedersen, C. A., Montanya, K. R., Curran, C. R., Harpe, S. E., Bohenek, W., ... Wellman, K. E. (2006). Improving the safety of medication administration using an interactive CD-ROM program. American Journal of Health-System Pharmacy, 63(1), 59-64. https://doi.org/10.2146/ajhp040609

Improving the safety of medication administration using an interactive CD-ROM program. / Schneider, Philip J; Pedersen, Craig A.; Montanya, Kathryn R.; Curran, Christine R.; Harpe, Spencer E.; Bohenek, Wayne; Perratto, Bonnie; Swaim, T. Jane; Wellman, Kay E.

In: American Journal of Health-System Pharmacy, Vol. 63, No. 1, 01.01.2006, p. 59-64.

Research output: Contribution to journalArticle

Schneider, PJ, Pedersen, CA, Montanya, KR, Curran, CR, Harpe, SE, Bohenek, W, Perratto, B, Swaim, TJ & Wellman, KE 2006, 'Improving the safety of medication administration using an interactive CD-ROM program', American Journal of Health-System Pharmacy, vol. 63, no. 1, pp. 59-64. https://doi.org/10.2146/ajhp040609
Schneider, Philip J ; Pedersen, Craig A. ; Montanya, Kathryn R. ; Curran, Christine R. ; Harpe, Spencer E. ; Bohenek, Wayne ; Perratto, Bonnie ; Swaim, T. Jane ; Wellman, Kay E. / Improving the safety of medication administration using an interactive CD-ROM program. In: American Journal of Health-System Pharmacy. 2006 ; Vol. 63, No. 1. pp. 59-64.
@article{13e2f56ee8ef4efa9a0c38de1654a006,
title = "Improving the safety of medication administration using an interactive CD-ROM program",
abstract = "Purpose. The impact of an interactive CD-ROM program on the rate of medication administration errors made by nurses was studied. Methods. This randomized, controlled, nonblinded study was conducted at three community hospitals. Study participants included 30 registered nurses who had at least one year of nursing experience in acute care and who worked on medical or medical-surgical units. Nurses were randomized to an intervention group that completed an interactive CD-ROM program on safe medication practices or to a control group. Direct observation was used to determine the baseline (preintervention) and postintervention error rates for both study and control groups. Three categories of errors were defined: deviation from safe administration practices (core 1), preparation and administration errors (core 2), and deviations from prescribed therapy (core 3). An error rate was calculated for each nurse, and the error rates for the study and control groups were based on the average error rate for the nurses in each group. Results. The majority of errors made were core 1 errors. The nurse-level data showed a significant decrease in core 1 error rates between baseline and postintervention periods. Core 2 error rates were higher in the postintervention period, but the increase was not significant. Very few core 3 errors were made by either group during either period. Conclusion. An interactive CD-ROM enabled nurses to apply the information learned to identify errors in medication administration and improved adherence to safe medication administration practices.",
keywords = "CD ROM, Computers, Drug administration, Errors, medication, Hospitals, Nurses, Toxicity",
author = "Schneider, {Philip J} and Pedersen, {Craig A.} and Montanya, {Kathryn R.} and Curran, {Christine R.} and Harpe, {Spencer E.} and Wayne Bohenek and Bonnie Perratto and Swaim, {T. Jane} and Wellman, {Kay E.}",
year = "2006",
month = "1",
day = "1",
doi = "10.2146/ajhp040609",
language = "English (US)",
volume = "63",
pages = "59--64",
journal = "American Journal of Health-System Pharmacy",
issn = "1079-2082",
publisher = "American Society of Health-Systems Pharmacy",
number = "1",

}

TY - JOUR

T1 - Improving the safety of medication administration using an interactive CD-ROM program

AU - Schneider, Philip J

AU - Pedersen, Craig A.

AU - Montanya, Kathryn R.

AU - Curran, Christine R.

AU - Harpe, Spencer E.

AU - Bohenek, Wayne

AU - Perratto, Bonnie

AU - Swaim, T. Jane

AU - Wellman, Kay E.

PY - 2006/1/1

Y1 - 2006/1/1

N2 - Purpose. The impact of an interactive CD-ROM program on the rate of medication administration errors made by nurses was studied. Methods. This randomized, controlled, nonblinded study was conducted at three community hospitals. Study participants included 30 registered nurses who had at least one year of nursing experience in acute care and who worked on medical or medical-surgical units. Nurses were randomized to an intervention group that completed an interactive CD-ROM program on safe medication practices or to a control group. Direct observation was used to determine the baseline (preintervention) and postintervention error rates for both study and control groups. Three categories of errors were defined: deviation from safe administration practices (core 1), preparation and administration errors (core 2), and deviations from prescribed therapy (core 3). An error rate was calculated for each nurse, and the error rates for the study and control groups were based on the average error rate for the nurses in each group. Results. The majority of errors made were core 1 errors. The nurse-level data showed a significant decrease in core 1 error rates between baseline and postintervention periods. Core 2 error rates were higher in the postintervention period, but the increase was not significant. Very few core 3 errors were made by either group during either period. Conclusion. An interactive CD-ROM enabled nurses to apply the information learned to identify errors in medication administration and improved adherence to safe medication administration practices.

AB - Purpose. The impact of an interactive CD-ROM program on the rate of medication administration errors made by nurses was studied. Methods. This randomized, controlled, nonblinded study was conducted at three community hospitals. Study participants included 30 registered nurses who had at least one year of nursing experience in acute care and who worked on medical or medical-surgical units. Nurses were randomized to an intervention group that completed an interactive CD-ROM program on safe medication practices or to a control group. Direct observation was used to determine the baseline (preintervention) and postintervention error rates for both study and control groups. Three categories of errors were defined: deviation from safe administration practices (core 1), preparation and administration errors (core 2), and deviations from prescribed therapy (core 3). An error rate was calculated for each nurse, and the error rates for the study and control groups were based on the average error rate for the nurses in each group. Results. The majority of errors made were core 1 errors. The nurse-level data showed a significant decrease in core 1 error rates between baseline and postintervention periods. Core 2 error rates were higher in the postintervention period, but the increase was not significant. Very few core 3 errors were made by either group during either period. Conclusion. An interactive CD-ROM enabled nurses to apply the information learned to identify errors in medication administration and improved adherence to safe medication administration practices.

KW - CD ROM

KW - Computers

KW - Drug administration

KW - Errors, medication

KW - Hospitals

KW - Nurses

KW - Toxicity

UR - http://www.scopus.com/inward/record.url?scp=30344445644&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=30344445644&partnerID=8YFLogxK

U2 - 10.2146/ajhp040609

DO - 10.2146/ajhp040609

M3 - Article

C2 - 16373466

AN - SCOPUS:30344445644

VL - 63

SP - 59

EP - 64

JO - American Journal of Health-System Pharmacy

JF - American Journal of Health-System Pharmacy

SN - 1079-2082

IS - 1

ER -