Assessing the impact of a new pediatric healthcare facility on medication administration: a human factors approach.

Margaret R Godin; Annette S Nasr

Study

Assessing the impact of a new pediatric healthcare facility on medication administration: a human factors approach.

July 12, 2023

Godin MR, Nasr AS. J Nurs Adm. 2023;53(6):331-336.

View more articles from the same authors.

Hospital design has been associated with patient safety incidents. This study compared rates of medication administration errors in the pediatric unit of a new evidence-based design (EBD) hospital with rates at the older facility prior to moving to the EBD hospital. Despite implementing EBD, rates of distractions were lower at the older facility; “interruption by physician” was the only distraction type to improve in the new EBD hospital.

PubMed citation

Available at

Related Resources From the Same Author(s)

What do healthcare staff think about the quality and safety of care provided to children and young people with an intellectual disability? A qualitative study using the framework method of analysis.

September 6, 2023

The evolving role of health educators in advancing patient safety: forging partnerships and leading change.

April 11, 2007

Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments

May 24, 2023

Use of complex adaptive systems metaphor to achieve professional and organizational change.

August 31, 2005

Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales.

August 24, 2016

An assessment of the quality and impact of NPSA medication safety outputs issued to the NHS in England and Wales.

April 13, 2011

Causes of use errors in ventilation devices--systematic review.

November 10, 2021

Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety.

September 16, 2015

Paediatric nurses' understanding of the process and procedure of double-checking medications.

March 17, 2010

A review of the evidence of harm from self-tests.

September 17, 2014

Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers.

April 6, 2016

The effect of hospital organizational characteristics on postoperative complications.

December 11, 2013

Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems.

April 28, 2021

Making patients safer: nurses' responses to patient safety alerts.

September 24, 2008

Rapid response systems in the Netherlands.

March 9, 2011

The relationship between patient safety culture and patient outcomes: a systematic review.

April 2, 2014

Social aspects of clinical errors: a discussion paper.

March 25, 2009

Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid review.

May 27, 2020

Characteristics of patient care management problems identified in emergency department morbidity and mortality investigations during 15 years.

October 31, 2007

The problem with 'My Five Moments for Hand Hygiene'.

August 25, 2021

"It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency.

November 15, 2017

A national physician survey of diagnostic error in paediatrics.

October 26, 2016

Improving shared situation awareness for high-risk therapies in hospitalized children.

January 19, 2022

Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review.

November 8, 2023

Cognitive bias during clinical decision-making and its influence on patient outcomes in the emergency department: a scoping review.

October 25, 2023

Governing the quality and safety of healthcare: a conceptual framework.

May 30, 2018

The role of talking (and keeping silent) in physician coping with medical error: a qualitative study.

August 8, 2012

'You have to face your mistakes in the street': the contextual keys that shape health service access and health workers' experiences in rural areas.

February 27, 2008

Physician perception of hospital safety and barriers to incident reporting.

May 31, 2006

"Teach-back" from a patient's perspective.

March 2, 2016

Crushing or splitting medications: unrecognized hazards.

January 25, 2012

Case study: identifying potential problems at the human/technical interface in complex clinical systems.

November 30, 2005

Patient safety in an interprofessional learning environment.

May 4, 2005

Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study.

June 22, 2016

Using performance improvement to enhance time-out compliance and prevent wrong-site surgery.

August 11, 2021

Are they safe in there? Patient safety and trainees in the practice.

February 8, 2012

Association of unexpected newborn deaths with changes in obstetric and neonatal process of care.

January 20, 2021

Exploration of a rapid response team model of care: a descriptive dual methods study.

September 21, 2022

Time to take hearing loss seriously.

February 19, 2020

Diagnostic errors: impact of an educational intervention on pediatric primary care.

November 8, 2017

Some cancer experts see 'overdiagnosis,' question emphasis on early detection.

October 1, 2014

The nurse's medication day.

August 29, 2012

The medical emergency team system: a two hospital comparison.

February 27, 2008

Patient perceptions of missed nursing care.

April 4, 2012

Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology diagnoses.

February 15, 2012

Which adverse events and which drugs are implicated in drug-related hospital admissions? A systematic review and meta-analysis.

March 22, 2023

Wisdom through adversity: learning and growing in the wake of an error.

February 27, 2013

The effect of workload reduction on the quality of residents' discharge summaries.

January 19, 2011

Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans.

November 2, 2011

The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit.

October 22, 2014

Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care.

September 9, 2020

Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality.

May 23, 2007

Absence or presence: silent discourse in the operating room and impact on surgical team action.

November 11, 2020

Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training.

May 11, 2022

Medication reconciliation during transitions of care as a patient safety strategy: a systematic review.

March 20, 2013

Effective discharge communication in the emergency department.

February 1, 2012

Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital.

September 14, 2022

Organizational learning in hospitals: a realist review.

August 21, 2019

Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues.

December 8, 2021

The relationship between resident burnout and safety-related and acceptability-related quality of healthcare: a systematic literature review.

February 28, 2018

Clinician perspectives on the management of abnormal subcritical tests in an urban academic safety-net health care system.

October 4, 2017

The role of surgeon error in withdrawal of postoperative life support.

September 26, 2012

Human patient simulation: teaching students to provide safe care.

September 26, 2007

Promethazine adverse events after implementation of a medication shortage interchange.

April 15, 2005

Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and potential root causes.

August 2, 2023

Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation.

July 20, 2022

Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study.

September 4, 2019

Community validation of an approach to detect delayed diagnosis of appendicitis in big databases.

October 11, 2023

A systematic review of measurement tools for the proactive assessment of patient safety in general practice.

June 14, 2017

Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts.

July 25, 2012

Clinically missed cancer: how effectively can radiologists use computer-aided detection?

May 16, 2012

Prescribing errors in a pediatric emergency department.

March 5, 2008

Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review.

October 7, 2009

Analysis of risk factors for adverse drug events in critically ill patients.

April 11, 2012

Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes.

November 12, 2014

User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study.

July 29, 2020

Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database.

October 14, 2020

Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center.

January 29, 2020

Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes.

March 11, 2020

A framework for operationalizing risk: a practical approach to patient safety.

May 2, 2018

Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit.

October 11, 2006

Activating knowledge for patient safety practices: a Canadian academic-policy partnership.

January 30, 2005

Adverse events after screening and follow-up colonoscopy.

February 15, 2012

Worldwide incidence of surgical site infections in general surgical patients: a systematic review and meta-analysis of 488,594 patients.

December 8, 2021

A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings.

October 4, 2023

Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study.

April 19, 2017

Clinician factors associated with delayed diagnosis of appendicitis.

July 5, 2023

Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments.

October 26, 2022

Reported clinical incidents of children with intellectual disability: a qualitative analysis.

June 15, 2022

Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts.

March 27, 2013

Surgeon-reported conflict with intensivists about postoperative goals of care.

March 27, 2013

Incidence- versus prevalence-based measures of inappropriate prescribing in the Veterans Health Administration.

September 30, 2015

Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting database.

February 22, 2006

Identifying opportunities for quality improvement in surgical site infection prevention.

March 4, 2009

Quasi-experimental evaluation of the effectiveness of a large-scale readmission reduction program.

April 20, 2016

Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey

December 23, 2020

Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology.

May 19, 2021

Interpersonal and organizational dynamics are key drivers of failure to rescue.

December 5, 2018

The relationship between safety culture and voluntary event reporting in a large regional ambulatory care group.

March 22, 2017

Wisdom in medicine: what helps physicians after a medical error?

September 23, 2015

Related Resources

Technology, Education and Safety

November 15, 2023

WebM&M Cases

Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose.

October 31, 2023

Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists.

August 23, 2023

Meta-analysis of medication administration errors in African hospitals.

August 2, 2023

Content analysis of nurses' reflections on medication errors in a regional hospital.

July 26, 2023

Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene.

June 14, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Understanding complexity in a safety critical setting: a systems approach to medication administration.

April 26, 2023

"Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses.

March 22, 2023

Patient Safety Innovations

Journal Article

Study

The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments.

November 16, 2022

Resident and nurse perspectives on the use of secure text messaging systems.

October 19, 2022

Human factors analysis of latent safety threats in a pediatric critical care unit.

May 18, 2022

Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality.

April 20, 2022

As a nurse faces prison for a deadly error, her colleagues worry: could I be next?

March 30, 2022

An initiative to reduce insulin-related adverse drug events in a children's hospital.

February 16, 2022

Weight-based Medication Errors in Children.

February 16, 2022

Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis.

December 8, 2021

Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical care transport.

November 10, 2021

Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication administration: a multicenter cluster randomized controlled trial.

October 13, 2021

Interventions to reduce medication dispensing, administration, and monitoring errors in pediatric professional healthcare settings: a systematic review.

September 29, 2021

Fatal mistakes: why do ten-fold medication errors in children keep happening?

May 5, 2021

Nurse burnout predicts self-reported medication administration errors in acute care hospitals.

January 20, 2021

Nurses' perceived causes of medication administration errors: a qualitative systematic review.

November 25, 2020

Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study.

November 4, 2020

A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams.

October 7, 2020

Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients.

August 26, 2020

Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study.

July 22, 2020

Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations.

June 24, 2020

Diagnostic Safety Toolkit.

May 27, 2020

Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit.

January 15, 2020

See More About The Topic

Administration Errors

Assessing the impact of a new pediatric healthcare facility on medication administration: a human factors approach.

The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Assessing the impact of a new pediatric healthcare facility on medication administration: a human factors approach.

The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site