Reducing interruptions to improve medication safety.

Regi Freeman; Scott McKee; Bethany Lee-Lehner; Jennifer Pesenecker

Study

Reducing interruptions to improve medication safety.

November 21, 2012

Freeman R, McKee S, Lee-Lehner B, et al. J Nurs Care Qual. 2013;28(2):176-85.

View more articles from the same authors.

A series of interventions was implemented in order to reduce interruptions during medication administration on a telemetry unit.

PubMed citation

Available at

Related Resources From the Same Author(s)

Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis.

January 14, 2015

High-risk, high-alert medication management practices in a regional state psychiatric facility.

May 9, 2007

Hospital nurses' work environment characteristics and patient safety outcomes: a literature review.

October 12, 2016

Pediatric emergency nurses self-reported medication safety practices.

June 26, 2013

Medication use and cognitive impairment among residents of aged care facilities.

June 23, 2021

Informatics confronts drug–drug interactions.

March 6, 2013

A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery.

September 22, 2021

Hospital board oversight of quality and safety: a stakeholder analysis exploring the role of trust and intelligence.

July 15, 2015

Effects of pharmacist-conducted medication reconciliation at discharge on 30-day readmission rates of patients with chronic obstructive pulmonary disease.

June 9, 2021

Impact of interoperability of smart infusion pumps and an electronic medical record in critical care.

September 23, 2020

Medication reconciliation in a rural trauma population.

December 3, 2008

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

July 26, 2023

Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research.

January 8, 2014

Benefits of reporting and analyzing nursing students' near-miss medication incidents.

March 9, 2022

The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia.

October 4, 2006

Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit.

December 8, 2021

Minimizing inappropriate medications in older populations: a ten-step conceptual framework.

April 4, 2012

Requirements for implementing a 'just culture' within healthcare organisations: an integrative review.

June 21, 2023

The friends and family test: a qualitative study of concerns that influence the willingness of English National Health Service staff to recommend their organisation.

September 24, 2014

Structured handover in general surgery: an audit of current practice.

July 8, 2015

Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies.

June 28, 2017

Impact of patient communication problems on the risk of preventable adverse events in acute care settings.

June 25, 2008

Thematic analysis of women's perspectives on the meaning of safety during hospital-based birth.

August 15, 2018

Are surgeons and anesthesiologists lying to each other or gaming the system? A national random sample survey about "truth-telling practices" in the perioperative setting in the United States.

January 20, 2016

Race and socioeconomic bias in pediatric cardiac transplantation.

February 8, 2023

The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional record review.

August 20, 2014

Emergency department monitor alarms rarely change clinical management: an observational study.

September 16, 2020

The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: a systematic review.

April 7, 2021

I-CaRe: a case review tool focused on improving inpatient care.

February 4, 2009

Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities.

October 16, 2019

Reduction in opioid prescribing through evidence-based prescribing guidelines.

December 20, 2017

Positioning continuing education: boundaries and intersections between the domains continuing education, knowledge translation, patient safety and quality improvement.

April 3, 2013

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

October 31, 2007

Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study.

July 2, 2014

Do hospital boards matter for better, safer, patient care?

March 8, 2017

Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals.

June 26, 2013

Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative.

February 3, 2021

Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States.

April 4, 2012

Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors.

August 8, 2018

Effects of individual nurse and hospital characteristics on patient adverse events and quality of care: a multilevel analysis.

October 24, 2018

Safety culture, patient safety, and quality of care outcomes: a literature review.

January 31, 2018

The Veterans Affairs root cause analysis system in action.

March 27, 2005

Communication errors in radiology—pitfalls and how to avoid them.

August 1, 2018

Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify patient harm in a specialized pediatric patient population.

May 14, 2014

Associations between self-reported healthcare disruption due to COVID-19 and avoidable hospital admission: evidence from seven linked longitudinal studies for England.

August 9, 2023

What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management?

June 25, 2008

Clinical evaluation of the ADE scorecards as a decision support tool for adverse drug event analysis and medication safety management.

October 30, 2013

Assessing adverse events among home care clients in three Canadian provinces using chart review.

November 27, 2013

What every graduating resident needs to know about quality improvement and patient safety: a content analysis of 26 sets of ACGME milestones.

July 18, 2018

Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit.

October 19, 2022

Evidence of respiratory infection transmission within physician offices could inform outpatient infection control.

September 1, 2021

Do telephone call interruptions have an impact on radiology resident diagnostic accuracy?

October 22, 2014

Quality improvement, patient safety, and continuing education: a qualitative study of the current boundaries and opportunities for collaboration between these domains.

April 15, 2015

Hospital medication errors: a cross sectional study.

December 23, 2020

Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test accuracy.

November 17, 2021

Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals.

April 14, 2021

A collaborative learning network approach to improvement: the CUSP learning network.

April 8, 2015

Racism in pain medicine: we can and should do more.

July 14, 2021

Errors in ABO labeling of deceased donor kidneys: case reports and approach to ensuring patient safety.

January 10, 2007

Declines in opioid prescribing after a private insurer policy change—Massachusetts, 2011–2015.

November 9, 2016

IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety.

November 2, 2016

Nurse managers' leadership, patient safety, and quality of care: a systematic review.

September 21, 2022

Decision making in trauma settings: simulation to improve diagnostic skills.

March 11, 2015

Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems.

March 6, 2013

Association of hydrocodone schedule change with opioid prescriptions following surgery.

September 5, 2018

Postoperative opioid prescribing and the pain scores on Hospital Consumer Assessment of Healthcare Providers and Systems survey.

June 7, 2017

Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors.

February 11, 2015

Safety in home care: a mapping review of the international literature.

October 23, 2013

What do medical records tell us about potentially harmful co-prescribing?

July 18, 2007

Implementation and evaluation of a laboratory safety process improvement toolkit.

May 22, 2019

Individual and team-based medical error disclosure: dialectical tensions among health care providers.

August 28, 2019

Influencing leadership perceptions of patient safety through just culture training.

May 5, 2010

Perceptions of rounding checklists in the intensive care unit: a qualitative study.

May 9, 2018

Designing a strategy to promote safe, innovative off-label use of medications.

August 2, 2006

"Managing up" can improve teamwork in the OR.

May 26, 2010

Health literacy and patient safety events.

July 13, 2016

On patient safety: when are we too old to operate?

March 9, 2016

Pediatric safety.

May 20, 2009

Advancing a More Health-Literate Approach to Patient Safety

October 9, 2019

Patient handoffs.

June 11, 2008

Simulation-based education enhances patient safety behaviors during central venous catheter placement.

September 15, 2021

Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled and single-series interrupted time series analyses.

February 15, 2023

Failure to debrief after critical events in anesthesia is associated with failures in communication during the event.

March 20, 2019

The association between organizational culture and the ability to benefit from "just culture" training.

March 6, 2019

Semi-supervised classification of patient safety event reports.

June 6, 2012

Errors in clinical reasoning: causes and remedial strategies.

June 24, 2009

COVID-19 pandemic and the tension between the need to act and the need to know.

October 14, 2020

Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.

December 22, 2010

Association of opioid prescribing with opioid consumption after surgery in Michigan.

November 21, 2018

Persistent opioid use among pediatric patients after surgery.

December 20, 2017

Headline-grabbing study brings attention back to medical errors.

August 24, 2016

In treating sepsis, questions about timing and mandates.

August 16, 2017

Standardization of inpatient handoff communication.

January 18, 2017

Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy.

August 27, 2014

Guidelines in practice: medication safety.

February 14, 2024

Adverse drug event prevention and detection in older emergency department patients.

November 1, 2023

CMS: your mistake, your problem.

August 29, 2007

Hospital readmission and parent perceptions of their child's hospital discharge.

September 4, 2013

Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic accuracy studies.

March 3, 2020

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

October 15, 2008

Related Resources

Medical-surgical nurse leaders' experiences with safety culture: an inductive qualitative descriptive study.

November 9, 2022

Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter prospective cohort study.

March 2, 2022

Outcomes-based nurse staffing during times of crisis and beyond.

February 16, 2022

Organizational safety climate and job enjoyment in hospital surgical teams with and without crew resource management training,

January 26, 2022

Examining the meaning of the language used to communicate the nursing hand-off.

November 24, 2021

A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery.

September 22, 2021

Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: a mixed-methods study.

July 21, 2021

Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design.

November 11, 2020

A systems approach to analyzing and preventing hospital adverse events.

June 24, 2020

Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports.

April 15, 2020

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

March 11, 2020

Detecting medication administration errors.

September 18, 2019

The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours.

September 18, 2019

WebM&M Cases

What Happened on Telemetry?

April 1, 2019

Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study.

March 27, 2019

"I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients.

March 6, 2019

What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff.

January 23, 2019

Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study.

September 26, 2018

Medication administration and interruptions in nursing homes: a qualitative observational study.

July 11, 2018

Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors.

July 19, 2017

Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study.

March 15, 2017

Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU.

February 8, 2017

Use of personal electronic devices by nurse anesthetists and the effects on patient safety.

May 25, 2016

Nursing strategies to increase medication safety in inpatient settings.

May 25, 2016

The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings.

February 3, 2016

Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services.

February 3, 2016

Safety culture in cardiac surgical teams: data from five programs and national surgical comparison.

September 23, 2015

The effect of a safe zone on nurse interruptions, distractions, and medication administration errors.

April 1, 2015

Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating room.

January 14, 2015

Special Focus Issue: Patient Safety.

October 15, 2014

See More About The Topic

Hospitals

Nurses

Nurse Managers

Quality and Safety Professionals

Cardiology

Reducing interruptions to improve medication safety.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Reducing interruptions to improve medication safety.

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