Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety.
Approach to Improving Safety
Setting of Care
This direct observation study of nursing medication administration demonstrated that adherence to safe practices such as minimizing interruptions, checking two forms of patient identification, discussing medications with patients and their families, and prompt documentation led to fewer medication administration errors. Characteristics such as higher patient-to-nurse ratios and patient turnover were associated with decreased adherence to safe practices, emphasizing the crucial role of nursing workload in patient safety.