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Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes.
Donaldson N, Aydin C, Fridman M, Foley M. J Healthc Qual. 2014;36:58-68.
This cross-sectional study presents data collected from the Collaborative Alliance for Nursing Outcomes benchmarking registry. In this convenience sample, nurses deviated from medication administration safe practices approximately 11% per encounter, and administration errors occurred 0.32% per encounter. Distractions or interruptions accounted for nearly one-fourth of the safe practice deviations.