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Project SECURE: Safety through empow...

Huang, Yue Ming.

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Project SECURE: Safety through empowerment, cultivating understanding to reduce errors.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Project SECURE: Safety through empowerment, cultivating understanding to reduce errors./
Author:	Huang, Yue Ming.
Description:	112 p.
Notes:	Source: Dissertation Abstracts International, Volume: 68-01, Section: B, page: 0185.
Contained By:	Dissertation Abstracts International68-01B.
Subject:	Health Sciences, Education. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3247477

Project SECURE: Safety through empowerment, cultivating understanding to reduce errors.
Huang, Yue Ming.

Project SECURE: Safety through empowerment, cultivating understanding to reduce errors. - 112 p.

Source: Dissertation Abstracts International, Volume: 68-01, Section: B, page: 0185.

Thesis (Ed.D.)--University of California, Los Angeles, 2006.

Today's healthcare system is fraught with many problems and the public is keenly aware of them. According to the Institute of Medicine, an astonishing upward count of 98,000 deaths is attributable to preventable medical errors, with medication errors occurring most frequently. Before we can develop interventions aimed at reducing errors or minimizing behaviors that lead to errors, we need to first understand the context in which errors occur. The purpose of this study is to determine the attitudes and perspectives of nurses regarding medication errors and their compliance to safety protocols in a large tertiary care teaching hospital.Subjects--Topical Terms:

1017921
Health Sciences, Education.

Project SECURE: Safety through empowerment, cultivating understanding to reduce errors.
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035 $a (UMI)AAI3247477
035 $a AAI3247477
040 $a UMI $c UMI
100 1 $a Huang, Yue Ming. $3 1917987
245 1 0 $a Project SECURE: Safety through empowerment, cultivating understanding to reduce errors.
300 $a 112 p.
500 $a Source: Dissertation Abstracts International, Volume: 68-01, Section: B, page: 0185.
500 $a Adviser: Wellford W. Wilms.
502 $a Thesis (Ed.D.)--University of California, Los Angeles, 2006.
520 $a Today's healthcare system is fraught with many problems and the public is keenly aware of them. According to the Institute of Medicine, an astonishing upward count of 98,000 deaths is attributable to preventable medical errors, with medication errors occurring most frequently. Before we can develop interventions aimed at reducing errors or minimizing behaviors that lead to errors, we need to first understand the context in which errors occur. The purpose of this study is to determine the attitudes and perspectives of nurses regarding medication errors and their compliance to safety protocols in a large tertiary care teaching hospital.
520 $a My findings are based upon 262 survey responses with supporting evidence from 42 hours of observations and 9 half-hour interviews with nurses. Seventy-two percent of the nurses felt that not adhering to the established medication administration policy leads to errors. However, systemic factors such as heavy workload, time constraints and multiple distractions were reported by over 82% to be the major contributors to medication errors. Nurses feel overwhelmed with the workload and are constantly interrupted during medication administration, causing them to take shortcuts and fall short of full compliance with the safety protocols in administering medications.
520 $a Nurses also suggested many potential solutions to decrease medication errors, including better coordination and communication among healthcare providers (87% agreed), providing reminders for compliance (84%) and education (83%). Particularly encouraging was the finding that 81% of nurses were amenable to more discussions to talk about and learn from medication errors. While the systemic problems will require further organizational and process analysis for resolution, steps can be taken toward building a culture of safety through educational interventions that aim at increasing communication and compliance to safety protocols.
590 $a School code: 0031.
650 4 $a Health Sciences, Education. $3 1017921
650 4 $a Health Sciences, Nursing. $3 1017798
690 $a 0350
690 $a 0569
710 2 0 $a University of California, Los Angeles. $3 626622
773 0 $t Dissertation Abstracts International $g 68-01B.
790 1 0 $a Wilms, Wellford W., $e advisor
790 $a 0031
791 $a Ed.D.
792 $a 2006
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3247477