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https://ptsldigital.ukm.my/jspui/handle/123456789/456119| Title: | The preparation and administration of parenteral medications by nurses in a general intensive care unit before and after education intervention |
| Authors: | Tan Suet Yin (P69352) |
| Supervisor: | Nur Akmar bt. Taha, Dr. |
| Keywords: | Parenteral medications Nurse Dissertations, Academic -- Malaysia |
| Issue Date: | 10-Feb-2017 |
| Description: | The preparation and administration of parenteral medications in intensive care units is an activity associated with high error rates. Lack of knowledge had been identified as the main reason for these errors. This study aimed to compare the parenteral medication preparation and administration error rate; the adherence to good practices; and the accuracy of drug infusions' concentrations before and after an education intervention. This study was conducted in a General Intensive Care Unit in Universiti Kebangsaan Malaysia Medical Centre from November 2013 until August 2014. The preparation and administration of parenteral medications by nurses were observed directly pre- and post-intervention. The concentrations of noradrenaline drug infusion prepared by nurses were also analysed using high-performance liquid chromatography. The education intervention was conducted using the tools developed, which consisted of an educational video, a memory aid, and a PowerPoint presentation. The parenteral medication preparation and administration error rate were significantly reduced from 79% to 50% (P<0.001) following the education intervention. Pre-intervention, the most common error type observed was incorrect preparation (57%), followed by incorrect administration rate (35%). Most error types were significantly reduced following the intervention, except for dose and administration rate error. There was also a significant improvement in nurses' adherence to good practices post-intervention. However, there was no difference in the concentration error rate of the drug infusions prepared pre- and post-intervention. Nurses' factors (age, gender, education level, and experience) did not contribute to the occurrence of error. However, administration of medication through the bolus route and gastro-intestinal drug were significantly associated with the occurrence of an error. Failure to label syringe correctly were also found to result in more errors per dose. In conclusion, education intervention can improve parenteral medication safety, and should be conducted regularly.,Ijazah Sarjana Sains |
| Pages: | 110 |
| Call Number: | QV20.5.T161t 2017 9 |
| Publisher: | UKM, Kuala Lumpur |
| Appears in Collections: | Faculty of Pharmacy / Fakulti Farmasi |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| ukmvital_96820+Source01+Source010.PDF Restricted Access | 336.45 kB | Adobe PDF |  View/Open |
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