Title

Nursing home error and level of staff credentials

Document Type

Article

Peer Reviewed

1

Publication Date

2-1-2007

Journal, Book or Conference Title

Clinical nursing research

NLM Title Abbreviation

Clin Nurs Res

PubMed ID

17204809

DOI

10.1177/1054773806295241

Abstract

Providing safe nursing home care is both a clinical and fiscal challenge in many countries. The fiscal realities result in the addition of other workers, such as medication technicians or aides (CMT/A), to the health care team. The purpose of this study was to determine the impact of various levels of credentialing among nursing home staff who deliver medications (RN, LPN, or CMT/A) on medication error. In addition, the impact of distractions and interruptions was explored. Using naive observation, 39 medication administrators representing various levels of credentialing were unobtrusively observed to determine the number of medication errors, distractions, and interruptions in five nursing homes. There were no differences in medication error rates by level of credential. However, RNs had more interruptions during their medication administration, and these increased interruptions were associated with increased medication error rates when wrong time errors were excluded (p = .0348).

Keywords

Credentialing, Health Personnel, Humans, Medication Errors, Midwestern United States, Nursing Homes/manpower

Published Article/Book Citation

The definitive version was published in Clinical nursing research, 16:1 (2007) pp.72-78. DOI:10.1177/1054773806295241.

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URL

http://ir.uiowa.edu/nursing_pubs/1146