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The Paradox of Safety in Medication Management.
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- Author(s): Hawkins, Sara F.; Nickman, Nancy A.; Morse, Janice M.
- Source:
Qualitative Health Research; Nov2017, Vol. 27 Issue 13, p1910-1923, 14p- Subject Terms:
MEDICATION error prevention; ATTITUDE (Psychology); CONTENT analysis; CORPORATE culture; DECISION making; INTERVIEWING; MANAGEMENT; MEDICAL personnel; SCIENTIFIC observation; PUBLIC health laws; ETHNOLOGY research; DECISION making in clinical medicine; JUDGMENT sampling; OCCUPATIONAL roles; PEER relations; THEMATIC analysis; MEDICATION therapy management; DATA analysis software - Source:
- Additional Information
- Abstract: The reduction of medication errors is largely dependent upon the structure of the medication management system and the role of the pharmacist in the acute care setting. The significance of this claim became evident in an ethnographic study of nurses’ work in which data were generated from extensive observations, formal interviews, and document reviews. Each step of medication management—from ordering to administering—was microanalyzed, and spaces and places for error emerged. Results revealed medication errors defined by proximity to the patient. Pharmacists became a surprising “stop-gap” between the physicians and patients in the recognition and interception of medication errors occurring far removed from the bedside and did not formally support the reporting of these errors. Understanding the complexity of this process and the roles of involved personnel reminds us that there is presently no fool-proof plan for the reduction of medication errors and implies a culture of safety remains elusive. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Qualitative Health Research is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Abstract:
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