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eileen shepherd

eileen shepherd

Recent activity

Comments (38)

  • Comment on: Reducing nurse medicine administration errors

    eileen shepherd's comment 26 May, 2015 10:54 am


    The authors have provided the following response to Anonymous | 12-May-2015 10:42 am


    Thank you for your comments, which we would now like to address.
    In our review we have suggested that interruption and distraction of nurses during drug administration is one of four main causes of medication administration errors [MAE’s], not the only cause. Our review of the literature suggests three further causes - drug calculation skills, insufficient knowledge of pharmacology and lack of confidence in administering medicines. Your comments neglect to recognise that four main causes of MAE’s were proposed.

    While we acknowledge our reference to a review by Biron et al (2009),which suggests limited evidence to support the contribution interruptions make to MAE’s, we emphasise these are the findings of this author, not our own views and not the findings from our review of the literature. In our review, we have included studies (not included in Biron et al’s work) the findings of which suggest that interruptions do make a significant contribution to MAE’s (Dougherty et al 2011;Kreckler et al 2008; Fry and, Dacey 2007). These include studies which explore the perceptions of nursing staff on the causes of MAE’s.

    While we accept that Raban and Westbrook (2013) suggest more evidence is needed to support the effectiveness of interventions, such as “do not disturb” tabards worn by nurses to reduce MAE’s, these authors have included many interventions in their systematic review, not just lanyards. There is much evidence to support that wearing of tabards does prevent interruptions leading to MAE’s. For example a recent pre and post intervention study by Verweij et al (2014) found “drug tabards” worn by nurses was effective in reducing MAE’s.

    We thank you for your suggestion for further reading. We do recognise the limitations of our work and of covering such a broad research topic reducing medication errors within a restricted review of the literature. We would always encourage those in practice, academia and research to consult the full range of evidence available.

    References

    Biron A et al (2009) Work interruption and their contribution to medication administration errors:an evidence review. Worldview on Evidence-Based Nursing; 6: 2, 70-86.

    Dougherty L et al (2011). Decision-making process used by nurses during intravenous drug preparation and administration. Journal of Advanced Nursing; 68: 6, 1302-1311.

    Fry MM, Dacey C (2007). Factors contributing to incidents in medicine administration. Part 2. British Journal of Nursing; 16: 11, 676-681.

    Kreckler S et al (2008). Interruptions during drug rounds: an observational study. British Journal of Nursing; 17: 21, 1326-1330.

    Ofosu, R and Jarrett, P, (2015) Reducing nurse medicine administration errors. Nursing Times; 111: 20, 12-14.

    Roban, M and Westbrook, J (2013) Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review, BMJ Quality and Safety. 0, 1-8

    Verweij, L et al (2014) Quiet Please! Drug Round Tabards: Are They Effective and Accepted? A Mixed Method Study. Journal of Nursing Scholarship. 46(5) 340-348

  • Comment on: How to use personal protective equipment

    eileen shepherd's comment 12 January, 2015 12:06 pm

    Thanks for your question. I have checked with the authors and they recommend:
    "A green apron is to be worn when serving food to patients as this is National specifications for cleanliness in the NHS (NPSA) and to comply with CQC requirements. It acts an reminder to all that you are not to be disturbed whilst serving food to do clinical duties (protected meal time)".

  • Comment on: Using music to maintain the correct rhythm during CPR

    eileen shepherd's comment 16 September, 2014 2:53 pm

    Thank you for your comment.The researchers in this article assessed the use of music in CPR training to help nurses acheive the correct number of compressions. They did not evaluate its use during actual resuscitation attempts.

  • Comment on: 'Get online to learn and be part of a huge global nursing group'

    eileen shepherd's comment 10 June, 2014 10:44 am

    Thanks Bill. It is in our print edition as well. Hopefully it will inspire all nurses to see the value of the online community

  • Comment on: Would you value a week away with your team?

    eileen shepherd's comment 24 March, 2014 5:13 pm

    When I was a ward sister I had time out days . They made a big difference to the team and helped us set priorities. The challenge was to keep the energy going when we returned to the ward. I can't image what it must be like to get a team away for a week. It will be interesting to see the results to this innovation.

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Blog Posts (294)

  • Eileen Shepherd

    Can you accept a free pen?

    Practice team blog4 January, 2016 7:00 am

    In the summer of 2015 the Daily Telegraph drew attention to unhealthy relationships between some health professionals and the pharmaceutical industry. It described lavish trips organised by drug manufacturers to promote their products and ultimately influence purchasing and prescribing practice.

  • Eileen Shepherd

    The patients we choose not to touch

    Practice team blog31 August, 2015 7:00 am

    I recently read the novel Even the Dogs, which is a fascinating insight into the lives of homeless and vulnerable people. The author Jon McGregor describes the stark realities of living on the edge of society, but what is most striking are his references to the importance of touch. He writes about how infrequently positive touch occurs in his characters’ lives, and describes one experience of a consultation with a nurse:

  • Does mandatory training have to be boring?

    Practice team blog1 July, 2015 2:23 pm

    In his book Do No Harm retired neurosurgeon Henry Marsh described the irritation of taking time away from his work to sit though mandatory training.

  • 'Let's realise the potential of our practice nurses'

    Practice team blog25 May, 2015 7:00 am

    I wonder if anyone was surprised by the recent news that a group of GP practices have been placed into special measures.

  • 'Knowledge of how to care for people with dementia is not reaching many staff'

    Practice team blog20 April, 2015 6:59 am

    A few weeks ago I went to see Still Alice and cried. Despite close contact with people with dementia it was a shock to see a middle-aged woman with the condition, her rapid decline and the impact her illness had on those around her. As a woman in my fifties I was also frightened by what the future might hold.

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