Thank you for your comment, which we take on board. Information on the other UK vaccination schedules can be found in the links below, which we will add to the web page of the article and the Journal Club handout:
Comment on: Cardiac system 1: anatomy and physiology
It is great to hear that you have enjoyed the article. We are sorry that you have had problems opening the PDF and we are sorting it out.
Comment on: Cardiac system 1: anatomy and physiology
Thank you for your feedback. It was a great update for me too!
Comment on: Reducing nurse medicine administration errors
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.
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
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)".
Blog Posts (294)
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