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Rodney Dangerfield of Decreasing Medication Errors – Avoid Interruptions

04/26/2010
The practice of avoiding interruptions in the medication administration process is the Rodney Dangerfield of drug administration – It gets no respect.  Instead millions of dollars are spent on bar coding everything under the sun.  So in my ongoing theme of Bar Code Medication Administration (BCMA) is a complete waste of time, money and a boondoggle (search this blog for BCMA), here is more scientific evidence that the right thing to do is to isolate nurses giving medications so that interruptions are kept at a minimum.  This will produce the same or better results than sending money down a rat hole with BCMA. I anxiously wait for science to tell me otherwise.

Association of Interruptions With an Increased Risk and Severity of Medication Administration Errors
Johanna I. Westbrook; Amanda Woods; Marilyn I. Rob; William T. M. Dunsmuir; Richard O. Day
Arch Intern Med. 2010; 170:683-690.  ABSTRACT | FULL TEXT | PDF

Giving Medication Administration the Respect It Is Due: Comment on: "Association of Interruptions With an Increased Risk and Severity of Medication Administration Errors"
Julie Kliger
Arch Intern Med. 2010; 170:690-692.  EXTRACT | FULL TEXT | PDF

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