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An observational study of how patients are identified before medication administrations in medical and surgical wards

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  • Marja Härkänen
  • Marjo Kervinen
  • Jouni Ahonen
  • Hannele Turunen
  • Katri Vehviläinen‐Julkunen

Abstract

The aims of this study were to clarify how a patient's identity was verified before the administration of medication in medical and surgical wards in a hospital, as well as to study the association between patient identification and the registered nurse's work experience, observed interruptions, and distractions. The study material was collected during April and May 2012 in two surgical and two medical wards in one university hospital in Finland, using a direct, structured observation method. A total of 32 registered nurses were observed while they administered 1058 medications to 122 patients. Patients were not identified at all in 66.8% (n = 707) of medication administrations. Patient identifications were made more often by nurses with shorter work experience in the nursing profession or in the wards (4 years or less), or if distractions existed during medication administration. According to the results, patient identification was not adequately conducted. There is a need for education and change in the culture of medication processes and nursing practice.

Suggested Citation

  • Marja Härkänen & Marjo Kervinen & Jouni Ahonen & Hannele Turunen & Katri Vehviläinen‐Julkunen, 2015. "An observational study of how patients are identified before medication administrations in medical and surgical wards," Nursing & Health Sciences, John Wiley & Sons, vol. 17(2), pages 188-194, June.
    • Handle: RePEc:wly:nuhsci:v:17:y:2015:i:2:p:188-194
    DOI: 10.1111/nhs.12158
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    References listed on IDEAS

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    1. Liv‐Helen Heggland & Aslaug Mikkelsen & Kjell Hausken, 2013. "Models, phases and cases of patient participation in decision‐making in surgical treatment in Norway: A qualitative study," Nursing & Health Sciences, John Wiley & Sons, vol. 15(1), pages 39-44, March.
    2. Jeongeun Kim & David W Bates, 2013. "Medication administration errors by nurses: adherence to guidelines," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(3-4), pages 590-598, February.
    3. Janet Choo & Linda Johnston & Elizabeth Manias, 2013. "Nurses' medication administration practices at two Singaporean acute care hospitals," Nursing & Health Sciences, John Wiley & Sons, vol. 15(1), pages 101-108, March.
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    1. Marja Härkänen & Maijaterttu Tiainen & Kaisa Haatainen, 2018. "Wrong‐patient incidents during medication administrations," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(3-4), pages 715-724, February.

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