Authors

Gema Miguel de la Morena1, Zulema de Cos Díez2, Patricia Pérez Miguel3, Sonia Cerezo Martínez4, Ana María Mayor Heras1, Sonia Marcos Sánchez5

Position

1Diplomada en Enfermería. Enfermera de Unidad de Hospitalización. Hospital Santos Reyes. Aranda de Duero, Burgos (España)2Graduada en Enfermería. Enfermera de Calidad y de Formación, Investigación y Docencia. Hospital Santos Reyes. Aranda de Duero, Burgos (España) 3Diplomada en Enfermería. Enfermera de Quirófano. Hospital Santos Reyes. Aranda de Duero, Burgos (España)4Diplomada en Enfermería. Directora de Enfermería. Hospital Santos Reyes. Aranda de Duero, Burgos (España)5Doctora en Enfermería. Enfermera del Servicio de Admisión. Hospital Santos Reyes. Aranda de Duero, Burgos (España)

Contact address

Gema Miguel de la Morena. Av. Ruperta Baraya, 6. 09400 Aranda de Duero, Burgos (España)

Contact email: gmiguelde@saludcastillayleon.es

Abstract

Objective: to assess the efficacy of using a screen printed vest for the reduction in the number of interruptions during preparation of medication (PoM) at a hospitalization unit from the Hospital Santos Reyes (Burgos, Spain), and the influence of the measures taken during the SARS-CoV-2 pandemic.
Methodology: a quasi-experimental study with pre-post design was conducted in a single arm with Internal Medicine hospitalization nurses. The study collected n= 576 preparations in three periods: before using the vest, with the vest before the pandemic, and with the vest during the pandemic (with no visitors or persons accompanying patients and enforced stay inside the room). The primary outcome variable was the number of interruptions. Demographical and occupational variables of nurses were also collected, as well as the reasons for the interruptions and their consequences. These were all self-completed in sheets after each PoM.
Results: ultimately 477 PoM sheets were analysed; the rest were excluded due to completion errors. In the first two periods, there were 159 (86.9%) and 126 (91.9%) interruptions (p= 0.089), and 132 (83.5%) in the third, with a significant reduction vs. pre-pandemic (p= 0.008). Interruptions were mainly caused by the staff and technological reasons (both were reduced during the pandemic; p= 0.043 and p= 0.025 respectively). The main consequence of interruptions (82-85%) was reviewing the medication, with a significant increase during the pandemic (p= 0.042).
Conclusions: apparently using the vest during PoM does not reduce the number of interruptions for Nursing professionals. However, the measures implemented during the SARS-CoV-2 pandemic did lead to a significant reduction in said interruptions.

Keywords:

safety; patient safety; medication errors; pharmaceutical preparations; interruptions; drug-related side effects and adverse reactions; nursing staff; hospital; hospitalization

Versión en Español

Título:

Efectividad del chaleco serigrafiado como medida para disminuir las interrupciones durante la preparación de medicación