Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Development of a Software to Prevent Intravenous Medication Administration Error: An Observational Study
İntravenöz İlaç Uygulama Hatalarını Önlemeye Yönelik Yazılım Uygulamasının Geliştirilmesi: Gözlemsel Bir Çalışma
Zilan BARANa , Esra AKINb, İsmail AKDAĞc
aDepartment of Neurology, University of Health Sciences İzmir Tepecik Education and Research Hospital, İzmir, Türkiye
bDepartment of Nursing, Division of Fundamentals of Nursing, İzmir Katip Çelebi University Faculty of Health Sciences, İzmir, Türkiye
cDepartment of Electrical and Electronic Engineering, İzmir Katip Çelebi University Faculty of Engineering and Architecture, İzmir, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(3):716-24
doi: 10.5336/nurses.2023-95421
Article Language: EN
Full Text
ABSTRACT
 Objective: The purpose of the present study was to determine the wrong and missing application steps in intravenous (IV) medication administration of nurses using a software program developed to identify and prevent IV medication errors and to provide feedback in this respect. Material and Methods: The study was conducted in the observational type and was carried out in 2 stages. In the first stage, was developed the software to measure IV medication errors. In the second stage, the application was tested with the participation of 12 nurses between May-June 2021. According to the participant observation method, 124 IV medication applications were observed and the software was installed. After the data were collected, the nurses' incomplete IV medication administration steps were determined using software. The SPSS for Windows (version 25.0) was used for data analysis. Results: Considering the steps that nurses skipped most frequently in the process steps when they performed IV medication administration, it was found that 96.8% did not control the expiration date of the medications, 89.6% did not question the allergy history of the patient in the control step, 49.2% did not wash their hands in the preparation step, 86.3% did not make an explain to the patient in the application step, and 70.2% did not follow the patient in terms of complications in the evaluation step. Conclusion: The results of this study indicate that the developed software program can be used to identify and prevent medication errors.

Keywords: Medication errors; nursing; software; observational study
ÖZET
 Amaç: Bu çalışmanın amacı, intravenöz (IV) ilaç hatalarını belirlemek ve önlemek için geliştirilen bir yazılım programı ile hemşirelerin IV ilaç uygulamalarındaki yanlış ve eksik uygulama adımlarını belirlemek, bu bağlamda geri bildirim sağlamaktır. Gereç ve Yöntemler: Çalışma gözlemsel tipte yürütülmüş ve 2 aşamada gerçekleştirilmiştir. İlk aşamada, Microsoft Visual Studio'da C# programlama kullanılarak IV ilaç hatalarını belirleyen yazılım geliştirilmiştir. İkinci aşamada ise Mayıs-Haziran 2021 tarihleri arasında 12 hemşirenin katılımı ile uygulama test edilmiştir. Katılımcı gözlem yöntemine göre toplam 124 IV ilaç uygulaması gözlemlenmiş ve Firebase gerçek zamanlı veri tabanına yüklenmiştir. Verilerin analizinde SPSS Windows (sürüm 25.0) programı kullanılmıştır. Bulgular: Hemşirelerin IV ilaç uygulamaları işlem basamaklarında en sık atladıkları adımlar değerlendirildiğinde; kontrol aşamasında %96,8'inin ilaçların son kullanma tarihini kontrol etmediği, %89,6'sının hastanın alerji öyküsünü sorgulamadığı, hazırlama aşamasında %49,2'sinin ellerini yıkamadığı, uygulama aşamasında %86,3'ünün hastaya açıklama yapmadığı, değerlendirme aşamasında %70,2'sinin komplikasyon yönünden hastayı takip etmediği saptanmıştır. Sonuç: Araştırmanın sonucunda, geliştirilen yazılım programının ilaç hatalarının belirlenmesi ve önlenmesine yönelik kullanılabilir olduğu belirlenmiştir.

Anahtar Kelimeler: İlaç hataları; hemşirelik; yazılım; gözlemsel çalışma
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