DOI QR코드

DOI QR Code

고 위험약물의 투약확인을 위한 스마트 폰 어플리케이션의 개발 및 효과

Development and Effectiveness of Smartphone Application for the Medication Confirmation of High-alert Medications

  • 투고 : 2013.10.27
  • 심사 : 2014.05.30
  • 발행 : 2014.06.30

초록

Purpose: This study was done to develop and evaluate a smartphone application for the medication confirmation of high-alert medications. Methods: A nonequivalent control group non-synchronized design was used for this study. Participants in the treatment group used the application for four weeks. Data were analyzed using descriptive analysis, ${\chi}^2$-test, and t-test for the homogeneity of participants, and a paired t-test for effectiveness in each group with the SPSS 18.0. Results: Stability of medication administration was estimated by knowledge and certainty, ranged from a score of one to three. A correct answer with high certainty was coded as high stability, low certainty regardless of correct answer was coded as a moderate stability, and incorrect answers with high certainty were rated as low stability. There were no differences in 'knowledge of high alert medication', 'Certainty of knowledge', 'stability of medication administration', 'confidence of single checking medication', and 'medication safety activities' between the treatment group and the comparison group. The treatment group reported a greater difference between pretest and post-test in 'certainty of medication knowledge' (t=3.51, p=.001) than the comparison group. Conclusion: Smartphone application for medication confirmation of high-alert medications will provide an important platform for reducing medication errors risk.

키워드

참고문헌

  1. Brady, A. M., Malone, A. M., & Fleming, S. (2009). A literature review of the individual and systems factors that contribute to medication errors in nursing practice. Journal of Nursing Management, 17(6), 679-697. http://dx.doi.org/10.1111/j.1365-2834.2009.00995.x
  2. Bruttomesso, D., Costa, S., Dal Pos, M., Crazzolara, D., Realdi, G., Tiengo, A., et al. (2006). Educating diabetic patients about insulin use: Changes over time in certainty and correctness of knowledge. Diabetes and Metabolism, 32(3), 256-261. https://doi.org/10.1016/S1262-3636(07)70277-X
  3. Cho, Y. (2012). A study on perception and performance for patient safety management in intensive care unit nurses. Unpublished master's thesis, Ajou University, Suwon.
  4. Cohen, H. (2007). Protecting patients from harm: Reduce the risks of high-alert drugs. Nursing, 37(9), 49-55. http://dx.doi.org/10.1097/01.NURSE.0000287726.78164.af
  5. De Vries, A. E., van der Wal, M. H., Nieuwenhuis, M. M., de Jong, R. M., van Dijk, R. B., Jaarsma, T., et al. (2013). Perceived barriers of heart failure nurses and cardiologists in using clinical decision support systems in the treatment of heart failure patients. BMC Medical Informatics and Decision Making, 13, 54-62. http://dx.doi.org/10.1186/1472-6947-13-54
  6. Franke, H. A., Woods, D. M., & Holl, J. L. (2009). High-alert medications in the pediatric intensive care unit. Pediatric Critical Care Medicine, 10(1), 85-90. http://dx.doi.org/10.1097/PCC.0b013e3181936ff8
  7. Grandell-Niemi, H., Hupli, M., Puukka, P., & Leino-Kilpi, H. (2006). Finnish nurses' and nursing students' mathematical skills. Nurse Education Today, 26(2), 151-161. http://dx.doi.org/10.1016/j.nedt.2005.08.007
  8. Hodgkinson, B., Koch, S., Nay, R., & Nichols, K. (2006). Strategies to reduce medication errors with reference to older adults. International Journal of Evidence-Based Healthcare, 4(1), 2-41. http://dx.doi.org/10.1111/j.1479-6988.2006.00029.x
  9. Hsaio, G. Y., Chen, I. J., Yu, S., Wei, I. L., Fang, Y. Y., & Tang, F. I. (2010). Nurses' knowledge of high-alert medications: Instrument development and validation. Journal of Advanced Nursing, 66(1), 177-190. http://dx.doi.org/10.1111/j.1365-2648.2009.05164.x
  10. Jarman, H., Jacobs, E., & Zielinski, V. (2002). Medication study supports registered nurses' competence for single checking. International Journal of Nursing Practice, 8(6), 330-335. https://doi.org/10.1046/j.1440-172X.2002.00387.x
  11. Kane-Gill, S. L., Jacobi, J., & Rothschild, J. M. (2010). Adverse drug events in intensive care units: Risk factors, impact, and the role of team care. Critical Care Medicine, 38(6 Suppl), S83-89. http://dx.doi.org/10.1097/CCM.0b013e3181dd8364
  12. Keers, R. N., Williams, S. D., Cooke, J., & Ashcroft, D. M. (2013). Prevalence and nature of medication administration errors in health care settings: A systematic review of direct observational evidence. The Annals of Pharmacotherapy, 47(2), 237-256. https://doi.org/10.1345/aph.1R147
  13. Kim, M. S. (2012). Medication error management climate and perception for system use according to construction of medication error prevention system. Journal of Korean Academy of Nursing, 42(4), 568-578. http://dx.doi.org/10.4040/jkan.2012.42.4.568
  14. Kim, M. S., Park, J. H., & Park, K. Y. (2012). Development and effectiveness of a drug dosage calculation training program using cognitive loading theory based on smartphone application. Journal of Korean Academy of Nursing, 42(5), 689-698. http://dx.doi.org/10.4040/jkan.2012.42.5.689
  15. Korea Health Industry Development Institute. (2010). 2007' Korea Institute for Healthcare Accreditation. Sejong: Ministry of Health and Welfare.
  16. Lee, J. H. (2012). Effectiveness of clinical decision support system for high-alert medications on prevention of medication errors. Unpublished doctoral dissertation, University of Ulsan, Ulsan.
  17. Low, D., Clark, N., Soar, J., Padkin, A., Stoneham, A., Perkins, G. D., et al. (2011). A randomized control trial to determine if use of the iResus(c) application on a smart phone improves the performance of an advanced life support provider in a simulated medical emergency. Anaesthesia, 66(4), 255-262. http://dx.doi.org/10.1111/j.1365-2044.2011.06649.x
  18. Lu, M. C., Yu, S., Chen, I. J., Wang, K. W., Wu, H. F., & Tang, F. I. (2013). Nurses' knowledge of high-alert medications: A randomized controlled trial. Nurse Education Today, 33(1), 24-30. http://dx.doi.org/10.1016/j.nedt.2011.11.018
  19. Markowitz, E., Bernstam, E. V., Herskovic, J., Zhang, J., Shneiderman, B., Plaisant, C., et al. (2011). Medication reconciliation: Work domain ontology, prototype development, and a predictive model. AMIA, Annual Symposium Proceedings, 878-887.
  20. Nguyen, T. D., Attkisson, C. C., & Stegner, B. L. (1983). Assessment of patient satisfaction: Development and refinement of a service evaluation questionnaire. Evaluation and Program Planning, 6, 299-313. http://dx.doi.org/10.1016/0149-7189(83)90010-1
  21. O'Connell, B., Crawford, S., Tull, A., & Gaskin, C. J. (2007). Nurses' attitudes to single checking medications: Before and after its use. International Journal of Nursing Practice, 13(6), 377-382. http://dx.doi.org/10.1111/j.1440-172X.2007.00653.x
  22. Pham, J. C., Andrawis, M., Shore, A. D., Fahey, M., Morlock, L., & Pronovost, P. J. (2011). Are temporary staff associated with more severe emergency department medication errors? Journal for Healthcare Quality, 33(4), 9-18. http://dx.doi.org/10.1111/j.1945-1474.2010.00116.x
  23. Simonsen, B. O., Johansson, I., Daehlin, G. K., Osvik, L. M., & Farup, P. G. (2011). Medication knowledge, certainty, and risk of errors in health care: A cross-sectional study. BMC Health Services Research, 11, 175-6963-11-175. http://dx.doi.org/10.1186/1472-6963-11-175
  24. Sulosaari, V., Suhonen, R., & Leino-Kilpi, H. (2011). An integrative review of the literature on registered nurses' medication competence. Journal of Clinical Nursing, 20(3-4), 464-478. http://dx.doi.org/10.1111/j.1365-2702.2010.03228.x
  25. Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Boston, MA: Allyn & Bacon.
  26. Tang, F. I., Sheu, S. J., Yu, S., Wei, I. L., & Chen, C. H. (2007). Nurses relate the contributing factors involved in medication errors. Journal of Clinical Nursing, 16(3), 447-457. http://dx.doi.org/10.1111/j.1365-2702.2005.01540.x
  27. Tsai, S. L., & Chai, S. K. (2005). Developing and validating a nursing website evaluation questionnaire. Journal of Advanced Nursing, 49(4), 406-413. http://dx.doi.org/10.1111/j.1365-2648.2004.03304.x
  28. Van Sluisveld, N., Zegers, M., Natsch, S., & Wollersheim, H. (2012). Medication reconciliation at hospital admission and discharge: Insufficient knowledge, unclear task reallocation and lack of collaboration as major barriers to medication safety. BMC Health Services Research, 12, 170-6963-12-170. http://dx.doi.org/10.1186/1472-6963-12-170.
  29. Winterstein, A. G., Johns, T. E., Rosenberg, E. I., Hatton, R. C., Gonzalez-Rothi, R., & Kanjanarat, P. (2004). Nature and causes of clinically significant medication errors in a tertiary care hospital. American Journal of Health-System Pharmacy, 61(18), 1908-1916.
  30. Wright, K. (2007). Student nurses need more than maths to improve their drug calculating skills. Nurse Education Today, 27(4), 278-285. http://dx.doi.org/10.1016/j.nedt.2006.05.007

피인용 문헌

  1. Development and Evaluation of “Chronic Illness Care Smartphone Apps” on Nursing Students’ Knowledge, Self-efficacy, and Learning Experience vol.36, pp.11, 2018, https://doi.org/10.1097/CIN.0000000000000447
  2. Effects of Smartphone-Based Mobile Learning in Nursing Education: A Systematic Review and Meta-analysis vol.13, pp.1, 2014, https://doi.org/10.1016/j.anr.2019.01.005
  3. Development and evaluation of a self‐management application for patients with gout vol.17, pp.2, 2014, https://doi.org/10.1111/jjns.12285