Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience

Background: Intravenous medication administrations have a high incidence of error but there is limited evidence of associated factors or error severity. Objective: To measure the frequency, type and severity of intravenous administration errors in hospitals and the associations between errors, procedural failures and nurse experience. Methods: Prospective observational study of 107 nurses preparing and administering 568 intravenous medications on six wards across two teaching hospitals. Procedural failures (eg, checking patient identification) and clinical intravenous errors (eg, wrong intravenous administration rate) were identified and categorised by severity. Results: Of 568 intravenous administrations, 69.7% (n=396; 95% CI 65.9 to 73.5) had at least one clinical error and 25.5% (95% CI 21.2 to 29.8) of these were serious. Four error types (wrong intravenous rate, mixture, volume, and drug incompatibility) accounted for 91.7% of errors. Wrong rate was the most frequent and accounted for 95 of 101 serious errors. Error rates and severity decreased with clinical experience. Each year of experience, up to 6 years, reduced the risk of error by 10.9% and serious error by 18.5%. Administration by bolus was associated with a 312% increased risk of error. Patient identification was only checked in 47.9% of administrations but was associated with a 56% reduction in intravenous error risk. Conclusions: Intravenous administrations have a higher risk and severity of error than other medication administrations. A significant proportion of errors suggest skill and knowledge deficiencies, with errors and severity reducing as clinical experience increases. A proportion of errors are also associated with routine violations which are likely to be learnt workplace behaviours. Both areas suggest specific targets for intervention.8 page(s

Prospectus, June 22, 1983

C-U JULY 4 PLANS SET; News Digest; Parkland apartments available this fall; Board approves phone system; StuGo staff positions filled; Editor\u27s Notes: Prospectus staff members named; Club News; Sunproofing skin prevents wrinkling; Researchers look into knowledge; Simpson goes to board meeting; President bowls; Parkland sees small summer students: Microcomputers finish first with kids; Kids grow up fast at Parkland: Question: What do you plan to be when you grow up?; CRC recycles for Special Olympics; Landscape reading trip planned; Special diet needed for active people; Classified; Skylines; Act passed; One hour Photo opens; Martin prefers two brains over body; Bond reveals his best; WarGames: A thriller to see; WoodsWords: Decision on Charger football coach becomes a fiasco at CCHS; Basketball team ready for seasonhttps://spark.parkland.edu/prospectus_1983/1014/thumbnail.jp

Dementia and Imagination: a mixed-methods protocol for arts and science research

Introduction Dementia and Imagination is a multi-disciplinary research collaboration bringing together arts and science to address current evidence limitations around the benefits of art activities in dementia care. It is a large programme of work with a novel combination of methods from health and social sciences together with the arts and humanities to address a key societal challenge – supporting the quality of life of the growing number of people living with dementia. This is examined through the following questions; can art improve quality of life and well-being? If it does make a difference, how does it do this - and why? Does it have wider social and community benefits? Methods and analysis Participants are recruited from residential care homes, NHS wards and communities in three locations in England and Wales. A visual arts intervention is developed and delivered as 1 x 2 hour weekly group session for 3 months to N=100 people living with dementia. Quantitative and qualitative data are collected at three time-points to examine the impact on the quality of life of people living with dementia together with the cost-benefit, and the perceptions of those who care for them (N=100 family and professional carers). Repeated-measures systematic observation of wellbeing is applied during the intervention delivery (intervention versus control condition). Qualitative data is collected from a sub-sample at three time-points (N=35 carers/staff and N=35 people living with dementia) to explore changes in social connectedness. Self-reported outcomes during the intervention delivery are obtained (N=100). Focus groups with intervention participants (N=40) explore perceptions of impact. Social network analysis of quantitative and qualitative data from arts and healthcare professionals (N=100) examine changes in perceptions and practice. Ethics and dissemination The study is approved by North Wales research ethics committee – West. The research findings will be shared through a range of activities. International and national academic conferences and events will be attended to present papers and lead symposia. The project has developed an extensive public engagement and communication strategy. Public engagement projects will target a broad range of stakeholders. There is a regularly maintained project website, which is a resource bank for stakeholders and a continuing legacy from the project. A quarterly newsletter is produced. Policy and practice summaries will be developed from the findings. The visual arts intervention protocol will be developed as a practitioners guide and freely available.Strengths and limitations of this study•Dementia and Imagination is the largest arts and dementia research study in the UK.•The development and delivery of the research involves partnerships between universities, community arts organisations, galleries, the NHS and charities.•It combines methods from health and social sciences together with the arts and humanities to address a key societal challenge – supporting the quality of life of the growing number of people living with dementia.•A limitation is that the study design cannot focus on a more robust test of effectiveness, as this was beyond the remit of the funder

Prospectus, May 8, 1985

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Prospectus, August 30, 1983

NEW PARK-LAND APARTMENTS FILL EMPTY FIELD SOUTH OF PARKLAND; Survival hints for Parkland; News Digest; President Staerkel welcomes new students to Parkland; September 1983 Parkland College Calendar; Is your class cancelled?; Bookstore supplies more than books; Everyone is welcome to enjoy Fall-In \u2783; StuGo welcomes all; New addition takes care of classroom needs; Choose your movies; Lindstrand awards six films as best summer flics; Chase has bad vacation--produces funny flic; Keaton and Garr star in Mr. Mom ; Greatest Show returns to Assembly Hall; New Doctor Who to be televised; Reviewing summer\u27s top music hits; Skylines; Parkland employees honored; Neal retires; Classified; Guard goes north for summer camp; Police fingerprint children; Beginning Again program for bereaved; Improve bowling skills--join Bowling Club; Woods Words: Stadium to celebrate its 60th yearhttps://spark.parkland.edu/prospectus_1983/1013/thumbnail.jp

Prospectus, November 28, 1972

TOYS FOR TOTS; Parkland vets Attend Regional Meeting; True Happenings; She Dislikes Park Area Modernization; Wasted Votes; leave the dead dead; Quiet; Prof Spectus; Rec Tournaments; Special Edition of Cruisin\u27 \u2772; A New Party?; Info for Students on Guaranteed Loan Program; Amphetamines: You don\u27t have to be \u27Street people\u27 to be hooked; Cold Vaccine; Speaking of Sports; New Cheerleaders Selected; Intramurals Winter Quarter; Parkland College Varsity Basketball Schedule November & Decemberhttps://spark.parkland.edu/prospectus_1972/1001/thumbnail.jp

Prospectus, February 27, 1985

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Prospectus, March 19, 1986

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Prospectus, March 20, 1985

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