Accuracy of documented administration times for intravenous antimicrobial drugs and impact on dosing decisions.

Aims: Accurate documentation of medication administration time is imperative for many therapeutic decisions, including dosing of intravenous antimicrobials. The objectives were to determine (1) the discrepancy between actual and documented administration times for antimicrobial infusions and (2) whether day of the week, time of day, nurse-to-patient ratio and drug impacted accuracy of documented administration times.

Methods: Patient and dosing data were collected (June-August 2019) for 55 in-patients receiving antimicrobial infusions.

Nurses' workarounds in acute healthcare settings: a scoping review.

Background: Workarounds circumvent or temporarily 'fix' perceived workflow hindrances to meet a goal or to achieve it more readily. Behaviours fitting the definition of workarounds often include violations, deviations, problem solving, improvisations, procedural failures and shortcuts. Clinicians implement workarounds in response to the complexity of delivering patient care.