AI Article Synopsis
- The study explores using a large clinical dataset to analyze medication administration timing by nurses in a hospital setting.
- It examines over 3 million medication time stamps from nearly 51,000 patients to identify trends in late doses and as-needed (PRN) administrations.
- Results show that most scheduled medications are given during specific times, with nurses administering an average of 3414 medications annually, highlighting the potential of using time-referenced data to assess medication administration processes.
Article Abstract
Objective: This study tests the feasibility of using a large (big) clinical data set to test the ability to extract time-referenced data related to medication administration to identify late doses and as-needed (PRN) administration patterns by RNs in an inpatient setting.
Methods: The study is a secondary analysis of a set of data using bar-code medication administration time stamps (n = 3043812) for 50883 patients admitted to a single, urban, 525-bed hospital in 11 inpatient units by 714 nurses between April 1, 2013, and March 31, 2015.
Results: The large majority of scheduled medications (43.3%) were administered between 9 to 10 AM and 9 to 10 PM accounting for the most amount of delayed doses. On average, patients received 8.9 medications per day, and nurses administered 19.7 medications per shift. The average full-time nurse administered 3414 medications per year.
Conclusions: The findings support use of time-referenced data to identify clinical processes and performance in administering scheduled and PRN medications.
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| http://dx.doi.org/10.1097/NNA.0000000000000580 | DOI Listing |
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