Invloed van Closed-loop communicatie op medicatietoediening, Pilot studie.

Samul, A.S. (2015) Invloed van Closed-loop communicatie op medicatietoediening, Pilot studie. thesis, Medicine.

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Abstract

Introduction: Preventable errors are made in Health care. Most (70%) are due to human error in cooperation and effective communication. These errors are also made during application of medication to patients admitted to the emergency department (ED). A part of effective communication is the closed-loop communication: The message is received, understood and feedback is given. The degree to which effective communication is applied during admittance of patients to the ED and in particular the closed-loop communication has not yet been researched. Study objective: To gain insight in the communication surrounding application of medication on the ED. Method: All medication orders for patients assigned to non-trauma were tracked using a case report form. Usage of check points, from requesting the medication to administering the medication, was scored. The resulting execution of the order was also scored. Possible influential factors on the communication, such as severity of the disease and specifications of the order were reported. Results: 201 medication orders were scored. The closed-loop communication was used on 12 (6%). Closed-loop was more often used in more severe cases (p = 0.032). Checkpoints were used in 79 (39.3%) of the medication orders. Medication orders were more often executed correctly when communication check points were used (p = 0.001). A possible trend was observed in correct execution of medication orders when commands were given, as opposed to questions were asked (p = 0.062). Conclusion: This pilotstudy observes a minimal usage of closed-loop communication on the ED. No check points were observed in all incorrectly executed medication orders. This leads us to recommend the usage of check points in administration of medication on the ED, diminishing the amount of errors in application of medicine. CRM-training should focus more on closed-loop communication to accomplish this.

Item Type:	Thesis (Thesis)
Supervisor name:	Olgers, drs. T.J. and Maaten, dr. J.C. ter
Faculty:	Medical Sciences
Date Deposited:	25 Jun 2020 10:46
Last Modified:	25 Jun 2020 10:46
URI:	https://umcg.studenttheses.ub.rug.nl/id/eprint/751

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