Influence of information drug close-loop management mode on adverse events of nursing medication

Objective To explore the effects of information drug close-loop management mode on adverse events of nursing medication and to analyze the 46 cases of adverse events after implementing the information drug close-loop management mode so as to understand the event characteristics and formulate the countermeasures with the aim to reduce the nursing medication errors. Methods We retrospectively analyzed the 46 cases of adverse events of nursing medication reported by system in the First Affiliated Hospital of Xiamen University after implementing the information drug close-loop management mode (from January to December 2018) . Among the 46 cases of events, we analyzed the classifications, causes and links of error and compared those events with adverse events of nursing medication before implementing the information drug close-loop management mode in 2017. Results After carrying out the drug close-loop management, the adverse events of medication declined compared with that in 2017, but there was no statistical difference (P>0.05) . The adverse events included 17 (17/46, 36.96%) errors in identification, 8 (8/46, 17.39%) medication omissions, 7 (7/46, 15.22%) errors in dose and 5 (5/46, 10.87%) errors in route. The links of medication errors were mainly in drug dispensing (26 cases) and arranging (14 cases) . Conclusions Adverse events of medication most often occur in drug dispensing. The most common errors were misidentification. Nursing managers should formulate the preventive intervention based on the classifications and characteristics of adverse events in nursing medication administering, and monitor as well as improve the rate of sweeping code in drug close-loop, strength training for nurses, and check the drug dispensing and arranging well. Key words: Nurses; Informationization; Close-loop management; Medication administering errors; Adverse events