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Mansour, Mansour
Languages: English
Types: Unknown
Subjects:
The Organizational Safety Space Model (OSSM) was developed as a tool to investigate the factors which influence the safety of industrial operations. It is applied in this study to investigate the safety of medication administration in adult critical care settings, including Intensive Care Units and High Dependency Units. In this study, semi-structured interviews were conducted with 33 adult critical care nurses. The participants’ views on the safety of medication administration were analyzed using OSSM. The data suggested that the safety of medication administration is subject to complex influences of many organizational factors. Socio-cultural factors, including lack of questioning culture, the perceived hierarchy of professions and the nature of nursing education, were identified as influential safety factors. Furthermore, organizational complexity and structures created tension between organizational, ethical and structural priorities on one side, and the requirements of safe management of medication in critical care a setting on the other, inevitably leading to tradeoffs among these organizational priorities. Some organizational factors are difficult to classify according to the OSSM and the model is not fully operational in identifying factors related to the safety of medication administration. While the OSSM’ theoretical framework helped to focus on the underpinning safety factors in the organization of medication administration, it remains unproven as an operational tool to understand the full complexities and interplays between the organization structures, professional differences and socio-cultural impacts on the safety of medication administration in adult critical care setting.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. Chapter One: Introduction .................................................................................1
    • 2. Chapter Two: Literature Review ........................................................................7
    • 3. Chapter Three : Context Setting for Medication Administration..................75 3.1 Introduction ................................................................................................. 75 3.2 Personal experience..................................................................................... 76 3.3 Critical care services ................................................................................... 77 3.4 The Woodland Hospital NHS Trust ............................................................ 81 3.5 Adult critical care settings in the Woodland Hospital NHS Trust .............. 85 3.6 Medication management in adult critical care settings investigated........... 93 3.7 Main nursing activities in adult critical care settings investigated............ 101 3.8 Conclusion................................................................................................. 102
    • 4. Chapter Four: Methodology and Research Methods ....................................104 5.1 Introduction ............................................................................................... 145 5.2 Work environment, policies and protocols ............................................... 146 5.2.1 Medication administration' policies and protocols ............................... 147 5.2.2 Medications double-checking .................................................................. 151 5.2.3 Standardization of drug presentation........................................................ 157 5.3 Knowledge development and dissemination............................................. 161 5.3.1 Training and education.......................................................................... 162 5.3.2 Knowledge access and dissemination ................................................... 170 5.4 Critical care: A connection culture............................................................ 174 5.4.1 Negotiated partnership .......................................................................... 175 5.4.2 The role of the pharmacist..................................................................... 182 5.4.3 Incident Reporting................................................................................. 184 5.5 Concluding Summary................................................................................ 189
    • 7. Chapter Seven: The Context of Safe Medication Administration: .............240 7.1 Introduction ............................................................................................... 240 7.2 Medication Safety: The Context of Safe Communication ........................ 243 7.2.1 Selective querying ................................................................................. 243 7.2.2 Incident Reporting: The Tension for Disclosure................................... 249 7.3 Medication Safety: The Context of Safe Practice ..................................... 256 7.3.1 Medication Checking: Resisting the Norms.......................................... 257 7.3.2 The Blue Bible: The Story of Compliance........................................... 263 7.4 Medication Safety: the Context of a Safe Working Environment .......... 269 7.4.1 The Search for Perfection...................................................................... 269 7.4.2 Competing with Patient Safety.............................................................. 277 7.5 Concluding summary ................................................................................ 282
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