ABSTRACT

Long working hours have been shown to negatively impact adverse events in health care. In this study, a retrospective correlational design was used to evaluate the relationship between working hours and near-miss medication error alerts. During a two-year period, 5372 nurses triggered 420,706 near-miss alerts on 9, 285, 786 medication administrations. Nurses who worked 60 h or more in a week yielded an average near-miss rate of 4.0% compared to 3.0% (p <.001) for nurses who did not. Nurses working extended hours had a significantly increased risk of triggering a near-miss alert compared to those not working extended hours.

摘要

事实证明，长时间工作会对医疗保健中的不良事件产生负面影响。在这项研究中，采用回顾性相关设计来​​评估工作时间与接近未服药错误警报之间的关系。在两年的时间里，共有5372名护士在9、285、786次药物管理中触发了420,706次未命中警报。每周工作60小时或以上的护士的平均未命中率是4.0％，而没有工作的护士则为3.0％（p <.001）。与不长时间工作的护士相比，长时间工作的护士触发未命中警报的风险显着增加。