A controlled pilot study was performed to evaluate implementation of a medication identification device intended to reduce errors in nursing homes. Naïve observation was used for data collection of medication errors on an intervention unit using the device and a control unit, along with field notes describing observation details. Ten staff were observed administering medications to 70 residents over the study time-frame. Of the 9,099 medication administrations observed (n = 4,588 intervention; n = 4,511 control), 1,068 (12%) errors were identified. The intervention unit had fewer non-time errors versus the control unit, including dose (n = 21 vs. n = 59; p < 0.01), drug (n = 4 vs. n = 21; p <0.01), route (n = 0 vs. n = 4; p < 0.01), and given without order (n = 1 vs. n = 8; p < 0.01). However, time errors were higher on the intervention unit and were often due to late start and interruptions. Non-time errors were due to reliance on memory and nursing judgment. A combination of technology and staff dedicated solely to medication administration likely affected error rate differences. [Journal of Gerontological Nursing, 48(4), 5–11.]

进行了一项对照试验研究，以评估旨在减少疗养院错误的药物识别装置的实施情况。幼稚观察用于使用设备和控制单元在干预单元上收集药物错误的数据，以及描述观察细节的现场记录。在研究期间，观察到 10 名工作人员为 70 名居民服用药物。在观察到的 9,099 次给药（n = 4,588 次干预；n = 4,511 次对照）中，发现了 1,068 次（12%）错误。干预单元与控制单元相比具有更少的非时间误差，包括剂量（n = 21 vs. n = 59；p < 0.01），药物（n = 4 vs.n = 21; p <0.01），路线（n = 0 vs. n = 4；p < 0.01），无序给出（n = 1 vs. n = 8；p < 0.01）。然而，干预单元的时间误差较高，通常是由于晚开始和中断造成的。非时间错误是由于对记忆和护理判断的依赖。专门从事药物管理的技术和工作人员的组合可能会影响错误率差异。[老年护理杂志，48（4），5-11。]