The Influence of Monitoring, Evaluation, And Teamwork Effectiveness on Principle 7 Correct Implementation of Drug Administration in Non-Covid-19 Inpatient in Hospitals

R. Anggraini, Santy Deasy Siregar, R. Ginting
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Abstract

Errors in drug administration were ranked first (24.8%) of the top 10 incidents reported in hospitals. The types of errors that caused death in patients included 40.9%, wrong dose, 16% wrong drug, and 9.5% wrong route of administration. The purpose of this study was to analyze the influence of monitoring, evaluation, and teamwork effectiveness on the implementation of the 7 correct principles of drug administration. This research is a quantitative analysis with a cross-sectional approach. The research was conducted at Hospital Pematang Siantar. The study population was 103 people and all of them were used as samples (total sampling). Data were analyzed using univariate, bivariate with chi-square test, and multivariate with multiple logistic regression at 95% confidence level (a=0.05). The results showed that the implementation of the 7 correct principles of drug administration at the non-Covid-19 Inpatient Installation at Hospital in Pematang Siantar was influenced by monitoring variables (p=0.000), evaluation (p=0.036), teamwork effectiveness (p=0.042). The monitoring variable has a greater influence on the implementation of the 7 right principles of drug administration with a value of OR = 10.643 meaning that nurses who say monitoring is good have the opportunity to implement the 7 right principles of drug administration properly by 10.6 times higher than nurses who say monitoring is not good. The conclusion of the study is that monitoring, evaluation and teamwork effectiveness affect the implementation of the 7 principles of correct drug administration. It is recommended that the hospital can carry out continuous monitoring and evaluation regarding the procedures that have been established as a benchmark for achieving SOPs that are applied in implementing the 7 correct principles of drug administration. Nurses need to increase the effectiveness of teamwork (teamwork) so as to minimize the adverse impact on the patients served.
监测、评估和团队合作效能对医院非新冠肺炎住院患者用药原则7正确实施的影响
在医院报告的前10起事件中,药物管理错误排名第一(24.8%)。导致患者死亡的错误类型占40.9%,错误剂量占16%,错误给药途径占9.5%。本研究的目的是分析监测、评价和团队效能对实施正确给药7项原则的影响。本研究采用横断面方法进行定量分析。这项研究是在培马当祥达医院进行的。研究人群为103人,全部作为样本(总抽样)。数据分析采用单因素、双因素卡方检验和多因素logistic回归,95%置信水平(a=0.05)。结果显示,培马唐县医院非新冠肺炎住院科室7项正确给药原则的执行情况受监测变量(p=0.000)、评价(p=0.036)和团队合作效果(p=0.042)的影响。监测变量对7项正确给药原则执行的影响较大,OR值为10.643,即认为监测良好的护士有机会正确执行7项正确给药原则的概率比认为监测不好的护士高10.6倍。本研究的结论是:监测、评价和团队效能影响正确给药7项原则的实施。建议医院对已建立的程序进行持续监测和评估,作为实现标准操作规程的基准,用于实施7项正确的给药原则。护士需要提高团队合作(teamwork)的有效性,以尽量减少对所服务患者的不利影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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