KMID : 0367020140260030253
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Journal of Korean Academic of Adult Nursing 2014 Volume.26 No. 3 p.253 ~ p.265
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Development and Effectiveness of Smartphone Application for the Medication Confirmation of High-alert Medications
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Kim Myoung-Soo
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Abstract
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Purpose: This study was done to develop and evaluate a smartphone application for the medication confirmation of high-alert medications.
Methods: A nonequivalent control group non-synchronized design was used for this study. Participants in the treatment group used the application for four weeks. Data were analyzed using descriptive analysis, x©÷-test, and t-test for the homogeneity of participants, and a paired t-test for effectiveness in each group with the SPSS 18.0.
Results: Stability of medication administration was estimated by knowledge and certainty, ranged from a score of one to three. A correct answer with high certainty was coded as high stability, low certainty regardless of correct answer was coded as a moderate stability, and incorrect answers with high certainty were rated as low stability. There were no differences in ¡®knowledge of high alert medication¡¯, ¡®Certainty of knowledge¡¯, ¡®stability of medication administration¡¯, ¡®confidence of single checking medication¡¯, and ¡®medication safety activities¡¯ between the treatment group and the comparison group. The treatment group reported a greater difference between pretest and post-test in ¡®certainty of medication knowledge¡¯ (t=3.51, p=.001) than the comparison group.
Conclusion: Smartphone application for medication confirmation of high-alert medications will provide an important platform for reducing medication errors risk.
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KEYWORD
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Decision support system, Medication reconciliation, Medication error, Single checking, Patient safety
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