Sécurisation de l’administration des médicaments en psychiatrie : la tâche unique est-elle une solution ?
Safe drug administration in psychiatry: does the solution lie with single-tasking?
Résumé
2019 Changement de Comportement Circuit du médicament Protocole Psychiatrie Sécurité du Patient
Summary
Introduction. Drug administration is a critical stage of pharmaceutical care. The reduction of task interruptions (TIs) is therefore a major safety concern, which led us to design a “single-tasking protocol” and implement it in one of our psychiatric care units. Our objectives were to establish a baseline for the occurrence of task interruptions in this unit and assess the impact of single-tasking. Materials and methods. Single-tasking combines several methods, all aimed at reducing TI occurrence during drug administration. Our prospective study covered two successive periods in time: the 12 days preceding and the 11 days following the initiation of single-tasking. ITs occurring during these periods were documented on a specific form. One month later, a satisfaction questionnaire was completed by the nurses. Results. In all, 100 TIs were reported, including 84 during the first period of time. During the latter, the main source of TIs identified was the patient himself. There was a fivefold drop in the number of TIs between both periods. According to the satisfaction questionnaires, 7 in 10 nurses were satisfied with the implementation of single-tasking. Conclusions. This study enabled us to identify the patient as being the main source of TI in our facility. It demonstrated the positive impact of single-tasking in terms of TI reduction and staff satisfaction. Single-tasking is therefore a useful tool for safer drug care in psychiatry units.
Behaviour change Medication system Patient safety Protocol Psychiatrics Task interruption