Thesis
The use of a visual enhancement device in medication administration A Mixed Method study with a Randomised Controlled Trial
University of the Sunshine Coast, Queensland
Master of Science, University of the Sunshine Coast, Queensland
2023
DOI:
https://doi.org/10.25907/00762
Abstract
Errors in injectable medication administration are a major concern for patients, healthcare providers, and organisations. Injectable medications pose a greater risk of errors and patient harm due to the high-risk nature, fast systemic update, and limited space for labelling. The Signal detection theory can be applied to medication labelling to improve decision-making in the face of numerous distractions. An I-Check device was developed to enhance medication labels using light, magnification, and colour contrast, to counteract challenges faced in health settings.
This study aimed to investigate the impact of the I-Check device on medication administration. A randomised trial was employed to test the I-Check in a simulated setting. The goal was to determine if the I-Check influenced the reading speed, accuracy and ease of reading injectable medication labels. The RCT found statistically significant results in increased reading speed when using the I-Check in participants aged 24+. A mixed methodology was employed in a hospital-based trial. This included the quantitative measurement of light where medication activities took place and qualitative field interviews to further understand clinicians’ perspective of the issues regarding reading injectable medication labels and features of the I-Check that impacted the reading of injectable medications. The hospital trial revealed that light levels in healthcare settings, where medications are prepared, checked, and administered often varied and did not meet standards. The I-Check was universally accepted by participants without hindering medication administration. The findings suggest a need for increased awareness and maintenance of light levels in healthcare organisations.
The I-Check device could be implemented in numerous locations where injectable medications are administered. Staff awareness programs should be developed, including information on the risks of misreading medications are the prevention of errors. Future research should investigate medication error rates before and after I-check implementation to determine its effectiveness in clinical settings.
Details
- Title
- The use of a visual enhancement device in medication administration A Mixed Method study with a Randomised Controlled Trial
- Authors
- Heather Borradale - University of the Sunshine Coast, Queensland, External
- Contributors
- Julie Hanson (Supervisor) - University of the Sunshine Coast, Queensland, School of Health - Nursing
- Awarding institution
- University of the Sunshine Coast, Queensland
- Degree awarded
- Master of Science
- Publisher
- University of the Sunshine Coast, Queensland
- DOI
- 10.25907/00762
- Organisation Unit
- School of Health - Nursing; University of the Sunshine Coast, Queensland
- Language
- English
- Record Identifier
- 99736098302621
- Output Type
- Thesis
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