A Lean Approach to Improve Medication Administration Safety by Reducing Distractions and Interruptions.

Abstract

Medication errors are potentially avoidable incidents that can lead to harm. Medications are often administered under challenging conditions, which creates opportunities for distractions and interruptions. The aim of this study was to reduce the number of interruptions and distractions experienced by nurses during the medication administration process. A Lean approach was used to value stream map the process, devise solutions, and measure the impact of the change. Sources of distraction and interruption were identified. Through collaboration the medication administration process was standardized, and a purpose-built medication administration room was developed. Frequency of interruptions and distractions from all sources was reduced. Value stream mapping the process enabled the identification of non-value-added activities that were threats to the integrity of the process. Standardizing the medication administration process and creating a safe space to facilitate the process successfully reduced interruptions and distractions from all sources.