Date of Graduation

Winter 12-12-2014

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Danijela Pavlic


Medical errors are the third leading cause of death in the United States. Medical errors also incur significant cost ramifications due to increased hospital length of stay and fines. Medication errors, a type of medical error, are one of the most common types of inpatient errors. Nurses are most often are responsible for medication administration, but safety during medication administration should be a priority of all hospital personnel. Avoidable interruptions during medication administration contribute to medical errors. Decreasing interruptions require increased nurse assertiveness during medication administration, interdisciplinary cooperation and unit culture change. This project identified that educating the unit clerk of their role in triaging phone calls and call lights can decrease nurse interruptions during medication administration. When the unit clerk discerned which phone calls were emergent and non-emergent and fielded non-nurse necessary calls to appropriate staff, there was a 43% decrease in nurse interruptions. This is encouraging data and further progress towards patient safety can be made with the collaboration of other hospital staff.

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