Facilitators and Barriers to Safe Medication Administration to Hospital Inpatients: A Mixed Methods Study of Nurses’ Medication Administration Processes and Systems (the MAPS Study)
Fig 2
Spaghetti diagram showing non-linear travel by one nurse (qualified 2 years, 1 year experience on study ward) during a noon drug round at site A (map of ward not drawn to scale).
Nurse started the drug round by wheeling the drug trolley from opposite the nurse station to side room D. Nurse went to another drug trolley located near G bay (3 times): once each to find medication, a tablet cutter and a plastic medication cup. Nurse also walked and attended to a patient other than the patient she was preparing medications for during the drug round (2 times), to the nurse station to look for a paper drug chart (2), to the kitchen to retrieve nutritional supplement (1), and to help another nurse to exit the ward (1). S01, site code; DR001, drug round code; N01, nurse code. Letters refer to ward bay areas.