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 4
Spaghetti diagram showing non-linear travel by one nurse during night-time drug round at site B (map of ward not drawn to scale).
Nurse started the drug round by logging on to the tablet computer next to the drug trolleys at 21:05, placed tablet computer on drug trolley and wheeled it to each patient starting in C-bay. Nurse went to the nurse base station area 13 times during the drug round: to look for master key to patient’s bedside medication locker (2 times), to look for medicines in stock cupboard (4), to access desktop computer to view and/or sign patient medication orders (5), to take a telephone call (1), and to prepare from the controlled drugs cupboard (2). Nurse ended the drug round at the nurse base station double checking on the electronic prescribing and medication administration system that all the relevant doses had been signed. S02, site code; DR022, drug round code; N18, nurse code. Letters refer to ward bay areas.