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medication errors, outcomes and process assessment, patient safety, performance improvement



  1. Conrad, Carole RN
  2. Fields, Willa DNSc, RN, FHIMSS
  3. McNamara, Tracey BSN, RN
  4. Cone, Maryann MSN, RN
  5. Atkins, Patricia MS, RN


Nurses work in stressful environments, encountering interruptions and distractions at almost every turn. The aim of this medication safety project was to improve the physical design and organizational layout of the medication room, reduce nurse interruptions and distractions, and create a standard medication process for enhanced patient safety and efficiency. This successful change improved the medication administration process, decreased medication errors, and enhanced nursing satisfaction.