Bernadette Schutijser

Amsterdam University Medical Center | VUmc · Department of Social Medicine

Background Double-check protocol compliance during administration is low. Regardless, most high-risk medication administrations are performed without incidents. The present study investigated the process of preparing and administrating high-risk medication and examined which variations occur in daily practice. Additionally, we investigated which co...

Background Healthcare professionals are sometimes forced to adjust their work to varying conditions leading to discrepancies between hospital protocols and daily practice. We will examine the discrepancies between protocols, ‘Work As Imagined’ (WAI), and daily practice ‘Work As Done’ (WAD) to determine whether these adjustments are deliberate or ac...

Objective: Opioids are increasingly prescribed and frequently involved in adverse drug events (ADEs). The underlying nature of opioid-related ADEs (ORADEs) is however understudied. This hampers our understanding of risks related to opioid use during hospitalisation and when designing interventions. Therefore, we provided a description of the natur...

Background Reusing routinely recorded data from electronic hospital records (EHR) may offer a less-time consuming, and more real time alternative for monitoring compliance by nurses with a protocol for the safe preparation and administration of injectable medication. However, at present it is unknown if the data necessary to calculate the quality i...

Objectives It is unclear how nurses adjust the double check during injectable medication administration and guarantee patient safety. We used the Functional Resonance Analysis Method (FRAM) to determine the fit between the double check according to the protocol (work-as-imagined) and clinical practice (work-as-done). We aimed to learn about process...

Antithrombotic drugs are consistently involved in medication-related adverse events (MRAEs) in hospitalized patients. We aimed to estimate the antithrombotic-related adverse event (ARAE) incidence between 2008 and 2016 and analyse their clinical context in hospitalized patients in The Netherlands. A post-hoc analysis of three national studies, aime...

Aims The aim of this study was to determine the frequency and cause of interruptions during intravenous medication administration, which factors are associated with interruptions and to what extent interruptions influence protocol compliance. Background Hospital nurses are frequently interrupted during medication administration, which contributes...

Objectives Medication administration errors with injectable medication have a high risk of causing patient harm. To reduce this risk, all Dutch hospitals implemented a protocol for safe injectable medication administration. Nurse compliance with this protocol was evaluated as low as 19% in 2012. The aim of this second evaluation study was to determ...

De afgelopen jaren is de potentieel vermijdbare sterfte in ziekenhuizen niet verder gedaald. Tussen half 2015 en half 2016 overleden circa 1.035 patiënten door zorggerelateerde schade die waarschijnlijk voorkomen had kunnen worden. Eerder was deze potentieel vermijdbare sterfte in ziekenhuizen sterk gedaald, onder andere door de invoering van het V...

Background:Given the growing number of vulnerable, older cardiac surgery patients, the preadmission PREvention Decline in Older Cardiac Surgery patients (PREDOCS) programme was developed to reduce the incidence of postoperative complications. Before the clinical effects of such a complex multicomponent intervention can be evaluated, the feasibility...