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Saving lives while saving money : A multi-method case study for tracking risks during the medication process and exploring the identification- and coping mechanisms during the administering phase of frontline professionals in Spaarne hospital at Hoofddorp

Hupkens, D. (2013) Saving lives while saving money : A multi-method case study for tracking risks during the medication process and exploring the identification- and coping mechanisms during the administering phase of frontline professionals in Spaarne hospital at Hoofddorp.

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Abstract:This thesis aims to create a better understanding of the medication process, its associated risks and explores identification- and coping mechanisms of frontline professional in overcoming risks during the administering phase. In order to answer this key research question a multi-method case study was performed. The data gathering took place in the period June-half of July in Spaarne hospital (department’s of internal medicine and surgery) and its associated pharmacy (SAHZ). Participants of the study were primarily nurses. Besides, also a doctor, an anesthetist, a hospital pharmacist and hospital pharmacist assistants participated in the research. Through participation days the medication process was traced and associated risks were revealed. Here, it is found that the hospital intake, handling- and administering phase are the most error-prone sub processes. The administering phase of the medication process was studied in more detail by spreading surveys (18) and performing interviews (12) with nurses on the two departments. Here, the surveys investigated identification techniques for administering risks, where the interviews studied the coping mechanisms for overcoming administering risks. By doing so, the study scientifically contribute to create new insights in identification- and coping mechanisms in this specific setting. It is found that both identification- and coping techniques are mostly based on retrospective activities. Future research could perform comparable case studies in different hospitals and different departments (ad-hoc vs. planned health care), so that results found in this research can be put into perspective. Furthermore it’s recommended to investigate factors which contribute to certain coping mechanisms in more detail, for instance the ‘educational level’ or ‘years of experience’ and the way frontline professionals signalingand overcoming hazardous situations.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:85 business administration, organizational science
Programme:Business Administration MSc (60644)
Link to this item:http://purl.utwente.nl/essays/63615
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