Dataset for "User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in-situ simulation study"

Why did we carry out this research? One out of every ten injections into veins in the UK is prepared or given in the wrong way. Some of these mistakes will cause unnecessary harm to the patient. To help prevent these mistakes, the NHS publishes the Injectable Medicines Guide (IMG). This NHS website tells nurses how to prepare each injection correctly. Some people think that the IMG is confusing for nurses. This is worrying, as research shows that confusing information can cause mistakes. So improving the design of the IMG might lead to fewer mistakes. In the first part of this project, we used a process called “user testing” to find out what information nurses found confusing in the IMG. We then redesigned the IMG to solve these problems. In this part of the project, we wanted to find out if using our new design for the IMG made it safer to give injections. What were we aiming to find out? Our aim was to find out if nurses using our new IMG design made fewer mistakes than nurses using the original design. How did we do this research? We asked 273 nurses to prepare and give a dose of a pretend medicine to a model patient. They did this whilst they were working on a ward in one of five hospitals. To help the nurses with this task, they were randomly given either the original IMG design or our new design. We watched them whilst they prepared and gave the dose and recorded any mistakes that were made. We also timed how long it took. Then we asked the nurses to answer a questionnaire about how confident they felt using the IMG. What data is included here? This archive includes the documents we created to help us carry out this research, data on our participants and how many errors they made, and details of interviews we carried out with some nurses.

These data describe a randomised in situ simulation experiment to compare the rate of errors made by hospital nurses during the administration of an intravenous medicine when using current or user-tested injectable medicines guidelines. The files in this archive include:

- the study protocol;
- data collection tools;
- the two guidelines compared in the study;
- quantitative data on participant demographics, errors and participant feedback;
- an expert panel's analysis of the severity of the observed errors;
- transcriptions and analysis of debrief interviews with participants.

Keywords:
intravenous administration, drug information, guidelines, medication errors, medicines information, nurses, patient safety, practice guidelines, user-testing
Subjects:
Medical and health interface

Cite this dataset as:
Jones, M., McGrogan, A., Raynor, D., Watson, M., Franklin, B., 2020. Dataset for "User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in-situ simulation study". Bath: University of Bath Research Data Archive. Available from: https://doi.org/10.15125/BATH-00751.

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Data

Interview_analysis.zip
application/zip (1MB)
Creative Commons: Attribution 4.0

Thematic and content analysis of debrief interviews

Interview_transcriptions.zip
application/zip (5MB)
Creative Commons: Attribution 4.0

Anonymised transcriptions of 14 debrief interviews

Numerical_data.zip
application/zip (120kB)
Creative Commons: Attribution 4.0

Main quantitative data collected during this study. Raw data collected from participants and from observation and the main data analysis file into which this was processed.

Severity_survey.zip
application/zip (143kB)
Creative Commons: Attribution 4.0

Copy of the online survey sent to an expert panel to rate error severity and the raw data showing their responses.

Creators

Matthew Jones
University of Bath

Anita McGrogan
University of Bath

D K Raynor
University of Leeds

Bryony Dean Franklin
UCL School of Pharmacy

Coverage

Collection date(s):

From 4 January 2019 to 24 July 2019

Geographical coverage:

England

Documentation

Data collection method:

For full details of the methodology, see study protocol included in this archive and included in the associated article - https://doi.org/10.1136/bmjqs-2020-010884.

Additional information:

For details of how the dataset has been arranged, see README file included in this archive.

Documentation Files

IMG_guidelines.zip
application/zip (871kB)
Creative Commons: Attribution 4.0

The two versions of the Injectable Medicines Guide guidelines compared in this study

README Phase 2.txt
text/plain (22kB)
Creative Commons: Attribution 4.0

Description of the data contained within this record.

Phase_2_protocol_v1.2.pdf
application/pdf (393kB)
Creative Commons: Attribution 4.0

Study protocol

Templates

Data_collection_tools.zip
application/zip (1MB)
Creative Commons: Attribution 4.0

Data collection forms, interview topic guide, participant instructions and standard operating procedure

Funders

National Institute for Health Research (NIHR)
https://doi.org/10.13039/501100000272

Can Systematic User Testing of the National NHS Injectable Medicines Guide Improve Patient Safety
TRF-2017-10-006

Publication details

Publication date: 3 June 2020
by: University of Bath

Version: 1

DOI: https://doi.org/10.15125/BATH-00751

URL for this record: https://researchdata.bath.ac.uk/id/eprint/751

Related articles

Jones, M. D, McGrogan, A., Raynor, D K, Watson, M. C and Franklin, B. D., 2020. User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. BMJ Quality & Safety, pp.bmjqs-2020-010884. Available from: https://doi.org/10.1136/bmjqs-2020-010884.

Contact information

Please contact the Research Data Service in the first instance for all matters concerning this item.

Contact person: Matthew Jones

Departments:

Faculty of Science
Pharmacy & Pharmacology