该项目的目的是通过将最佳实践的依从性提高 20%，减少血液肿瘤病房护士在口服药物查房期间的干扰。用药错误可能会对患者安全产生不利影响。因此，了解用药错误的根本原因是必要的。护士是给病人服用药物的人；然而，在临床领域，中断现象很普遍，并可能导致用药错误。因此，建议采取干预措施，尽量减少干扰。该项目于2022年3月至2023年3月在两个血液肿瘤病房进行。目标参与者是早上送药的护士。该项目遵循基于证据的审计和反馈方法，使用七阶段 JBI 证据实施框架。 JBI 的临床证据实际应用系统 (PACES) 用于支持审核和反馈流程。实施了由三个最佳实践组成的减少中断捆绑包。在基线时，只有 24% 的用药没有中断。实施一个月后，合规性提高了 51%。实施六个月后，合规率增加至 58%。实施9个月后，达标率仍保持在59%。绝对中断次数从 47 次（基线）减少到 27 次（实施后 1 个月）、24 次（实施后 6 个月）、16 次（实施后 9 个月）。将基线与最新实施后结果进行比较时，所有类型的中断均有所减少。该项目综合运用循证干预措施，有效减少了口服药物轮次期间的中断，并维持了积极的结果。http://links.lww.com /IJEBH/A256。版权所有 © 2024 JBI。本文未经授权禁止转载。

The aim of the project was to reduce interruptions during oral medication rounds among nurses working in hematology-oncology wards by improving compliance with best practices by 20%.Medication errors can adversely affect patient safety. Hence, understanding the underlying contributors to medication errors is necessary. Nurses are the ones who administer medications to patients; however, in clinical areas, interruptions are prevalent and could contribute to medication errors. It is therefore recommended that interventions be implemented to minimize interruptions.This project was conducted in two hematology-oncology wards from March 2022 to March 2023. Target participants were nurses who served medications in the morning. The project followed an evidence-based audit and feedback methodology using the seven-phase JBI Evidence Implementation Framework. JBI's Practical Application of Clinical Evidence System (PACES) was used to support the audit and feedback process. An interruption reduction bundle consisting of three best practices was implemented.At baseline, only 24% of medications administered occurred without interruption. One month after implementation, there was a 51% improvement in compliance. Six months after implementation, compliance increased to 58%. Nine months post-implementation, the compliance rate remained at 59%. Absolute interruption counts decreased from 47 (baseline), to 27 (1 month post-implementation), to 24 (6 months post-implementation), to 16 (9 months post-implementation). All types of interruptions decreased when comparing the baseline with the latest post-implementation result.The project used evidence-based interventions in a bundle, effectively reducing interruptions during oral medication rounds, and sustaining positive results.http://links.lww.com/IJEBH/A256.Copyright © 2024 JBI. Unauthorized reproduction of this article is prohibited.