Biodiversity of freshwater diatom communities during 1000 years of metal mining, land use, and climate change in central Sweden

We subjected a unique set of high-quality paleoecological data to statistical modeling to examine if the biological richness and evenness of freshwater diatom communities in the Falun area, a historical copper (Cu) mining region in central Sweden, was negatively influenced by 1000 years of metal exposure. Contrary to ecotoxicological predictions, we found no negative relation between biodiversity and the sedimentary concentrations of eight metals. Strikingly, our analysis listed metals (Co, Fe, Cu, Zn, Cd, Pb) or the fractional land cover of cultivated crops, meadow, and herbs indicating land disturbance as potentially promoting biodiversity. However, correlation between metal- and land-cover trends prevented concluding which of these two covariate types positively affected biodiversity. Because historical aqueous metal concentrations--inferred from solid-water partitioning--approached experimental toxicity thresholds for freshwater algae, positive effects of metal mining on biodiversity are unlikely. Instead, the positive relationship between biodiversity and historical land-cover change can be explained by the increasing proportion of opportunistic species when anthropogenic disturbance intensifies. Our analysis illustrates that focusing on the direct toxic effects of metals alone may yield inaccurate environmental assessments on time scales relevant for biodiversity conservation.

Mining, metallurgy and the historical origin of mercury pollution in lakes and watercourses in Central Sweden

In Central Sweden an estimated 80% of the lakes contain fish exceeding health guidelines for mercury. This area overlaps extensively with the Bergslagen ore region, where intensive mining of iron ores and massive sulfide ores occurred over the past millennium. Although only a few mines still operate today, thousands of mineral occurrences and mining sites are documented in the region. Here, we present data on long-term mercury pollution in 16 sediment records from 15 lakes, which indicate that direct release of mercury to lakes and watercourses was already significant prior to industrialization (<AD 1800). Thirteen of our lakes show increases in mercury from 3-fold-equivalent to the enrichment factor in many remote lakes today-to as much as 60-fold already during the period AD 1500-1800, with the highest values in the three lakes most closely connected to major mines. Although the timing and magnitude of the historical increases in mercury are heterogeneous among lakes, the data provide unambiguous evidence for an incidental release of mercury along with other mining metals to lakes and watercourses, which suggests that the present-day problem of elevated mercury concentrations in the Bergslagen region can trace its roots back to historical mining.

Contaminated lead environments of man: reviewing the lead isotopic evidence in sediments, peat, and soils for the temporal and spatial patterns of atmospheric lead pollution in Sweden

Clair Patterson and colleagues demonstrated already four decades ago that the lead cycle was greatly altered on a global scale by humans. Moreover, this change occurred long before the implementation of monitoring programs designed to study lead and other trace metals. Patterson and colleagues also developed stable lead isotope analyses as a tool to differentiate between natural and pollution-derived lead. Since then, stable isotope analyses of sediment, peat, herbaria collections, soils, and forest plants have given us new insights into lead biogeochemical cycling in space and time. Three important conclusions from our studies of lead in the Swedish environment conducted over the past 15 years, which are well supported by extensive results from elsewhere in Europe and in North America, are: (1) lead deposition rates at sites removed from major point sources during the twentieth century were about 1,000 times higher than natural background deposition rates a few thousand years ago (~10 mg Pb m(-2) year(-1) vs. 0.01 mg Pb m(-2) year(-1)), and even today (~1 mg Pb m(-2) year(-1)) are still almost 100 times greater than natural rates. This increase from natural background to maximum fluxes is similar to estimated changes in body burdens of lead from ancient times to the twentieth century. (2) Stable lead isotopes ((206)Pb/(207)Pb ratios shown in this paper) are an effective tool to distinguish anthropogenic lead from the natural lead present in sediments, peat, and soils for both the majority of sites receiving diffuse inputs from long range and regional sources and for sites in close proximity to point sources. In sediments >3,500 years and in the parent soil material of the C-horizon, (206)Pb/(207)Pb ratios are higher, 1.3 to >2.0, whereas pollution sources and surface soils and peat have lower ratios that have been in the range 1.14-1.18. (3) Using stable lead isotopes, we have estimated that in southern Sweden the cumulative anthropogenic burden of atmospherically deposited lead is ~2-5 g Pb m(-2) and ~1 g Pb m(-2) in the "pristine" north. Half of this cumulative total was deposited before industrialization. (4) In the vicinity of the Rönnskär smelter in northern Sweden, a major point source during the twentieth century, there is an isotopic pattern that deviates from the general trends elsewhere, reflecting the particular history of ore usage at Rönnskär, which further demonstrates the chronological record of lead loading recorded in peat and in soil mor horizons.

Climate driven release of carbon and mercury from permafrost mires increases mercury loading to sub-arctic lakes

In sub-arctic and arctic regions mercury is an element of concern for both wildlife and humans. Over thousands of years large amounts of atmospherically deposited mercury, both from natural and anthropogenic sources, have been sequestered together with carbon in northern peatlands. Many of these peatlands are currently underlain by permafrost, which controls mire stability and hydrology. With the ongoing climate change there is concern that permafrost thawing will turn large areas of these northern peatlands from carbon/mercury-sinks into much wetter carbon/mercury-sources. Here we can show that such a change in mire structure in the sub-arctic Stordalen mire in northern Sweden actually is responsible for an increased export of mercury to the adjacent lake Inre Harrsjön. We also show that sediment mercury accumulation rates during a warm period in the pre-industrial past were higher than in the 1970s when atmospheric input peaked, indicating that in areas with permafrost, climate can have an effect on mercury loading to lakes as large as anthropogenic emissions. Thawing of permafrost and the subsequent export of carbon is a widespread phenomenon, and the projection is that it will increase even more in the near future. Together with our observations from Stordalen, this makes northern peatlands into a substantial source of mercury, at risk of being released into sensitive arctic freshwater and marine systems.

Widespread waterborne pollution in central Swedish lakes and the Baltic Sea from pre-industrial mining and metallurgy

Metal pollution is viewed as a modern problem that began in the 19th century and accelerated through the 20th century; however, in many parts of the globe this view is wrong. Here, we studied past waterborne metal pollution in lake sediments from the Bergslagen region in central Sweden, one of many historically important mining regions in Europe. With a focus on lead (including isotopes), we trace mining impacts from a local scale, through a 120-km-long river system draining into Mälaren--Sweden's third largest lake, and finally also the Baltic Sea. Comparison of sediment and peat records shows that pollution from Swedish mining was largely waterborne and that atmospheric deposition was dominated by long-range transport from other regions. Swedish ore lead is detectable from the 10th century, but the greatest impact occurred during the 16th-18th centuries with improvements occurring over recent centuries, i.e., historical pollution > modern industrial pollution.

Assessing the stability of mercury and methylmercury in a varved lake sediment deposit

Using lake sediments to infer past total mercury and methylmercury loading to the environment requires that diagenetic processes within the sediment do not significantly affect the concentrations or net accumulation rates of the mercury species. Because carbon is lost during early sediment diagenesis, the close link between carbon and mercury raises the question of how reliable lake sediments are as archives of total mercury and methylmercury loading. In this study we used a series of freeze cores taken in a lake with varved (annually laminated) sediment to assess the stability of total mercury and methylmercury over time. By tracking material deposited in specific years in cores collected in different years, we found that despite a 20--25% loss of carbon in the first 10--15 years, there was no apparent loss of total mercury over time; hence, lake sediments can be considered as reliable archives. However, over the first 5--8 years after sedimentation, about 30--40% of the methylmercury was lost (a decrease of 0.025--0.030 microg MeHg m(-2) yr(-1)), suggesting that sediment profiles showing increasing methylmercury concentrations toward the sediment surface are in large part an artifact of diagenetic processes (net demethylation), rather than a record of changes in methylmercury loading.

Modeling the past atmospheric deposition of mercury using natural archives

Historical records of mercury (Hg) accumulation in lake sediments and peat bogs are often used to estimate human impacts on the biogeochemical cycling of mercury. On the basis of studies of lake sediments, modern atmospheric mercury deposition rates are estimated to have increased by a factor of 3-5 compared to background values: i.e., from about 3-3.5 microg Hg m(-2) yr(-1) to 10-20 microg Hg m(-2) yr(-1). However, recent studies of the historical mercury record in peat bogs suggest significantly higher increases (9-400 fold, median 40x), i.e., from about 0.6-1.7 microg Hg m(-2) yr(-1) to 8-184 microg Hg m(-2) yr(-1). We compared published data of background and modern mercury accumulation rates derived from globally distributed lake sediments and peat bogs and discuss reasons for the differences observed in absolute values and in the relative increase in the industrial age. Direct measurements of modern wet mercury deposition rates in remote areas are presently about 1-4 microg m(-2) yr(-1), but were possibly as high as 20 microg Hg m(-2) yr(-1) during the 1980s. These values are closer to the estimates of past deposition determined from lake sediments, which suggests that modern mercury accumulation rates derived from peat bogs tend to overestimate deposition. We suggest that smearing of 210Pb in the uppermost peat sections contributes to an underestimation of peat ages, which is the most important reason for the overestimation of mercury accumulation rates in many bogs. The lower background mercury accumulation rates in peat as compared to lake sediments we believe is the result of nonquantitative retention and loss of mercury during peat diagenesis. As many processes controlling time-resolved mercury accumulation in mires are still poorly understood, lake sediments appear to be the more reliable archive for estimating historical mercury accumulation rates.

Mercury pollution trends in subarctic lakes in the northern Swedish mountains

Despite many years of research about mercury pollution, data concerning high-latitude regions of Europe are limited, particularly studies of long-term temporal trends. It is not clear whether the mercury load at high latitudes follows the recent decreasing trends in European mercury emissions or whether the load is still high because of continuing global emissions. In this study we use sediments from 12 lakes, located above the Arctic Circle in the Swedish mountains, to assess the past and recent mercury pollution situation, especially for the last 200 y. The mercury load increased clearly in sediment deposited from the late 19th or early 20th century to a peak between 1960 and 1990. This peak represents an enrichment of 1.4 to 4.2 times over background concentrations. This enrichment is comparable with enrichments in sediments from lower latitudes as well as other Arctic regions. Since the 1990s mercury concentration has declined in 8 of the 12 lakes, i.e., similar to emission trends in Europe.

Flux rates of atmospheric lead pollution within soils of a small catchment in northern Sweden and their implications for future stream water quality

It is not well-known how the accumulated pool of atmospheric lead pollution in the boreal forest soil will affect the groundwater and surface water chemistry in the future as this lead migrates through the soil profile. This study uses stable lead isotopes (206Pb/207Pb and 208Pb/ 207Pb ratios) to trace the transport of atmospheric lead pollution within the soil of a small catchment and predict future lead level changes in a stream draining the catchment. Low 206Pb/207Pb and 208Pb/207Pb ratios for the lead in the soil water (1.16 +/- 0.02; 2.43 +/- 0.03) and streamwater (1.18 +/- 0.03; 2.42 +/- 0.03) in comparison to that of the mineral soil (>1.4; >2.5) suggest that atmospheric pollution contributes by about 90% (65-100%) to the lead pool found in these matrixes. Calculated transport rates of atmospheric lead along a soil transect indicate that the mean residence time of lead in organic and mineral soil layers is at a centennial to millennial time scale. A maximum release of the present pool of lead pollution in the soil to the stream is predicted to occur within 200-800 years. Even though the uncertainty of the prediction is large, it emphasizes the magnitude of the time lag between the accumulation of atmospheric lead pollution in soils and the subsequent response in streamwater quality.

Natural fluctuations of mercury and lead in Greenland lake sediments

Given the current scenario of increasing global temperatures, it is valuable to assess the potential influence of changing climate on pollution distribution and deposition. In this study we use long-term sediment records from three lakes (spanning ca. 1000, 4800, and 8000 years, respectively) from the Greenland west coast to assess recent and long-term variations in mercury (Hg) and lead (Pb), including stable Pb isotopes (206Pb and 207Pb), in terms of pollution and climate influences. The temporal trends in sediment deposited from about the mid-19th century and forward are in general agreement with the history of industrial emissions at lower latitudes. Therefore, in recent sediment a possible influence from changing climate is difficult to assess. However, by using deeper sediment layers we show that changes in Greenland climate caused changes in the lake influx of material from regional aeolian activity, which resulted in large fluctuations in Hg and Pb concentrations and 206Pb/207Pb ratios. The aeolian material is primarily derived from glacio-fluvial material with low Hg and Pb concentrations and a different isotopic composition. For one of the lakes, the fluctuations in Hg concentrations (10 to 70 ng g(-1)) prior to the 19th century are equal to the anthropogenic increase in the uppermost layers, suggesting that when studying recent concentrations and time trends of pollution in relatively low-contaminated areas such as the Arctic, the early natural fluctuations must be considered.

Tree rings as Pb pollution archives? A comparison of 206Pb/207Pb isotope ratios in pine and other environmental media

Tree rings, if validated as an environmental archive for pollution, would provide a convenient, geographically widespread archive for studying the temporal and spatial distribution of atmospheric pollutants. We collected tree-ring records from Scots pine (Pinus sylvestris L.), ranging in age from 100 to 300 years and from one spruce (Picea abies), from sites in southern and northern Sweden and analyzed their stable lead isotopic composition (206Pb/207Pb). These results are compared to the Pb isotopic composition in soil profiles from each of the sites and temporal changes in the 206Pb/207Pb ratio in peat and lake sediment deposits in Sweden. The mineral soils at each site are characterized by high 206Pb/207Pb ratios (> 1.35), while the ratios in the mor layer are low (1.14-1.16) and characterized by atmospheric lead pollution. The 206Pb/207Pb ratios of the tree rings, typically approximately 1.18-1.20, indicate a significant (10-30%) contribution of Pb derived from the underlying mineral soil. While peat and lake sediment records show that the 206Pb/207Pb ratio of atmospheric deposition has varied over time, with a pronounced trough between approximately 1930 and 1990, the tree rings show no similar trend. Further comparison of published Pb isotope data from other tree-ring records with time series from peat bogs and herbarium samples also shows poor agreement, and indicates that tree rings always contain a mixture of pollution Pb and Pb from the underlying mineral soil. The majority of Pb in the wood is derived from atmospheric pollution either directly, through aerial interception, or indirectly, through uptake from the large pool of accumulated pollution Pb in the soil. Since the Pb isotope ratios of the wood indicate that some natural Pb is taken up into the tree, then it must also be concluded that some fraction of the pollution Pb in the wood is likewise taken up from the forest soil. Based on the Pb isotope analyses, we can only conclude that dendrochemical records are not useful in temporal studies of metal pollution.

Development of an ombrotrophic peat bog (low ash) reference material for the determination of elemental concentrations

Given the increasing interest in using peat bogs as archives of atmospheric metal deposition, the lack of validated sample preparation methods and suitable certified reference materials has hindered not only the quality assurance of the generated analytical data but also the interpretation and comparison of peat core metal profiles from different laboratories in the international community. Reference materials play an important role in the evaluation of the accuracy of analytical results and are essential parts of good laboratory practice. An ombrotrophic peat bog reference material has been developed by 14 laboratories from nine countries in an inter-laboratory comparison between February and October 2002. The material has been characterised for both acid-extractable and total concentrations of a range of elements, including Al, As, Ca, Cd, Cr, Cu, Fe, Hg, Mg, Mn, Na, Ni, P, Pb, Ti, V and Zn. The steps involved in the production of the reference material (i.e. collection and preparation, homogeneity and stability studies, and certification) are described in detail.

Time trends of selected persistent organic pollutants in lake sediments from Greenland

Sediments from seven lakes in West Greenland were used as natural archives to study past and present levels of PCBs (polychlorinated biphenyls, tri- to decachlorinated), tetra-BDE #47 (2,2',4,4'-bromodiphenyl ether), chlordane (cis- and trans-octachlordane) and HxCBz (hexachlorobenzene). The concentrations found are lower than or comparable to concentrations found in sediments from other Arctic regions and one to 2 orders of magnitude lower than concentrations typically found in sediments at lower latitudes. The observed temporal trends (direct and indirect dating) show a decreasing total PCB concentration. Even though local contamination sources exist, the POP deposition in the studied area is most likely a result from long-range transport. The hypothesis about "cold condensation" suggests a latitudinal fractionation to occur between different volatile compounds during the transport toward the pole. In this study a time delay in the deposition for the low-chlorinated PCBs (tri- and tetrachlorinated), compared to their emission histories and compared to higher chlorinated PCBs, was indicated. Although very low tetra-BDE #47 concentrations are observed in this study, there are indications for an increasing concentration in recent sediment layers that may reflect increasing environmental concentrations at lower latitudes. The investigated pesticides are still in use at lower latitudes, however neither chlordane nor HxCBz show any distinct temporal trend of increasing or decreasing concentration toward the sediment surface.

Estimating the natural background atmospheric deposition rate of mercury utilizing ombrotrophic bogs in southern Sweden

A critical gap in the understanding of the global cycling of mercury is the limited data describing the natural background atmospheric deposition rate of mercury before the advent of pollution. Existing estimates of the natural deposition rate are typically about 2-5 microg of Hg m(-2) year(-1) (see, for example, Swain et al. Science 1992, 257, 784-787), based on studies that generally rely on short, 210Pb-dated lake sediment and peat cores that span the past 150 years. Analyses of mercury in long peat cores in southcentral Sweden indicate that natural mercury deposition rates in the period 4000-500 BP were lower, about 0.5-1 microg of Hg m(-2) year(-1). This suggests that recent mercury accumulation rates in the peat (15-25 microg of Hg m(-2) year(-1)) and measured atmospheric deposition rates of mercury in Sweden over the past 3 decades (5-30 microg of Hg m(-2) year(-1)) (Munthe et al. Water, Air, Soil Pollut.: Focus 2001, 1, 299-310) are at least an order of magnitude greater than the prepollution deposition rate, rather than representing only a 3-5-fold increase, as has generally been estimated.

Pre-industrial atmospheric pollution: was it important for the pH of acid-sensitive Swedish lakes?

Acid rain has caused extensive surface water acidification in Sweden since the mid-20th century. Sulfur emissions from fossil-fuel burning and metal production were the main sources of acid deposition. In the public consciousness, acid deposition is strongly associated with the industrial period, in particular the last 50 years. However, studies of lake-water pH development and atmospheric pollution, based on analyses of lake sediment deposits, have shown the importance of a long-term perspective. Here, we present a conceptual argument, using the sediment record, that large-scale atmospheric acid deposition has impacted the environment since at least Medieval times. Sulfur sources were the pre-industrial mining and metal industries that produced silver, lead and other metals from sulfide ores. This early excess sulfur deposition in southern Sweden did not cause surface water acidification; on the contrary, it contributed to alkalization, i.e. increased pH and productivity of the lakes. Suggested mechanisms are that the excess sulfur caused enhanced cation exchange in catchment soils, and that it altered iron-phosphorus cycling in the lakes, which released phosphorus and increased lake productivity.

Stable lead isotopes and lake sediments--a useful combination for the study of atmospheric lead pollution history

Analysis of stable lead isotopes and lead concentrations in lake-sediment deposits, not least in varved (annually-laminated) sediments, is a useful method to study lead pollution history. This paper presents details from a study of 31 lakes in Sweden. Using a strong acid digestion of sediment samples and ICP-MS analyses, we have found that Swedish lake sediments have a high natural (pre-pollution) 206[Pb]207[Pb] ratio (mean 1.52+/-0.18, range 1.28-2.01, n=31 lakes). In contrast, atmospheric lead pollution derived from metal smelting processes, coal burning and from alkyl-lead added to petrol has a lower ratio (< 1.2). Consequently, when pollution lead deposition began approximately 3500 years ago, the lead isotope ratio of the sediments started to decline, and in modern sediments it is typically < 1.2. Using the isotope and concentration values and a mixing model, the relative contribution of pollution and natural lead in sediment samples can be calculated. The pollution lead records of the Swedish lake sediments show a consistent picture of the atmospheric lead pollution history. Some noticeable features are the Roman peak (approx. 0 AD), the large and permanent Medieval increase (approx. 1000 AD), peaks at approximately 1200 and 1530 AD, the rapid increase after World War II, the peak in the 1970s, and the large modern decline.

Sediment evidence of early eutrophication and heavy metal pollution of Lake Mälaren, central Sweden

Lake Mälaren is the water supply and recreation area for more than 1 million people in central Sweden and subject to considerable environmental concern. To establish background data for assessments of contemporary levels of trophy and heavy metal pollution, sediment cores from the lake were analyzed. Diatom-inferred lake-water phosphorus concentrations suggest that pre-20th century nutrient levels in Södra Björkfjärden, a basin in the eastern part of Mälaren, were higher (c. 10-20 micrograms TP L-1) than previously assumed (c. 6 micrograms TP L-1). Stable lead isotope and lead concentration analyses from 3 basins (S. Björkfjärden, Gisselfjärden and Asköfjärden) show that the lake was polluted in the 19th century and earlier from extensive metal production and processing in the catchment, particularly in the Bergslagen region. The lake has experienced a substantial improvement of the lead pollution situation in the 20th century following closure of the mining and metal industry. The lead pollution from the old mining industry was large compared to late-20th century pollution from car emissions, burning of fossil fuels and modern industries.

Palaeolimnological investigation of atmospheric pollution in the Søndre Strømfjord region, southern West Greenland: accumulation rates and spatial patterns

High-latitude ecosystems are inherently sensitive to natural environmental stress as a result of extreme seasonal variations in light and temperature, nutrient limitations, as well as other physical and chemical characteristics; consequently, these regions are quite vulnerable to the addition of pollutant stress. There is a poor understanding of spatial and temporal patterns of atmospheric pollution in the Arctic, because of the lack of monitoring stations and networks for current and past atmospheric deposition. Today, however, the Arctic is recognised as an important focus for long-range transport of contaminants, particularly from strong air flows which carry airborne pollutants from industrial regions at lower latitudes, e.g. heavy metals and persistent organic pollutants (POPs). A diverse range of anthropogenic pollutants has been shown to be present across much of the region (Aarkrog et al. 1997; AMAP 1998). Of particular importance are compounds, such as mercury and POPs, which present a risk to native fauna and also inhabitants. It is hypothesised for some volatile organic compounds, as well as possibly for mercury, that there may be a latitudinal fractionation that contributes to the continued mobilisation of these compounds from warmer to colder climates, where they are ultimately deposited and stored (Wania & Mackay 1993). Experimental data and limited field research support this ‘cold-condensation’ hypothesis, at least for some POPs (Blais et al. 1998).

Mercury accumulation rates and spatial patterns in lake sediments from west Greenland: a coast to ice margin transect

The Arctic is recognized as an important focus for long-range transport of contaminants, such as mercury (Hg), from industrial regions at lower latitudes. In addition to large geographic gaps, there are few long-term retrospective time trends in arctic research, besides the Greenland ice record, to assess the onset of atmospheric pollution as well as to establish the rates of change in the terrestrial environment. In a study of sediments from 21 lakes along a 150 km transect from the coast to the ice sheet margin in the Søndre Strømfjord (Kangerlussuaq) region, we present stratigraphic evidence for elevated Hg inputs to this ice-free region on Greenland's west coast. Nineteen study lakes showed Hg concentration enrichments (HgEFconc) in surface compared to deeper sediments, with a mean HgEFconc of 3. Higher HgEFconc are found in lakes closest to the ice margin. The existence of this Hg gradient is supported by pollution Hg inventories in three 210Pb-dated cores. While 210Pb inventories and Pb pollution are higher at the coast, pollution Hg inventories are nearly 3-fold higher at the ice margin (570 micrograms m-2) than at the coast (210 micrograms m-2). These dated cores also indicate an onset of Hg pollution in the region beginning at least by the late 19th century but possibly as early as the 17th century.

Effectiveness of medication calculation enhancement methods with nurses

Medication calculation errors occur in all settings and can cause serious disruption in treatment protocols. This experimental study used a pretest-posttest, control group design. Sixty-seven RNs from three healthcare agencies completed all phases of the study. All nurses completed a 20-item medication calculation test, used both as the pretest and the posttest, and completed a short questionnaire that contained demographic and attitudinal items. After taking the pretest, nurses were assigned randomly to one of three experimental groups or a control group. Intervention times for the experimental groups totaled 3 hours, followed by a posttest 4 to 5 months after the pretest. Scores on the pretest ranged from 25% to 100% (mean = 75.5%, standard deviation = 15.13) and from 30% to 100% on the posttest (mean = 80%, standard deviation = 14.72). Scores improved for all groups except the self-study workbook group. No significant difference was found between the experimental groups or the control group for posttest medication calculation test scores. The classroom intervention was most costly, and the workbook intervention was least costly. The nurses identified the workbook intervention as the most satisfying method and computer-assisted instruction (CAI) as least satisfying. A strong positive correlation existed between the nurses' self-assessment of comfort and skill levels with medication calculation test scores. Questions necessitating multiple calculations and those necessitating a conversion not provided were the most difficult to answer correctly. Staff development educators need to address their role in improving the effectiveness of medication calculation.

Medication calculation ability of registered nurses

A convenience sample of 110 registered nurses in four western states completed a demographic questionnaire and a 20-item medication calculation test to investigate errors in medication calculation that contribute to medication error rates. Intravenous questions were most difficult, then oral, then intramuscular/subcutaneous items. Nurses erred more when more than one calculation was required and when milligram to grain conversion was needed. Nurses who rated their skill and comfort with medication calculation above average scored higher. Yet 81 percent of the nurses were unable to correctly calculate medications 90 percent of the time and 43.6 percent of the test scores were below 70 percent accuracy. Strategies are suggested which may be used in staff development in identify registered nurse medication calculation abilities and to enhance these skills in practicing nurses.