scholarly journals Conducting a Cluster RCT on Medication Safety in Nursing Units Overtaxed by the COVID-19 Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 103-104
Author(s):  
Teryl Nuckols ◽  
Ed Seferian ◽  
Bernice Coleman ◽  
Carl Berdahl ◽  
Tara Cohen ◽  
...  
Keyword(s):  
Medication Safety ◽  
Geographic Area ◽  
Incident Reporting ◽  
Cluster Rct ◽  
Nursing Unit ◽  
Safety Reporting ◽  
Hospital Nursing ◽  
Report Quality ◽  
Study Staff ◽  
Preparation Phase

Abstract Medication errors continue to harm many hospitalized patients. In other high-risk industries, voluntary incident reporting is widely used to improve safety. Reporting is widely used in hospitals, but not as effectively. This AHRQ-funded cluster RCT will assess the effects of the SAFE Loop, which includes five enhancements in incident reporting implemented on hospital nursing units. Analyses will compare changes in nurses’ attitudes toward reporting, event reporting rates, report quality, and medication event rates between intervention and control arms. The COVID-19 pandemic has created both obstacles and opportunities. The intervention requires study staff to engage nursing unit directors, attend daily nursing “huddles”, and train overtaxed front-line nurses in a geographic area greatly impacted by COVID-19 surges. This created uncertainty around the best time to start the trial. Conversely, we have collected unique data on the implications of COVID-19 for medication safety while testing our instruments during the trial preparation phase.

scholarly journals Medication Safety Improves after Implementation of Positive Patient Identification

2010 ◽  
Vol 01 (03) ◽  
pp. 213-220 ◽  
Author(s):  
M. Heelon ◽  
B. Siano ◽  
L. Douglass ◽  
P. Liebro ◽  
B. Spath ◽  
...  
Keyword(s):  
Medication Safety ◽  
Near Miss ◽  
Positive Patient ◽  
Patient Identification ◽  
Post Intervention ◽  
Chi Square ◽  
Near Misses ◽  
Safety Reporting ◽  
Large Teaching Hospital ◽  
Before And After

Summary Objective: To report the incidence and severity of medication safety events before and after initiation of barcode scanning for positive patient identification (PPID) in a large teaching hospital. Methods: Retrospective analysis of data from an existing safety reporting system with anonymous and non-punitive self-reporting. Medication safety events were categorized as “near-miss” (unsafe conditions or caught before reaching the patient) or reaching the patient, with requisite additional monitoring or treatment. Baseline and post-PPID implementation data on events per 1,000,000 drug administrations were compared by chi-square with p<0.05 considered significant. Results: An average of 510,541 doses were dispensed each month in 2008. Total self-reported medication errors initially increased from 20 per million doses dispensed pre-barcoding (first quarter 2008) to 38 per million doses dispensed immediately post-intervention (last quarter 2008), but errors reaching the patient decreased from 3.26 per million to 0.8 per million despite the increase in “near-misses”. A number of process issues were identified and improved, including additional training and equipment, instituting ParX scanning when filling Pyxis machines, and lobbying for a manufacturing change in how bar codes were printed on bags of intravenous solutions to reduce scanning failures. Conclusion: Introduction of barcoding of medications and patient wristbands reduced serious medication dispensing errors reaching the patient, but temporarily increased the number of “near-miss” situations reported. Overall patient safety improved with the barcoding and positive patient identification initiative. These results have been sustained during the 18 months following full implementation.

Data Entry Automation Improves Cost, Quality, Performance, and Job Satisfaction in a Hospital Nursing Unit

2020 ◽  
Vol 50 (1) ◽  
pp. 34-39
Author(s):  
Jeffrey C. Bauer ◽  
Eileen John ◽  
Christopher L. Wood ◽  
Debra Plass ◽  
Dale Richardson
Keyword(s):  
Job Satisfaction ◽  
Data Entry ◽  
Quality Performance ◽  
Nursing Unit ◽  
Hospital Nursing

scholarly journals Die saalklerk as hulppersoneellid in ’n akademiese hospitaalverplegingseenheid

Curationis ◽  
1993 ◽  
Vol 16 (4) ◽  
Author(s):  
T. Van der Merwe ◽  
M. Muller
Keyword(s):  
Educational Programme ◽  
Academic Hospital ◽  
Nursing Unit ◽  
Hospital Nursing ◽  
Hospital Nursing Units

The expectation (knowledge and insist) of unit managers as well as ward clerks regarding the duties and responsibilities of the ward clerk in an academic hospital nursing unit in Johannesburg, were questioned. The value of a structured educational programme for ward clerks in order to improve their capabilities profile (knowledge and insist) was also examined. The expectations (knowledge and insight) of unit managers in academic hospital nursing units where ward clerks were employed, were poor regarding the duties and responsibilities of such ward clerks.

Integrating the Intensive Care Unit Safety Reporting System with Existing Incident Reporting Systems

2005 ◽  
Vol 31 (10) ◽  
pp. 585-593 ◽  
Author(s):  
David A. Thompson ◽  
Lisa Lubomski ◽  
Christine Holzmueller ◽  
Albert Wu ◽  
Laura Morlock ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Reporting System ◽  
Incident Reporting ◽  
Safety Reporting ◽  
Incident Reporting Systems ◽  
Reporting Systems

Medication safety and incident reporting in prehospital emergency care

Resuscitation ◽  
2014 ◽  
Vol 85 ◽  
pp. S58-S59
Author(s):  
Hartwig Marung ◽  
Carina Teufel ◽  
Thoralf Kerner ◽  
Ulf Harding ◽  
Florian Reifferscheid
Keyword(s):  
Emergency Care ◽  
Medication Safety ◽  
Incident Reporting ◽  
Prehospital Emergency Care ◽  
Prehospital Emergency

Medication Safety

2016 ◽  
Author(s):  
Alan F. Merry
Keyword(s):  
Primary Care ◽  
Supply Chain ◽  
Intensive Care ◽  
Medication Safety ◽  
Medication Administration ◽  
Incident Reporting ◽  
Remote Locations ◽  
Clinical Records ◽  
Observational Techniques ◽  
Perioperative Medication

Perioperative medication safety consists largely of achieving the six “rights” of medication administration at each stage of every patient’s pathway, from primary care into the hospital, through the ward, operating room, postoperative and/or intensive care units, the ward (again), and back into the community. The abuse of medications by clinicians and the security of the supply chain for essential medications are also relevant. Understanding failures in medication safety requires an understanding of the nature of error and violation within complex systems, and applying these general principles in the context of perioperative care, including particular situations such as pediatrics and anesthesia or sedation in remote locations. Measurement of initiatives to improve medication safety is particularly challenging. Retrospective review of clinical records, incident reporting, facilitated incident reporting, prospective augmented observational techniques, and trigger tools have all been used for this purpose.

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