A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety Software

Gavriloff, Carrie

doi:10.1016/j.pedn.2011.06.004

Cited by 12 publications

(7 citation statements)

References 14 publications

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“…Studies examining the impact of implementing education and training on proper usage of infusion pumps measure compliance with pump technology protocols and adherence to using safety software. In a study by Gavriloff, 24 researchers implemented staff education focusing on the correct use of the safety software and the benefits of preventing medication errors as part of a multicomponent intervention. The goal of the education program was to improve nurses’ adherence to using the medication safety software drug library created by the organization.…”

Section: Resultsmentioning

confidence: 99%

“…The adherence rate further increased to 85% after the chief nursing office sent a follow-up communication encouraging nurses to use the medication safety software. 24 In addition, Orto et al 23 measured compliance with use of the drug library in smart pumps in a hospital where not using the drug library constituted noncompliance with hospital policy. They found that after implementation of a nurse-led smart pump champions program, compliance among RNs significantly increased from 85% to 92%.…”

Section: Resultsmentioning

confidence: 99%

“…For example, Orto el al 23 implemented a nurse champion-led group to improve smart pump compliance because of the success their hospital had in the past with this type of intervention. Finally, Gavriloff 24 found that training that focuses on “why” smart pumps are used instead of just “how” to use smart pumps is important to increase adherence. By understanding the safety software, nurses are able to provide ongoing evaluation on needed revisions and refinements.…”

Section: Discussionmentioning

confidence: 99%

“…By understanding the safety software, nurses are able to provide ongoing evaluation on needed revisions and refinements. 24 …”

Section: Discussionmentioning

confidence: 99%

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System-Level Patient Safety Practices That Aim to Reduce Medication Errors Associated With Infusion Pumps: An Evidence Review

Bacon

Hoffman²

2020

J Patient Saf

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Objectives In this literature review, we discuss 2 system-level, nurse-targeted patient safety practices (PSPs) that aim to reduce medication errors associated with infusion pumps, including smart pumps. One practice focuses on implementing structured process changes and redesigning workflows to improve efficiencies with pump use. The other focuses on investing in initial and ongoing staff training on the correct use, maintenance, and monitoring of infusion pumps. Methods Two databases were searched for “infusion pumps” and related synonyms, along with relevant terms for each PSP. Articles were excluded if outcomes were not directly relevant to the PSP addressed in this review, the article was out of scope, or study design was insufficiently described. Results Limited research was found on best practices for reducing errors and improving infusion pump use through workflow and process changes, as well as education and training. Four studies reported medication administration errors, procedural errors, or deviations from hospital policy as clinical outcomes of workflow or process changes. Mixed results were found examining process outcomes related to pump handling. Education on the correct use of smart pumps was found to decrease medication errors and adverse drug events, and 2 studies found an increase in nurses’ adherence to using the medication safety software library as a result of education. Conclusions Standardization of process and integration of technology and workflows were found as facilitators. Type and content of education provided were identified as facilitators, whereas time and energy constraints on nurse educators can be barriers to implementing large hospital-wide education programs.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…By understanding the safety software, nurses are able to provide ongoing evaluation on needed revisions and refinements. 24 …”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

System-Level Patient Safety Practices That Aim to Reduce Medication Errors Associated With Infusion Pumps: An Evidence Review

Bacon

Hoffman²

2020

J Patient Saf

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“…In a case study of a medication error incident at a facility using smart pumps, an analysis revealed that the error was caused by library bypass; that is, non-compliance to the library, and that the library would have prevented the incident [30]. The case led to a prospective initiative and study on improving compliance at the institution.…”

Section: Medication Errors and Smart Pumpsmentioning

confidence: 99%

Analysis of Infusion Pump Data from CHEO

Shaath¹

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The thesis objective is to analyze smart infusion pump data from the Children's Hospital of Eastern Ontario to learn about pump usage. Trends in compliance and hard limit events were shown to be potentially associated with drug library updates, and can be used to assess library changes. In a case study for the drug gentamicin, selection errors were the cause of more than 50% of hard limit events. A human computer interaction issue was identified as the problem, where gentamicin has two library entries that are named in a manner that may be confusing. Decision trees were used to determine factors that are associated with hard limits. Results showed that higher hard limit event rates were associated with the NICU and Emergency profiles, and with patients who weighed over 48 kg; these factors can be used to target training and research. This thesis contributes to research in medication errors and patient safety.iii

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Always InforMED: Nurse champion-led intervention to improve medication communication among nurses and patients

Begum

Liu

Sun

2020

Applied Nursing Research

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A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety Software

Cited by 12 publications

References 14 publications

System-Level Patient Safety Practices That Aim to Reduce Medication Errors Associated With Infusion Pumps: An Evidence Review

System-Level Patient Safety Practices That Aim to Reduce Medication Errors Associated With Infusion Pumps: An Evidence Review

Analysis of Infusion Pump Data from CHEO

Always InforMED: Nurse champion-led intervention to improve medication communication among nurses and patients

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