Improving the quality of medication administration practices in a tertiary Australian hospital: a best practice implementation project.

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Travis Brown, Elizabeth Roberts, Lucylynn Lizarondo, Alexa McArthur, Pravala Basnet, Monica Basukoski, Stephanie Cheng, Bernadette Findlay, Jessica Gao, Ranjit Kanagaraj Joshua, Rosa Jun, Rosemary Kennedy, Michelle Laing, Margaret Lawler, Rachel Ling, Yin Lo, Craig Lockwood, Andrea Mandla, Cate Milnes, Michele Louise Rule, Joanna Taylor, Anna Thornton
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Abstract

Introduction: Medication safety is an important health priority that focuses on preventing harm from medication-related events. Unsafe medication administration practices can lead to errors, which can cause avoidable injury (or harm) to patients.

Objectives: This paper reports on an evidence implementation project conducted in a large tertiary hospital in Australia to improve nursing compliance with best practice recommendations for medication administration.

Methods: The project was guided by JBI's seven-phase approach to evidence implementation, using audit and feedback and a structured framework to identify barriers, enablers, and implementation strategies.

Results: The project resulted in improved compliance with best practice recommendations. This was achieved through multimodal strategies, including education, improved access to resources, and targeted feedback and discussion sessions to encourage culture and behavior change.

Conclusions: The project improved nurses' medication administration practices, specifically in performing independent second checks. Collaborative efforts of the project leads facilitated the review of medication administration policy and the development of staff education resources. Patient engagement remains an area for improvement, along with the potential need for further ongoing medication education.

Spanish abstract: http://links.lww.com/IJEBH/A237.

提高澳大利亚一家三级医院的用药质量:最佳实践实施项目。
导言:用药安全是一项重要的健康优先事项,其重点是防止与用药相关的事件造成伤害。不安全的用药操作会导致错误,从而对患者造成可避免的伤害(或伤害):本文报告了在澳大利亚一家大型三甲医院开展的证据实施项目,该项目旨在提高护理人员对药物管理最佳实践建议的依从性:该项目以 JBI 的证据实施七阶段方法为指导,使用审计和反馈以及结构化框架来识别障碍、促进因素和实施策略:结果:该项目提高了最佳实践建议的合规性。这是通过多模式策略实现的,包括教育、改善资源获取途径以及有针对性的反馈和讨论会议,以鼓励文化和行为的改变:该项目改善了护士的药物管理实践,特别是在进行独立的二次检查方面。项目负责人的共同努力促进了对药物管理政策的审查和员工教育资源的开发。患者参与仍是一个需要改进的方面,同时也可能需要进一步开展持续的用药教育。西班牙文摘要:http://links.lww.com/IJEBH/A237。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.20
自引率
13.00%
发文量
23
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