Introduction to Patient Safety Research.ppt

* * * * * * * * * * * * * * * * * * * * * Introduction to Patient Safety Research Presentation 11 - Developing Solutions: Randomized Clinical Trial 2: Overview Objectives Examine whether medication administration error rates could be decreased by having dedicated nurses focus exclusively on administering drugs. Methods A randomized study at 2 hospitals (A and B) using a direct observation technique to record drug errors, process-variation errors, and total errors. Medication nurses, after receiving a brief review course on safe medication use, responsible solely for drug delivery for up to 18 patients each. General nurses, who did not attend the course, provided comprehensive care, including drug delivery, for 6 patients each. Results At both hospitals combined, the total error rate was 15.7% for medication nurses and 14.9% for general nurses. Comparing hospitals, the total error rate for medication nurses at hospital B was significantly higher than it was at hospital A (19.7% vs 11.2%). Conclusion Trial suggests that use of dedicated medication nurses does not reduce medication error rates, although they might be useful in some settings. 3: Introduction: Study Details Full Reference Greengold N, Shane R, Schneider P,Flynn E, Elashoff J,Hoying C, Barker K, Bolton LB. The Impact of Dedicated Medication Nurses on the Medication Administration Error Rate: A Randomized Controlled Trial. Arch Intern Med, 2003:163:2359-2367 Link to Abstract (HTML) Link to Full Text (PDF) 4: Introduction: Patient Safety Research Team Lead researcher – Nancy L. Greengold, MD, MBA Associate Clinical Professor of Medicine, UCLA Assistant Director of Health Services Research, Cedars-Sinai Health System in Los Angeles, California, USA Other team members Rita Shane, PharmD Philip Schneider, RPh Elizabeth Flynn, PhD Janet Elashoff, PhD Cheryl L. Hoying, PhD, RN Kenneth Barker, PhD, RPh Linda Burnes Bolton, DrPH, RN 5: Background: Opening Points Previous study found that prescribing e