减少血液肿瘤科病房护士口服药物查房时的中断:最佳实践实施项目。

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Jbi Evidence Implementation Pub Date : 2024-08-23 DOI:10.1097/XEB.0000000000000457
Jia Wen Siah, Crystal Kai Tian Cheng, Chloe Leyi Choy, Poh Chi Tho, Siew Ping Lang
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引用次数: 0

摘要

项目目标该项目的目的是将血液肿瘤科病房护士在口服药物查房时的中断情况减少 20%,从而提高最佳实践的依从性:用药错误会对患者安全造成不利影响。因此,有必要了解造成用药错误的根本原因。护士是为患者用药的人,但在临床领域,中断用药的情况非常普遍,可能会导致用药错误。因此,建议实施干预措施,尽量减少中断:本项目于 2022 年 3 月至 2023 年 3 月在两个血液肿瘤科病房进行。目标参与者为上午提供药物的护士。该项目采用基于证据的审核和反馈方法,使用七阶段 JBI 证据实施框架。JBI 的临床证据实际应用系统 (PACES) 用于支持审核和反馈流程。实施了由三种最佳实践组成的减少中断捆绑计划:结果:基线时,只有 24% 的用药没有中断。实施一个月后,依从性提高了 51%。实施六个月后,依从性提高到 58%。实施九个月后,依从率保持在 59%。绝对中断次数从 47 次(基线)下降到 27 次(实施后 1 个月)、24 次(实施后 6 个月)和 16 次(实施后 9 个月)。将基线与实施后的最新结果相比,所有类型的中断次数都有所减少:该项目将循证干预措施捆绑使用,有效减少了口服药物查房期间的中断情况,并保持了积极成果。西班牙文摘要:http://links.lww.com/IJEBH/A256。
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Interruption reduction during oral medication rounds among nurses in hematology-oncology wards: a best practice implementation project.

Objectives: The aim of the project was to reduce interruptions during oral medication rounds among nurses working in hematology-oncology wards by improving compliance with best practices by 20%.

Introduction: Medication errors can adversely affect patient safety. Hence, understanding the underlying contributors to medication errors is necessary. Nurses are the ones who administer medications to patients; however, in clinical areas, interruptions are prevalent and could contribute to medication errors. It is therefore recommended that interventions be implemented to minimize interruptions.

Methods: This project was conducted in two hematology-oncology wards from March 2022 to March 2023. Target participants were nurses who served medications in the morning. The project followed an evidence-based audit and feedback methodology using the seven-phase JBI Evidence Implementation Framework. JBI's Practical Application of Clinical Evidence System (PACES) was used to support the audit and feedback process. An interruption reduction bundle consisting of three best practices was implemented.

Results: At baseline, only 24% of medications administered occurred without interruption. One month after implementation, there was a 51% improvement in compliance. Six months after implementation, compliance increased to 58%. Nine months post-implementation, the compliance rate remained at 59%. Absolute interruption counts decreased from 47 (baseline), to 27 (1 month post-implementation), to 24 (6 months post-implementation), to 16 (9 months post-implementation). All types of interruptions decreased when comparing the baseline with the latest post-implementation result.

Conclusions: The project used evidence-based interventions in a bundle, effectively reducing interruptions during oral medication rounds, and sustaining positive results.

Spanish abstract: http://links.lww.com/IJEBH/A256.

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来源期刊
CiteScore
3.20
自引率
13.00%
发文量
23
期刊最新文献
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