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Implementation and evaluation of the medication management in nursing units of a university hospital by means of a quality improvement cycle
The aim of this study was to improve compliance with protocols for the correct handling and storage of medication, both in medication rooms and on resuscitation trolleys in order to reduce the level of adverse effects on inpatients. The most frequent adverse effects in healthcare are due to medicati...
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| Published in: | Applied nursing research 2016-02, Vol.29, p.148-156 |
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| Language: | English |
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| container_end_page | 156 |
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| container_title | Applied nursing research |
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| creator | Pérez-García, María del Carmen Soria-Aledo, Victoriano Collantes, Francisco |
| description | The aim of this study was to improve compliance with protocols for the correct handling and storage of medication, both in medication rooms and on resuscitation trolleys in order to reduce the level of adverse effects on inpatients.
The most frequent adverse effects in healthcare are due to medication errors.
Twenty hospital units were studied in 2012. Their medication rooms and resuscitation trolleys share the same medication supply system. Twelve criteria were evaluated and in the first assessment, corrective measures were implemented and criteria were evaluated again.
In the first evaluation, the total amount of cases of noncompliance was 153 (65.38%). Seven corrective measures were implemented on the 6 criteria which accumulate 60% of the noncompliance cases. After that, 81 noncompliance cases (34.62%) were obtained. Almost all of evaluated criteria showed an improvement. Nine of the 12 criteria evaluated showed a statistically significant improvement in the second assessment.
A quality improvement cycle is a useful tool to identify safety problems, related to management of medication rooms and resuscitation trolleys of nursing units. It is possible to identify and implement improvement measures without any additional cost. |
| doi_str_mv | 10.1016/j.apnr.2015.05.012 |
| format | article |
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The most frequent adverse effects in healthcare are due to medication errors.
Twenty hospital units were studied in 2012. Their medication rooms and resuscitation trolleys share the same medication supply system. Twelve criteria were evaluated and in the first assessment, corrective measures were implemented and criteria were evaluated again.
In the first evaluation, the total amount of cases of noncompliance was 153 (65.38%). Seven corrective measures were implemented on the 6 criteria which accumulate 60% of the noncompliance cases. After that, 81 noncompliance cases (34.62%) were obtained. Almost all of evaluated criteria showed an improvement. Nine of the 12 criteria evaluated showed a statistically significant improvement in the second assessment.
A quality improvement cycle is a useful tool to identify safety problems, related to management of medication rooms and resuscitation trolleys of nursing units. It is possible to identify and implement improvement measures without any additional cost.</description><identifier>ISSN: 0897-1897</identifier><identifier>EISSN: 1532-8201</identifier><identifier>DOI: 10.1016/j.apnr.2015.05.012</identifier><identifier>PMID: 26856507</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Compliance ; Critical incidents ; Drugs ; Health care ; High risk medications ; Hospitalization ; Hospitals, University ; Medication storage ; Medication Systems - organization & administration ; Noncompliance ; Nurses ; Nursing ; Nursing care ; Nursing Service, Hospital ; Patient safety ; Quality Improvement ; Quality improvement cycle ; Quality management ; Resuscitation ; Resuscitation trolleys ; Safety ; Side effects</subject><ispartof>Applied nursing research, 2016-02, Vol.29, p.148-156</ispartof><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><rights>Copyright W.B. Saunders Company/JNL Feb 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c368t-3acf16f339a5439f46fe941896fac7caf35f5e434bf4b9723b0ccb411f7d20c03</cites><orcidid>0000-0002-8085-6399</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,30999</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26856507$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pérez-García, María del Carmen</creatorcontrib><creatorcontrib>Soria-Aledo, Victoriano</creatorcontrib><creatorcontrib>Collantes, Francisco</creatorcontrib><title>Implementation and evaluation of the medication management in nursing units of a university hospital by means of a quality improvement cycle</title><title>Applied nursing research</title><addtitle>Appl Nurs Res</addtitle><description>The aim of this study was to improve compliance with protocols for the correct handling and storage of medication, both in medication rooms and on resuscitation trolleys in order to reduce the level of adverse effects on inpatients.
The most frequent adverse effects in healthcare are due to medication errors.
Twenty hospital units were studied in 2012. Their medication rooms and resuscitation trolleys share the same medication supply system. Twelve criteria were evaluated and in the first assessment, corrective measures were implemented and criteria were evaluated again.
In the first evaluation, the total amount of cases of noncompliance was 153 (65.38%). Seven corrective measures were implemented on the 6 criteria which accumulate 60% of the noncompliance cases. After that, 81 noncompliance cases (34.62%) were obtained. Almost all of evaluated criteria showed an improvement. Nine of the 12 criteria evaluated showed a statistically significant improvement in the second assessment.
A quality improvement cycle is a useful tool to identify safety problems, related to management of medication rooms and resuscitation trolleys of nursing units. It is possible to identify and implement improvement measures without any additional cost.</description><subject>Compliance</subject><subject>Critical incidents</subject><subject>Drugs</subject><subject>Health care</subject><subject>High risk medications</subject><subject>Hospitalization</subject><subject>Hospitals, University</subject><subject>Medication storage</subject><subject>Medication Systems - organization & administration</subject><subject>Noncompliance</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Nursing care</subject><subject>Nursing Service, Hospital</subject><subject>Patient safety</subject><subject>Quality Improvement</subject><subject>Quality improvement cycle</subject><subject>Quality management</subject><subject>Resuscitation</subject><subject>Resuscitation trolleys</subject><subject>Safety</subject><subject>Side effects</subject><issn>0897-1897</issn><issn>1532-8201</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqFkU1r3DAQhkVpaDZp_0APRdBLL97oy5INvZTQNoFALu1ZyNpRosWWHUle2P-QH1053vbQQwuDPkbPvMPoReg9JVtKqLzab80U4pYRWm9JCcpeoQ2tOauaknuNNqRpVUXLco4uUtoTQqmQ5A06Z7KpZU3UBj3fDlMPA4Rssh8DNmGH4WD6eb2ODudHwAPsvF0zgwnm4aUA-4DDHJMPD3gOPqeFNsvxACWbj_hxTJPPpsfdsUiYcCKeZtMvz36Y4nhYtezR9vAWnTnTJ3h32i_Rz29ff1zfVHf332-vv9xVlssmV9xYR6XjvDW14K0T0kErypzSGauscbx2NQguOie6VjHeEWs7QalTO0Ys4Zfo06pb-j_NkLIefLLQ9ybAOCdNG1U3XDJG_48qWRoRweqCfvwL3Y9zDGWQQinOlKSCFYqtlI1jShGcnqIfTDxqSvRiq97rxVa92KpJCboUfThJz13x4k_Jbx8L8HkFoHzbwUPUyXoItvgWwWa9G_2_9H8B-uy10g</recordid><startdate>201602</startdate><enddate>201602</enddate><creator>Pérez-García, María del Carmen</creator><creator>Soria-Aledo, Victoriano</creator><creator>Collantes, Francisco</creator><general>Elsevier Inc</general><general>W.B. 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The most frequent adverse effects in healthcare are due to medication errors.
Twenty hospital units were studied in 2012. Their medication rooms and resuscitation trolleys share the same medication supply system. Twelve criteria were evaluated and in the first assessment, corrective measures were implemented and criteria were evaluated again.
In the first evaluation, the total amount of cases of noncompliance was 153 (65.38%). Seven corrective measures were implemented on the 6 criteria which accumulate 60% of the noncompliance cases. After that, 81 noncompliance cases (34.62%) were obtained. Almost all of evaluated criteria showed an improvement. Nine of the 12 criteria evaluated showed a statistically significant improvement in the second assessment.
A quality improvement cycle is a useful tool to identify safety problems, related to management of medication rooms and resuscitation trolleys of nursing units. It is possible to identify and implement improvement measures without any additional cost.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26856507</pmid><doi>10.1016/j.apnr.2015.05.012</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-8085-6399</orcidid></addata></record> |
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| ispartof | Applied nursing research, 2016-02, Vol.29, p.148-156 |
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| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Journals |
| subjects | Compliance Critical incidents Drugs Health care High risk medications Hospitalization Hospitals, University Medication storage Medication Systems - organization & administration Noncompliance Nurses Nursing Nursing care Nursing Service, Hospital Patient safety Quality Improvement Quality improvement cycle Quality management Resuscitation Resuscitation trolleys Safety Side effects |
| title | Implementation and evaluation of the medication management in nursing units of a university hospital by means of a quality improvement cycle |
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