An Integrative Review of the Kaiser Permanente MedRite Protocol: A Look into Standardizing the Medication Administration Process

2.50
Hdl Handle:
http://hdl.handle.net/10755/155008
Type:
Presentation
Title:
An Integrative Review of the Kaiser Permanente MedRite Protocol: A Look into Standardizing the Medication Administration Process
Abstract:
An Integrative Review of the Kaiser Permanente MedRite Protocol: A Look into Standardizing the Medication Administration Process
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Crawford, Cecelia L., RN, MSN
P.I. Institution Name:Kaiser Permanente, Southern California
Title:Project Manager, Evidence-Based Nursing Practice
Co-Authors:Alyssa Tashiro Morita, RN, BA, BSN; Quincyann Febre, BSN
21st INRC [Evidence-Based Practice Presentation] In order to safeguard patients amidst the rising complexity of the medication administration process, an increased emphasis must be placed on implementing Evidence-Based practice.ÿ Acute care institutions, including Kaiser Permanente (KP), have addressed this area of patient safety by implementing standardized, nurse-centered processes.ÿÿMedRite, a 10-step KP protocol, is aimed at enhancing medication administration safety by decreasing distractions and interruptions.ÿ This presentation will examine the quality of evidence for a standardized medication administration protocol and discuss implications for nursing practice. A review of the evidence from 2004-2009 was conducted via separate electronic database searches for all 10 steps of the MedRite protocol.ÿ These steps include: (1) nurse puts on sash, (2) compares medication with medication administration record, (3) performs hand hygiene in patient room, (4) turns TV/radio volume down, (5) checks two forms of patient identification, (6) explains meds to patient, (7) asks patient if there are questions, (8) opens blister pack, (9) charts medications, and (10) removes sash.ÿ After careful examination, 11 relevant publications were selected.ÿ Articles not addressing the clinical area of inquiry or targeted inappropriate patient populations and institutional settings were eliminated. The evidence reveals that although parts of the MedRite protocol are innovative, the majority align with present regulatory guidelines.ÿ Expert opinion advocates for diligent hand antisepsis; however, there are conflicting resultsÿon hand hygiene and the prevention of healthcare associated infections.ÿ The use of standard checklists and a visible symbol, such as a vest worn during medication rounds, can be effective in reducing nurses' distractions.ÿ Nevertheless, no studies found a correlation between distractions or interruptions and patient-related outcomes such as medication errors.ÿ These findings suggest future research studies should examine the linkage between innovative protocol components and specific patient outcomes.ÿ In this manner, visionary nurse leaders can generate an Evidence-Based culture of safe medication administration.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAn Integrative Review of the Kaiser Permanente MedRite Protocol: A Look into Standardizing the Medication Administration Processen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155008-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Integrative Review of the Kaiser Permanente MedRite Protocol: A Look into Standardizing the Medication Administration Process</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Crawford, Cecelia L., RN, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Kaiser Permanente, Southern California</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Project Manager, Evidence-Based Nursing Practice</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Cecelia.L.Crawford@kp.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Alyssa Tashiro Morita, RN, BA, BSN; Quincyann Febre, BSN</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Evidence-Based Practice Presentation] In order to safeguard patients amidst the rising complexity of the medication administration process, an increased emphasis must be placed on implementing Evidence-Based practice.&yuml; Acute care institutions, including Kaiser Permanente (KP), have addressed this area of patient safety by implementing standardized, nurse-centered processes.&yuml;&yuml;MedRite, a 10-step KP protocol, is aimed at enhancing medication administration safety by decreasing distractions and interruptions.&yuml; This presentation will examine the quality of evidence for a standardized medication administration protocol and discuss implications for nursing practice. A review of the evidence from 2004-2009 was conducted via separate electronic database searches for all 10 steps of the MedRite protocol.&yuml; These steps include: (1) nurse puts on sash, (2) compares medication with medication administration record, (3) performs hand hygiene in patient room, (4) turns TV/radio volume down, (5) checks two forms of patient identification, (6) explains meds to patient, (7) asks patient if there are questions, (8) opens blister pack, (9) charts medications, and (10) removes sash.&yuml; After careful examination, 11 relevant publications were selected.&yuml; Articles not addressing the clinical area of inquiry or targeted inappropriate patient populations and institutional settings were eliminated. The evidence reveals that although parts of the MedRite protocol are innovative, the majority align with present regulatory guidelines.&yuml; Expert opinion advocates for diligent hand antisepsis; however, there are conflicting results&yuml;on hand hygiene and the prevention of healthcare associated infections.&yuml; The use of standard checklists and a visible symbol, such as a vest worn during medication rounds, can be effective in reducing nurses' distractions.&yuml; Nevertheless, no studies found a correlation between distractions or interruptions and patient-related outcomes such as medication errors.&yuml; These findings suggest future research studies should examine the linkage between innovative protocol components and specific patient outcomes.&yuml; In this manner, visionary nurse leaders can generate an Evidence-Based culture of safe medication administration.</td></tr></table>en_GB
dc.date.available2011-10-26T13:27:36Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:27:36Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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