|Title: ||The Impact of a Mobile Medication Cart on the Medication Delivery Process|
|The Impact of a Mobile Medication Cart on the Medication Delivery Process|
|Author:||Lavin, Marjorie, RN, MS, CNRN - Contact|
|P.I. Institution Name:||Lehigh Valley Hospital and Health Network|
|Contact Address:||, Allentown, PA, USA|
|Co-Authors:||Gina Sierzega Sierzega, MA; David Pucklavage, RN, BSN, CPM, SM; Dale Kleinbach, RN, MHA; Christina Gogal, BS; Sean Yanchunas, Pharm-D and Joanna Bokovoy, RN, DrPH - Lehigh Valley Hospital and Health Network|
|[Poster Presentation: Session ll) Purpose: A collaborative team conducted a study to understand the workflow impact of the implementation of Rubbermaid? Medication Solutions' Mobile Medication Stations (RMSMMS) at a tertiary care, Magnet designated hospital. |
Theoretical Framework: This study was based on the Activity Theory mediation principle, which describes how activity is mediated by tools, rules, and divisions of labor. Methods (Design, Sample, Setting, Measures, Analysis): This medication cart comparison study was a prospective, case-controlled study comparing frequency of medication cart activities using RMSMMS and the standard medication cart (an Ergotron cart). The team used a convenience sample of 20 matched morning medication delivery nursing occurrences in a transitional open heart unit (TOHU). Prior to the study, four focus groups were conducted to better understand nurses' perceptions of the medication delivery process. Five medication delivery activity themes were chosen from focus group data and a validated observation tool was developed. Observations were conducted over a two-week period when team members collected demographic and medication activity related to medication cart usage. Two observers conducted observations on TOHU during morning medication administration; one observed a nurse with a RMSMMS and one observed a nurse with an Ergotron? cart. Observations began with the nurse's cart selection and ended when the nurse completed medication delivery. Observations focused on medication preparation, gathering supplies, gathering medications, medication administration, and documentation. Team members used SPSS software to analyze data. Results: Focus group comments were themed by study team, with a Kappa = 0.98, indicating a high level of agreement among the team. Observation study results showed a significant difference (p = 0.021) between RMSMMS and Ergotron carts for the number of trips to the medication room. Conclusions and Implications: RMSMMS proved to be superior in qualitative and quantitative project phases by providing concrete data reflecting improved medication delivery efficiency and significantly decreasing trips to the medication room.
|Repository Posting Date: ||27-Oct-2011 |
|Date of Publication: ||17-Oct-2011 |
|Appears in Collections: ||ENRS - Eastern Nursing Research Society|
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