Promoting Patient Safety: Implementation of a Medication Calendar for Hospitalized Stem Cell Transplant Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/164605
Category:
Abstract
Type:
Presentation
Title:
Promoting Patient Safety: Implementation of a Medication Calendar for Hospitalized Stem Cell Transplant Patients
Author(s):
Mahr, Nicole; Iannucci, Andrea; Richman, Carol
Author Details:
Nicole Mahr, RN, BSN, OCN, Clinical Resource Nurse, UC Davis Medical Center, Sacramento, California, USA, email: flipperblue82@hotmail.com; Andrea Iannucci, PharmD; Carol Richman, MD
Abstract:
Clinical/Evidence Based Practice: Medication errors result in adverse outcomes for stem cell transplant (SCT) patients. Although there are many causes for medication errors, the complexity of the medication protocol is frequently the reason for the omission of or prolonged administration of medications. On the SCT unit, the omission of graft-versus-host-disease prophylactic medications occurred. The results of these errors could have been fatal. Compounding the problem are insufficiencies with electronic order entry systems that are not designed to provide a comprehensive overview of all protocol medications or the timing in which they are given. In the outpatient setting, medication calendars have improved patient adherence to home-chemotherapy regimes. The goal was to develop protocol-specific medication calendar templates that could be individualized to each patient's treatment plan. These calendars would provide the nurse a clear and comprehensive overview of the patient's total treatment plan and subsequently prevent errors and promote patient safety. An oncology/stem cell transplant nurse and pharmacist developed medication calendars that were representative of all of the transplant team protocols utilized at a west coast university teaching hospital. The SCT team reviewed the calendars for content, accuracy, and clinical utility. Once approved by the SCT team, inservicing was provided to all transplant unit nurses. Upon admission, the nurses are given the patient's personalized calendar. The oncology nurse, who developed the calendars, provided clinical monitoring to assure appropriate medication calendar utilization. A Likert scale and open-ended questionnaire addressing nursing perceptions of the clinical benefits and limitations of the medication calendar are currently in progress. Descriptive survey- Oncology Nursing Forum, Vol. 36, No. 3, May 2009, page 59, findings will be presented along with an analysis of medication errors pre- and post calendar template implementation. While it is speculated that the medication calendar will be perceived by nurses as helpful in promoting patient safety, a discussion will address how an individualized medication calendar for hospitalized stem cell transplant patients influences nurses' clinical practice and medication error outcomes.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePromoting Patient Safety: Implementation of a Medication Calendar for Hospitalized Stem Cell Transplant Patientsen_GB
dc.contributor.authorMahr, Nicoleen_US
dc.contributor.authorIannucci, Andreaen_US
dc.contributor.authorRichman, Carolen_US
dc.author.detailsNicole Mahr, RN, BSN, OCN, Clinical Resource Nurse, UC Davis Medical Center, Sacramento, California, USA, email: flipperblue82@hotmail.com; Andrea Iannucci, PharmD; Carol Richman, MDen_US
dc.identifier.urihttp://hdl.handle.net/10755/164605-
dc.description.abstractClinical/Evidence Based Practice: Medication errors result in adverse outcomes for stem cell transplant (SCT) patients. Although there are many causes for medication errors, the complexity of the medication protocol is frequently the reason for the omission of or prolonged administration of medications. On the SCT unit, the omission of graft-versus-host-disease prophylactic medications occurred. The results of these errors could have been fatal. Compounding the problem are insufficiencies with electronic order entry systems that are not designed to provide a comprehensive overview of all protocol medications or the timing in which they are given. In the outpatient setting, medication calendars have improved patient adherence to home-chemotherapy regimes. The goal was to develop protocol-specific medication calendar templates that could be individualized to each patient's treatment plan. These calendars would provide the nurse a clear and comprehensive overview of the patient's total treatment plan and subsequently prevent errors and promote patient safety. An oncology/stem cell transplant nurse and pharmacist developed medication calendars that were representative of all of the transplant team protocols utilized at a west coast university teaching hospital. The SCT team reviewed the calendars for content, accuracy, and clinical utility. Once approved by the SCT team, inservicing was provided to all transplant unit nurses. Upon admission, the nurses are given the patient's personalized calendar. The oncology nurse, who developed the calendars, provided clinical monitoring to assure appropriate medication calendar utilization. A Likert scale and open-ended questionnaire addressing nursing perceptions of the clinical benefits and limitations of the medication calendar are currently in progress. Descriptive survey- Oncology Nursing Forum, Vol. 36, No. 3, May 2009, page 59, findings will be presented along with an analysis of medication errors pre- and post calendar template implementation. While it is speculated that the medication calendar will be perceived by nurses as helpful in promoting patient safety, a discussion will address how an individualized medication calendar for hospitalized stem cell transplant patients influences nurses' clinical practice and medication error outcomes.en_GB
dc.date.available2011-10-27T12:03:42Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:03:42Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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