2.50
Hdl Handle:
http://hdl.handle.net/10755/165075
Category:
Abstract
Type:
Presentation
Title:
IMPLEMENTATION OF A INTERDISCIPLINARY TEAM TO IMPROVE MEDICATION SAFETY
Author(s):
Mullaly, Katie; Scagliola, Joan; DelCorral, Thomas; Sziklai, Vera; Speyer, James; Duthie, Elizabeth; Kirchen, Kevin
Author Details:
Katie Mullaly, MSN, RN, Nurse Manager, NYU Hospitals Center, New York, New York, USA, email: katie.mullaly@nyumc.org; Joan Scagliola, MSN, AOCN; Thomas DelCorral, RPh, MS; Vera Sziklai, RN; James Speyer, MD; Elizabeth Duthie, RN, PhD; Kevin Kirchen, MHA
Abstract:
Medication delivery in an ambulatory cancer center is a complex process that includes prescribing, processing, dispensing, administering and side effect monitoring. A review of errors in the infusion area of the Clinical Cancer Center revealed that volume was low compared to the number of drugs administered daily; however each potential error carried a high patient safety risk. An Interdisciplinary Medication Safety Committee was organized consistent with the ONS position statement on medication safety. Membership included nursing, pharmacy, patient safety officer, medical director, and administration. The goal of the committee was to develop and implement a system that would improve communication and to facilitate the detection and correction of errors before they reach a patient and cause harm. A root cause analysis of near miss/medication errors was conducted which revealed multiple system issues. An action plan was developed and implemented that included the following: an anonymous medication safety hotline, pharmacy system redesign, mandatory treatment plan, specific chemotherapy agents mixed prior to patient appointment, centralized nursing model changed to primary nursing, electronic ordering system, nursing/physician teams developed to improve communication. Weekly meetings were organized to identify and address issues related to the ongoing changes. Frequent communication with all stakeholders was crucial to the success of this initiative. Achieved outcomes included appropriate utilization of hotline, decreased number of near miss errors, and implementation of electronic orders. The electronic orders resulted in the elimination of incomplete and illegible orders, increased accessibility to order entry/review for clinicians, decreased patient wait time and improved staff satisfaction. Consistent with the ONS position statement on medication safety, the medication safety committeeÆs aim of preventing future errors and potential patient harm was realized. Nursing, physician and pharmacy staff report improved communication, staff satisfaction, ease of work flow and increased productivity. Patients are pleased with the decreased wait time.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, 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.titleIMPLEMENTATION OF A INTERDISCIPLINARY TEAM TO IMPROVE MEDICATION SAFETYen_GB
dc.contributor.authorMullaly, Katieen_US
dc.contributor.authorScagliola, Joanen_US
dc.contributor.authorDelCorral, Thomasen_US
dc.contributor.authorSziklai, Veraen_US
dc.contributor.authorSpeyer, Jamesen_US
dc.contributor.authorDuthie, Elizabethen_US
dc.contributor.authorKirchen, Kevinen_US
dc.author.detailsKatie Mullaly, MSN, RN, Nurse Manager, NYU Hospitals Center, New York, New York, USA, email: katie.mullaly@nyumc.org; Joan Scagliola, MSN, AOCN; Thomas DelCorral, RPh, MS; Vera Sziklai, RN; James Speyer, MD; Elizabeth Duthie, RN, PhD; Kevin Kirchen, MHAen_US
dc.identifier.urihttp://hdl.handle.net/10755/165075-
dc.description.abstractMedication delivery in an ambulatory cancer center is a complex process that includes prescribing, processing, dispensing, administering and side effect monitoring. A review of errors in the infusion area of the Clinical Cancer Center revealed that volume was low compared to the number of drugs administered daily; however each potential error carried a high patient safety risk. An Interdisciplinary Medication Safety Committee was organized consistent with the ONS position statement on medication safety. Membership included nursing, pharmacy, patient safety officer, medical director, and administration. The goal of the committee was to develop and implement a system that would improve communication and to facilitate the detection and correction of errors before they reach a patient and cause harm. A root cause analysis of near miss/medication errors was conducted which revealed multiple system issues. An action plan was developed and implemented that included the following: an anonymous medication safety hotline, pharmacy system redesign, mandatory treatment plan, specific chemotherapy agents mixed prior to patient appointment, centralized nursing model changed to primary nursing, electronic ordering system, nursing/physician teams developed to improve communication. Weekly meetings were organized to identify and address issues related to the ongoing changes. Frequent communication with all stakeholders was crucial to the success of this initiative. Achieved outcomes included appropriate utilization of hotline, decreased number of near miss errors, and implementation of electronic orders. The electronic orders resulted in the elimination of incomplete and illegible orders, increased accessibility to order entry/review for clinicians, decreased patient wait time and improved staff satisfaction. Consistent with the ONS position statement on medication safety, the medication safety committeeÆs aim of preventing future errors and potential patient harm was realized. Nursing, physician and pharmacy staff report improved communication, staff satisfaction, ease of work flow and increased productivity. Patients are pleased with the decreased wait time.en_GB
dc.date.available2011-10-27T12:12:04Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:12:04Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, 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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