2.50
Hdl Handle:
http://hdl.handle.net/10755/182210
Category:
Abstract
Type:
Presentation
Title:
Red Light Saves Lives
Author(s):
Kulik, Carole
Author Details:
Carole Kulik, RN, MSN, ACNP, CRNP, Patient Care Manager, Stanford University Hospital and Clinics, Stanford, California, USA, email: ckulik@stanfordmed.org
Abstract:
Poster presentation, ANCC National Magnet Conference: This project was part of a multi-hospital Integrated Nursing Leadership Program (INLP) initiative. This hospital enrolled all 15 inpatient units in the program. The change framework focused on critical leadership skills and included professional self-development, teamwork, organizational culture change, and process improvement skills. Nurses were expected to do naive observations of medication passes in units other than their own and audit adherence to medication administration best practices that were pre-determined. Results from colleagues surveillance were shared weekly and were expected to do small tests of changes to reduce errors, interruptions and improve compliance with best practices. Two successful tests of change were rolled out in units; the initiation of a med pass time out for one hour each morning when the RNs were not to be interrupted for non-med related activities and the placement of bike lights on mobile computer carts to indicate a med pass was in progress and Do Not Disturb the nurse. From September 2008 to 2010, overall medication administration accuracy rate across 15 units increased from 80% to 90%. The team has sustained improvement above 90% for over one year. Distractions observed during medication passes decreased from 37% to 10%. Since the inception of the project, a 50% reduction in reported medication administration errors has occurred. The use of a medication pass time out and bike lights to alert others that nurses are passing meds have resulted in sustained improvement in the medication administration process. Work is ongoing to ensure 100% medication safety for our patients.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Phoenix, Arizona, USA
Description:
The 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, 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.titleRed Light Saves Livesen_GB
dc.contributor.authorKulik, Caroleen_US
dc.author.detailsCarole Kulik, RN, MSN, ACNP, CRNP, Patient Care Manager, Stanford University Hospital and Clinics, Stanford, California, USA, email: ckulik@stanfordmed.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182210-
dc.description.abstractPoster presentation, ANCC National Magnet Conference: This project was part of a multi-hospital Integrated Nursing Leadership Program (INLP) initiative. This hospital enrolled all 15 inpatient units in the program. The change framework focused on critical leadership skills and included professional self-development, teamwork, organizational culture change, and process improvement skills. Nurses were expected to do naive observations of medication passes in units other than their own and audit adherence to medication administration best practices that were pre-determined. Results from colleagues surveillance were shared weekly and were expected to do small tests of changes to reduce errors, interruptions and improve compliance with best practices. Two successful tests of change were rolled out in units; the initiation of a med pass time out for one hour each morning when the RNs were not to be interrupted for non-med related activities and the placement of bike lights on mobile computer carts to indicate a med pass was in progress and Do Not Disturb the nurse. From September 2008 to 2010, overall medication administration accuracy rate across 15 units increased from 80% to 90%. The team has sustained improvement above 90% for over one year. Distractions observed during medication passes decreased from 37% to 10%. Since the inception of the project, a 50% reduction in reported medication administration errors has occurred. The use of a medication pass time out and bike lights to alert others that nurses are passing meds have resulted in sustained improvement in the medication administration process. Work is ongoing to ensure 100% medication safety for our patients.en_GB
dc.date.available2011-10-28T15:14:02Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:14:02Z-
dc.conference.date2010en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionThe 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.en_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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