2.50
Hdl Handle:
http://hdl.handle.net/10755/182467
Category:
Abstract
Type:
Presentation
Title:
Nursing Innovation for Patient Safety
Author(s):
Dolan, Geraldine
Author Details:
Geraldine Dolan, RN, MSN, CCRN, CNL, Raritan Bay Medical Center, Old Bridge, New Jersey, USA, email: gdolan@rbmc.org
Abstract:
High risk medications can cause significant patient harm when involved in medication errors. Although errors may or may not be more common with these drugs, the consequences of an error are potentially more devastating to our patients. Furthermore, nurses are equally devastated when errors occur and especially when their patients suffer ill effects. Following an adverse drug event involving intravenous Heparin administration, an interdisciplinary team reviewed the case. Direct care nurses, pharmacists, legal risk manager, staff educators and nursing leaders reviewed our policies for safe medication administration and performed a literature search on high risk medications. The IHI 5 Million Lives Campaign was focusing on reducing harm associated with administration of Anticoagulants Heparin and Warfarin; Narcotics/Opiates; Insulin and Sedatives and, the third National Patient Safety Goal was to improve safe use of medications. Our commitment to patient safety and quality outcomes was the impetus to streamline and standardize our processes for safe medication administration. Our Nursing Quality Shared Governance Committee in collaboration with pharmacy identified our high risk medications and, in utilizing best practices, created a color coding system for Intravenous Heparin and Insulin administration. Color coding guidelines were created and the system was successfully piloted in our ICU. Our Nurse Practice Committee developed our policy and hospital staff received education prior to implementation. Since inception, color coding additional high risk medications has been incorporated into policy. Efficacy is apparent through data analysis showing no adverse events for 24 months since adopting this practice change. Reference: IHI Million Lives Campaign; The Joint Commission:2008 Patient Safety Goals.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, 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.titleNursing Innovation for Patient Safetyen_GB
dc.contributor.authorDolan, Geraldineen_US
dc.author.detailsGeraldine Dolan, RN, MSN, CCRN, CNL, Raritan Bay Medical Center, Old Bridge, New Jersey, USA, email: gdolan@rbmc.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182467-
dc.description.abstractHigh risk medications can cause significant patient harm when involved in medication errors. Although errors may or may not be more common with these drugs, the consequences of an error are potentially more devastating to our patients. Furthermore, nurses are equally devastated when errors occur and especially when their patients suffer ill effects. Following an adverse drug event involving intravenous Heparin administration, an interdisciplinary team reviewed the case. Direct care nurses, pharmacists, legal risk manager, staff educators and nursing leaders reviewed our policies for safe medication administration and performed a literature search on high risk medications. The IHI 5 Million Lives Campaign was focusing on reducing harm associated with administration of Anticoagulants Heparin and Warfarin; Narcotics/Opiates; Insulin and Sedatives and, the third National Patient Safety Goal was to improve safe use of medications. Our commitment to patient safety and quality outcomes was the impetus to streamline and standardize our processes for safe medication administration. Our Nursing Quality Shared Governance Committee in collaboration with pharmacy identified our high risk medications and, in utilizing best practices, created a color coding system for Intravenous Heparin and Insulin administration. Color coding guidelines were created and the system was successfully piloted in our ICU. Our Nurse Practice Committee developed our policy and hospital staff received education prior to implementation. Since inception, color coding additional high risk medications has been incorporated into policy. Efficacy is apparent through data analysis showing no adverse events for 24 months since adopting this practice change. Reference: IHI Million Lives Campaign; The Joint Commission:2008 Patient Safety Goals.en_GB
dc.date.available2011-10-28T15:25:33Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:25:33Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, 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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