2.50
Hdl Handle:
http://hdl.handle.net/10755/182652
Category:
Abstract
Type:
Presentation
Title:
A Multidisciplinary Approach to the Successful Elimination of the "Rule of Six"
Author(s):
Taylor, Mary
Author Details:
Mary Taylor, RN, MS, Johns Hopkins Hospital, Baltimore, Maryland, USA, email: mtaylor@jhmi.edu
Abstract:
Poster Presentation: With a goal of reducing continuous infusion medication errors and safely transitioning our 180 bed academic children's center from nonstandard infusions (Rule-of-Six) to standardized concentrations (SC), we completed a 2½-year, multidisciplinary project addressing order errors and redesigning the medication-use-system. Nurses, pharmacists, physicians, a clinical engineer, and housekeeping staff participated in this project. The program evolved in stages beginning with an error rate assessment of handwritten continuous infusion orders. A web-based application was then developed on-site in order to provide legible, computer-generated paper orders. The second phase was two-fold: the multidisciplinary review and subsequent purchase of syringe pumps with "smart pump" capability and the development and implementation of standardized concentrations. Standardized concentrations were developed for 51 continuous infusion drugs and integrated into the syringe pump library, the second version of the web-based application for orders and the pharmacy computer system with dosing limits, rate calculations, administration warnings, and drug specific diluent choices. Continuous infusion order error rates decreased significantly with the implementation of the HLIC, reducing the 27% error rate for handwritten orders to 2%. Since implementation in February 2005, more than 4,000 infusions have been ordered and administered using this system. Problems have been few and resolvable. The last step will be integration into the CPOE system, which is scheduled for February 2007 at our institution. Elimination of the ?Rule of Six? continuous infusions can be safely achieved in an academic pediatric medical center, however a complete medication system revision (ordering, dispensing, and administration) and a multidisciplinary approach is required. Reference: web-based application for computerized ordering of continuous infusion medications, is available http://dermatlas.med.jhmi.edu/drips/drips.cfm
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2007
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Atlanta, Georgia, USA
Description:
"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, 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.titleA Multidisciplinary Approach to the Successful Elimination of the "Rule of Six"en_GB
dc.contributor.authorTaylor, Maryen_US
dc.author.detailsMary Taylor, RN, MS, Johns Hopkins Hospital, Baltimore, Maryland, USA, email: mtaylor@jhmi.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/182652-
dc.description.abstractPoster Presentation: With a goal of reducing continuous infusion medication errors and safely transitioning our 180 bed academic children's center from nonstandard infusions (Rule-of-Six) to standardized concentrations (SC), we completed a 2½-year, multidisciplinary project addressing order errors and redesigning the medication-use-system. Nurses, pharmacists, physicians, a clinical engineer, and housekeeping staff participated in this project. The program evolved in stages beginning with an error rate assessment of handwritten continuous infusion orders. A web-based application was then developed on-site in order to provide legible, computer-generated paper orders. The second phase was two-fold: the multidisciplinary review and subsequent purchase of syringe pumps with "smart pump" capability and the development and implementation of standardized concentrations. Standardized concentrations were developed for 51 continuous infusion drugs and integrated into the syringe pump library, the second version of the web-based application for orders and the pharmacy computer system with dosing limits, rate calculations, administration warnings, and drug specific diluent choices. Continuous infusion order error rates decreased significantly with the implementation of the HLIC, reducing the 27% error rate for handwritten orders to 2%. Since implementation in February 2005, more than 4,000 infusions have been ordered and administered using this system. Problems have been few and resolvable. The last step will be integration into the CPOE system, which is scheduled for February 2007 at our institution. Elimination of the ?Rule of Six? continuous infusions can be safely achieved in an academic pediatric medical center, however a complete medication system revision (ordering, dispensing, and administration) and a multidisciplinary approach is required. Reference: web-based application for computerized ordering of continuous infusion medications, is available http://dermatlas.med.jhmi.edu/drips/drips.cfmen_GB
dc.date.available2011-10-28T15:33:54Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:33:54Z-
dc.conference.date2007en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.description"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, 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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