A Project of Applying PDCA Cycle to Improve New Nurse Medication Error in Surgical Ward

2.50
Hdl Handle:
http://hdl.handle.net/10755/335335
Category:
Full-text
Type:
Presentation
Title:
A Project of Applying PDCA Cycle to Improve New Nurse Medication Error in Surgical Ward
Author(s):
Lee, Li Hua; Lei, Hsiu Hui; Cheng, Wei-Ping
Lead Author STTI Affiliation:
Non-member
Author Details:
Li Hua Lee, BS, n6807032000@gmail.com; Hsiu Hui Lei, MA; Wei-Ping Cheng, BS
Abstract:
Session presented on Friday, July 25, 2014: Purpose: Medical errors are common problems in types of medical negligence. Medicine behavior is the most activating part of nursing work every day. When accidental events happen, they affect patients' safety, worsen patients' condition, prolong the length of days in hospital and even result in death. The purpose of the study was to describe medical error problems and prevent new staff from abnormal medication administration. Method: The study used actual medication auditing process, abnormal analysis and interview for new staff. The data collection period was from March, 2013 to October, 2013. Our investigation has shown that new nurse's incorrect medication administration revealed as follows: (1) lack of standard training courses (2) lack of medication auditing process for internal reference (3) lack of knowledge and skills in medication administration (4) similar medicine were placed close to each other. Resolution: The Plan-Do-Check-Action (PDCA ) cycle was applied and multiple intervention strategies implemented, including Plan -(1)Hold continuing medication administration education (2) case studies of abnormal medication administration events (3) make DVDs of proper medication administration (4) redesign the location of similar medicine; Do - create a medication auditing process for internal reference only; Check - implement new target supervise system; Action- revise operating standards of medication administration flowchart. Results: New nurses following the PDCA process have made less mistakes from the 24 abnormal medication administration events down to 11 ones. Auditing process rate has reached 100 percent, which represents the new staff could issue medication correctly. Conclusions: By implementation of this project, nurse should be able to amend the accuracy of general medication and elevate the safety of using medication. As a result, patients will receive a better quality of nursing and share this sort of problem with other new staff.
Keywords:
Medication Error; New Nurse; PDCA
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14PST14
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleA Project of Applying PDCA Cycle to Improve New Nurse Medication Error in Surgical Warden
dc.contributor.authorLee, Li Huaen
dc.contributor.authorLei, Hsiu Huien
dc.contributor.authorCheng, Wei-Pingen
dc.contributor.departmentNon-memberen
dc.author.detailsLi Hua Lee, BS, n6807032000@gmail.com; Hsiu Hui Lei, MA; Wei-Ping Cheng, BSen
dc.identifier.urihttp://hdl.handle.net/10755/335335-
dc.description.abstractSession presented on Friday, July 25, 2014: Purpose: Medical errors are common problems in types of medical negligence. Medicine behavior is the most activating part of nursing work every day. When accidental events happen, they affect patients' safety, worsen patients' condition, prolong the length of days in hospital and even result in death. The purpose of the study was to describe medical error problems and prevent new staff from abnormal medication administration. Method: The study used actual medication auditing process, abnormal analysis and interview for new staff. The data collection period was from March, 2013 to October, 2013. Our investigation has shown that new nurse's incorrect medication administration revealed as follows: (1) lack of standard training courses (2) lack of medication auditing process for internal reference (3) lack of knowledge and skills in medication administration (4) similar medicine were placed close to each other. Resolution: The Plan-Do-Check-Action (PDCA ) cycle was applied and multiple intervention strategies implemented, including Plan -(1)Hold continuing medication administration education (2) case studies of abnormal medication administration events (3) make DVDs of proper medication administration (4) redesign the location of similar medicine; Do - create a medication auditing process for internal reference only; Check - implement new target supervise system; Action- revise operating standards of medication administration flowchart. Results: New nurses following the PDCA process have made less mistakes from the 24 abnormal medication administration events down to 11 ones. Auditing process rate has reached 100 percent, which represents the new staff could issue medication correctly. Conclusions: By implementation of this project, nurse should be able to amend the accuracy of general medication and elevate the safety of using medication. As a result, patients will receive a better quality of nursing and share this sort of problem with other new staff.en
dc.subjectMedication Erroren
dc.subjectNew Nurseen
dc.subjectPDCAen
dc.date.available2014-11-17T13:50:01Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:50:01Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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