Streamlining the medication process improves safety in the intensive care unit.

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State: Public
Version: author
Serval ID
serval:BIB_07E3A34FA6CA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Streamlining the medication process improves safety in the intensive care unit.
Journal
Acta Anaesthesiologica Scandinavica
Author(s)
Benoit E., Eckert P., Theytaz C., Joris-Frasseren M., Faouzi M., Beney J.
ISSN
1399-6576 (Electronic)
ISSN-L
0001-5172
Publication state
Published
Issued date
2012
Peer-reviewed
Oui
Volume
56
Number
8
Pages
966-975
Language
english
Notes
Publication types: Journal Article
Abstract
BACKGROUND: Multiple interventions were made to optimize the medication process in our intensive care unit (ICU). 1 Transcriptions from the medical order form to the administration plan were eliminated by merging both into a single document; 2 the new form was built in a logical sequence and was highly structured to promote completeness and standardization of information; 3 frequently used drug names, approved units, and fixed routes were pre-printed; 4 physicians and nurses were trained with regard to the correct use of the new form. This study was aimed at evaluating the impact of these interventions on clinically significant types of medication errors.
METHODS: Eight types of medication errors were measured by a prospective chart review before and after the interventions in the ICU of a public tertiary care hospital. We used an interrupted time-series design to control the secular trends.
RESULTS: Over 85 days, 9298 lines of drug prescription and/or administration to 294 patients, corresponding to 754 patient-days were collected and analysed for the three series before and three series following the intervention. Global error rate decreased from 4.95 to 2.14% (-56.8%, P < 0.001).
CONCLUSIONS: The safety of the medication process in our ICU was improved by simple and inexpensive interventions. In addition to the optimization of the prescription writing process, the documentation of intravenous preparation, and the scheduling of administration, the elimination of the transcription in combination with the training of users contributed to reducing errors and carried an interesting potential to increase safety.
Pubmed
Web of science
Create date
17/09/2012 15:24
Last modification date
10/10/2019 7:08
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