Presentation
HE12 - System Wide Medication Administration - Update, Redesign, and Innovation
DescriptionMedication administration is a foundational step in patient care and treatment, yet is one of the the most frequently cited causes of medical error associated with adverse events. A considerable amount of work has been done to reduce human error within the processes, but the process has largely remained the same. This complex process is commonly delineated into three major steps: medication prescribing, medication taking, and medication dispensing. This presentation will review the current medication administration processes in place, the limitations of the human and the system, and improvements made in the current system to limit error. In addition, the presentation will review opportunity for innovation and the areas for improvement of the medical equipment and technology to increase the usability and functionality of the hospital environment to support staff behavior.
We conducted a combination of hierarchical and cognitive task analysis of the medication administration from the ordering process through the administration process. This study took place in the Emergency Departments (ED) at Cincinnati Children's Hospital. We interviewed physicians, nurse practitioners, ED nursing staff, pharmacists, and nursing managers.
The findings of this study were used to implement changes and solutions to improve the current system and processes identified. We used safety reporting data to review the effect of the newly imposed processes and system changes.
Due to the success of this work, the medication task analysis project was expanded to include 4 acute care units and 3 critical care units with a focus on nursing practices. Preliminary data for these areas will be included in the presentation as well. This study also includes a survey/questionnaire to staff.
We conducted a combination of hierarchical and cognitive task analysis of the medication administration from the ordering process through the administration process. This study took place in the Emergency Departments (ED) at Cincinnati Children's Hospital. We interviewed physicians, nurse practitioners, ED nursing staff, pharmacists, and nursing managers.
The findings of this study were used to implement changes and solutions to improve the current system and processes identified. We used safety reporting data to review the effect of the newly imposed processes and system changes.
Due to the success of this work, the medication task analysis project was expanded to include 4 acute care units and 3 critical care units with a focus on nursing practices. Preliminary data for these areas will be included in the presentation as well. This study also includes a survey/questionnaire to staff.
Event Type
Poster Presentation
TimeTuesday, March 264:45pm - 6:15pm CDT
LocationSalon C
Digital Health
Simulation and Education
Hospital Environments
Medical and Drug Delivery Devices
Patient Safety Research and Initiatives