提高护士遵守使用用药安全软件的绩效改进计划。

A performance improvement plan to increase nurse adherence to use of medication safety software.

机构信息

Akron Children's Hospital, Akron, OH, USA.

出版信息

J Pediatr Nurs. 2012 Aug;27(4):375-82. doi: 10.1016/j.pedn.2011.06.004. Epub 2011 Aug 5.

DOI:10.1016/j.pedn.2011.06.004

Abstract

Nurses can protect patients receiving intravenous (IV) medication by using medication safety software to program "smart" pumps to administer IV medications. After a patient safety event identified inconsistent use of medication safety software by nurses, a performance improvement team implemented the Deming Cycle performance improvement methodology. The combined use of improved direct care nurse communication, programming strategies, staff education, medication safety champions, adherence monitoring, and technology acquisition resulted in a statistically significant (p < .001) increase in nurse adherence to using medication safety software from 28% to above 85%, exceeding national benchmark adherence rates (Cohen, Cooke, Husch & Woodley, 2007; Carefusion, 2011).

摘要

护士可以通过使用药物安全软件来为“智能”输液泵编程，从而保护接受静脉注射（IV）药物的患者。在一次患者安全事件中，发现护士对药物安全软件的使用不一致后，一个绩效改进团队实施了戴明循环（Deming Cycle）的绩效改进方法。通过改进直接护理护士沟通、编程策略、员工教育、药物安全拥护者、遵守监测和技术获取的综合使用，护士对使用药物安全软件的遵守率从 28%显著增加到 85%以上，超过了国家基准遵守率（Cohen、Cooke、Husch 和 Woodley，2007；Carefusion，2011）。