St Vincent's Hospital, Sydney, NSW, Australia.
JBI, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, SA, Australia.
JBI Evid Implement. 2024 Nov 1;22(4):356-370. doi: 10.1097/XEB.0000000000000446.
Medication safety is an important health priority that focuses on preventing harm from medication-related events. Unsafe medication administration practices can lead to errors, which can cause avoidable injury (or harm) to patients.
This paper reports on an evidence implementation project conducted in a large tertiary hospital in Australia to improve nursing compliance with best practice recommendations for medication administration.
The project was guided by JBI's seven-phase approach to evidence implementation, using audit and feedback and a structured framework to identify barriers, enablers, and implementation strategies.
The project resulted in improved compliance with best practice recommendations. This was achieved through multimodal strategies, including education, improved access to resources, and targeted feedback and discussion sessions to encourage culture and behavior change.
The project improved nurses' medication administration practices, specifically in performing independent second checks. Collaborative efforts of the project leads facilitated the review of medication administration policy and the development of staff education resources. Patient engagement remains an area for improvement, along with the potential need for further ongoing medication education.
用药安全是一项重要的健康优先事项，其重点在于预防与用药相关的事件所导致的伤害。不安全的给药操作实践可能会导致差错，从而对患者造成可避免的伤害。
本研究报告了在澳大利亚一家大型三级医院开展的一项证据实施项目，旨在提高护理人员执行药物管理最佳实践建议的依从性。
该项目以 JBI 的证据实施七阶段方法为指导，采用审核和反馈以及结构化框架来确定障碍、促进因素和实施策略。
该项目提高了最佳实践建议的依从性。这是通过多种模式策略实现的，包括教育、改善资源获取途径以及有针对性的反馈和讨论会议，以鼓励文化和行为改变。
该项目改善了护士的给药操作实践，特别是在进行独立的二次核对方面。项目负责人的协作促进了药物管理政策的审查和员工教育资源的开发。患者参与仍然是一个有待改进的领域，同时可能需要进一步开展药物教育。
