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A Multi-hospital Before–After Observational Study Using a Point-Prevalence Approach with an Infusion Safety Intervention Bundle to Reduce Intravenous Medication Administration Errors

Author

Listed:
  • Kumiko O. Schnock

    (Brigham and Women’s Hospital
    Harvard Medical School)

  • Patricia C. Dykes

    (Brigham and Women’s Hospital
    Harvard Medical School)

  • Jennifer Albert

    (Massachusetts General Hospital)

  • Deborah Ariosto

    (Vanderbilt University Medical Center)

  • Caitlin Cameron

    (University of Arizona)

  • Diane L. Carroll

    (Massachusetts General Hospital)

  • Moreen Donahue

    (Western Connecticut Health Network)

  • Adrienne G. Drucker

    (Partners eCare, Partners Healthcare)

  • Rosemary Duncan

    (The Johns Hopkins Hospital)

  • Linda Fang

    (Winchester Medical Center)

  • Marla Husch

    (Health Quest Systems Inc)

  • Nicole McDonald

    (Maricopa Medical Center)

  • Ray R. Maddox

    (University of Georgia)

  • Julie McGuire

    (Central DuPage Hospital)

  • Sally Rafie

    (UC San Diego Health)

  • Emilee Robertson

    (St. Joseph’s/Candler Health System)

  • Melinda Sawyer

    (The Johns Hopkins Hospital)

  • Elizabeth Wade

    (Concord Hospital)

  • Catherine S. Yoon

    (Brigham and Women’s Hospital)

  • Stuart Lipsitz

    (Brigham and Women’s Hospital
    Harvard Medical School)

  • David W. Bates

    (Brigham and Women’s Hospital
    Harvard Medical School)

Abstract

Introduction We previously found a high rate of errors in the administration of intravenous medications using smart infusion pumps. Objectives/Design An infusion safety intervention bundle was developed in response to the high rate of identified errors. A before–after observational study with a prospective point-prevalence approach was conducted in nine hospitals to measure the preliminary effects of the intervention. Main Outcome Measures Primary outcome measures were overall errors and medication errors, with the secondary outcome defined as potentially harmful error rates. Results We assessed a total of 418 patients with 972 medication administrations in the pre-intervention period and 422 patients with 1059 medication administrations in the post-intervention period. The overall error rate fell from 146 to 123 per 100 medication administrations (p

Suggested Citation

  • Kumiko O. Schnock & Patricia C. Dykes & Jennifer Albert & Deborah Ariosto & Caitlin Cameron & Diane L. Carroll & Moreen Donahue & Adrienne G. Drucker & Rosemary Duncan & Linda Fang & Marla Husch & Nic, 2018. "A Multi-hospital Before–After Observational Study Using a Point-Prevalence Approach with an Infusion Safety Intervention Bundle to Reduce Intravenous Medication Administration Errors," Drug Safety, Springer, vol. 41(6), pages 591-602, June.
    • Handle: RePEc:spr:drugsa:v:41:y:2018:i:6:d:10.1007_s40264-018-0637-3
    DOI: 10.1007/s40264-018-0637-3
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    Cited by:

    1. Albara Alomari & Suzanne Sheppard‐Law & Joanne Lewis & Val Wilson, 2020. "Effectiveness of Clinical Nurses’ interventions in reducing medication errors in a paediatric ward," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(17-18), pages 3403-3413, September.
    2. Ann Blandford & Patricia C. Dykes & Bryony Dean Franklin & Dominic Furniss & Galal H. Galal-Edeen & Kumiko O. Schnock & David W. Bates, 2019. "Intravenous Infusion Administration: A Comparative Study of Practices and Errors Between the United States and England and Their Implications for Patient Safety," Drug Safety, Springer, vol. 42(10), pages 1157-1165, October.

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