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A Quality Improvement Intervention Reduces the Time to Administration of Stat Medications

INTRODUCTION: The delivery of urgent (“stat”) medications to hospitalized children is important for safe quality care. The goal of this study was to evaluate the effect of a set of interventions on the percentage of stat medications administered within 30 minutes of ordering. METHODS: A pre–post stu...

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Autores principales: Stephen, Gigimol, Moran, Dane, Broderick, Joan, Shaikh, Hanan A., Tschudy, Megan M., Connors, Cheryl, Williams, Tammy, Pham, Julius C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132455/
https://www.ncbi.nlm.nih.gov/pubmed/30229159
http://dx.doi.org/10.1097/pq9.0000000000000021
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author Stephen, Gigimol
Moran, Dane
Broderick, Joan
Shaikh, Hanan A.
Tschudy, Megan M.
Connors, Cheryl
Williams, Tammy
Pham, Julius C.
author_facet Stephen, Gigimol
Moran, Dane
Broderick, Joan
Shaikh, Hanan A.
Tschudy, Megan M.
Connors, Cheryl
Williams, Tammy
Pham, Julius C.
author_sort Stephen, Gigimol
collection PubMed
description INTRODUCTION: The delivery of urgent (“stat”) medications to hospitalized children is important for safe quality care. The goal of this study was to evaluate the effect of a set of interventions on the percentage of stat medications administered within 30 minutes of ordering. METHODS: A pre–post study in 2 pediatric units (36 beds) in a private hospital in Saudi Arabia between January 2015 and September 2016. Interventions included structured communication requirements, introduction of a dedicated electronic inbox for stat medication orders sent by nurses to the pharmacy, and the use of a pink envelope for the delivery of stat medications. A multivariate logistic regression model was used to model percentage of medications administered within goal. RESULTS: Three hundred four stat orders met inclusion criteria. The proportion of orders meeting the 30-minute goal increased from a mean of 20% to a mean of 49% after the interventions (P < 0.001). In the final month of the study, compliance reached a peak of 67%. The mean turnaround time from ordering to the administration of the medication decreased from 59.7 to 40.7 minutes (P < 0.001). On multivariate analysis, medication type and unit-based availability of medications were statistically significant predictors of turnaround time. The odds of compliance being achieved was 0.3 times less if the medication was not available on the unit. CONCLUSIONS: A set of interventions significantly increased the percentage of stat medications delivered within 30 minutes.
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spelling pubmed-61324552018-09-18 A Quality Improvement Intervention Reduces the Time to Administration of Stat Medications Stephen, Gigimol Moran, Dane Broderick, Joan Shaikh, Hanan A. Tschudy, Megan M. Connors, Cheryl Williams, Tammy Pham, Julius C. Pediatr Qual Saf Individual QI Projects from Single Institutions INTRODUCTION: The delivery of urgent (“stat”) medications to hospitalized children is important for safe quality care. The goal of this study was to evaluate the effect of a set of interventions on the percentage of stat medications administered within 30 minutes of ordering. METHODS: A pre–post study in 2 pediatric units (36 beds) in a private hospital in Saudi Arabia between January 2015 and September 2016. Interventions included structured communication requirements, introduction of a dedicated electronic inbox for stat medication orders sent by nurses to the pharmacy, and the use of a pink envelope for the delivery of stat medications. A multivariate logistic regression model was used to model percentage of medications administered within goal. RESULTS: Three hundred four stat orders met inclusion criteria. The proportion of orders meeting the 30-minute goal increased from a mean of 20% to a mean of 49% after the interventions (P < 0.001). In the final month of the study, compliance reached a peak of 67%. The mean turnaround time from ordering to the administration of the medication decreased from 59.7 to 40.7 minutes (P < 0.001). On multivariate analysis, medication type and unit-based availability of medications were statistically significant predictors of turnaround time. The odds of compliance being achieved was 0.3 times less if the medication was not available on the unit. CONCLUSIONS: A set of interventions significantly increased the percentage of stat medications delivered within 30 minutes. Wolters Kluwer Health 2017-04-17 /pmc/articles/PMC6132455/ /pubmed/30229159 http://dx.doi.org/10.1097/pq9.0000000000000021 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Individual QI Projects from Single Institutions
Stephen, Gigimol
Moran, Dane
Broderick, Joan
Shaikh, Hanan A.
Tschudy, Megan M.
Connors, Cheryl
Williams, Tammy
Pham, Julius C.
A Quality Improvement Intervention Reduces the Time to Administration of Stat Medications
title A Quality Improvement Intervention Reduces the Time to Administration of Stat Medications
title_full A Quality Improvement Intervention Reduces the Time to Administration of Stat Medications
title_fullStr A Quality Improvement Intervention Reduces the Time to Administration of Stat Medications
title_full_unstemmed A Quality Improvement Intervention Reduces the Time to Administration of Stat Medications
title_short A Quality Improvement Intervention Reduces the Time to Administration of Stat Medications
title_sort quality improvement intervention reduces the time to administration of stat medications
topic Individual QI Projects from Single Institutions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132455/
https://www.ncbi.nlm.nih.gov/pubmed/30229159
http://dx.doi.org/10.1097/pq9.0000000000000021
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