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Effectiveness of an improvement programme to prevent interruptions during medication administration in a paediatric

Immacolata Dall'Oglio1, Martina Fiori1, Vincenzo Di Ciommo2

  • 1Professional Development, Continuing Education and Nursing Research Service, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

BMJ Open
|January 8, 2017
PubMed

Insights

A hospital implemented an improvement program to reduce nursing interruptions during medication administration. The program significantly decreased interruptions, enhancing patient safety in paediatric care.

Area of Science:

  • Healthcare Improvement
  • Patient Safety
  • Nursing Practice

Background:

  • Interruptions during medication administration pose a significant risk to patient safety.
  • Reducing these interruptions is crucial for effective paediatric care.

Purpose of the Study:

  • To evaluate the effectiveness of a multi-component intervention program designed to minimize nursing interruptions during medication administration in a paediatric hospital.

Main Methods:

  • A pre-post study design was employed at a tertiary paediatric research hospital.
  • Data on nursing interruptions during medication cycles were collected using the MADOS-P observation sheet before and after intervention.
  • Interventions included visual cues (sashes, floor markings), educational sessions, and patient/family information materials.

Main Results:

  • A significant reduction in the median number of interruptions per medication cycle was observed (8.0 vs 2.0, p=0.002).
  • Rate ratios for interruptions per patient, medication, and hour of medication cycle all decreased significantly (p<0.001).
  • While the primary causes of interruptions shifted slightly, the overall frequency was substantially reduced.

Conclusions:

  • The implemented bundle of interventions effectively reduced interruptions during medication administration in a paediatric setting.
  • This improvement program demonstrates a successful strategy for enhancing safety in paediatric medication practices.
Abstract

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