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STAMP: a continuous improvement approach to improve paediatric prescribing and medication safety

Katherine Styles1, Ashifa Trivedi2, Tristan Bate1

  • 1Department of Paediatrics, The Hillingdon Hospitals NHS Foundation Trust, Uxbridge, UK.

Archives of Disease in Childhood. Education and Practice Edition
|August 30, 2018
PubMed

Insights

This quality improvement project focuses on paediatric prescribing and medication safety. While specific error reduction factors remain elusive, enhanced prescriber feedback is fostering a safer prescribing culture.

Area of Science:

  • Pediatric pharmacology
  • Medication safety
  • Quality improvement in healthcare

Background:

  • Paediatric prescribing errors pose a significant risk to patient safety.
  • A continuous quality improvement initiative was implemented in a district general hospital to address these risks.

Purpose of the Study:

  • To describe an ongoing quality improvement project, STAMP-Safe Treatment and Administration of Medicine in Paediatrics.
  • To evaluate the impact of interventions on paediatric prescribing and medication safety.

Main Methods:

  • The STAMP project has been running continuously for 24 months.
  • Focus on medical, surgical, and oncology paediatric patients.
  • Utilized Plan-Do-Study-Act cycles for iterative improvement.

Main Results:

  • No single factor has been definitively identified to sustain a reduction in prescribing error rates.
  • Significant improvements have been made in the quality and frequency of feedback provided to prescribers after errors.

Conclusions:

  • The ongoing project is actively contributing to a cultural shift in local paediatric prescribing practices.
  • Further Plan-Do-Study-Act cycles are anticipated to yield measurable improvements in prescribing error rates.

Keywords:
multidisciplinary team-carepaediatric practice

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