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

Gigimol Stephen1, Dane Moran1, Joan Broderick1

  • 1Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia; Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, Baltimore, Md.; Johns Hopkins University School of Medicine, Baltimore, Md.; and University of Hawaii School of Medicine, Honolulu, Hawaii.

Pediatric Quality & Safety
|September 20, 2018
PubMed

Insights

Implementing targeted interventions significantly improved the timely delivery of urgent (stat) medications to pediatric patients, increasing administration rates within 30 minutes. This enhances patient safety and quality of care in hospitals.

Area of Science:

  • Pediatric Pharmacy Practice
  • Healthcare Quality Improvement
  • Medication Safety

Background:

  • Timely administration of urgent (stat) medications is critical for hospitalized children's care.
  • Existing processes may lead to delays in stat medication delivery.
  • Improving turnaround time for stat medications is a key quality indicator.

Purpose of the Study:

  • To evaluate the impact of specific interventions on the percentage of stat medications administered within 30 minutes.
  • To assess changes in medication turnaround time following intervention implementation.
  • To identify factors influencing the timely delivery of urgent medications.

Main Methods:

  • A pre-post study design was employed in two pediatric units.
  • Interventions included structured communication, a dedicated electronic inbox for stat orders, and distinct delivery packaging (pink envelopes).
  • Multivariate logistic regression analyzed the percentage of medications administered within the 30-minute goal.

Main Results:

  • The proportion of stat medications administered within 30 minutes increased from 20% to 49% (P < 0.001).
  • Mean turnaround time decreased from 59.7 to 40.7 minutes (P < 0.001).
  • Medication availability on the unit was a significant predictor of timely administration.

Conclusions:

  • A combination of interventions effectively improved the timely delivery of stat medications in pediatric units.
  • The study highlights the importance of streamlined communication and medication availability for improving urgent medication processes.
  • These findings support the adoption of similar strategies to enhance medication safety and efficiency.
Abstract

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