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Related Experiment Video

Updated: Jul 15, 2025

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

Implementation of a Multidisciplinary Medication Refill Protocol.

Samia Khan¹, Jessica J F Kram², Dennis J Baumgardner³

¹Department of Family Medicine, Aurora UW Medical Group, Aurora St. Luke's Medical Center, Advocate Aurora Health, Milwaukee, WI.

Primer (Leawood, Kan.)

|October 4, 2023

Summary

A new medication refill protocol significantly reduced processing time and improved predictability in primary care clinics. This nursing-driven approach saves time and enhances patient satisfaction by streamlining prescription renewals.

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Last Updated: Jul 15, 2025

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

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Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Area of Science:

Primary Care Medicine
Health Services Research
Nursing Practice

Background:

Primary care clinicians dedicate substantial time to nonvisit tasks, such as prescription renewals.
Inefficiencies in medication refill processing can lead to patient dissatisfaction and reduced provider productivity.

Purpose of the Study:

To evaluate a multidisciplinary medication refill protocol to decrease the time required for completing refill requests.
To assess the impact of a nursing-driven refill process on efficiency and timeliness.

Main Methods:

Implementation of a nursing-driven medication refill protocol in two family medicine residency clinics.
Data collection via electronic health record timestamps to measure refill completion times.
Statistical analysis using Mood's median test, Levene's test, and Fisher's exact test/χ² test.

Main Results:

Significant reduction in median time to refill completion (P<.001) and improved time variability (P<.001) in both study phases.
Most notable reduction in median refill time for residents (383 vs 79 min postimplementation) in Phase 1.
Increased percentage of refills completed within 48 hours during the COVID-19 pandemic in Phase 2.

Conclusions:

A multidisciplinary refill protocol significantly enhances the speed and consistency of medication refill completion.
The protocol demonstrates effectiveness in improving efficiency within primary care settings.
This approach offers a scalable solution for managing nonvisit patient care activities.