Reducing medication errors through addition of a pharmacist and standardized communication to interdisciplinary team rounding: A quality improvement project
View File(s)
Author Information
- Author(s)
- Details
-
Victoria Kozel, DNP, FNP/PMHNP Currently practicing as a Nurse Practitioner in an acute hospital setting. email: vickiadm@gmail.com
- Sigma Affiliation
- Non-member
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Kozel, Victoria by View
Title | Page Views |
---|
Popular Works for Kozel, Victoria by Download
Title | Downloads |
---|
View Citations
Citations
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Item Information
Item Link - Use this link for citations and online mentions.
Abstract
“To Err is Human,” a report set forth by the Institute of Medicine (IOM), significantly underestimated the magnitude of medication error impact on patient morbidity and mortality (IOM, 2001; IOM, 2015). To improve healthcare quality, IOM established five competencies to improve the quality of healthcare delivery: relationship-based care (RBC), evidence-based practice (EBP), quality improvement, interdisciplinary teams (IDT), and use of informatics. According to The Joint Commission (2015), communication errors are identified among top three root causes of sentinel events. The synchronized approach of utilizing core competencies translates into quality patient-centered care through effective communication and therapeutic relationship between patients and healthcare providers. For this Quality Improvement Project, a designated pharmacist was utilized as an active participant in interdisciplinary treatment teams where patient and staff communication occurred as an open dialogue. The pharmacist was responsible for medication orders, checking for medication interactions, medication reconciliation, and any education pertinent to medications. SBAR was utilized to improve the effectiveness of communication among team members and T-TAQ survey was offered to all nursing staff to assess their perception on teamwork and communication before and after project implementation. Medication errors were monitored by the inpatient pharmacy using an internal, dual-password protected system. Based on statistical data analysis following project implementation, medication error incidence rate decreased. Furthermore, the findings of this Quality Improvement Project support that active participation of a pharmacist during treatment team rounding improved communication among interdisciplinary participants and increased patient engagement in their care. SBAR communication maintained by the staff and organization serves as a guide for structured and effective information delivery.
Repository Posting Date
2020-05-06T19:47:54Z
Type Information
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | Faculty Approved: Degree-based Submission |
Format | Text-based Document |
Category Information
Evidence Level | Quality Improvement |
Research Approach | Quantitative Research |
Keywords | Interdisciplinary Treatment Team; Communication; Reducing Medication Errors; Medication Errors; Pharmacist; SBAR; Effective Communication; Situation-Background-Assessment-Recommendation |
Degree Information
Grantor | Jacksonville University |
Level | DNP |
Year | 2020 |
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Improving communication in the clinical environment through bedside shift report (BSR): A quality improvement project
Burk, Karen (2016-10-20)Effective communication is required during the handoff process to ensure essential patient information is relayed for continuity and quality of care. The author conducted a quality improvement initiative at a 380 bed acute ... -
A quality improvement project to assess anxiety of family members who receive standard communication during the intraoperative period
Sinclair, Ashlie E.Introduction: The waiting period for surgical patients' family members can be stressful, causing increased frustration and fear. Most patients and families do not regularly experience the surgical environment in the same ... -
Reducing acute care hospital setting inpatient falls with implementation of hourly rounding: A quality improvement project
Delaparte, CourtneyFalls in the acute care setting can lead to serious patient injuries. Despite continued efforts to reduce falls, falls are still a common occurrence. One strategy that has been identified as promoting patient safety, ... -
Interdisciplinary rounding and its effect on communication and quality
Dasher, Elizabeth; Loewen, AshleeIntroduction: Communication is vital in healthcare. Ineffective communication has been often cited as one of the root causes of patient harm. Interdisciplinary rounding (IDR); a structured framework for communication ... -
Reducing the incidence of pressure injuries in adult ICU patients at McAllen Medical Center with the implementation of a pressure injury prevention bundle: A quality improvement project
Cruz, Cheryl P.Pressure injuries (PIs) are a significant healthcare problem globally. Adult patients in the intensive care setting are especially vulnerable to the development of PIs given the acuity of their diagnoses requiring extensive ...