Patient Safety Initiative: Intravenous Medication Management and Safety- Pharmacy

In their continuing efforts to improve patient safety related to medications, Porter Hospital’s Pharmacy Department is working to establish, revise and rewrite clinical protocols related to intravenous medication administration and safety.

Goals of this project include:

  • Ensure consistency of details among all policies and guidelines including Porter Hospital Mixing Guidelines, Administration Guidelines, Protocols and Policies;
  • Ensure consistency of details with policies in all technology systems including the electronic medical record and medication dispensing systems;
  • Provide a fast, reliable means of accessing up-to-date information for Nurses and Medical Care Providers on IV medications and administration;
  • Ensure continuity and consistency of care among various hospital departments as it pertains to starting and titrating IV medications;
  • Decreased risk of IV medication related errors.

Interventions include:

  • Review and revision of current policies and procedures;
  • Implementation of new clinical protocols;
  • Continuous review of nationally accepted best practice guidelines to ensure Porter Hospital’s processes remain up to date with these recommendations;
  • Ongoing Nursing and Medical Staff education and provision of readily accessible resources related to best practices, as well as policy and process changes;
  • Implementation of 24 hour Pharmacist availability;
  • Continuous monitoring of medication administration to identify possible areas in need of further improvements.

Patient and Family Centered Care- Medical Surgical Unit and SCU

The move toward Patient and Family Centered Care is a collaborative, multidisciplinary effort geared toward education and integration of patients and their families to be more active participants in the care and decision making associated with both their hospital stay and post discharge follow up.

The goals of this project include:

  • Increased patient education and understanding in relation to their medical care and needs, both in the hospital and after discharge;
  • Improved patient compliance with their care regimen;
  • Decreased readmissions and need for urgent care visits;
  • Improved patient outcomes;
  • Improved patient and family experience;
  • Improved Staff satisfaction and increased awareness and understanding of the patient and family care experience.

Previously implemented and additional proposed Interventions include:

  • Bedside report by Nursing and Medical Staff to increase patient involvement and understanding related to the plan of care;
  • Hourly patient rounding by Nursing Staff;
  • Daily interdisciplinary care team huddles to review patient status and needs;
  • Open Patient Visiting Hours to allow increased family interaction and involvement;
  • Staff education related to the principles of Patient and Family Centered Care;
  • Coordination of patient care with community agencies, facilities, community resources, and Providers to ensure continuity of care after discharge;
  • Development of a Patient and Family Advisory Council;
  • Development and training of a core group of Palliative Care staff;
  • Adoption of the Institute for Patient and Family Centered Care as a resource to facilitate the move toward this model.

The evaluation process and initial steps in moving Porter’s Medical Surgical and Special Care Units toward the Patient and Family Centered Care Model are in progress, with the goal of reaching full implementation in 2016.

Care and Management of the Pediatric Patient- Emergency Department

As part of a State-wide initiative and in accordance with the National Pediatric Readiness Project, an assessment was performed in 2013 specific to the safe care and management of Pediatric patients in the Emergency Department setting. The assessment data will be utilized to initiate performance improvement work with the following goals in mind:

  • Ensuring the provision of high quality, patient centered care for the pediatric patient;
  • Increased awareness and education of ED Staff related to considerations for safe management of pediatric patients;
  • Improved outcomes;
  • Improving patient and staff satisfaction in relation to the overall delivery of care.

Proposed and previously implemented interventions include:

  • Continued Emergency staff educational training specific to care of the Pediatric patient;
    Emergency staff certification programs;
  • Review and revision of policies and procedures related to the care and management of Pediatric patients in keeping with best practice guidelines;
  • Analysis of Patient satisfaction surveys and feedback to identify potential areas for improvement;
  • Ongoing medical record audits to evaluate the Nursing and Medical care provided and identify any opportunities for improvement;
  • Identification of specific quality indicators which will be tracked and monitored to ensure our goals are being met.