Beruflich Dokumente
Kultur Dokumente
Improvement Project:
Medication Administration
❧ ❧
Maddi Eckert, Lena Chesnut, Kevin Olivares, Ali McGee, Arianna
Barragan Johnson
1
Overview of Patient Care Delivery System
2
Microsystem Model:
Leadership
5
Williams and Wilkins. ISBN Number: 13: 978-1-4511-9281-0.
Nelson, E. C., Batalden, P. B., Hubert, T. P., Mohr, J. J., Godfrey, M. M., Headrick, L. A., & Wasson, J. H. (2002). Microsystems in health care: Part 1.
Learning from high-performing front-line clinical units. Joint Commission Journal on Quality Improvement, 28(9), 472-493.
Microsystem Model:
Interdependence of Care Team
Nelson, E. C., Batalden, P. B., Hubert, T. P., Mohr, J. J., Godfrey, M. M., Headrick, L. A., & Wasson, J. H. (2002).
Microsystems in health care: Part 1. Learning from high-performing front-line clinical units. Joint Commission Journal on
Quality Improvement, 28(9), 472-493.
6
Microsystem Model:
Use of Information and Healthcare Technology
❧ Abundant technology
o Workstation on wheels (WOWs)
o Resources
Marquis, B.L. & Huston, C.J. (2017). Leadership roles and management functions in nursing: Theory and application 7
(9th ed. p. xix). Lippincott Williams and Wilkins. ISBN Number: 13: 978-1-4511-9281-0.
Microsystem Model:
Process for Healthcare Delivery Improvement
Marquis, B.L. & Huston, C.J. (2017). Leadership roles and management functions in nursing: Theory and application
(9th ed. p. 612-614). Lippincott Williams and Wilkins. ISBN Number: 13: 978-1-4511-9281-0.
8
Microsystem Model:
Staff Performance Patterns
❧ Policy availability
Marquis, B.L. & Huston, C.J. (2017). Leadership roles and management functions in nursing: Theory and
application (9th ed. p. 647-649). Lippincott Williams and Wilkins. ISBN Number: 13: 978-1-4511-9281-0. 9
Specific Aspect Targeted for Improvement
Cousein, E., Mareville, J., Lerooy, A., Caillau, A., Labreuche, J., Dambre, D., Odou, P., Bonte, J., Puisieux, F., Decaudin, B., & Coupé,
P. (2014). Effect of automated drug distribution systems on medication error rates in a short-stay geriatric unit. Journal of Evaluation in
Clinical Practice, 20(5), 678-684. doi:10.1111/jep.12202 10
Leading the Plan for Healthcare Delivery
Improvement
❧ Medication errors still prevalent
❧ Motivation to learn: educate staff about how this will
improve patient safety so it motivates them to implement
Pyxis use for medication distribution
o Presented as an in-service on the unit
❧ Timeline of Events
1 month 3-4 5-6 9-12 >1 year
months months months
❧ Cousein, E., Mareville, J., Lerooy, A., Caillau, A., Labreuche, J., Dambre,
D., Odou, P., Bonte, J., Puisieux, F., Decaudin, B., & Coupé, P. (2014).
Effect of automated drug distribution systems on medication error rates in a
short-stay geriatric unit. Journal of Evaluation in Clinical Practice, 20(5),
678-684. doi:10.1111/jep.12202
❧ Marquis, B.L. & Huston, C.J. (2017). Leadership roles and management
functions in nursing: Theory and application (9th Edition). Lippincott
Williams and Wilkins. ISBN Number: 13: 978-1-4511-9281-0.
❧ Nelson, E. C., Batalden, P. B., Hubert, T. P., Mohr, J. J., Godfrey, M. M.,
Headrick, L. A., & Wasson, J. H. (2002). Microsystems in health care: Part
1. Learning from high-performing front-line clinical units. Joint Commission
Journal on Quality Improvement, 28(9), 472-493.
❧ US Department of Veterans Affairs, & Veterans Health Administration.
(2018). About the Southern Arizona VA Health Care System. Retrieved from
https://www.tucson.va.gov/about/index.asp
12