Authors (including presenting author) :
Chan HY(1), Wong KS(2), Wong YN(1)
Affiliation :
(1) Central Nursing Division, Tung Wah Hospital, (2) Department of Pharmacy, Tung Wah Hospital
Introduction :
In-patient Medication Ordering Entry (IPMOE) was implemented in Tung Wah Hospital in December 2021 and significantly improved medication safety, especially drug allergy incidents. IPMOE also enhanced patient safety through patient identification with Unique Patient Identification (UPI) scanner to ensure the right drug to the right patient.
The medication incidents reduced significantly in 2022, but always have room for improvement in the checking process among the nurses during the preparation of medication and administering to patients. Training to nurses on how to conduct proper independent double–checking is essential.
Objectives :
This training workshop aims to enhance the practical skill of independent double-checking during drug administration, to prevent medication incidents.
Methodology :
12 identical training workshops were conducted for frontline nurses. The mode of scenario-based simulation workshop was used to facilitate the learners to understand both the rewards and the consequences of their choices and learn from their mistakes without putting anyone or anything at risk.
The scenarios addressed handling high-alert medications, allergy checking, and infusion safety. Practical tips on independent double-checking were highlighted during the debriefing after each scenario.
Result & Outcome :
One hundred twenty-eight frontline nurses joined this training, about 70% of ward nurses. One hundred sixteen evaluation forms were received, with a response rate of about 90% of all participants. More than 95% of the participants were satisfied with the training.
The quarterly medication incident decreased over the past two years, from 14 cases in 1Q 2021 to 3 cases in 4Q 2022. The incident related to independent double-checking was reduced from 4 cases in 1Q 2021 to a single case in 4Q 2022.
