CQI program- Enhancement of patient safety by Standardization of central medication trolley in resuscitation room in the Accident and Emergency Department (AED) of Pok Oi Hospital (POH)

Ms Wai Yuet Leung1
1Hospital Authority Of Hong Kong, Yuen Long NT, Hong Kong

Introduction

Accident and Emergency Departments (AED) are designed to provide urgent, high quality, continuously accessible and unscheduled care for a wide range of acute injuries and diseases. AED extended its scope of services to provide higher quality of care and benchmark with international standards. However, the increased in the attendance and service demand, medical and nursing manpower shortage and great turnover rate of staffs which leaded to unfamiliar with the medication names and usage of medicine. To enhance the patient safety POH AED standardization of central medication trolley in resuscitation room to reduce the medication incidents.

Objective:

  • To standardize the medication labels by using the same format of naming provided by pharmacy
  • To maintain safe medication storage and adequate drug stock level;
  • To enhance the patient safety by accurately and timely administration of prescribed drugs.

Method:

  • By collaboration with the Medication Safety Subcommittee in POH AED and POH pharmacy, the following measures were implemented:
  • Use the labels provided by pharmacy to standardize the naming to avoid typo errors in the medication trolley in resuscitation room
  • Assign a designated nursing staff to check and monitor the stock level and storage safety of the drugs with restrictive access control;
  • Use same design medication trolleys in the three resuscitation rooms
  • Cross check by pharmacist

Results:

  • Three medication trolleys are standardized to use the same design and labeling of medication in resuscitation rooms,
  • A designated nurse will check the expiry dates and stock everyday to ensure the effective monitoring of medication stock level, improve workflow, eliminate wastage of time and expired drugs;
  • Pharmacists will cross check for unscheduled time to enhance safety.
  • Reduce medication incidents by 60% through the standardization.

Conclusion: Standardization of central medication trolley in resuscitation room in the Accident and Emergency Department (AED) reduced the medication incidents in AED and worth to promote to other AEDs in Hong


Biography:
An AED nurse work in NTWC AEDs in Hong Kong, care AED patients in both A&E and emergency medicine wards over 10 years