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Preventing Risks of Infections and Medication Errors in IV therapy (PRIME): a patient safety initiative

Br J Nurs. 2023 Jul 27;32(14):S4-S12. doi: 10.12968/bjon.2023.32.14.S4.

Abstract

Background: Two major avoidable reasons for adverse events in hospital are medication errors and intravenous therapy-induced infections or complications. Training for clinical staff and compliance to patient safety principles could address these.

Methods: Joint Commission International (JCI) consultants created a standardised, 6-month training programme for clinical staff in hospitals. Twenty-one tertiary care hospitals from across south-east Asia took part. JCI trained the clinical consultants, who trained hospital safety champions, who trained nursing staff. Compliance and knowledge were assessed, and monthly audits were conducted.

Results: There was an overall increase of 29% in compliance with parameters around medication preparation and vascular access device management.

Conclusion: The programme improved safe practice around preparing medications management and managing vascular access devices. The approach could be employed as a continuous quality improvement initiative for the prevention of medication errors and infusion-associated complications.

Keywords: Care quality improvement; Intravenous complications; Medication preparation; Nursing care; Training and development; Vascular access devices.

MeSH terms

  • Hospitals
  • Humans
  • Medication Errors / prevention & control
  • Nursing Staff, Hospital*
  • Patient Safety*
  • Quality Improvement