Authors (including presenting author) :
Yan YPK(1), So NY(1), Lai YW(1)
Affiliation :
(1)Central Nursing Division, Kwong Wah Hospital
Introduction :
Medication incident (MI) occurs repeatedly, one way message dissemination of safe drug administration in regular seminars may not enough. Moreover, medication administration is not only a skill-based procedure. Previous Root Cause Analysis (RCA) reviewed that MI closely related to situation awareness, communication, teamwork, leadership and decision making skill. Nevertheless, rare simulation program is tailor-made for frontline nurses on MI prevention. Thus, Central Nursing Division (CND) piloted MI simulation training workshop which addressed human factors and team work communication, incorporated realistic simulation session to internalize safe medication administration habit in frontline.
Objectives :
(1) To identify risk factors and increase situational awareness of drug administration in clinical area; (2)To promote alertness on patient identification and allergy status in drug administration; (3) To improve communication, teamwork, leadership and decision making skill; (4) To cultivate safe medication administration habit in frontline.
Methodology :
19 frontline nurses of Kwong Wah Hospital (KWH) enrolled in four identical sessions of MI simulation training workshops on 20 and 21 June 2018. Brief lecture included clues on MI prevention, introduction of smart use on-line support from Pharmacy, safe practice of infusion machine, and risk alert in drug calculation. Three scenarios designed in high- fidelity simulation session which referenced from previous Sentinel Event (SE) and Serious Untoward Event (SUE) incident with immediate debriefing. 10 questions with Likert Scale (0-6) were used to evaluate participants’ satisfactory and workshop effectiveness.
Result & Outcome :
19 sets of post-workshop evaluation were collected with high satisfactory feedback (5.47 out of 6). Participants strongly agreed the workshop achieved the objectives, appreciated lecture information could actually support their daily work. They also agreed the “real-life” scenario in simulation could heighten their risk awareness in drug administration, and facilitate their critical thinking to prevent medication error. Application of simulation training by addressing human factors, communication and teamwork could promote frontline’s alertness on safe drug administration and cultivates patient safety habit. With recurrent clinical incident, simulation-based training is worth to initiate proactive quality and safety training to enhance frontlines’ situational awareness and competency, so as to prevent recurrence of adverse events and sustain patient safety.
Co-location with:
