Quality improvement of the medication system in a long-term care facility: a hybrid effectiveness-implementation study
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| Format: | Artículo científico |
| Language: | en |
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Sociedade Brasileira de Geriatria e Gerontologia
2024
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| _version_ | 1876478639297527808 |
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| author | Ana Ludmila Santos Plauska |
| author_facet | Ana Ludmila Santos Plauska |
| contents | Quality improvement of the medication system in a long-term care facility: a hybrid effectiveness-implementation study Ana Ludmila Santos Plauska Hágabo Mathyell Silva Juliana de Oliveira Gomes Ramos Cristiane de Paula Rezende Mariana Martins Gonzaga do Nascimento Multidisciplinaria (Ciencias Naturales y Exactas) long term care patient safety medication errors Homes for the aged Objective: To describe the implementation ofa quality improvement intervention for the medication system of a large not-for-profit long-term care facility (LTCF) and evaluate its effectiveness.Methods: A type 2 effectiveness-implementation hybrid longitudinal study was carried out. We first conducted a diagnosis of the existing medication system, which included the administration of a questionnaire to LTCF staff. Then, an individualized unit-dose dispensing system was implemented and the medication system’s flow was adjusted to the local reality. The effectiveness of the quality improvement intervention was assessed by comparing the following pre- and post-implementation factors: 1) time spent on each step of the medication system; 2) strengths and weaknesses observed.Results: The diagnosis demonstrated multiple points of failure in the medication system. However, the answers to the questionnaire ran counter to what was identified, indicating a lack of knowledge about patient safety. The quality improvement intervention was associated with the following improvements in the medication system: 1) reduction in the number of prescription transcriptions; 2) reduction of medication shortages; and 3) improvement of organization, dynamics, and traceability in distribution, preparation, and administration. An average reduction of 3 hours and 57 minutes in the time spent distributing, preparing, and administering medications was also identified.Conclusions: The quality improvement intervention was effective, increased the providers’ available time, and improved the safety of medication use in the LTCF. 2024 artículo científico 2447-2115 https://www.redalyc.org/articulo.oa?id=739777769021 https://www.redalyc.org/journal/7397/739777769021/ https://www.redalyc.org/journal/7397/739777769021/html/ https://www.redalyc.org/journal/7397/739777769021/739777769021.epub https://www.redalyc.org/journal/7397/739777769021/movil 10.53886/gga.e0000l56_EN en http://www.redalyc.org/revista.oa?id=7397 Geriatrics, Gerontology and Aging application/pdf Sociedade Brasileira de Geriatria e Gerontologia Geriatrics, Gerontology and Aging (Brasil) Vol.18 |
| format | Artículo científico |
| id | redalyc_739777769021 |
| institution | Redalyc |
| language | en |
| publishDate | 2024 |
| publisher | Sociedade Brasileira de Geriatria e Gerontologia |
| spellingShingle | Quality improvement of the medication system in a long-term care facility: a hybrid effectiveness-implementation study Ana Ludmila Santos Plauska Multidisciplinaria (Ciencias Naturales y Exactas) long term care patient safety medication errors Homes for the aged Quality improvement of the medication system in a long-term care facility: a hybrid effectiveness-implementation study Ana Ludmila Santos Plauska Hágabo Mathyell Silva Juliana de Oliveira Gomes Ramos Cristiane de Paula Rezende Mariana Martins Gonzaga do Nascimento Multidisciplinaria (Ciencias Naturales y Exactas) long term care patient safety medication errors Homes for the aged Objective: To describe the implementation ofa quality improvement intervention for the medication system of a large not-for-profit long-term care facility (LTCF) and evaluate its effectiveness.Methods: A type 2 effectiveness-implementation hybrid longitudinal study was carried out. We first conducted a diagnosis of the existing medication system, which included the administration of a questionnaire to LTCF staff. Then, an individualized unit-dose dispensing system was implemented and the medication system’s flow was adjusted to the local reality. The effectiveness of the quality improvement intervention was assessed by comparing the following pre- and post-implementation factors: 1) time spent on each step of the medication system; 2) strengths and weaknesses observed.Results: The diagnosis demonstrated multiple points of failure in the medication system. However, the answers to the questionnaire ran counter to what was identified, indicating a lack of knowledge about patient safety. The quality improvement intervention was associated with the following improvements in the medication system: 1) reduction in the number of prescription transcriptions; 2) reduction of medication shortages; and 3) improvement of organization, dynamics, and traceability in distribution, preparation, and administration. An average reduction of 3 hours and 57 minutes in the time spent distributing, preparing, and administering medications was also identified.Conclusions: The quality improvement intervention was effective, increased the providers’ available time, and improved the safety of medication use in the LTCF. 2024 artículo científico 2447-2115 https://www.redalyc.org/articulo.oa?id=739777769021 https://www.redalyc.org/journal/7397/739777769021/ https://www.redalyc.org/journal/7397/739777769021/html/ https://www.redalyc.org/journal/7397/739777769021/739777769021.epub https://www.redalyc.org/journal/7397/739777769021/movil 10.53886/gga.e0000l56_EN en http://www.redalyc.org/revista.oa?id=7397 Geriatrics, Gerontology and Aging application/pdf Sociedade Brasileira de Geriatria e Gerontologia Geriatrics, Gerontology and Aging (Brasil) Vol.18 |
| title | Quality improvement of the medication system in a long-term care facility: a hybrid effectiveness-implementation study |
| topic | Multidisciplinaria (Ciencias Naturales y Exactas) long term care patient safety medication errors Homes for the aged |
| url | https://www.redalyc.org/articulo.oa?id=739777769021 https://www.redalyc.org/journal/7397/739777769021/ https://www.redalyc.org/journal/7397/739777769021/html/ https://www.redalyc.org/journal/7397/739777769021/739777769021.epub https://www.redalyc.org/journal/7397/739777769021/movil |