Increasing Compliance of Independent Double Checks for Continuous Intravenous Medication Infusions

Background: Continuous intravenous medication infusions are a leading source of medication errors due to nursing noncompliance with evidence-based best practices to reduce the occurrence by performing an independent double check. At the project site, compliance with the policy was noted to be poor, around 30%. This project aimed to perform a gap analysis and design a quality improvement initiative to improve documentation compliance at the local project site.

Methods: A needs assessment survey completed by key stakeholders identified the restraining and driving forces for quality improvement change. A pre- and post-intervention survey determined whether the interventions addressed the gap. Documentation compliance rates were measured utilizing a pre-existing validated audit tool.

Interventions: A needs assessment survey gathered data to inform participant-selected interventions (education, visual cues, and reminders). Participants completed a voluntary pre- and post-education survey to evaluate the impact of the education intervention. Compliance rate feedback was provided to promote sustainability.

Results: In total, 71 participants were included. Of those, 36 participants completed the voluntary needs assessment survey. The top three interventions selected were education, visual cues, and reminders. A mandatory education module was assigned to all 71 participants and the completion rate was 91.6%. Participants’ perceptions surrounding the value of the practice increased by an average of 2.54 points. Documentation compliance rates increased from 20% to 62.5%.

Conclusions: Utilizing a needs assessment survey to inform site-specific interventions aimed at increasing compliance was found to be successful in achieving intended outcomes.

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Work Title Increasing Compliance of Independent Double Checks for Continuous Intravenous Medication Infusions
Access
Open Access
Creators
  1. Stephanie Pollock
  2. Kristen Bransby
  3. Susan Maynard
  4. Sheri Matter
Keyword
  1. DNP Project
  2. Intravenous infusion
  3. Independent double check
  4. Compliance
  5. Gap analysis
  6. Needs assessment
  7. Quality improvement
License No Copyright - U.S.
Work Type Project
Publication Date February 15, 2024
DOI doi:10.26207/5as0-4x51
Deposited February 15, 2024

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Version 1
published

  • Created
  • Updated
  • Added Creator Stephanie L. Pollock
  • Renamed Creator Stephanie Pollock Show Changes
    • Stephanie L. Pollock
    • Stephanie Pollock
  • Added Creator Kristen Bransby
  • Added Creator Susan Maynard
  • Added Creator Sheri Matter
  • Added Creator Kristen Bransby
  • Added Creator Susan Maynard
  • Added Creator Sheri Matter
  • Deleted Creator Sheri Matter
  • Updated Creator Kristen Bransby
  • Updated Creator Susan Maynard
  • Updated Creator Susan Maynard
  • Updated Creator Sheri Matter
  • Deleted Creator Kristen Bransby
  • Deleted Creator Susan Maynard
  • Updated Creator Susan Maynard
  • Updated Creator Sheri Matter
  • Added Pollock_S_Increasing Compliance of Independent Double Checks for Continuous Intravenous Medication Infusions.docx
  • Updated Publication Date, License Show Changes
    Publication Date
    • 2024-15-02
    • 2024-02-15
    License
    • https://rightsstatements.org/page/NoC-US/1.0/
  • Published
  • Updated Keyword Show Changes
    Keyword
    • DNP Project, intravenous infusion, independent double check, compliance, gap analysis, needs assessment, quality improvement
    • DNP Project, Intravenous infusion, Independent double check, Compliance, Gap analysis, Needs assessment, Quality improvement
  • Updated

Version 2
published

  • Created
  • Deleted Pollock_S_Increasing Compliance of Independent Double Checks for Continuous Intravenous Medication Infusions.docx
  • Added Pollock_S_Increasing Compliance of Independent Double Checks for Continuous Intravenous Medication Infusions.docx
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