Northern Kentucky University
Grade Level at Time of Presentation
Senior
Major
Nursing
2nd Grade Level at Time of Presentation
Senior
2nd Student Major
Nursing
Institution 23-24
Northern Kentucky University
KY House District #
60
KY Senate District #
11
Faculty Advisor/ Mentor
Jillian Boyle, MSN, RN
Department
School of Nursing
Abstract
The high acuity of patients in the ICU results in numerous medications being administered, increasing the risk of medication errors. The purpose of this project is to investigate the impact of integrating consistent closed loop electronic medication management (CLEMM) to decrease medication errors in the ICU for bedside nurses who use electronic health records (EHRs). The project type is a comprehensive literature review, with studies that included a single prospective cohort study, case report, single non-randomized trial, quasi experimental study, single cross-sectional studies, and systematic reviews. The importance of this project is to address the break in the loop of communication between healthcare professionals that consequently lead to medication errors and poor patient outcomes. Multiple databases, specifically CINAHL, PubMed, Medline, and Google Scholar, were utilized to explore the literature. The findings suggest that multiple interventions must be incorporated to decrease the rate of medication errors and reduce patient harm. The findings also show that CLEMM, BCMA, and smart IV pumps are interventions that would be effective in reducing the amount of medication errors made in the ICU setting. While published literature displays the benefits of these implementations, further research must be conducted on the specific communication techniques, breaking all communication barriers in order to reduce the overall percentage of medication errors. Implementing CLEMM framework as well as BCMA in hospitals that use EHRs decreases the rate of medication errors in the ICU and ultimately reduces patient harm.
Keywords: Closed loop electronic medication management, barcode medication administration, medication errors, IV smart pumps.
Included in
Critical Care Nursing Commons, Equipment and Supplies Commons, Medical Humanities Commons, Quality Improvement Commons
Enhancing the Safety of Medication Administration: The Synergistic Role of Closed Loop Electronic Medication Management and IV Medication Administration
The high acuity of patients in the ICU results in numerous medications being administered, increasing the risk of medication errors. The purpose of this project is to investigate the impact of integrating consistent closed loop electronic medication management (CLEMM) to decrease medication errors in the ICU for bedside nurses who use electronic health records (EHRs). The project type is a comprehensive literature review, with studies that included a single prospective cohort study, case report, single non-randomized trial, quasi experimental study, single cross-sectional studies, and systematic reviews. The importance of this project is to address the break in the loop of communication between healthcare professionals that consequently lead to medication errors and poor patient outcomes. Multiple databases, specifically CINAHL, PubMed, Medline, and Google Scholar, were utilized to explore the literature. The findings suggest that multiple interventions must be incorporated to decrease the rate of medication errors and reduce patient harm. The findings also show that CLEMM, BCMA, and smart IV pumps are interventions that would be effective in reducing the amount of medication errors made in the ICU setting. While published literature displays the benefits of these implementations, further research must be conducted on the specific communication techniques, breaking all communication barriers in order to reduce the overall percentage of medication errors. Implementing CLEMM framework as well as BCMA in hospitals that use EHRs decreases the rate of medication errors in the ICU and ultimately reduces patient harm.
Keywords: Closed loop electronic medication management, barcode medication administration, medication errors, IV smart pumps.