Increasing Medication Access by Promoting Appropriate Use of Multi-dose Vials.
Medication shortage is a problem that affects patients, providers, and institutions of all sizes and scope across the United States. The objective of this quality improvement project was to promote the appropriate use of multi-dose vials (MDVs) by anesthesia providers at an independent plastic surge...
| Publicado en: | Plastic Surgical Nursing Vol. 40; no. 4; pp. 177 - 185 |
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| Autores principales: | , , , |
| Formato: | CEU research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Oct-Dec2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147350198&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147350198 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07415206 39I jtl: Plastic Surgical Nursing issn: 07415206 maglogo: N pubinfo: dt: Oct-Dec2020 vid: 40 iid: 4 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 147350198 147350198 147350198 10.1097/PSN.0000000000000323 147350198 ppf: 177 ppct: 8 formats: tig: atl: Increasing Medication Access by Promoting Appropriate Use of Multi-dose Vials. aug: au: Beauregard Rowe, William Morgan, Brett Whitehurst, Robert Bush, Peggy A. affil: Nursing anesthesia student at Duke University School of Nursing, Durham, NC sug: subj: Health Services Accessibility Anesthesia Equipment and Supplies Economics Quality Improvement Registered Nurses Education Human Anesthetics Supply and Distribution Pretest-Posttest Design Focus Groups Centers for Disease Control and Prevention (U.S.) Ketamine Therapeutic Use Education, Continuing (Credit) ab: Medication shortage is a problem that affects patients, providers, and institutions of all sizes and scope across the United States. The objective of this quality improvement project was to promote the appropriate use of multi-dose vials (MDVs) by anesthesia providers at an independent plastic surgery office. Multi-dose vials can be used to decrease waste and potentially cost, thus increasing access to necessary medications for the patients at this practice. A focus group was used to obtain an understanding of barriers to the use of MDVs at this practice. A focused E-learning module on safe use based on established guidelines was then created, and a simplified flow sheet was implemented and placed in medication preparation areas as a cognitive aid. The education and flow sheet focused on identification and preparation of the medication area, proper identification of MDVs versus single-use vials, hand hygiene, proper beyond-use labeling, septum cleaning, use of a new sterile syringe and needle, and administration time frames. Provider feedback included high levels of satisfaction with the E-learning module. Our comparison of the use of ketamine from MDVs during the pre- and postimplementation phases showed a 14% increase in the number of doses used per vial. This finding suggests that were similar practices implemented at a larger site with MDVs of medications other than ketamine, resources could be impacted to manage shortages and increase access to medications. pubtype: Academic Journal doctype: CEU research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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