Breaking Barriers: Improving Documentation in Titratable Medication Administration.
Background: A newly opened Medical Intensive Care Unit identified variation in nursing documentation practices related to titratable medications, with underlying causes initially unclear. Objectives: The primary aim of this quality improvement initiative was to reduce variation in titratable medicat...
| Published in: | Dimensions of Critical Care Nursing Vol. 45; no. 3; pp. 155 - 162 |
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| Format: | research tables/charts Journal Article |
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Lippincott Williams & Wilkins
May/Jun2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192699569&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192699569 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07304625 48N jtl: Dimensions of Critical Care Nursing issn: 07304625 maglogo: N pubinfo: dt: May/Jun2026 vid: 45 iid: 3 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 192699569 192699569 192699569 10.1097/DCC.0000000000000758 192699569 ppf: 155 ppct: 7 formats: tig: atl: Breaking Barriers: Improving Documentation in Titratable Medication Administration. aug: au: Kamp, Rochelle affil: Registered Nurse Anesthetist and Doctor of Nurse Anesthesia Practice (DNAP) Student at Texas Wesleyan University sug: subj: Documentation Drug Administration Schedule Guideline Adherence Nursing Care Intensive Care Units Human Male Female Quality Improvement Implementation Science Critical Care Audit Florida Leadership Collaboration Professional Compliance Electronic Health Records Male Female ab: Background: A newly opened Medical Intensive Care Unit identified variation in nursing documentation practices related to titratable medications, with underlying causes initially unclear. Objectives: The primary aim of this quality improvement initiative was to reduce variation in titratable medication documentation practices by identifying and addressing barriers to compliance. Methods: Using an improvement science approach informed by protocol-based care and iterative Plan-Do-Study-Act cycles, the project identified key barriers, including workflow inefficiencies, documentation complexity, and knowledge gaps. A targeted educational intervention was subsequently developed, and auditing tools were used to assess sustainability. Results: Following the intervention, compliance with titratable medication documentation improved from a baseline of 78.5% to 88.7%, as demonstrated by audits conducted 3 months postintervention. Pre- and postclass surveys also showed significant improvements in nurses' confidence and competence in documenting and managing titratable medications. Discussion: This project provides insight into the development of collaborative, data-driven educational interventions that foster accountability, enhance clinical documentation practices, and ultimately improve patient safety and care quality in critical care settings. Future quality improvement efforts may benefit from incorporating simulation-based strategies. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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