Methods: This study was a quasi-experimental design by using two-group posttest. The sample consisted of 4452 times of peripheral intravenous medications from medical record in pediatric ward at a medical center in central Taiwan. The project was launched from July 19, 2014 to Sep 22, 2014. The intervention included: 1. Develop an operating system and nursing system of drug delivery notification in Pediatrics, 2. Design the standard of process (SOP) of children’s peripheral intravenous catheter, and 3. Training courses. The effectiveness of the project was evaluated by incidence of adverse reactions of children’s intravenous drug and medical personnel’s drug awareness after the intervention.
Results: The incidence rate of adverse drug reactions of peripheral intravenous medications for children was reduced from 0.025% to 0.5% (p<.00). The accuracy rate of knowledge and attitude of medicine use among nurses was increased from 64.8% to 96.7% (p<.000). And the accuracy rate of knowledge and attitude of medicine use among medical doctors was increased from 52% to 97% (p<.000). There was a significant improvement.
Conclusions: After this study, the operating system and nursing system of drug delivery notification in Pediatrics improve the safety of Peripheral Intravenous Medications in children care. Using colors to remind acidosis and alkalosis medicine in the system would increase users’ awareness in using high-alert medications. The SOP of peripheral intravenous catheter provides standard operating procedure, maintaining medication patient safety for children. The adjustments on systems and personnel training reduced adverse drug reactions of peripheral intravenous medications and increased medication safety in a significant way, which undoubtedly have a great contribution to nursing.
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