Push-Dose Pressors: A Multi-Prong Approach to Reduce Medication Error
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2022
Achieve zero medication errors with push-dose pressors (PDP) and improve ED nurses’ confidence. Systems-based interventions can significantly enhance safety and confidence in high-pressure settings.
Year Submitted: 2022
Published Date: 31 December 2022
Tags: Care Process ＆ Redesign, Risk Management, Preventive Approach, Value Based Care, Safe Care
About this Content
Aims
Achieve zero medication errors with push-dose pressors (PDP) and improve ED nurses’ confidence.
Background
PDP administration for hypotension is error-prone, with bedside dilutions accounting for 20% of errors.
Methods
Standardized drug preparation, pre-packed kits, medication charts, training, and simulation-based demonstrations.
Results
Achieved zero medication errors; >90% of nurses rated interventions as valuable, reducing prep time.
Conclusion
Systems-based interventions can significantly enhance safety and confidence in high-pressure settings.
Lessons Learnt
Multi-disciplinary collaboration and targeted training are essential for reducing errors.
Keywords
Medication Errors, Push-Dose Pressors, Emergency Medicine, Quality Improvement
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Allied Health, Nursing, Medical |
Applicable Specialty or Discipline | Emergency Medicine |
Project Lead(s) | Goh Ee Ling |
Project Member(s) | Phyu Sin May Aung |
Connect with this contributor!
Goh Ee Ling - Ee_Ling_GOH@nuhs.edu.sg