The implementation of best practice in medication administration across a health network: a multisite evidence-based audit and feedback project

Abstract

Background: Medication errors present a significant risk to patient safety. The "rights" of medication administration represent one approach to potentially reducing this risk.

Objectives: The aim of this project was to implement an evidence-based audit and feedback project to improve compliance with best practice in this area across a health network.

Methods: A baseline audit was conducted to determine compliance with evidence-based standards by trained observers. The results of this audit were analysed and fed back to staff. An analysis of barriers to compliance was undertaken by key staff within the organization, which was followed by the implementation of targeted strategies to improve compliance. A follow-up audit was conducted and the results compared to the baseline audit.

Results: There were improvements in the percentage of compliance across all of the eight criteria audited, with statistically significant improvements found in six of the eight. In general, compliance with the criteria was high in both the baseline and follow-up audits.

Conclusion: This audit and feedback implementation project was successful in increasing compliance and knowledge in this area and providing future direction for sustaining evidence-based practice change. It is now planned to use this approach for rolling out future implementation projects within this health system.

Keywords: audit and feedback; evidence-based medicine; medication administration.