NCT03036449

Efficacy of a Multifaceted Intervention to Reduce Medication Administration Errors in Neonatal Intensive Care Units

Efficacy of Tools Associated With a Multifaceted Education Intervention Directed to Health Professionals to Reduce Medication Preparation and Administration Error Rates in Neonatal Intensive Care Units

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 5,143 (actual)
• Sponsor: University Hospital, Bordeaux · Academic / Other
• Sex: All
• Age: 2 Years
• Healthy volunteers: Not accepted

Summary

The purpose of this study is to determine whether an educational program for caregivers associated with convenient tools is effective to reduce medication preparation and administration errors in the Neonatal Intensive Care Units (NICU).

Detailed description

Medication errors are frequent in neonatal intensive care units and consequences are more severe than in adults. Although errors happen in each step of medication management process, a large proportion of errors occur during medication preparation and administration. This study will test the hypothesis that rates of medication errors during preparation and administration will be reduced by implementing an education program for NICU caregivers (Nurses) and providing convenient tools. The trial has a stepped wedge design, in which the NICU's from three hospitals in France will be randomized (Group A, B and C) to the timing of implementation of the educational intervention. According to the allocation (Group A, B or C), the education intervention will include a complete main program of nine weeks and one to three maintenance educational periods. Medication administration errors rates will be measured before (baseline measurements) and after each educational interventions (main or maintenance interventions). Errors will be identified by direct observations of nurse's acts by external observers.

Conditions

• Neonatal Intensive Care

Interventions

Type	Name	Description
BEHAVIORAL	Education program for NICU caregivers.	Intervention includes a main initial educational program, maintenance education programs and tools supply \- Main educational program will include 9 hours of courses into NICU (1 hour each week) and @ learning modules validation. Topics: Main causes of medication errors, How to analyse retrospectively medication errors, Strategies to reduce medication errors, How to improve communication between health professional; Task interruption; Standardisation of preparation….. * Maintenance education program will return on specific topics of main program and will be fitted to each NICU needs. * Examples of Tools: check lists, medication neonatal formulary, "Sound alike" and "Look alike" drug lists…

Timeline

• Start date: 2017-11-13
• Primary completion: 2019-03-17
• Completion: 2019-03-17
• First posted: 2017-01-30
• Last updated: 2020-05-13

Locations

3 sites across 1 country: France