Journal article
Prospective Study of the Multisite Spread of a Medication Safety Intervention: Factors Common to Hospitals With Improved Outcomes
American journal of medical quality, Vol.39(1), pp.21-32
01/2024
DOI: 10.1097/JMQ.0000000000000161
PMID: 38127682
Abstract
Context and implementation approaches can impede the spread of patient safety interventions. The objective of this article is to characterize factors associated with improved outcomes among 9 hospitals implementing a medication safety intervention. Nephrotoxic Injury Negated by Just-in-Time Action (NINJA) is a pharmacist-driven intervention that led to a sustained reduction in nephrotoxic medication-associated acute kidney injury (NTMx-AKI) at 1 hospital. Using qualitative comparative analysis, the team prospectively assessed the association between context and implementation factors and NTMx-AKI reduction during NINJA spread to 9 hospitals. Five hospitals reduced NTMx-AKI. These 5 had either (1) a pharmacist champion and >2 pharmacists working on NINJA (Scon 1.0, Scov 0.8) or (2) a nephrologist-implementing NINJA with minimal competing organizational priorities (Scon 1.0, Scov 0.2). Interviews identified ways NINJA team leaders obtained pharmacist support or successfully implemented without that support. In conclusion, these findings have implications for future spread of NINJA and suggest an approach to study spread of safety interventions more broadly.
Details
- Title: Subtitle
- Prospective Study of the Multisite Spread of a Medication Safety Intervention: Factors Common to Hospitals With Improved Outcomes
- Creators
- Heather C Kaplan - Cincinnati Children's Hospital Medical CenterStuart L Goldstein - University of CincinnatiClaude Rubinson - University of Houston - DowntownNancy Daraiseh - Cincinnati Children's Hospital Medical CenterFang Zhang - Harvard Pilgrim Health CareIsabelle M Rodgers - Boston Children's HospitalDevesh S Dahale - SoutheastDavid J Askenazi - University of Alabama at BirminghamMichael J G Somers - Boston Children's HospitalJoshua J Zaritsky - Phoenix Children's HospitalJason Misurac - University of IowaVimal Chadha - University of Missouri–Kansas CityKaryn E Yonekawa - Seattle Children's HospitalScott M Sutherland - Division of Nephrology, Lucille Packard Stanford Children's Hospital, Palo Alto, CAPatricia L Weng - Children's Hospital of Los AngelesKathleen E Walsh - Harvard Medical School
- Resource Type
- Journal article
- Publication Details
- American journal of medical quality, Vol.39(1), pp.21-32
- DOI
- 10.1097/JMQ.0000000000000161
- PMID
- 38127682
- eISSN
- 1555-824X
- Language
- English
- Electronic publication date
- 12/14/2023
- Date published
- 01/2024
- Academic Unit
- Nephrology, Dialysis and Transplantation; Stead Family Department of Pediatrics
- Record Identifier
- 9984532161102771
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