부산대학교 도서관

Medication safety is a critical quality of care issue that has garnered global attention. Inappropriate administration timing of antibiotics can lead to treatment failure and an increased risk of drug resistance. Current investigations indicate that the overtime rate of combined antibiotic therapy with intravenous drip administration in orthopedic patients is as high as 60.5%. Several factors contribute to this high rate, including frequent interruptions during the medication administration process, inconsistent medication administration orders, improper patient behavior during antibiotic infusion, a lack of specific information on common antibiotics, and nurses' low accuracy in knowledge regarding antibiotic injections and dilutions. To address these challenges, an interdisciplinary approach involving pharmacists, doctors, and nurses was implemented to develop an operation mode for medication administration. Specific strategies such as a 'No interruption during medication administration' reminder mechanism, an antibiotic administration sequence control card, an antibiotic precautions comparison table, and hygiene education guidance for intravenous drip were introduced. After the implementation of these improvements, the overtime rate of combined antibiotic intravenous drip in orthopedic patients drastically reduced from 60.5% to 10.5%. Additionally, nurses' awareness of the characteristics of intravenous antibiotic treatment increased from 64.6% to 100%. Continued tracking and evaluation up to July 2020 showed that the over-time rate of intravenous drip administration remained below 24.2%, and the positive outcomes were sustained. The accuracy and quality of care for combined antibiotic administration with intravenous drip among nursing staff significantly improved. These efforts have resulted in enhanced medication safety, reduced treatment failures, and minimized the risk of drug resistance, ultimately contributing to better patient outcomes.