September 2, 2010

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MedRite draws high demand

Partnership and process contribute to safer medication delivery

KP MedRite addresses two of the leading causes of medication errors: interruptions to nurses and lack of a standardized process. Here, West LA RN Irna Azarova wears a reflective sash to signal to others not to disturb her while she’s administering drugs to a patient.

Barely a year after it launched, Kaiser Permanente’s new inpatient medication administration program has already made significant strides. The medication protocol, dubbed MedRite, not only has gained eager adoption within KP’s walls, but hospitals outside the KP system have been embracing it as a winning answer to the hot-button patient-safety issue.

MedRite addresses the leading causes of medication errors to patients: Interruptions to nurses and the lack of a standardized process. From clearly outlined procedures to “non-interruption” sashes signaling that nurses are not be disturbed during medication rounds, MedRite standardizes inpatient medication administration—making it safer, quicker, and more reliable.

“We’re not pushing it at all,” KP’s national patient safety leader Sue Barnes said. “It’s completely being pulled.” 

Requests from outside organizations

In a high compliment to the KP work, hospital systems outside of KP as well as professional nursing associations have taken notice. Kaiser Permanente has received a steady stream of training requests for adopting MedRite at their own sites.

“I’ve been very impressed by how enthusiastically both internal and external audiences have embraced it,” Barnes said.

And partnership, frontline workers and leaders say, continues to be the key in its success.

Best practice spreads

The program was born at the Sidney Garfield Innovation Center, developed in collaboration with frontline workers at three facilities—West Los Angeles, Hayward and South San Francisco. After trials at those facilities showed significant reductions in nurse interruptions, and at certain locations, drops in medication errors, MedRite was launched in inpatient departments throughout Northern California, the Northwest and Hawaii regions.

“I think it’s been critical, absolutely critical,” Barnes said. “It’s the nurse communication that is really compelling and convincing. But the success has been and continues to be in large part dependent on how engaged and supportive the ancillary departments and physicians’ groups have been.”

Latest MedRite developments

Inside Kaiser Permanente

  • Rolled out as a best practice to KP hospitals in Northern California, the Northwest and Hawaii. Southern California is scheduled to launch in 2009.
  • Of the medical centers who have reported their MedRite data, more than 80% are faithfully following the procedures.
  • Early numbers suggest that interruptions are decreasing where nurses are using MedRite.
  • At Hawaii’s Hospital Medical Center, the average number of interruptions dropped from 1.1 in July-Aug. 2008 to .20 interruptions in Dec. 2008. The Northwest saw a downward trend from an average .80 to .30 interruptions from July-Aug 2008 to Nov. 2008. In December, however, the number jumped to .90 interruptions for unknown reasons.

Outside Kaiser Permanente

  • The Joint Commission, which accredits hospitals, is considering citing MedRite as a good practice for hospitals across the country.
  • Hospital systems in Canada and Minneapolis, Minnesota, have requested MedRite training for roll out at their inpatient facilities
  • An external MedRite implementation packet is being developed due to the high number of outside health care agency requests.