Effect of an evidence based quality improvement framework on patient safety

Abstract

Objectives: To investigate the impact of the introduction of The Productive Ward Program™ on two patient safety indicators; patient falls and medication errors.

Design: Retrospective quantitative study.

Setting: The study was conducted at a major metropolitan acute care hospital in Sydney, Australia.

Subjects: This study was conducted in a medical, surgical and two aged care wards, with a combined total of 120 inpatient beds over a 32 month time period.

Main Outcome Measures: The number of patient falls and medication errors for each of the participating wards.

Results: The implementation of The Productive Ward Program™, did not have an overall significant statistical reduction in the number of falls and medication incidents. Aged Care 1, had a reduction of 13 falls between intervention and post intervention phase, these results were not statistically significant (OR 1.17; 95% CI 0.86, 1.59). For Aged Care 1 ward there was a statistically significant reduction in medication errors from 66 errors pre intervention to 27 medication errors post intervention (OR 2.73;95% CI 1.71, 4.38).

Conclusion: The results of this small study indicate that the implementation of The Productive Ward Program™, did not have an overall significant statistical reduction in the number of falls and medication errors. This paper highlights the need for future research on the impact of the Productive Ward Program on patient safety.