For example, one team believed that if physicians wrote orders using standard forms, variation would decrease and, consequently, there would be fewer opportunities for error. Standardization was the change concept utilized as they developed tests of change.
Key changes are tests of change based on an accepted change concept.
Pumps Infusion Pumps Known Patient Allergies 1. All orders reviewed in pharmacy using drug interaction software Use of anticoagulation flowsheets Anticoagulation flowsheet and orders follow patient through transitions from hospital to skilled care to home 3. All unusual doses or drugs are approved through peer review No verbal orders for chemotherapy 5. Standardize terminology for electrolytes, included in preprinted order sets 7. At change of shift, nurses document amount infused and amount remaining to be infused as a check point for proper flow rate Laminated dose and flow rate calculation aids available to each nurse 10.