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Ibuprofen Care Bundle

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Context

Identified errors in prescribed and administered dosages of Ibuprofen to treat for the closure of Patent Ductus Arteriosus in preterm infants. There was a lack of understanding and knowledge of side effects from both the medical trainees and nursing staff. There was no local or national guidance e.g. NICE It was highlighted as a patient safety concern.

Aims

The overall aim is to reduce the potential and incidence for medication error, with the introduction of an Ibuprofen Care Bundle, in addition ensuring consistency with patient care,quality of care and patient experience.

Description
  • To increase awareness and understanding of the complexity of Ibuprofen.
  • To reduce drug errors in prescribing and administration.
  • To model a previously successful care bundle (Gentamicin) Act as a tool for continuous audit.
Implementation

Multidisciplinary approach to developing the Bundle Pilated via a PDSA cycle. Changes made after testing the document. Marketed by informing and preparing all staff in a variety of ways. A commencement date was set to commence use. During the PDSA audit no Ibuprofen errors. Improved knowledge and safety around the prescribing and administration of the drug. Improved staff knowledge and awareness of usage and side effects.

Suggestions for further implementation

The aim is to introduce the Bundle in to other Neonatal Units and consider a bundle approach for other complex drugs.

Challenges and learning

Raising staff awareness was a challenge and deciding where to keep the documentation. This was undertaken as a Preceptee Service Improvement Project which helped to develop leadership skills in change management and communication.

Quality assurance/MHRA registration

Approved by Local Trust and ratified through local Neonatal Governance.