Prospective Study of the Multisite Spread of a Medication Safety Intervention

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Context and implementation approaches can impede the spread of patient safety interventions. The objective of this article is to characterize factors associated with improved outcomes among 9 hospitals implementing a medication safety intervention. Nephrotoxic Injury Negated by Just-in-Time Action (NINJA) is a pharmacist-driven intervention that led to a sustained reduction in nephrotoxic medication-associated acute kidney injury (NTMx-AKI) at 1 hospital. Using qualitative comparative analysis, the team prospectively assessed the association between context and implementation factors and NTMx-AKI reduction during NINJA spread to 9 hospitals. Five hospitals reduced NTMx-AKI. These 5 had either (1) a pharmacist champion and >2 pharmacists working on NINJA (Scon 1.0, Scov 0.8) or (2) a nephrologist-implementing NINJA with minimal competing organizational priorities (Scon 1.0, Scov 0.2). Interviews identified ways NINJA team leaders obtained pharmacist support or successfully implemented without that support. In conclusion, these findings have implications for future spread of NINJA and suggest an approach to study spread of safety interventions more broadly.

Investigators
Abbreviation
Am J Med Qual.
Publication Date
2023-12-23
Volume
1
Issue
31(1)
Page Numbers
21-32
Full Citation
Kaplan HC, Goldstein SL, Rubinson C, Daraiseh N, Zhang F, Rodgers IM, Dahale DS, Askenazi DJ, Somers MJG, Zaritsky JJ, Misurac J, Chadha V, Yonekawa KE, Sutherland SM, Weng PL, Walsh KE. Prospective Study of the Multisite Spread of a Medication Safety Intervention: Factors Common to Hospitals With Improved Outcomes. Am J Med Qual. 2024 Jan-Feb 01;39(1):21-32. doi: 10.1097/JMQ.0000000000000161. Epub 2023 Dec 28. PMID: 38127682.
Pubmed ID
38127682
Full Title
Prospective Study of the Multisite Spread of a Medication Safety Intervention: Factors Common to Hospitals With Improved Outcomes
Authors
Kaplan HC, Goldstein SL, Rubinson C, Daraiseh N, Zhang F, Rodgers IM, Dahale DS, Askenazi DJ, Somers MJG, Zaritsky JJ, Misurac J, Chadha V, Yonekawa KE, Sutherland SM, Weng PL, Walsh KE.