Authors: (including presenting author): :
Ho HC(1), Wong YL(1)
Affiliation: :
(1) Eye Centre, Prince of Wales Hospital
Keyword 1: :
Design Visual Management Tool
Keyword 2: :
Eye Catching Label
Introduction: :
Incident of eye drop instillation (wrong eye) occasionally happened due to multiple factors such as environment distraction and too hurry in particular for those new nurses. O&VS Department plans to design/ use of a "simple" & "effective" Visual Management Tool (eye catching label) to enhance medication safety for those procedure suites: Eye Day Ward/ Operation Theatre/Laser Room, Procedure Room etc. With the new tool, the "thinking" process can be leaned. Staff directly visualize the laterality of eye and instill eyes drops to prescribed eye directly. Incidents of eye drops related to laterality hopefully can be minimized.
Objectives: :
1. To design a visual management tool to enhance medication safety in Eye Centre & Eye Day Ward 2. To minimize incident of wrong eye drop instillation. 3. To reduce' thinking' process and instill eye drops to prescribed eye directly
Methodology: :
O&VS department to design the eye catching label include: design the symbol to draw attention; select different colors to indicate left and rigth eye to create a strong impact. Then paste the label onto the wall and patient chair in Eye Day Ward/ Eye Centre to enhance nurses' awareness during eye deops instillation. All nurses should directly visualize the laterality of the eye and instill eye drops to prescribed eye directly.
Result & Outcome: :
After pasting the eye catching label onto the wall and patient chair in Eye Day Ward & eye Centre in 4Q 2024, that no more incidents occurred. Nurses were satisfied with this visual management tool.
