Authors: (including presenting author): :
M.F. Yeung1, Y. Chan2, C. Fung3
Affiliation: :
1M F YEUNG, Tseung Kwan O Hospital, Associated Nurse Consultant (Intensive Care), 2 Y CHAN, Kowloon Central Cluster/Hong Kong Eye Hospital, Associated Nurse Consultant (Ophthalmology), 3 C. Fung, Department of Intensive Care, Kowloon East Cluster, Department Operations Manager
Keyword 2: :
Medication safety
Keyword 3: :
Intensive care unit
Introduction: :
Medication administration errors committed by nurses remain among the most frequently reported safety concerns in clinical practice. Medication errors represent one of the most frequent and preventable causes of patient harm in hospitals, with elevated risks in high-acuity areas such as ICUs. Independent Double-Checking (IDC) has been identified as a crucial safety intervention to mitigate these risks. Nurses have expressed confidence in IDC as an effective safeguard against administration errors. IDC minimized errors associated with high alert medications, requiring two qualified nurses to independently verify prescriptions and information of the medication administration process without mutual influence.
Objectives: :
Following comprehensive consultations with key stakeholders, a targeted quality improvement initiative has been implemented in ICU at Tseung Kwan O Hospital (TKOH) for the high alert medications administration by using Joanna Briggs Institute (JBI) best evidence practice.
Methodology: :
This evidence implementation project employed the JBI Model of Evidence Implementation framework, which was grounded in audit and feedback processes and a structured approach to identifying and managing barriers and enablers to compliance with recommended clinical practices. The framework comprises seven phases. The project was structured into four distinct phases: Preparation, Planning, Implementation, and Evaluation. During the Preparation phase, relevant data were collected and analyzed to assess the current situation and identify the needs for initiating the project.
Result & Outcome: :
A post Getting Research into Practice (GRiP) audit was subsequently conducted between 1 August 2025 to 31 August 2025, comparing with the baseline audit between 1 May 2025 to 31 May 2025. Results demonstrated significant improvement: compliance with patient identification and allergy verification increased from 53.85% and 61.54% to 96%, infusion rate verification from 81.82% and reached 100%. Overall compliance rose from 93.91% to 99.56%. This evidence-based implementation project successfully enhanced medication safety in the TKOH ICU by embedding the IDC protocol into routine practice. Guided by the JBI framework, the initiative achieved high compliance rates, improved nurses awareness, and fostered a culture of safety and accountability. The structured approach—spanning audit, feedback, training, and sustainability planning—proved effective in translating evidence into practice.
