Date of Graduation
Summer 8-16-2022
Document Access
Project/Capstone - Global access
Degree Name
Master of Science in Nursing (MSN)
College/School
School of Nursing and Health Professions
Program
Kaiser cohort MSN capstone
First Advisor
Dr. Sara Horton-Deutsch
Second Advisor
Dr. Cathy Coleman
Abstract
Abstract
Problem: Improvement in the donor bank milk (DBM) administration workflows is required to reduce documentation errors and discrepancies. Increased awareness of errors and their impact on quality, safety, and risk management is imperative to optimize clinical, operational, and financial outcomes, as well as a hospital’s reputation.
Context: Research shows human milk is beneficial to the growth of premature and medically-diagnosed term infants. Regulatory agencies recommend standards and guidelines to handle human milk and to monitor compliance and safety practices of healthcare organizations.
Intervention: An audit tool and process map were created to internally monitor the current process for DBM administration.
Measures: The process measures focused on decreasing errors and discrepancies in DBM documentation. For example, the DBM inventory log and the patient electronic medical record. The target goal aimed to decrease errors and discrepancies in documentation by 25%, from 6.75 to 5.00 errors per month.
Conclusion: Evidence shows administration and handling of DBM to be complex, but steps to simplify the process can help prevent errors. Information from the audit tool, staff survey, and unit policy and procedures was useful in creating a process map as a staff reference tool. DBM process map implementation resulted in a 20% decrease in errors, with 5.5 errors in June 2022. The detailed and evidence-based tool is recommended for nursing staff to utilize as a guide for best practice.
Recommended Citation
Moffit, Davelyn M., "Improving Donor Bank Milk Administration Workflow in the Neonatal Intensive Care Unit" (2022). Master's Projects and Capstones. 1396.
https://repository.usfca.edu/capstone/1396
