Date of Graduation

Spring 5-17-2024

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


MSN project

First Advisor

Dr. Nicole Beamish, DNP, PHN, FNP-BC, CNL, BC-ADM

Second Advisor

Dr. Alicia Kletter, RN, MSN, DNP, PMHNP-BC, FNP-BC



Problem According to Children’s Hospital A's incident reporting system, 50% of problems related to prolonged intravenous antibiotics were classified as administration issues. When mistakes are made in this process, the antibiotic is then delivered at the wrong rate or the wrong time, which is problematic. Additionally, findings from a needs assessment survey highlight a critical need for targeted interventions, such as an educational video, to reduce administration errors associated with prolonged IV antibiotics. Context Within Children’s Hospital A, the microsystems targeted by this quality improvement project consist of inpatient pediatric patient care units (PCU) 300, 360, and 400. Children’s Hospital A is a 361-bed hospital located in the San Francisco Bay Area. Interventions On April 11, 2024, 91 nurses and nurse managers gathered for an in-person staff meeting, where the quality improvement project was presented. The presentation defined prolonged IV antibiotics and their rationale. A 5-minute and 40-second video demonstrating the correct setup of prolonged IV antibiotics was shown, filmed in Children Hospital A's simulation lab. Measures A pre-video quiz assessed attendees' baseline knowledge. A post-video quiz evaluated the impact of the educational video on attendees' knowledge. Results 86.95% of nurses answered the pre-video quiz questions correctly, while 95.45% answered the post-video quiz questions correctly, indicating an 8.5% increase in knowledge. Conclusions This quality improvement project comprehensively evaluated the microsystem, identified the issue, conducted root-cause analysis and needs assessment, analyzed data, developed an educational tool, and seamlessly implemented it, resulting in increased knowledge among staff. The educational tool is cost-effective, time-efficient, easily accessible, and adaptable, ensuring sustainability. Ongoing evaluation using iCares data will assess long-term impacts and ensure the video's continued effectiveness through biannual reviews.