Heather C Kaplan, Stuart L Goldstein, Claude Rubinson, Nancy Daraiseh, Fang Zhang, Isabelle M Rodgers, Devesh S Dahale, David J Askenazi, Michael J G Somers, Joshua J Zaritsky, Jason Misurac, Vimal Chadha, Karyn E Yonekawa, Scott M Sutherland, Patricia L Weng, Kathleen E Walsh
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...
December 14, 2023: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality