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Combining Quality Improvement and Staff Development Efforts to Decrease Patient-Controlled Analgesia Pump Errors

Ferguson, Rita MSN, RN; Williams, Michael L. MSN, RN, CCRN, CNE; Beard, Betty PhD, RN

Journal for Nurses in Staff Development (JNSD): September-October 2010 - Volume 26 - Issue 5 - p E1-E4
doi: 10.1097/NND.0b013e3181b1b9d2

Errors in programming patient-controlled analgesia (PCA) pumps unfortunately occur in hospitals. At this hospital, quality improvement efforts were combined with staff development programming to decrease PCA pump errors. A significant decrease in PCA pump errors was found after 1:1 staff education.

The authors relate the staff development and quality improvement efforts that resulted in a signifi cant decrease in PCA Pump errors.

Rita Ferguson, MSN, RN, is Nurse Educator, St Joseph Mercy Health System, Ann Arbor, Michigan.

Michael L. Williams, MSN, RN, CCRN, CNE, is Associate Professor, Eastern Michigan University, Ypsilanti, Michigan.

Betty Beard, PhD, RN, Eastern Michigan University, Ypsilanti, Michigan.

ADDRESS FOR CORRESPONDENCE: Michael L. Williams, MSN, RN, CCRN, CNE, Eastern Michigan University, Ypsilanti, MI 48197 (e-mail:

© 2010 Lippincott Williams & Wilkins, Inc.