NURS FPX 4020 Assessment 1 Enhancing Quality and Safety

Assessment 1 Enhancing Quality and Safety

Name

Capella university

NURS-FPX 4020 Improving Quality of Care and Patient Safety

Prof. Name

Date

Enhancing Quality and Safety

Patient safety utilizes safety science techniques to establish a reliable healthcare delivery system (Brigitta & Dhamanti, 2020). Medication administration errors (MAEs) pose a threat to patients’ lives and, if not fatal, can result in treatment setbacks leading to prolonged hospital stays. Consequently, patient trust in healthcare systems diminishes, accompanied by increased treatment costs. This study aims to examine the factors contributing to MAEs and propose strategies for enhancing patient care quality.

Factors Leading to Patient Safety Risks

Before delving into the primary contributors to patient safety risks in healthcare settings, an incident involving medication error in a hospital will be discussed. In a busy hospital, Nurse Ella was responsible for diabetic patient care in her ward. Mr. Wallace, diagnosed with Diabetes type 2, was prescribed two insulin pens: one with rapid-acting insulin for pre-meal administration and the other with long-acting insulin for once-daily administration. Despite her intentions, Ella mistakenly administered a higher-than-normal dose of rapid-acting insulin to Mr. Wallace instead of the prescribed long-acting insulin dose. This error led to symptoms of hypoglycemia in the patient, requiring prompt intervention from healthcare staff. Nurses, entrusted with drug administration, play a crucial role in delivering safe and accurate treatment. They are frequently the primary source of medication administration errors due to their frontline involvement in patient care. A cross-sectional study conducted in institutional settings revealed a 57.7% prevalence of MAEs among participant nurses, with 30.4% committing errors more than three times (Tsegaye et al., 2020). Major factors contributing to medication administration errors by nurses include insufficient training, prescribing errors, stress, burnout, and communication gaps among healthcare professionals.

Lack of Knowledge and Training

Inadequate experience and knowledge regarding drug doses, interactions, contraindications, and potential adverse effects significantly contribute to medication administration errors. Research indicates that 78.7% of medication errors stem from nurses’ inadequate training (Hassen et al., 2022). Nurses with advanced pharmaceutical knowledge and appropriate training demonstrate reduced likelihood of medication administration errors.

The Communication Gap Between Healthcare Professionals

Inadequate communication and collaboration among healthcare staff, including pharmacists, physicians, and nurses, can lead to medication errors. Studies have shown a higher incidence of medication administration errors in hospitals with communication gaps among healthcare staff (Ghasemi et al., 2022).

Prescribing Errors

Prescription errors occur when healthcare professionals inaccurately prescribe medications, resulting in incorrect dosages, inappropriate instructions, and other serious issues. Incompletely written prescriptions contribute to 71% of prescription-related errors, while transcription errors account for the remaining 29% (White et al., 2019).

Stress, Burnout, and Mental Health Challenges Among Healthcare Workers

Excessive workloads, long shifts, moral dilemmas, perceived job instability, and lack of social support elevate stress levels among nurses, leading to psychological distress, burnout, and other illnesses. A study assessing registered nurses’ burnout found that 30% exhibited high burnout levels, increasing the likelihood of patient care and medication errors by five times (White et al., 2019).

Evidence-Based Best Practices Solutions

To enhance patient safety and reduce medication administration costs, evidence-based best practice solutions are imperative. Several techniques supported by academic or professional sources include:

Technique	Description
QSEN Approach	Focuses on six fundamental skills: patient-centered care, teamwork, evidence-based practice, quality improvement, patient safety, and informatics (Watanabe et al., 2021).
Medication Reconciliation	Contrasting a patient’s current medication regimen with prescriptions enhances patient safety during care transitions (Koprivnik et al., 2020).
Computerized Physician Order Entry (CPOE) Systems	Electronically submitting medication orders reduces adverse drug events (Skalafouris et al., 2022).
Barcode Medication Administration (BCMA) Systems	Ensures correct medication delivery through patient identification and barcoded labels, preventing errors (Ye, 2023).
Clinical Decision Support System (CDSS)	Provides research-based suggestions to healthcare practitioners, alerting them to possible medication errors or allergies (Manias et al., 2020).
Value-Based Formulary Management Strategies	Selecting medications based on clinical efficacy, cost-effectiveness, and safety enhances healthcare quality while reducing costs (Weinmeyer et al., 2021).

Nurse-Led Coordination to Optimize Patient Safety

Enhancing medication administration entails nurse collaboration with healthcare stakeholders. Clear communication between nurses and physicians, along with coordination with pharmacists and IT personnel, reduces medication errors and improves patient safety. Nurses’ collaboration with pharmacists reduces prescription errors, ensuring accurate medication administration (Koprivnik et al., 2020).

Conclusion

Medication administration errors pose significant risks to patient safety and increase treatment costs. However, these errors can be mitigated by identifying contributing factors and implementing appropriate solutions. Best practices such as medication reconciliation, technological advancements, teamwork promotion, and value-based approaches play vital roles in error prevention. Collaboration between nurses and stakeholders further enhances patient care quality and safety.

References

Alrabadi, N., Shawagfeh, S., Haddad, R., Mukattash, T., Abuhammad, S., Al-rabadi, D., Abu Farha, R., AlRabadi, S., & Al-Faouri, I. (2021). Medication errors: A focus on nursing practice. Journal of Pharmaceutical Health Services Research, 12(1), 78–86. https://doi.org/10.1093/jphsr/rmaa025 Ghasemi, F., Babamiri, M., & Pashootan, Z. (2022). A comprehensive method for the quantification of medication error probability based on fuzzy SLIM. PLOS ONE, 17(2), e0264303. https://doi.org/10.1371/journal.pone.0264303 Hassen, A., Abozied, A., Mahmoud, E., & El-Guindy, H. (2022). Mental health nurses’ knowledge regarding patients’ rights and patients’ advocacy. NILES Journal for Geriatric and Gerontology, 5(2), 307–324. https://doi.org/10.21608/niles.2022.243510

NURS FPX 4020 Assessment 1 Enhancing Quality and Safety

Koprivnik, S., Albiñana-Pérez, M. S., López-Sandomingo, L., Taboada-López, R. J., & Rodríguez-Penín, I. (2020). Improving patient safety through a pharmacist-led medication reconciliation program in nursing homes for the elderly in Spain. International Journal of Clinical Pharmacy, 42(2), 805–812. https://doi.org/10.1007/s11096-020-00968-8 Manias, E., Kusljic, S., & Wu, A. (2020). Interventions to reduce medication errors in adult medical and surgical settings: A systematic review. Therapeutic Advances in Drug Safety, 11(1), 1–29. https://doi.org/10.1177/2042098620968309 Skalafouris, C., Reny, J.-L., Stirnemann, J., Grosgurin, O., Eggimann, F., Grauser, D., Teixeira, D., Jermini, M., Bruggmann, C., Bonnabry, P., & Guignard, B. (2022). Development and assessment of PharmaCheck: An electronic screening tool for the prevention of twenty major adverse drug events. BMC Medical Informatics and Decision Making, 22(1). https://doi.org/10.1186/s12911-022-01885-8 Watanabe, Y., Claus, S., Nakagawa, T., Yasunami, S., & Teshima, M. (2021). A study for the evaluation of a safety education program for nursing students: Discussions using the QSEN safety competencies. Journal of Research in Nursing, 26(1-2), 97–115. https://doi.org/10.1177/1744987121994859

NURS FPX 4020 Assessment 1 Enhancing Quality and Safety

Weinmeyer, R. M., McHugh, M., Coates, E., Bassett, S., & O’Dwyer, L. C. (2021). Employer-led strategies to improve the value of health spending: A systematic review. Journal of Occupational & Environmental Medicine, 64(3), 218–225. https://doi.org/10.1097/jom.0000000000002395 Ye, J. (2023). Patient safety of perioperative medication through the lens of digital health and artificial intelligence. JMIR Perioperative Medicine, 6(1), e34453. https://doi.org/10.2196/34453

ADDITIONAL INSTRUCTIONS FOR THE CLASS – NURS FPX 4020 Assessment 1 Enhancing Quality and Safety

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – NURS FPX 4020 Assessment 1 Enhancing Quality and Safety

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. NURS FPX 4020 Assessment 1 Enhancing Quality and Safety

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. NURS FPX 4020 Assessment 1 Enhancing Quality and Safety

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium. Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper