NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation

Assessment 3 Improvement Plan in Service Presentation

Name

Capella university

NURS-FPX 4020 Improving Quality of Care and Patient Safety

Prof. Name

Date

Improvement Plan In-service Presentation

Hello, I am __, and today I will be presenting an improvement plan that can be employed to improve patient safety by reducing errors at the medication administration stage of patient care. First, let us discuss the goals and objectives of the presentation.

Purposes and Goals of In-Service Session

The goals and objectives for today’s presentation are:

1. To discuss medication administration errors, their prevalence, and their poor consequences.
2. Identify the need to improve medication administration safety outcomes.
3. Recommend the processes to improve safety outcomes related to medication administration.
4. Discuss the role of the audience in the safety improvement plan.
5. Create resources and activities employed to encourage skill development and process understanding.

Medication Administration Errors

Medication administration errors are defined as the administration of the wrong drug or incorrect drug dose, or using the improper route, at the inappropriate time, or to an incorrect patient. According to one research, about 40% of nurses’ floor time is spent on medicine administration to patients. This high volume of drug administration by nurses can lead to mistakes (Obua, 2019). Next, in our session, we will discuss why there is a need for a safety improvement plan related to medication administration errors.

Needs to Improve Medication Administration Safety Outcomes

In hospitals, the reported rate of medication error-related adverse events is around 6.5 per 100 admissions (Carver & Hipskind, 2019). More than half of hospital medication errors are found to occur during the administration stage, which is why this stage is critical as it is the final step in implementing an ultimate interception barrier. According to a systematic review, the prevalence of error rates related to administration was found to be 25.2% in hospitalized patients. In addition, according to a medication incident report in the UK, most of the incidents resulting in severe harm or patient deaths were found to have been linked to the administration stage of the medication (Azar et al., 2023).

Improvement Plan In-service Presentation

Medication errors in hospitals are costly and have a detrimental impact on patients, their families, healthcare personnel, the healthcare institution, and the community. These errors can endanger patients’ lives or cause them permanent losses thus compromising their lives. The cases of mortality and morbidity due to MAEs deteriorate patients’ as well as the community’s trust in healthcare facilities. We have seen in our practice that MAEs often lead to a longer stay of patients in the hospital and require additional treatment regimens to be incorporated so as to avoid any adverse event from happening. Both of these factors incur an additional treatment cost on the part of the hospital as well as the patient. They’ve been labeled a public health issue and a serious threat to patients. This high prevalence and poor consequences advocate the need for a safety improvement plan.

Processes to Improve Safety Outcomes Related to Medication Administration

The safety improvement plan to reduce medication administration errors that we are going to discuss here is based on the three most important strategies:

1. Incident Reporting and Blame-Free Culture: Error reporting is the fundamental principle in the prevention of adverse events. Several factors such as lack of SOP for error reporting, lack of support from colleagues, job risk, and cost-cutting measures have been found to be responsible for under-reporting of the medication errors (Chegini et al., 2020).
2. Collaboration Among Healthcare Professionals: The next strategy included in our plan is effective collaboration among healthcare professionals. A respectful and professional workplace in which the multidisciplinary teams work together provides a safe work environment for all members of the healthcare team, families, and patients (Labrague et al., 2021).
3. Health Information Technology: Computerized order input assists prescribers, chemists, and nurses in reducing adverse drug occurrences (Manias et al., 2020).

Role of Audience

At this level, all of us can agree that the success of any strategy and plan, designed and employed depends upon the understanding and adherence of the audiences to the plan. The improvement plans at these healthcare organizations involve the active participation of all audiences present here including the healthcare staff, healthcare leaders, IT personnel, the finance team, and the quality improvement committee. Each one of this audience can collaborate with other stakeholders involved, to make a strategic plan focusing on safe medication administration.

Resources and Activities Employed

It is crucial to establish resources and activities to engage the healthcare professionals and give practical knowledge to stimulate skill development and process understanding related to a safety improvement program. In this session, we are going to generate a visually engaging checklist that outlines medication safety practices and the five rights of medication administration. This will help us understand the importance of accuracy in every step of medication administration. We will also go through a simulation exercise based on the actual drug administration error where a diabetic patient, Mr. Wallace, was injected with the wrong insulin. In this exercise, our purpose will be the improvement of decision-making, critical thinking, and communication skills during medicine administration. Moreover, in the future more interactive workshops on safe drug administration practices can be organized that may provide nurses with training and the opportunity to practice their abilities in a controlled setting. These initiatives may empower the healthcare staff to be proactive in patient safety and contribute to a safer healthcare environment by providing different learning opportunities.

Conclusion

Medication administration errors pose detrimental effects on the patients, their families, healthcare organizations, and the practitioners involved. Patient safety can be assured by developing strategic improvement plans that include the use of evidence-based best practice solutions. In-service, sessions enhance the skills and knowledge of the nurses and other hospital staff. Various exercises including interactive Workshops, infographics, and quality improvement programs, can be used to stimulate skill development and process understanding related to a safety improvement program.

References

Azar, C., Raffoul, P., Rizk, R., Boutros, C., Saleh, N., & Maison, P. (2023). Prevalence of medication administration errors in hospitalized adults: A systematic review and meta‐analysis up to 2017 to explore sources of heterogeneity. Fundamental & Clinical Pharmacology. https://doi.org/10.1111/fcp.12873 Carver, N., & Hipskind, J. E. (2019). Medical error.. StatPearls. Treasure Island (FL): StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK430763 Chegini, Z., Kakemam, E., Asghari Jafarabadi, M., & Janati, A. (2020). The impact of patient safety culture and the leader coaching behaviour of nurses on the intention to report errors: A cross-sectional survey. BMC Nursing, 19(1). https://doi.org/10.1186/s12912-020-00472-4 Kuitunen, S. (2022). Medication safety in intravenous drug administration: Error causes and systemic defenses in hospital setting. Helda.helsinki.fi. https://helda.helsinki.fi/items/5441c513-bff7-4d79-b448-98954e2064a7

NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation

Labrague, L. J., Al Sabei, S., Al Rawajfah, O., AbuAlRub, R., & Burney, I. (2021). Interprofessional collaboration as a mediator in the relationship between nurse work environment, patient safety outcomes and job satisfaction among nurses. Journal of Nursing Management, 30(1). https://doi.org/10.1111/jonm.13491 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 Obua, U. (2019). Strategies for Reducing Medication Errors in an Outpatient Internal Medicine Clinic – ProQuest. https://www.proquest.com/openview/1933b2fc7c5bf1d708e99a9e150fe328/1?pq-origsite=gscholar&cbl=18750&diss=y

NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation

Waweru, E., Sarkar, N. D. P., Ssengooba, F., Gruénais, M. – E., Broerse, J., & Criel, B. (2019). Stakeholder perceptions on patient-centered care at primary health care level in rural eastern Uganda: A qualitative inquiry. PLOS ONE, 14(8), e0221649. https://doi.org/10.1371/journal.pone.0221649

ADDITIONAL INSTRUCTIONS FOR THE CLASS – NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation

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• 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.

• 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 3 Improvement Plan in Service Presentation

• 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.

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