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Capella 4010 Assessment 4

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    Capella 4010 Assessment 4

    Capella 4010 Assessment 4 Stakeholders Presentation

    Student Name

    Capella University

    NURS-FPX 4010 Leading in Intrprof Practice

    Prof. Name

    Date

    Stakeholder Presentation

    Good morning, everyone! My name is Rose, and I am here to present the interdisciplinary proposal for the adverse drug event at Miami Valley Hospital. First of all, thank you all for listening to my presentation. Please write down your questions and queries, and we will return to work.

    The objectives of this presentation are:

    1. The organizational issue of adverse drug events
    2. The importance of the interdisciplinary team and why it is important
    3. Evidence-based plans and strategies will be presented.
    4. Also, implementation and evaluation strategies will be discussed with the stakeholders.

    Organization or Patient Issue

    One of the persistent issues within healthcare organizations is the adverse drug events related to medication administration at Miami Valley Hospital. An adverse drug event occurs when a patient experiences negative or unintended effects due to medication administration issues. These AEDs can be life-threatening for individuals. Misadministration of a medication is the root cause of these errors. Similarly, an injury resulting from medical intervention or in drug administration related to drugs can cause serious harm to the patients (Syrowatka et al., 2022). These issues can occur inside and outside hospital settings, reflecting the need for improvement in the settings.

    Evidence-based interprofessional approaches and effective communication bring diverse expertise and the provision of holistic care to patient care, leading to individual accountability and devising effective strategies. The multidisciplinary team makes it easier for people to communicate clearly and concisely, contributing to increased efficiency in conflict management and a lower risk of making mistakes (Kwame & Petrucka, 2021). It helps recognize, avoid, and manage errors while ensuring complete patient safety and safeguarding the organization’s reputation.

    Capella 4010 Assessment 4

    Addressing the issues of adverse drug events is paramount for both individuals and society at large, as these events increase healthcare risk and complications, leading to significant effects on patients and organizations. An unattended adverse drug event may affect the organization’s reputation and patient trust (Vaismoradi et al., 2020). By solving these issues, we can enhance the overall well-being and quality of life of the patient, increasing the organization’s reputation, reducing healthcare costs, empowering patients and caregivers, and contributing to the overall health of communities.

    Furthermore, addressing these issues helps the organization align ethical principles with medical practices and foster better medication management. However, not addressing this issue may have significant consequences, such as increased risk of adverse events leading to rehospitalization and worsening health conditions, reduced medication error as the patient feels scared of using medication, wastage of resources due to the wrong prescription, and reduced quality of life. Research has highlighted that adverse drug events significantly affect one’s ability to trust in medical practice, reducing medication adherence and worsening the health outcome (Kvarnström et al., 2021). Therefore, this issue necessitates the need for effective policies.

    Relevance of an Interdisciplinary Team Approach

    To solve this organizational problem, all stakeholders must collaborate as part of an interdisciplinary team. This will allow for the effective implementation of solutions, as they will be based on the combined knowledge and experience of all team members. One of the most effective approaches to bringing all professionals together from different departments and sharing their experiences and learning is interprofessional education (IPE), which aims to improve patient care and safety. The training allows the professionals to become more competent in their care practices, learn from each other, and have better interprofessional collaboration (van Diggele et al., 2020). Similarly, building quality improvement teams comprising various members can help recognize the problem timely, attend to organizational issues, and work on quality improvement.

    The following interdisciplinary team can be involved:

    • Administration and finance personnel can be involved to ensure adequate funding for training and development.
    • IT personnel to monitor and handle the software and security measures of the system.
    • Quality improvement team to conduct audits, monitor, implement outcomes, and make need-based plan adjustments.
    • Healthcare professionals should provide accurate medication orders as they will be trained to recognize the signs of AEDs on time.
    • Pharmacists will verify the medication order and educate nurses regarding drug interactions and implications.
    • Nurses will be responsible for handling medication administration and reporting incidents.

    Capella 4010 Assessment 4

    These team members will be responsible for effective plan implementation to manage and reduce the ADEs at Miami Valley Hospital. Research has highlighted that interprofessional collaboration can help divide the workload, enhance communication, and improve health outcomes (Kwame & Petrucka, 2021). By focusing on clear and effective communication strategies, regular meetings, and using digital platforms to stay updated, we can ensure improved healthcare outcomes, a team being on the same platform, and the incorporation of evidence-based practices that help in increasing medication management, reconciliation of medication, and improving the quality of care that is being provided to patients. Utilizing education-based training and defining roles helps develop a cohesive, efficient, and successful plan implementation to manage adverse drug events.

    Interdisciplinary Plan Summary

    The interdisciplinary plan aims to resolve the high incidence of adverse drug events related to medication errors in Miami Valley Hospital.

    Objective:

    The plan is to reduce the ADEs related to medication errors to 30% within six months by implementing the closed-loop medication administration system and specialized training of nurses in medication safety protocols while improving patient safety and reducing the cost of malpractice and readmissions.

    Plan Summary: 

    The interdisciplinary plan is based on a closed-loop medication administration system and specialized training. This plan is based on the PDSA model to improve the efficiency of the healthcare process through effective reforms carried out by nurses. This model is based on plan, do, study, and act, and it encourages a structured approach for evaluating and implementing changes within the organization (Agency of Healthcare Research and Quality, 2020). At the same time, it enables individuals to begin their intervention on a small scale and gradually expand it.

    In the planning phase, the organization aims to recognize the necessity of addressing ADEs through baseline assessments, the number of incidences, patient complaints, and interdisciplinary interviews that may reflect on the causes of ADEs and develop SMART goals for the organization. Through goal setting, the organization aims to reduce ADEs by 10% initially using a closed-loop medication system. It will initially increase the nursing workload by 10% due to additional care and work in closed-loop medication and training; however, the workload will normalize with time.

     The interprofessional team will be utilized through effective communication, collaboration, and collective efficacy for smooth implementation (Ganotice et al., 2022). Each team member will be assigned their duties, while transformational leadership will inspire and motivate the team to collaborate. Transformational leadership helps motivate and encourage collaboration within the team while enhancing the team’s potential to work (Folkman et al., 2019). From administration to finance to IT to physicians and nurses, each member will be provided with their KPIs, roles, and responsibilities, and the leadership will be responsible for monitoring the progress and mitigation of the risk. The leadership will encourage commitment while gaining the interprofessional team’s buy-in. Moreover, this will also help in the smooth transition of the team to new medication administration protocols.

    Implementation and Resource Management

    Implementation of the Plan

    • In the planning stage, the data will be gathered through baseline assessment, need-based assessment, previous ADE trends, the number of incidences and hospitalizations, and patient and professional feedback.
    • In the Do stage, closed-loop medication and specialized training will be implemented. Rechecking of medication before administration, digitized medication prescriptions, and reconciliation will be done to reduce medication errors. Also, the nurses will be provided specialized training for the assessment of medication errors, early detection of errors, and signs of medication errors, along with incident reporting and early interventions to reduce the harmful effects.
    • In the study stage, the quality improvement team will audit, assess the progress of the implemented changes, and foresee the risk. The team’s aim will be to evaluate progress by reducing the number of incidents reported, rehospitalizations, and patient feedback.
    • The Act phase involves reevaluating the evaluation data and implementing the plan across the hospital with any necessary adjustments.

    Resource Management 

    For a successful implementation, additional staff will be required for the quality improvement team, which currently requires $12,000 for monitoring and implementing the changes. Similarly, the plan advised that training and resources would be required for training material such as presentations, handouts, and interactive modules, costing $8,000. The closed-loop medication and data analysis software that would help generate the audit and daily report for the plan progress will cost $10,000.

    Thus, the overall cost of the plan is $30,000. Research has highlighted that hospital management should plan to promote collaborative and positive working environments by motivating nurses and professionals to effectively participate in the change cycles that help them feel connected (Nilsen et al., 2020). The training aims to involve nurses in the change plan and retrain them to become more prompt.

    However, if the plan is unsuccessful, the hospital may face serious consequences in terms of finances. As the budget is above the collected funds, successful outcomes may lead to financial burdens, laying off staff, and the risk of an increased number of malpractice lawsuits, which would further increase the challenges of reimbursement and settlement costs, ultimately impacting the organization’s reputation. This can also increase staff turnover due to dissatisfaction and fear of reputational damage. Research has highlighted that employees leave their workplaces due to job stress, dissatisfaction, lack of security, and wages (Al-Suraihi et al., 2021). Therefore, implementation of the plan is financially and ethically important for the hospital.

    Evaluation 

    To measure the effectiveness of the implementation plan, it is important to use evidence-based tools that can help evaluate the success of the proposed plan. The chosen method for  plan evaluation is a mixed-methods approach that utilizes qualitative and quantitative analysis of the plan. I aim to use quantitative surveys to evaluate the statistics of rehospitalization, incidence, staff retention, and clinical performance. The mixed-method approach provides comprehensive data analysis by incorporating statistical information and supporting it through the subject interpretation of the people (Dawadi et al., 2020).

    While the qualitative analysis will focus on conducting interviews with patients and nurses regarding the efficacy of the implementation strategies, multiple criteria can be evaluated through these methods, such as job satisfaction, turnover rate, performance indicators, number of rehospitalizations, and incidents. All of these factors can be evaluated in both qualitative and quantitative analytical reports and can help devise a comprehensive evaluation of the plan’s success.

    Conclusion 

     In conclusion, the adverse drug eventss are one of the significant issues at Miami Valley Hospital and require immediate action. Interprofessional education, effective communication, and quality Improvement teams can be utilized, along with the implications of the PDSA model, to overcome these challenges. A positive and encouraging work environment is crucial for nurses to work without undue stress and eventually develop a sense of dedication to their profession.

    References

    Agency of Healthcare Resaerch and Quality (2020). Plan-do-study-act (Pdsa) directions and examples. https://www.ahrq.gov/health-literacy/improve/precautions/tool2b.html

    Al-Suraihi, W. A., Samikon, S. A., Al-Suraihi, A.-H. A., & Ibrahim, I. (2021). Employee turnover: Causes, importance and retention strategies. European Journal of Business and Management Research, 6(3), 1–10. https://doi.org/10.24018/ejbmr.2021.6.3.893

    Dawadi, S., Shrestha, S., & Giri, R. A. (2021). Mixed-Methods Research: A discussion on its types, challenges, and criticisms. Journal of Practical Studies in Education, 2(2), 25-36. https://doi.org/10.46809/jpse.v2i2.20 

    Folkman, A. K., Tveit, B., & Sverdrup, S. (2019). Leadership in interprofessional collaboration in health care. Journal of Multidisciplinary Healthcare, 12, 97–107. https://doi.org/10.2147/JMDH.S189199    

    Ganotice, F. A., Chan, L., Shen, X., Lam, A. H. Y., Wong, G. H. Y., Liu, R. K. W., & Tipoe, G. L. (2022). Team cohesiveness and collective efficacy explain outcomes in interprofessional education. BMC Medical Education, 22(1), 820. https://doi.org/10.1186/s12909-022-03886-7 

    Kvarnström, K., Westerholm, A., Airaksinen, M., & Liira, H. (2021). Factors contributing to medication adherence in patients with a chronic condition: A scoping review of qualitative research. Pharmaceutics, 13(7), 1100. https://doi.org/10.3390/pharmaceutics13071100 

    Capella 4010 Assessment 4

    Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BMC Nursing, 20(1), 158. https://doi.org/10.1186/s12912-021-00684-2

    Nilsen, P., Seing, I., Ericsson, C., Birken, S. A., & Schildmeijer, K. (2020). Characteristics of successful changes in health care organizations: An interview study with physicians, registered nurses and assistant nurses. BMC Health Services Research, 20(1), 147. https://doi.org/10.1186/s12913-020-4999-8 

    Syrowatka, A., Song, W., Amato, M. G., Foer, D., Edrees, H., Co, Z., Kuznetsova, M., Dulgarian, S., Seger, D. L., Simona, A., Bain, P. A., Purcell Jackson, G., Rhee, K., & Bates, D. W. (2022). Key use cases for artificial intelligence to reduce the frequency of adverse drug events: A scoping review. The Lancet Digital Health, 4(2), e137–e148. https://doi.org/10.1016/S2589-7500(21)00229-6

    Vaismoradi, M., Tella, S., A. Logan, P., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health, 17(6), 2028. https://doi.org/10.3390/ijerph17062028

    van Diggele, C., Roberts, C., Burgess, A., & Mellis, C. (2020). Interprofessional education: Tips for design and implementation. BMC Medical Education, 20(2), 455. https://doi.org/10.1186/s12909-020-02286-z 

    Capella 4010 Assessment 4