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NURS FPX 4010 Assessment 4 Stakeholder Presentation

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    NURS FPX 4010 Assessment 4 Stakeholder Presentation

    Student Name

    Capella University

    NURS-FPX 4010 Leading People, Processes, and Organizations in Interprofessional Practice

    Prof. 

    Date

    Stakeholder Presentation

    Hello everyone, welcome all to my presentation. I am ______, a registered nurse at Valley City Hospital. This presentation shares the interdisciplinary plan proposal developed in the previous assessment. In this session, I will discuss the identified healthcare issue, the relevance of a multidisciplinary team approach, and a summary of a proposed interdisciplinary plan. Moreover, I will describe how the project will be implemented and managed. Lastly, I will highlight the evaluation process of our proposed method. So, let us move ahead together.

    Organizational or Patient Issues 

    Medication errors are one of the significant healthcare issues that impacts patient safety and pose various health and economic implications to organization and patients. The causes of medical mistakes include poor communication and collaboration among healthcare providers, causing misunderstandings and non-clarity in medication management. These incidences of medical error result in various health complications, additional healthcare costs to patients and organizations, increased length of hospital stay, and higher chances of further hospital-acquired infections (Carver et al., 2019).

    The Valley Hospital faces this issue due to inadequate interdisciplinary collaboration. This calls for a pressing demand for a collaborative and multidisciplinary team approach that can tackle this preventable healthcare issue. Through interdisciplinary collaboration, nurses, physicians, and pharmacists can coordinate with each other on safe medication prescribing, dispensing, and administration. Simultaneously, this collaboration will overcome misunderstandings that cause medication errors and enhance patient safety.

    Furthermore, healthcare professionals will be educated about medical reconciliation to prevent medication errors during the transition of care. This approach will positively impact patient safety, healthcare costs, and the hospital’s reputation. The potential consequences of not implementing this approach will be an increased rate of medication errors, lower patient satisfaction, financial implications due to litigation expenses, and added healthcare costs. Lastly, the hospital’s reputation will be at stake as medication errors persist (Elliott et al., 2021). Thus, all stakeholders must support the proposal and address medication errors within the organization. 

    Relevance of an Interdisciplinary Team Approach

    The interdisciplinary team approach is relevant and necessary to solve the issue of medication errors in Valley Hospital. With a multidisciplinary team approach, healthcare providers can manage medication delivery effectively as it requires different stages. For instance, prescribing is done by physicians, while pharmacists and nurses dispense and administer the drugs, respectively. All these team members can collaboratively ensure that every aspect of medication safety is covered and that patients receive authentic and correct medicine in the appropriate dose at the right time.

    Moreover, it will avoid miscommunication among an interdisciplinary team by sharing insights on medicines and clarifying doubts. Lastly, a multidisciplinary team approach will analyze data related to medication errors and conduct root causes to prevent future mistakes and drive improvements by making suitable strategies. Patients will acquire patient-centered and holistic care through this approach, improving health outcomes, speeding up their recovery, and enhancing patient satisfaction (Mieiro et al., 2019). 

    Evidence-Based Interdisciplinary Plan

    Now, I will share the summary of the interdisciplinary plan, which is theoretical and substantiated by credible sources. This interdisciplinary plan requires the participation of all stakeholders seated in my audience. This will include the valuable presence of physicians, nurses, pharmacists, hospital administration, and IT specialists. This plan aims to inculcate a culture of care through collaboration, shared decision-making, effective communication, and improved patient engagement.

    This will significantly reduce the number of medication errors and enhance patient safety. For this purpose, our plan aims to employ different collaborative strategies such as shared-decision making. This will be achieved through physical meetings where healthcare providers discuss medication management based on patient health conditions (Halli-Tierney et al., 2019).  

    NURS FPX 4010 Assessment 4 Stakeholder Presentation

    Secondly, the goal will be achieved using electronic health records (EHR) as a technology-based collaboration approach. Healthcare providers will communicate virtually and manage medication at one glance through EHR-based patient profiles (Alanazi et al., 2019). The interdisciplinary team will also engage with patients to prevent patient-related medication errors through effective education on medication administration and relevant guidelines (Dendere et al., 2019).

    Furthermore, multidisciplinary education on medication error prevention and strategies for promoting safe medication must be fostered where nurses will learn about medication administration protocols such as the Five Rights of Medication Administration. Moreover, physicians and pharmacists will be educated on safe prescribing and dispensing, as these are crucial steps in the medication management process (Irajpour et al., 2019).

    Role of Interdisciplinary Team 

    Through these strategies of interdisciplinary plan, the physicians will privately prescribe the right drugs to avoid misunderstandings. Additionally, pharmacists will dispense the correct drug in the appropriate dose, while nurses will administer the right medicines to the suitable patients at the right time. Hospital administration will develop policies on interdisciplinary approaches toward medication management and evaluate results. The IT specialist will ensure EHRs are integrated correctly and work flawlessly to avoid technology-based misunderstanding and medication errors. 

    Implementation of the Plan

    The interdisciplinary plan on medication management will be implemented by following the PDSA cycle, also known as the Demming Cycle. This comprises a four-step strategy of Plan, Do, Study, and Act. PDSA is a continuous improvement process that drives consistent improvements and sustains improved changes. Therefore, this strategy can ensure medication error rates are reduced and consistently decrease the number of medication adverse events. This interdisciplinary plan will be implemented as follows:

    • Plan: In the plan step, hospital administration, with the help of the project manager, will identify the trends and patterns of medication errors. Moreover, they will devise plans to mitigate the incidence of these errors. This will include conducting meetings with the small interdisciplinary team on safe medication management. Together, multidisciplinary team members will craft ways to reduce medication errors through a practical communication approach, shared and informed decision-making using EHR, and enhancing patient engagement. They will also look for medication error data and pinpoint the areas where intricate attention to reducing medication errors is required.
    • Do: Once the plan is made, the strategies will be implemented on a trim level by introducing these strategies in a single medical-surgical unit of Valley Hospital. These strategies include regular meetings to make shared and informed decisions, the integrated EHR system, patients being educated for appropriate medication administration, and healthcare professionals being trained for medication safety. 

    NURS FPX 4010 Assessment 4 Stakeholder Presentation

    • Study: Here, all stakeholders will be coordinating to evaluate the effectiveness of measures taken on a small scale for reducing medication errors. For this purpose, medication error rates will be measured through dashboard metrics and compared to initial data before implementing this approach. Moreover, the mortality rates, increased hospital stay, and healthcare costs will be monitored to distinguish any differences through implementing this approach.
    • Act: Lastly, the evaluated results will be analyzed thoroughly, and further refinements are done to the plan by doing primary and minor revisions if required. After revising the plan, entire hospital departments will acquire implementation of this plan.

    Management of Human and Financial Resources

    This interdisciplinary plan is designed in a way that it can effectively manage human and financial resources. The human resources of Valley Hospital, such as doctors, nurses, pharmacists, IT specialists, and hospital administration, will be effectively managed by the division of tasks to prevent overburdening any individual. Furthermore, they will be motivated by providing basic salaries ($35,000/member) as budgeted. Along with the salaries, human resources will be recognized for their hard work and achievement of goals. They will not be wasted by adequately assigning them adequate roles to ensure their maximum participation.

    On the other hand, the financial resources will be allocated effectively, and utilization will be monitored timely to ensure that resources are not wasted. The effective utilization of resources will take place according to the resource expenditure. To justify it, for instance, integrating EHR at the cost of $90,000 will save long-term costs incurred by hospitals due to medication errors due to paper-based medication management (Alanazi et al., 2019).

    Moreover, the EHR’s maintenance cost of $20,000 will prevent glitches and medication errors due to the poor performance of EHR, further benefiting patients and organizations. Financial resources will be further managed by integrating training and education programs ($15,000) on safe medication delivery, which will prevent future medication errors. This will avert litigation costs and additional treatment costs associated with higher incidences of medication errors. 

    Evaluation of Project’s Success

    The project’s success will be evaluated based on evidence-based criteria. Achieving specific organizational and patient-health outcomes through this project will depict the project’s success. These successful project outcomes or measures are reduced mortality rates associated with medical errors, reduced number of medication errors, increased patient health and satisfaction, and reduced length of stay at the hospital. For this purpose, dashboard metrics can be utilized to analyze the accomplishment of the above mentioned project outcomes (Abd-Alrazaq et al., 2020). For instance, analyzing dashboard metric data on length of hospital stay, improved clinical health outcomes, and mortality rates give indirect nuances to the project’s success. The reduced mortality rates and length of hospital stay hint at the project’s successful implementation. 

    NURS FPX 4010 Assessment 4 Stakeholder Presentation

    While other evaluation methods directly analyze the number of medication errors department-wise, reducing medication error rates will indicate the project’s successful implementation.  Moreover, patient interviews or surveys can be conducted to estimate patient satisfaction, meaning safe medication management is established (Afrashtehfar et al., 2020). Another approach to measure the degree to which the project was successfully implemented is estimating the criterion of hospital reputation (Wallis et al., 2019). The hospital’s reputation can be evaluated by online reviews and ratings and through community engagement; this will indirectly reveal to what degree the project’s success is accomplished. The project is unsuccessful if the ratings are down and the community presents remakes of medication errors. Higher ratings and positive remarks indicate the community is satisfaction with care and medication treatments, showing the project’s successful implementation. 

    Conclusion

    The interdisciplinary team approach is the most suitable approach to tackle medication error as a prevailing issue in Valley Hospital. This requires the participation of stakeholders, including physicians, nurses, pharmacists, hospital administration, and IT specialists. This approach will ensure effective communication required for safe medication management. The plan is based on shared-decision making, the use of EHR, patient engagement, and healthcare professionals’ education for safe medication practices.

    This plan will be executed by implementing the PDSA cycle. Lastly, using direct and indirect methods, the project’s successful implementation can be evaluated by mortality rates, number of medication errors, length of hospital stay, and patient satisfaction. Hence, the plan is created to improve patient safety and quality of healthcare. Thank you for patiently listening to me. You can ask questions related to the presentation now. 

    References

    Abd-Alrazaq, A., Safi, Z., Alajlani, M., Warren, J., Househ, M., & Denecke, K. (2020). Technical metrics used to evaluate health care chatbots: Scoping review. Journal of Medical Internet Research, 22(6), e18301. https://doi.org/10.2196/18301

    Alanazi, B., Butler-Henderson, K., & Alanazi, M. R. (2019). The role of electronic health records in improving communication between health professionals in primary healthcare centres in Riyadh: Perception of health professionals. Studies in Health Technology and Informatics, 264, 499–503. https://doi.org/10.3233/SHTI190272 

    Afrashtehfar, K. I., Assery, M. K. A., & Bryant, S. R. (2020). Patient satisfaction in medicine and dentistry. International Journal of Dentistry, 2020. e6621848. https://doi.org/10.1155/2020/6621848 

    Carver, N., Hipskind, J. E., & Gupta, V. (2019). Medical error. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK430763/ 

    Dendere, R., Slade, C., Burton-Jones, A., Sullivan, C., Staib, A., & Janda, M. (2019). Patient portals facilitating engagement with inpatient electronic medical records: A systematic review. Journal of Medical Internet Research, 21(4), e12779. https://doi.org/10.2196/12779 

    Elliott, R. A., Camacho, E., Jankovic, D., Sculpher, M. J., & Faria, R. (2021). Economic analysis of the prevalence and clinical and economic burden of medication error in England. BMJ Quality & Safety, 30(2), bmjqs-2019-010206. https://doi.org/10.1136/bmjqs-2019-010206

    Irajpour, A., Farzi, S., Saghaei, M., & Ravaghi, H. (2019). Effect of interprofessional education of medication safety program on the medication error of physicians and nurses in the intensive care units. Journal of Education and Health Promotion, 8(196). https://doi.org/10.4103/jehp.jehp_200_19  

    NURS FPX 4010 Assessment 4 Stakeholder Presentation

    Mieiro, D. B., Oliveira, É. B. C. de, Fonseca, R. E. P. da, Mininel, V. A., Zem-Mascarenhas, S. H., & Machado, R. C. (2019). Strategies to minimize medication errors in emergency units: An integrative review. Revista Brasileira de Enfermagem, 72(suppl 1), 307–314. https://doi.org/10.1590/0034-7167-2017-0658 

    Wallis, J., Fletcher, D., Bentley, A., & Ludders, J. (2019). Medical errors cause harm in veterinary hospitals. Frontiers in Veterinary Science, 6. https://doi.org/10.3389/fvets.2019.00012