NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit
Student Name Capella University NURS FPX 4020 Improving Quality of Care and Patient Safety Prof. Name Date Improvement Plan Tool-Kit The Acadia General Hospital has been encountering medication administration erors compromising patient safety, for which safety improvement plan has been developed in previous assessment. This improvement plan toolkit addresses medication administration errors and enlightens the healthcare workforce of AGH with a better understanding of the safety improvement plan. This will potentially persuade the healthcare workforce to implement the safety improvement plan as it is based on evidence-based scholarly articles. The resource toolkit is prepared by thorough research on medication administration errors via multiple databases such as CINAHL, Google Scholar, PubMed, JSTOR, and PubMed Central. The resource tool kit focuses on four categories related to medication administration: Introduction to medication errors, Risk factors of medication administration errors, Nurses’ role in preventing medication administration errors, and Evidence-Based practices for minimizing medication administration errors. Introduction to Medication Errors Carver, N., Hipskind, J. E., & Gupta, V. (2019). Medical error. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK430763/ This resource covers medical errors from its introduction, issues of concern, and risk factors to clinical. significance. According to this resource, medication errors can be directed to different events varying in the magnitude of patient harm. The avoidable medication adverse events cause 44,000 to 98,000 mortalities in US hospitals. The resource further describes types of medical errors, comprising wrong dose, drug, patient, route of administration, diagnostic, and system errors. These events incur heavy costs to the community that range between 37.6 to 50 billion dollars, including additional healthcare costs, loss of productivity, and disability. The resource also emphasizes the multifaceted approaches to control errors, including error reporting culture, implementation of legislative measures to enhance patient safety, and use of strategies to prevent medication errors, such as using technology and improving communication among interdisciplinary teams. This resource is helpful for nurses to understand what medication errors are, their prevalence, and their types. This will lead to reduced risk to patient safety and improved quality of care with medication administration. Furthermore, nurses can use this resource in their healthcare settings, such as Acadia General Hospital, to understand factors leading to medication errors and strategies to avoid them. This will create an organizational culture prioritizing patient safety and reducing patient harm due to medication errors. NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit 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). https://doi.org/10.1136/bmjqs-2019-010206 This study by Elliot and colleagues (2021) mainly focuses on the prevalence of medication errors and economic burden in England. This resource highlights that 237 medication errors occur in England annually, of which 66 million are of significant clinical value. Moreover, implications of these errors include the utilization of 181,626 bed-days and total costs incurred to NHS up to £98 462 582 per year. This resource is helpful for nurses as it enlightens them on the prevalence of medication errors outside the U.S. and the financial repercussions. Moreover, nurses can gain insights from this resource on how medication errors can cause a financial burden on the country and how these preventable adverse events can result in a better and more stable economy if the appropriate measures are adopted timely. Nurses can use this resource to understand medication errors from an economic perspective in their healthcare setting. Additionally, it can improve nurses’ work performance when they have adequate knowledge of the subsequent consequences of medication administration errors. NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit Rodziewicz, T., & Hipskind, J. (2020). Medical error prevention (pp. 1–37). http://www.saludinfantil.org/Postgrado_Pediatria/Pediatria_Integral/papers/Medical%20Error%20Prevention%20-%20StatPearls%20-%20NCBI%20Bookshelf.pdf This resource talks about the prevention of medical errors. This resource highlights multiple adverse events, including medication-associated errors, with their causes and preventive strategies. Moreover, it discusses healthcare technologies to prevent medication errors, such as electronic health records and computerized prescriber order entry. It guides nurses in preventing medication errors due to communication errors by integrating “read back” strategies on telephone orders and enhancing multidisciplinary team collaboration. Nurses can use this resource to discover the types of errors and preventive strategies to reduce the incidence of these errors in Acadia General Hospital (AGH) and better understand the safety improvement plan where technology is required. Risk Factors of Medication Administration Errors Walker, D., Moloney, C., SueSee, B., Sharples, R., Blackman, R., Long, D., & Hou, X.-Y. (2022). Factors influencing medication errors in the prehospital paramedic environment: A mixed method systematic review. Prehospital Emergency Care, 1–37. https://doi.org/10.1080/10903127.2022.2068089 This study by Walker and colleagues (2022) highlights various factors contributing to medication administration errors. These include organizational factors such as a culture that does not encourage patient safety, understaffing, and inadequate resources and reporting systems. Medications with poorly labeled packaging and confusing names, such as look-alike-sound-alike medication, are medication-related factors that lead to medication errors. Additionally, external interruptions and inadequate lighting are environmental factors influencing medication errors. Other factors include procedure-related factors (poor medication verification processes) and cognitive factors (cognitive overload, poor memory, and confirmation biases). This resource provides a comprehensive list of factors that nurses can use to gain adequate knowledge on contributing factors towards medication errors and must take suitable measures to prevent them. This requires interdisciplinary collaboration and resources to eliminate these factors. Nurses of AGH can utilize this resource to learn about key factors that hinder patient safety and work accordingly to reduce medication errors owing to these mediators. Wondmieneh, A., Alemu, W., Tadele, N., & Demis, A. (2020). Medication administration errors and contributing factors among nurses: A cross sectional study in tertiary hospitals, Addis Ababa, Ethiopia. BMC Nursing, 19(4), 1–9. https://doi.org/10.1186/s12912-020-0397-0 NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit This resource highlights medication administration errors and contributing factors among nurses that lead them to medication errors, reducing patient safety. The authors identified that lack of adequate training, inadequate work experience, and unavailability of proper guidelines for medication administration were major nurse-oriented factors that caused medication administration.