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NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation

Student Name  University Name NURS FPX 4020 Improving Quality of Care and Patient Safety Instructor Name Date  Improvement Plan In-Service Presentation Good morning/ afternoon, everyone, and welcome to my presentation. I am —-, a registered nurse at Acadia General Hospital. Today, I will deliver a presentation on an in-service improvement plan for reducing medication administration. Before I begin, I would like you all to remain seated quietly and park your questions till the end of the session, where I will adequately satisfy your concerns and queries. Let us delve into the content and objectives of this presentation. Agenda  This presentation entails the following contents: Outcomes of In-Service Safety Improvement Plan The audience will learn their critical roles in reducing medication administration errors in AGH by completing this in-service safety improvement plan. Moreover, the audience will learn new practices or skills that they can implement in promoting safe medication administration. They will learn about the proposed safety improvement plan and how to implement it effectively. This will result in enhanced performance in safe medication management, reduced incidences of medication administration errors, and enhanced patient satisfaction. Moreover, the costs associated with medication administration errors will diminish, and resources can be better allocated, facilitating the efficiency of healthcare organization and performance. Objectives of In-Service Session on Safe Medication Administration All healthcare settings work to deliver the best quality care treatments to patients, alleviating the severity of health problems and improving their health outcomes. The escalating number of adverse events like medication administration errors hamper the organizational goal of providing effective and efficient care to patients. Therefore, all healthcare professionals must adhere to principles of safe and effective care provision grounded in coordination and collaboration, reducing the possibility of medication administration errors (World Health Organization, n.d.). This session aims to tackle the prevailing issue of medication administration errors at AGH, impacting patient safety and hospital performance. The goals and objectives of this in-service session are to foster a conducive environment for nurses to minimize medication administration errors by 1) equipping nurses with adequate knowledge on focused medication administration, 2) utilizing the effective use of healthcare information technologies that facilitate safe medication management and, 3) adherence to new policies on safe medication administration.  Safety Improvement Plan The safety improvement plan is devised to overcome the alarming issue of medication administration errors at AGH. Lately, the healthcare organization has encountered multiple medication administration errors due to several factors, such as a lack of implementing medication administration protocols, nurses’ negligent behavior and mental absenteeism, lack of healthcare technology, and lack of clear hospital policies. For this purpose, a safety improvement plan is crafted considering these dominating factors. The proposed plan includes training nurses on mindfulness, integrating barcode medication administration technology, and developing new policies on medication administration. The improvement plan is expected to enhance patient safety when nurses are well-trained in focused medication administration and are mindfully present (Ekkens & Gordon, 2021).  NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation Moreover, BCMA will enable the practical implementation of double medication verification through barcode and minimize medication errors due to wrong medication (Mulac et al., 2021). Lastly, developing new policies, such as penalties and job termination on consistent medication administration incidents, will inculcate a sense of responsibility and alertness among nurses, delivering correct medication administration (Vaismoradi et al., 2020). This safety improvement plan will potentially reduce medication administration errors and patient harm by safe medication administration.  Need to Improve Safety Outcomes It is crucial to address the current situation of escalating medication administration error incidents at AGH due to various health and other implications. Medication administration errors require further treatments to reduce patient harm, impacting patients’ well-being due to physical, mental, and emotional stress. Patients may distrust healthcare professionals and impede required care treatments, further aggravating poor health outcomes. This may lead to severe health conditions, leading to mortalities. Moreover, the financial burden increases on patients and the organization due to extra treatments and procedures, leading to a financial crisis. Furthermore, the organization can suffer from a rapid decline in patient revenue as patients’ satisfaction is reduced, and their turnover rates will be higher, leading to economic instability of hospitals (Elliott et al., 2021). Therefore, AGH must address medication administration errors by implementing the proposed safety improvement plan.  Audience’s Role in the Implementation of Improvement Plan The role of the audience, including nurses, policymakers, and IT personnel, is necessary to implement an improvement plan successfully. Nurses are primary stakeholders involved in medication administration procedures, and their active involvement in learning and practicing nursing rights of medication administration will result in safe medication delivery. Nurse leaders must conduct training sessions on mindful and focused medication delivery. Moreover, the healthcare administration will be responsible for policy-making for nurses to create stringent policies on safe medication administration. They will develop a policy on penalties, which nurses must abide by when making medication administration errors. Additionally, if the nurses resist change in attitudes, the policymakers will craft a policy of job termination. Besides, the integration and implementation of BCMA technology require the IT personnel they guide nurses on its practical use and managing glitches, if any. This requires an interdisciplinary collaboration to ensure the proposed improvement plan is efficiently driven and brings the desired outcomes of reduced medication administration errors. Importance of Embracing Role in Plan All these stakeholders are critical to the success of the improvement plan targeted at medication administration. Nurses can sustain their jobs by embracing their role as competent care providers with adequate training and mindful medication administration, preventing themselves from job termination and heavy fines. Policymakers play a crucial role in achieving the desired goal of reducing medication administration errors with strict policy development procedures. This will enhance nurses’ adherence to improvement plans due to fear of losing jobs and aiming for acquiring bonuses by efficient performance. Moreover, healthcare organizations can work efficiently, fulfilling their aim of delivering high-quality care to patients. Lastly, IT personnel will lead a technology-driven organization, paving the way for

NURS FPX 4020 Assessment 2 Root Cause Analysis and Safety Improvement Plan

Student Name  University Name NURS FPX 4020 Improving Quality of Care and Patient Safety Instructor Name Date  Root-Cause Analysis and Safety Improvement Plan Root-cause analysis (RCA) is a systematic strategy for solving problems and issues that cause significant destruction in any organization. Healthcare organizations use this strategy to resolve various issues, including preventable adverse events such as medication administration errors. The prevailing medication administration errors called for immediate action of RCA to lessen medication administration errors. This paper will highlight the use of RCA in Acadia General Hospital (AGH), where medication administration errors critically impact patient safety. Moreover, the assessment will discuss the root causes of recent medication administration errors in AGH, apply evidence-based practice strategies, and craft a safety improvement plan. Lastly, it will highlight identified existing resources of AGH that could be leveraged to improve safety improvement plans for safe medication administration. Analysis of the Root Cause Several medication administration errors occurred at AGH, but the incident of medication administration error due to the wrong medication by Jenna instigated the RCA. Jenna was a nurse on duty in the medical ward; on her evening round, she found that one of her patients, Graham, who complained of arthritis pain, required a dose of “Celebrex.” The nurse retrieved the wrong medication, “Celexa,” instead of “Celebrex”  due to lack of attention and being mentally absent during dispensing. Additionally, the question arises if the ward environment was chaotic or if there were distractions that could have contributed to Jenna’s mistake. Moreover, she did not double-check the medication before handing it to the patient. Graham took the medication without knowing that it was the wrong medication. It is essential to probe if there was a breakdown in communication between Jenna and Graham or if the patient was adequately informed about the medication he was receiving. The nurse found the mistake when investigating the medication administration chart and immediately reported to the healthcare team to manage Graham’s condition. Fortunately, the patient did not suffer any severe side effects of the anti-depressant agent to stabilize mood. NURS FPX 4020 Assessment 2 Root Cause Analysis and Safety Improvement Plan This error could have been prevented if the nurse exhibited attentive behavior and mindful performance during medication administration. The negligent behavior toward crucial tasks like medication administration was the primary cause of this incident. Moreover, the nurse did not comply with the medication administration protocols and required further education and training on safe medication delivery. The situation calls for evaluating whether communication between the medical staff, particularly in relaying and verifying medication instructions, was effective and transparent. When nurses show inadequate attention and mindfulness attitudes, these errors occur frequently, particularly for sound-alike and look-alikes medications (Schroers et al., 2020). Furthermore, the lack of technology-based medication administration further results in medication errors. The presence of healthcare information technology can alleviate the incidences of these errors.  Application of Evidence-Based Strategies The literature addresses numerous factors that lead to safety issues during medication administration. One study states that out of 185 nurses, 24 engaged in medication administration errors due to a lack of training on safe medication administration (Wondmieneh et al., 2020). Therefore, healthcare organizations must implement evidence-based strategies. One of these strategies includes training nurses on mindfulness during medication administration procedures. The literature substantiates this strategy, as 73.3% of medication errors are reduced by training nurses on mindfulness and attentive behaviors (Ekkens & Gordon, 2021). Another strategy includes integrating barcode medication administration (BCMA) technology to avoid medication administration errors due to wrong medication. The barcode will identify and confirm that the medication administered is correct and matches the one prescribed to the patient. This will result in enhanced patient safety and reduced incidence of medication administration (Mulac et al., 2021). Lastly, developing protocols on medication administration within hospitals can reduce medication administration errors as nurses will be held accountable in case of any violations of those protocols. Nurses will be more focused on implementing the protocols and relevant policies on medication administration due to the vulnerability of losing their jobs, heavy fines, and litigation actions (Vaismoradi et al., 2020). Safety Improvement Plan Nurse leaders and the hospital administration collaborated to develop a safety improvement plan for AGH. The plan aims to address medication administration errors. It is both realistic and grounded in evidence-based strategies. Specific actions, policies, and processes have been outlined for implementation, complete with goals and timelines. Training Nurses on Mindfulness The nurse leader will conduct mindfulness and focused medication administration training sessions for three months after developing this plan. This training will teach them the importance of attentive behaviors and mindfulness during the most crucial medication management tasks. Moreover, nurses will learn to avoid interruptions and be mentally present while administering medication to patients. Through this training, nurses will avoid making mistakes due to a lack of focus and attention. The desired outcomes and goals of this training include delivering correct medications to patients with a clear and focused mind and reducing medication errors due to nurses’ negligent behaviors (Ekkens & Gordon, 2021). Integration and Implementation of BCMA  The hospital will integrate a new technological process to reduce AGH medication errors. The barcode medication administration technology will allow nurses to match the barcode on the medication’s label with that of the patient’s prescribed barcode on the wrist. If the barcodes do not match, nurses will be alerted to the wrong medication, preventing its administration. Moreover, nurses can check which medication is required to administer to a patient related to his health condition, leading to safe medication management. The outcome of this technology will be reduced rates of medication administration errors due to wrong medication. Nurses will deliver the correct and proper medication, enhancing patient safety and reducing harm due to medication administration errors (Mulac et al., 2021). This strategy will require a timeline of six months as it requires financial, material, and human resources.  New Policies on Medication Administration The AGH will develop new policies on medication administration, such as penalties for violating the medication administration