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Capella 4020 Assessment 3

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    Capella 4020 Assessment 3

    Capella 4020 Assessment 3 Improvement Plan In-Service Presentation

    Student Name

    Capella University

    NURS-FPX 4020 Improving Quality of Care and Patient Safety

    Prof. Name

    Date

    Improvement Plan In-service Presentation

    A medication delivery method is typically categorized by the site of administration, such as intravenous or orally. The properties and pharmacology of the medicine, as well as accessibility, affect the choice of pharmacological administration methods. In this exercise, participants learn how to give drugs and how the interprofessional team can enhance quality care in the process. Before another healthcare professional gives a drug, it is the nurse’s responsibility to keep a record of whether the correct dose of the correct medication was provided to the appropriate patient following the correct method at the right time. Nowadays using electronic health records (EHR) to keep a record can help immensely in preventing  medication errors (MEs) (Morales-Botello et al., 2021).

    In the healthcare world, MEs and their prevention are highly valued. It seems that every hospital makes at least some medication miscalculations every day. It happens as a result of the incapacity of clinical personnel, incorrect dosing schedules, and drug expiration. MEs due to poor interaction and misunderstanding of a prescription have indeed been documented in some cases. Nursing professionals must therefore obtain the appropriate instruction from experts who are capable of using decision-making models, problem-solving methodologies, and ongoing resource endowments.

    Goals of Safe Medication Administration

    The goal of administering medication is always to achieve the desired results for the patient. People regularly don’t fully comprehend how their new drug impacts their healthcare and well-being. It could be challenging for some people to simply consume their drugs at the right time and dosage. Because drug errors are so common, the “5 Rights” are a collection of values that can aid medical personnel in preventing them.

    1. The right dosage.
    2. The right patient.
    3. The right drug.
    4. The right time.
    5. The right route (Márquez-Hernándezet al., 2019).

    To significantly minimize drug errors, healthcare providers can use a wide range of methods and techniques. Both keeping hospital stocks up to date and effectively storing pharmaceutical information are essential. All the pharmaceuticals needs to be correctly identified and stored in its original location after use. Accurate diagnosis of patients’ medical problem is necessary, and steps should be done to prevent communicable diseases.

    Consequently, conducting a thorough root cause investigation ranks among the most important actions that hospitals must do in the occurrence of a ME. The findings of this investigation ought to be utilized to pinpoint areas that require improvements. To guarantee that a prescription medication error do not occur again, the healthcare facility should then make the appropriate improvements, evaluate their effectiveness, and track their progress.

    Safety Improvement Plan and Outcomes Related to Medication Administration

    None the less, healthcare professionals usually consider quality healthcare and patient-centered care as two different issues. Practitioners make errors to include patient safety in patient experience initiatives, despite the fact that they view it as a very important aspect of their clinical care. Professionals frequently fail to include patients in safety standards. Patient safety measures must include all of the following: patient participation, satisfaction enhancement, health monitoring, and communication. This means that professionals must ensure that patients as well as those providing medical care are knowledgeable about their therapy and capable of preventing MEs.

    Inaccurate information concerning health records can be avoided by making it easier for patients to acquire health-related data and expert opinions. In a recent  study, researchers found that allowing patients access to their EHR data promotes patient safety.  Additionally, Electronic Medical Record (EMR) enabled Clinical Decision Support Systems (CDSS) and Computerized Physician Order Entry (CPOE) have been shown to significantly improve medication safety outcomes by reducing medication errors, adverse drug events, and other medication-related harm (Márquez-Hernándezet al., 2019).. Here’s how:

    Reducing Medication Errors: EMR enabled CDSS and CPOE can help reduce medication errors by providing decision support to clinicians at the point of care. CDSS can alert clinicians about potential medication errors or drug interactions, provide dosing recommendations based on patient characteristics, and offer guidance on appropriate medication selection based on patient history and other factors (Sutton et al., 2020).

    Capella 4020 Assessment 3

    Evidence: A systematic review of 21 studies found that the use of CDSS significantly reduced medication errors, with a pooled relative risk reduction of 48% (Sutton et al., 2020).

    Preventing Adverse Drug Events: EMR enabled CDSS and CPOE can also help prevent adverse drug events by identifying patients at risk for drug-related harm, providing decision support to clinicians on appropriate dosing, and enabling medication reconciliation across care transitions. CPOE can also help prevent medication-related harm by providing alerts to clinicians when ordering high-risk medications or medications with potential adverse effects. It can help reduce errors by enabling clinicians to electronically order medications, which reduces the likelihood of illegible or incorrect medication orders (Márquez-Hernándezet al., 2019).

    Evidence: A randomized controlled trial of CPOE in hospitals found that the use of CPOE with clinical decision support reduced serious medication errors by 55% and preventable adverse drug events by 17% (Roumeliotis et al., 2019).

    Standards: The Institute for Safe Medication Practices (ISMP) recommends the use of CPOE and CDSS as part of a comprehensive approach to reducing medication errors and improving medication safety. Additionally, the Centers for Medicare and Medicaid Services (CMS) have included the use of CPOE as part of its Meaningful Use criteria for electronic health records (EHRs) (Billstein-Leber et al., 2018).

    In conclusion, EMR enabled CDSS and CPOE can significantly improve medication safety outcomes by reducing medication errors and preventing adverse drug events. The evidence and standards support the implementation of these technologies as part of a comprehensive approach to medication safety.

    Audience Role and Importance

    For the reasons listed, it is essential for medical professionals to develop improvement strategies:

    1. By cooperating, nursing staff can make significant and long-lasting progress.
    2. Nursing staff improve productivity within their workplace without sacrificing quality by creating performance indicators.
    3. Healthcare facilities expand swiftly when sound plans and strategies are put into action. One study examined at hospital admissions and ED visits related to medications. 
    4. Providing clear and transparent communication about the plan’s goals, objectives, and expected outcomes can help build trust and credibility with the audience.
    5. Persuasive communication that highlights the benefits of the plan (e.g., improved patient outcomes, reduced medication errors) can help motivate the audience to support and participate in the plan.
    6. Tailoring communication to the needs and preferences of the audience (e.g., using simple language for patients, technical language for healthcare professionals) can improve understanding and engagement.
    7. Providing education and training on the plan’s implementation can help build confidence and competency among the audience.
    8. Soliciting feedback from the audience throughout the implementation process can help identify challenges and areas for improvement and demonstrate a commitment to continuous improvement (Roodbeen et al., 2020; Asad et al., 2021).

    New Process and Skills Practice 

    There are some resources or activities that could be created to encourage skill development and process understanding related to a safety improvement initiative on medication administration, along with an explanation of their value:

    Simulation-based training: Simulation-based training can help healthcare professionals develop and practice the skills needed for safe medication administration, such as medication preparation, calculation, and administration techniques. Simulation-based training can also be used to replicate medication-related errors or adverse events, allowing healthcare professionals to practice identifying and responding to these events in a safe environment (Sarfati et al., 2019).

    Value: Simulation-based training is an effective way to improve skill development and process understanding related to medication administration and has been shown to improve medication safety outcomes and reduce medication errors.

    Medication reconciliation workshops: Medication reconciliation workshops can help healthcare professionals understand the importance of medication reconciliation in preventing medication errors and adverse events. Workshops can cover topics such as the medication reconciliation process, common medication-related errors, and strategies for improving medication reconciliation in practice (Ranagachari et al., 2019).

    Value: Medication reconciliation is a critical step in preventing medication-related harm, and workshops can help healthcare professionals understand their role in this process and develop the skills needed to improve medication reconciliation in practice.

    Capella 4020 Assessment 3

    Root cause analysis (RCA) training: RCA training can help healthcare professionals understand how to identify and analyze the root causes of medication-related errors and adverse events. Training can cover topics such as RCA techniques, data collection and analysis, and developing action plans to address identified root causes (Ranagachari et al., 2019).

    Value: RCA is an important process for improving medication safety outcomes, as it allows healthcare professionals to identify and address the underlying causes of medication-related harm.

    Overall, these resources and activities can help encourage skill development and process understanding related to a safety improvement initiative on medication administration and can contribute to improved medication safety outcomes and reduced medication-related harm.

    Components of Health Security

    The area of health security encompasses the actions and reactions of states to hazards to public health. Evaluations, plan changes, coaching, gap investigations, and communication strategies all contribute to the ability to react to public health emergencies. Health surveillance operations entail acquiring, examining, and assessing health data in to enhance public health systems. Public health incident tracking can aid in the earlier detection and prevention of infectious disease epidemics. One means of intentional health security is having access to healthcare.

    1. Preventive healthcare.
    2. Immunization campaigns.
    3. Control of epidemics.

    Health security is now a strategy used by the WHO, lawmakers, scientists, and healthcare professionals to promote healthcare costs, medical system reform, care planning, and collaboration amongst stakeholders (Menear et al., 2019).

    Conclusion

    Over through the worldwide, medication errors are frequently committed as a consequence of ineffective resources planning. Improper medication, subpar treatment, and negligent care professionals are some of these mistakes. Effective organisational management, improved communication, appropriate regulation, and prudent resource management can all help to reduce medication errors.

    References

    Asad, M. M., Hussain, N., Wadho, M., Khand, Z. H., & Churi, P. P. (2021). Integration of e-learning technologies for interactive teaching and learning process: an empirical study on higher education institutes of Pakistan. Journal of Applied Research in Higher Education13(3), 649-663. https://doi.org/10.1108/jarhe-04-2020-0103 

    Billstein-Leber, M., Carrillo, C. J. D., Cassano, A. T., Moline, K., & Robertson, J. J. (2018). ASHP guidelines on preventing medication errors in hospitals. American Journal of Health-System Pharmacy75(19), 1493-1517. https://doi.org/10.37573/9781585286560.179 

    Márquez-Hernández, V. V., Fuentes-Colmenero, A. L., Cañadas-Núñez, F., Di Muzio, M., Giannetta, N., & Gutiérrez-Puertas, L. (2019). Factors related to medication errors in the preparation and administration of intravenous medication in the hospital environment. PloS one14(7), e0220001. https://doi.org/10.1371/journal.pone.0220001 

    Menear, M., Blanchette, M. A., Demers-Payette, O., & Roy, D. (2019). A framework for value-creating learning health systems. Health research policy and systems17(1), 1-13. https://doi.org/10.1186/s12961-019-0477-3 

     Morales-Botello, M. L., Gachet, D., de Buenaga, M., Aparicio, F., Busto, M. J., & Ascanio, J. R. (2021). Chronic patient remote monitoring through the application of big data and internet of things. Health Informatics Journal, 27(3), 14604582211030956. https://doi.org/10.1177/14604582211030956 

    Capella 4020 Assessment 3

    Rangachari, P., Dellsperger, K. C., Fallaw, D., Davis, I., Sumner, M., Ray, W., … & Rethemeyer, R. (2019). A mixed-method study of practitioners’ perspectives on issues related to EHR medication reconciliation at a health system. Quality management in health care28(2), 84. https://doi.org/10.1097/qmh.0000000000000208 

    Roodbeen, R., Vreke, A., Boland, G., Rademakers, J., van den Muijsenbergh, M., Noordman, J., & van Dulmen, S. (2020). Communication and shared decision-making with patients with limited health literacy; helpful strategies, barriers and suggestions for improvement reported by hospital-based palliative care providers. PloS one15(6), e0234926. https://doi.org/10.1371/journal.pone.0234926 

    Roumeliotis, N., Sniderman, J., Adams-Webber, T., Addo, N., Anand, V., Rochon, P., … & Parshuram, C. (2019). Effect of electronic prescribing strategies on medication error and harm in hospital: a systematic review and meta-analysis. Journal of general internal medicine34, 2210-2223. https://doi.org/10.1007/s11606-019-05236-8 

    Sarfati, L., Ranchon, F., Vantard, N., Schwiertz, V., Larbre, V., Parat, S., … & Rioufol, C. (2019). Human‐simulation‐based learning to prevent medication error: A systematic review. Journal of evaluation in clinical practice25(1), 11-20. https://doi.org/10.1111/jep.12883 

    Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ digital medicine3(1), 17. https://doi.org/10.1038/s41746-020-0221-y