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NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation

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    NURS FPX 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

    Greetings, I am __, and today, I will present an improvement plan aimed at enhancing patient safety by minimizing errors during the medication administration stage of patient care. Let’s delve into the objectives of this presentation.

    Purposes and Goals of In-Service Session:

    The primary goals for today’s presentation are:

    1. Discussing the prevalence and consequences of medication administration errors.
    2. Recognizing the imperative to enhance safety outcomes in medication administration.
    3. Recommending processes to improve safety outcomes in medication administration.
    4. Elaborating on the audience’s role in the safety improvement plan.
    5. Creating resources and activities to foster skill development and understanding of the processes involved.

    Medication Administration Errors:

    Medication administration errors involve the administration of the wrong drug or dose, using the improper route, at the inappropriate time, or to an incorrect patient. Approximately 40% of nurses’ floor time is devoted to medication administration, leading to potential errors (Obua, 2019). Subsequently, we will explore why a safety improvement plan is necessary to address medication administration errors.

    Needs to Improve Medication Administration Safety Outcomes:

    Hospitals report a rate of approximately 6.5 medication error-related adverse events per 100 admissions (Carver & Hipskind, 2019). More than half of these errors occur during the administration stage, emphasizing its critical role as the final step in implementing a crucial interception barrier. The prevalence of error rates related to administration is approximately 25.2% in hospitalized patients (Azar et al., 2023). The severity of incidents leading to harm or patient deaths is notably linked to the administration stage.

    Improvement Plan In-Service Presentation:

    Medication errors in hospitals are costly and have far-reaching consequences. They compromise patient trust, extend hospital stays, and necessitate additional treatments, incurring extra costs. This highlights the urgent need for a safety improvement plan.

    Processes to Improve Safety Outcomes Related to Medication Administration:

    The improvement plan focuses on three critical strategies:

    1. Incident Reporting and Blame-Free Culture:
      • Prioritize error reporting as a fundamental principle.
      • Modify the healthcare system to encourage reporting without fear of individual punishment.
    2. Collaboration Among Healthcare Professionals:
      • Foster effective collaboration for a safe work environment.
      • Establish risk management committees and interdisciplinary task teams for identifying and reducing risks.
    3. Health Information Technology:
      • Utilize computerized order input systems to reduce adverse drug occurrences.
      • Equip nurses with technological tools for seamless medication administration.

    Adhering to these strategies can lead to positive patient safety outcomes.

    Role of Audience:

    Active participation of healthcare staff, leaders, IT personnel, finance teams, and quality improvement committees is crucial. Their collaboration ensures strategic planning for safe medication administration, promotes incident reporting, and provides valuable insights.

    Resources and Activities Employed:

    Establishing resources and activities, such as visually engaging checklists and simulation exercises, enhances practical knowledge and skill development. Interactive workshops on safe drug administration practices empower healthcare staff and contribute to a safer healthcare environment.

    Conclusion:

    Medication administration errors have severe consequences, emphasizing the need for strategic improvement plans. In-service sessions, complemented by various exercises and programs, contribute to skill development and process understanding, ensuring patient safety.

    References:

    Azar, C., Raffoul, P., Rizk, R., Boutros, C., Saleh, N., & Maison, P. (2023). Prevalence of medication administration errors in hospitalized adults: A systematic review and meta‐analysis up to 2017 to explore sources of heterogeneity. Fundamental & Clinical Pharmacology. https://doi.org/10.1111/fcp.12873

    Carver, N., & Hipskind, J. E. (2019). Medical error.. StatPearls. Treasure Island (FL): StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK430763

    NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation

    Chegini, Z., Kakemam, E., Asghari Jafarabadi, M., & Janati, A. (2020). The impact of patient safety culture and the leader coaching behaviour of nurses on the intention to report errors: A cross-sectional survey. BMC Nursing, 19(1). https://doi.org/10.1186/s12912-020-00472-4

    Kuitunen, S. (2022). Medication safety in intravenous drug administration: Error causes and systemic defenses in hospital setting. Helda.helsinki.fi. https://helda.helsinki.fi/items/5441c513-bff7-4d79-b448-98954e2064a7

    Labrague, L. J., Al Sabei, S., Al Rawajfah, O., AbuAlRub, R., & Burney, I. (2021). Interprofessional collaboration as a mediator in the relationship between nurse work environment, patient safety outcomes and job satisfaction among nurses. Journal of Nursing Management, 30(1). https://doi.org/10.1111/jonm.13491

    Manias, E., Kusljic, S., & Wu, A. (2020). Interventions to reduce medication errors in adult medical and surgical settings: A systematic review. Therapeutic Advances in Drug Safety, 11(1), 1–29. https://doi.org/10.1177/2042098620968309

    NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation

    Obua, U. (2019). Strategies for Reducing Medication Errors in an Outpatient Internal Medicine Clinic – ProQuest. https://www.proquest.com/openview/1933b2fc7c5bf1d708e99a9e150fe328/1?pq-origsite=gscholar&cbl=18750&diss=y

    Waweru, E., Sarkar, N. D. P., Ssengooba, F., Gruénais, M. – E., Broerse, J., & Criel, B. (2019). Stakeholder perceptions on patient-centered care at primary health care level in rural eastern Uganda: A qualitative inquiry. PLOS ONE, 14(8), e0221649. https://doi.org/10.1371/journal.pone.0221649