NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation NR

NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation NR

PART 1: AGENDA & OUTCOMES
AGENDA

NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation NR

Medication Errors (ME)
Proposed improvement plan
Your role and importance
Processes and skills
Open forum (feedback)
OUTCOMES

Safety awareness
Adverse drug events (ADE) reduction
Focus on continued education
Interprofessional collaboration

Make the introductions for the meeting and run through the agenda for the day
Clearly state the desired outcomes from this in-service
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ME – DEFINED
A medication error is defined as any preventable event that may cause inappropriate medication use or patient harm while the medication is under the control of the health care professional, patient, or consumer (Zhou et al., 2018)

Unsafe medication practices are the leading cause of avoidable patient harm in healthcare systems worldwide (Wondmieneh et al., 2020).

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NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation NR

ME – CAUSES
Dosage calculation errors
Overworked hospital units
Employee fatigue
Insufficient knowledge
Unsuitable environmental conditions
Some of the leading causes of medication errors (ME) are dosage calculation errors, overworked hospital units, employee fatigue, insufficient knowledge, and unsuitable environmental conditions (Wondmieneh et al., 2020).

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PART 2: IMPROVEMENT PLAN
Barcode scanning


Improved nurse communication
Automated Dispensing Cabinets (ADC)
Quality improvement (QI) with PDSA
Provide quick overview of each, will be discussed deeper in following slide
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RESULTS AND RATIONALE
Barcode technology reduced dispensing errors up to 96% and documentation errors by 80.3% (Naidu & Alicia, 2019)
Effective communication is a vital factor in providing safe patient care. Communication failure in a health care setting could lead to serious medical errors (Shahid & Thomas, 2018)
The implementation of ADCs could reduce medication selection and preparation errors and improve medication safety (Fanning, et al., 2017)
The Institute for Healthcare Improvement advocates plan-do-study-act (PDSA) cycles to plan, test, observe an intervention’s results and act on what was learned (Ho & Burger, 2020)
Scan patient armbands and medication barcodes prior to medication administration
SBAR and other standardized communication methods
Automated dispensing cabinets reduce medication errors significantly
It is essential to use a systematic approach to track, measure, adjust, and repeat the changes when executing a QI plan. The Plan-Do-Study-Act (PDSA) cycle would be an excellent choice for these purposes.
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NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation NR

PART 3: YOUR ROLE
Identification and reporting


Following protocol
Training and education
QI program participation
Interpersonal collaboration
This plan will not work without complete buy in from all of you
Your help is needed with identifying and reporting any medication errors
Facility protocol must be adhered to and followed
New employee training and ongoing CE courses will foster a safe environment
Interpersonal collaboration and communication is crucial to success
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PART 4: PROCESSES AND SKILLS
Review the 5 “Rights” before medication administration


right patient, right drug, right route, right time, and right dose
Communication review
Use standardized nursing communication methods such as the SBAR and SOAP
ADC and barcode training
Always scan before administration
QI is a collective initiative that requires buy-in from staff and management at all levels. Since the primary stakeholders are nurses and their patients regarding medication administration specifically, management must make the necessary changes to facilitate nurses’ needs to implement the needed safety changes successfully.
Since nursing is the nation’s largest healthcare profession, with more than 3.8 million registered nurses (RNs) nationwide (Rosseter, 2019), They play a significant role in the occurrence as well as the prevention of medication administration errors (Wondmieneh et al., 2020).
The five rights of safe medication administration include the right patient, right drug, right route, right time, and right dose (Hanson, 2021)
We will set training goals with specific dates and times that everyone can sign up for. Attendees will be paid for their participation and participation will be mandatory.
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NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation NR

PART 5: OPEN FORUM (FEEDBACK)
Q&A


IDEAS
ACCOUNTABILITY
CONTINUED QI
MONTHLY UPDATES/MEETINGS
This is the time to have an open Q&A forum to address concerns
Open door policy for hearing feedback and ideas
We must all hold each other accountable to keeping with our goals
The goal should always be continued QI where opportunities are found
We will meet monthly to keep everyone on the same page
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REFERENCES


Wondmieneh, A., Alemu, W., Tadele, N., & Demis, A. (2020, January 13). Medication administration errors and contributing factors among nurses: A cross sectional study in tertiary hospitals, Addis Ababa, Ethiopia – BMC Nursing. BioMed Central. Retrieved January 28, 2022, from https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-020-0397-0
Ho, J., & Burger, D. (2020, September). Improving medication safety practice at a Community Hospital: A focus on bar code medication administration scanning and pain reassessment. BMJ open quality. Retrieved February 15, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7507888/
Fanning, L., Jones, N., & Manias, E. (2017). Impact of automated dispensing cabinets on medication selection and preparation error rates in an emergency department: a prospective and direct observational before-and-after study. Journal of evaluation in clinical practice, 22(2), 156–163. https://doi.org/10.1111/jep.12445
Naidu, M., & Alicia, Y. L. Y. (2019, May 14). Impact of bar-code medication administration and electronic medication administration record system in clinical practice for an effective medication administration process. Health. Retrieved February 16, 2022, from https://www.scirp.org/journal/paperinformation.aspx?paperid=92509#:~:text=Barcode%20technology%20reduced%20dispensing%20errors,administration%20and%20the%20safety%20aspect
Shahid, S., & Thomas, S. (2018, July 28). Situation, background, assessment, recommendation (SBAR) communication tool for handoff in Health Care – A Narrative Review – safety in health. BioMed Central. Retrieved February 16, 2022, from https://safetyinhealth.biomedcentral.com/articles/10.1186/s40886-018-0073-1
Rosseter, R. (n.d.). News & information. American Association of Colleges of Nursing: The Voice of Academic Nursing. Retrieved April 1, 2019, from https://www.aacnnursing.org/news-Information/fact-sheets/nursing-fact-sheet
Hanson, A. (2021, September 12). Nursing rights of medication administration. StatPearls [Internet]. Retrieved February 15, 2022, from https://www.ncbi.nlm.nih.gov/books/NBK560654/

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