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

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

REDUCING THE RISK OF A MED-ERROR IN-SERVICE SAFE MEDICATION ADMINISTRATION
Teletha Stephenson, RN
Capella University
FPX 4020
Hello my name is Teletha Stephenson, and I will be presenting an in-service on safe medication administration

  • I do not own the rights to this image, image provided WHO Medication Without Harm Campaign.
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CONTENT
Purpose and goal of the in-service
Why is safe medication administration important?
Need for safety outcome
Process of safety outcome
Audience role and importance in the safety plan
Resources to improve medication administration
The purpose of this in-service is to discuss medication safety and ways to reduce the risk of errors. Medication starts with you, you being the nurse at any given time can break this chain that can increase medication errors in all areas of healthcare. We will discuss all these topics throughout the in-service we will have discussions about safe medication administration and ways you can utilize this information to better your safety awareness
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PURPOSE AND GOAL
investigating need and process of safety outcomes
identifying the roles of healthcare professionals
resources needed to improve medication administration.
The purpose of this in-service is to educate and implement strategy for healthcare professionals to deliver safe medication administration by investigating need and process of safety outcomes, identifying the roles of healthcare professionals, and the resources needed to improve medication administration. Also, we will discuss the consequences of medication error on patients and healthcare systems.

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DEFINE A MEDICATION ERROR
According to the World Health Organization (WHO), medication error is defined as:
“ any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer.”
A breakdown in any of theses stages a medication error is likely to occur:
Administration
Distribution
Prescribing
Monitoring

According to the World Health Organization (WHO), medication error is defined as any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. Medication error is a very crucial process in which nurses, pharmacists, physicians, and other healthcare provider play a role in the administration, distribution, prescribing, and monitoring. When there is a breakdown in any of theses stages a medication error is likely to occur.

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WHY IS SAFE MEDICATION ADMINISTRATION IMPORTANT?
Audience Question #1
I will pose a question to the audience: Give me reasons why safe medication administration is important? After I get 3 reasons, we will continue to the next slide to go over reasons why it is important.
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WHY IS SAFE MEDICATION ADMINISTRATION IMPORTANT?
Better management of illness/disease
Preventing adverse events including death
Increases healthcare providers morale
Decrease hospital stays
Improve quality of care
Decreases healthcare cost
Safe medication administration is important for better management of illness/ disease. It prevents adverse events, including loss of life from occurring. It provides the healthcare professionals with a good sense of morale, decreases hospital stays, improvement in quality- of- care form healthcare workers, and finally decreases the overall cost and burden on healthcare systems.
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FACTORS CAUSING MED ERRORS AND THE PRICE TO PAY?
Prescription Error
-Such as the wrong dose, incorrect labeling,
-Look alike sound alike medication
-Drug – drug interactions
-Incorrect patient information
Preventable medication errors impact more than 7 million patients and cost almost $21 billion annually across all care settings (Da Silva, et al., 2016).
Let’s explore a factor that can cause a medication errors, such as prescription error. This includes the wrong dose, incorrect labeling, look alike sound alike medication, drug – drug interactions, and incorrect patient information. 6–7% of hospital admissions are due to medication errors (Yousef, N., Yousef, F 2017). These errors can lead to poor patient outcome, adverse effects on patient including death, and healthcare workers feeling hopeless.

Medication errors also increase healthcare cost. It is believed that preventable medication errors impact more than 7 million patients and cost almost $21 billion annually across all care settings (Da Silva, et al., 2016). When medication errors and adverse events occur it affects the patients, providers and the economy.

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NEED FOR AND PROCESS OF SAFETY OUTCOME

Nurses play a key role in the medication administration process
Using this best practice solution of medication administration which includes right dose, patient, time, right drug, and right route!
Safe medication administration decrease adverse events
Decrease burden on healthcare provider
Decrease cost of healthcare on the economy.
The need for safe medication administration is important for the safety and wellbeing of the patient. Safe medication administration decrease adverse events, decrease burden on healthcare provider, and decrease cost of healthcare on the economy.

Nurses play a key role in the medication administration process as they are usually the final stop prior to administering medications to patients. Most nurses are taught safe medication administration using a framework known as the ‘five-rights’ ( Julie-Ann Martyn, 2019).Using this best practice solution of medication administration which includes right dose, patient, time, right drug, and right route is proven to aid in decreasing medication errors.

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WHO CAN A NURSE INCLUDE IN A SAFETY PLAN?
Audience Question #2
I will pose a question to the audience: Who else can a nurse include in a safety plan to address concerns for a safety plan or further deliverance of care?
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AUDIENCE ROLE AND IMPORTANCE IN THE SAFETY PLAN
Nurses must coordinate with an interdisciplinary team that includes
physicians-establish plan of care
pharmacist-coordinate with a medication treatment plan and medication requisition
Therapist-respiratory or physical therapy specialist to follow ancillary treatment plans
nurse leaders-establish care needs and further disposition plans
Patients-be involved in their own medication practices and education
Board members of the organization – to establish evidenced based research and implementation

Nurses in any healthcare setting need to coordinate with stakeholders such as physicians, pharmacist, therapists, specialists, nurse leaders, patients, and board members of the organization. Coordinating with such stakeholders will allow for better communication among all involved in the care of the patients.

Research have demonstrated that the use of communication strategies by nurses, doctors, pharmacists and patients created opportunities for improved interdisciplinary collaboration and patient-centered medication management (Lui Wei, 2016).

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RESOURCES TO IMPROVE MEDICATION ADMINISTRATION
Implement medication safety technology
Implement strategy for look-alike-sound-alike medication labeling
Educational resources and handouts for patients and care-givers
Quality assurance staff on unit

Implement medication safety technology- This include computerized physician ordering system including barcode verification technology to confirm the right drug is being administered to the right patient.

Implement strategy for look alike sound alike medication- add warning labels that alert staff for these types of drugs, educate patient and caregivers regarding theses types of drug, use tall man lettering to help identify theses types of drugs.

Educate patients and caregivers- There are many patients that are responsible for their medication administration at home. Educating them on the purpose, dose, and time to take medications are important for the safe handling of meds when in the home setting.

Quality assurance rounding on unit to assess the work environment- Med error can occur when there is a shortage, interruptions, and distractions.

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

UNSAFE MEDICATION PRACTICES AND MEDICATION ERRORS ARE A LEADING CAUSE OF INJURY AND AVOIDABLE HARM IN HEALTH CARE SYSTEMS ACROSS THE WORLD, (WHO, 2016)
Let’s be the best nurses we can be to our patients, starting with medication administration safety. Let us reflect on what we learned so far: ways in which we can stop medication errors from happening, what constitutes a medication error, how we can communicate across healthcare providers to come implement with cost effective options for medication safety, and ultimately help our patients be more involved in their care. Thank you for attending this in-service and have a great day!
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REFERENCE
Da Silva, Brianna A, MD, & Krishnamurthy, Mahesh, MD,F.A.C.P., S.F.H.M. (2016). The
alarming reality of medication error: A patient case and review of pennsylvania and
national data. Journal of Community Hospital Internal Medicine Perspectives, 6(4), 1-6.
doi:http://dx.doi.org.library.capella.edu/10.3402/jchimp.v6.31758
World Health Organization. (2016). Medication Errors: Technical Series on Safer Primary Care. Geneva: World Health Organization; 2016. License: CC BY-NC-SA 3.0 IGO
Yousef, N., Yousef, F. (2017). Using total quality management approach to improve patient
safety by preventing medication error incidences** . BMC Health Serv Res 17, 621
https://doi.org/10.1186/s12913-017-2531-6

REFERENCE


Julie-Anne Martyn, Paliadelis, P., & Perry, C. (2019). The safe administration of medication:
Nursing behaviours beyond the five-rights. Nurse Education in Practice, 37, 109-114.
doi:http://dx.doi.org.library.capella.edu/10.1016/j.nepr.2019.05.006
Liu, Wei (10/2016). “Creating opportunities for interdisciplinary collaboration and patient‐centred care: how nurses, doctors, pharmacists and patients use communication strategies when managing
medications in an acute hospital setting”. Journal of clinical nursing (0962-1067), 25 (19-20), p. 2943.

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