BSN - Capella Assessment

Capella 4020 Assessment 1 Enhancing Quality and Safety

Capella 4020 Assessment 1 Enhancing Quality and Safety Name Capella university NURS-FPX 4020 Improving Quality of Care and Patient Safety Prof. Name Date Enhancing Quality and Safety Medication errors are the most significant factor of preventable patient harm in the global medical care setting. Medication Administration Errors (MAEs) are one of the more frequently occurring medical mistakes, which have severe implications for patients, medical personnel, and medical organizations (Wondmieneh et al., 2020). The World Health Organization (WHO) reported that the worldwide economic impact of drug errors is anticipated to be nearly 42 billion dollars yearly (Asefa et al., 2021). MAEs cause the mortality of around 7000 patients and cause approximately 400,000 occurrences of unnecessary patient damage in the United States each year (Wondmieneh et al., 2020). This study will examine a case illustrating the drug administration’s safety and quality challenges. Scenario Mr. John, a 52-year-old man with a diagnosis of cardiac myopathy, was hospitalized for prolonged care and treatments. A mistake in medicine administration happened during Mr. John’s hospitalization. Instead of his prescribed drugs, he was provided with the wrong medication by a nurse who misinterpreted the medication’s prescription. Tragically, the mistake was ignored until Mr. John’s condition progressively declined. The drug he acquired by mistake had a detrimental interaction with his other medicines. He had an elevated cardiovascular rate and breathing problems, which exacerbated his condition. The physician and the medical professionals evaluated Mr. John’s condition, and the MAE was found as a possible cause. Mr. John was then given immediate medical attention to help manage his health. This tragic event reminded the medical professionals in the healthcare setting of the importance of the safety of the medication. Factors Leading to Patient Safety Risk MAEs can cause severe health hazards to patients. Many factors contribute to patient safety hazards during pharmaceutical delivery. Poor teamwork and inadequate communication and interaction among doctors and nurses are some of the contributing factors to MAEs. Lack of collaboration among medical personnel can result in medication errors (Tiwary et al., 2019). Mr. John’s medication was administered incorrectly due to a misunderstanding and lack of communication among nurses and specialists. Misunderstanding and a lack of multidisciplinary cooperation result in insufficient information exchange among physicians, nurse practitioners, and pharmacy professionals, which can harm patients and increase medical expenditures. To prevent such events, efficient interaction is vital (Tiwary et al., 2019). Other recognized reasons for MAEs include errors in written correspondence, such as prescription drugs and record-keeping, drug delivery and inventory problems, such as pharmacy errors in dispensing, and facility management of stock. According to various studies, excessive job stress of nurses contributes to MAEs (Ayorinde & Alabi, 2019). However, the majority of MAEs impacting patients in hospitals happen at the bedside and arise when a drug dose is provided inappropriately (Ayorinde & Alabi, 2019). MAEs are more likely in patients who have complicated drug regimes. Many research investigations have found a link between pharmaceutical regimen complexity and an increased likelihood of mishaps (Jessurun et al., 2023). Mr. John’s history of cardiac myopathy most likely demanded an elaborate drug prescription. Using standardized verifying techniques can help reduce the chance of misunderstanding and mistakes. Medical professionals can minimize the chance of MAEs in people like Mr. John by highlighting the significance of verification of prescriptions (Jessurun et al., 2023). Solutions Based on Evidence-Based Best Practices Increased incidents of MAE results in a financial burden on patient and the healthcare system. Evidence-Based Practice (EBP) educates medical professionals on the most effective drugs or medications for particular diseases (Patel et al., 2019). EBP allows clinicians to select medicines with fewer adverse drug reactions. EBP enables physicians to administer Mr. John’s drug regimen effectively. EBP can significantly reduce MAEs, such as duplicate and incorrect dosages, and save medical expenses (Ahsani et al., 2022). Here are several EBPs that can assist in reducing MAEs: Medication Error Reporting System Introducing the Medication Error Reporting System (MERS) aids in identifying potential sources or risk factors of drug mistakes. Medication error reporting provides valuable information highlighting areas that require improvement to enhance patient safety (Mutair et al., 2021). Additionally, MERS is essential for assisting in easily avoiding errors and their typical serious consequences. Through MERS, healthcare professionals can evaluate contributing and risk variables in MAEs and the frequency of prescription mistakes. This system is critical to avoiding medication adverse events (Mutair et al., 2021). Barcoding Medication Administration (BCMA) BCMA functions as a beneficial Clinical Decision Support System (CDSS) to reduce medication errors. The BCMA technique can improve medicine delivery precision and effectiveness (Shitu et al., 2019). The scanning of barcodes verifies the drug information, guaranteeing the relevant patient, the right medicine, dosage, and mechanism is used. The BCMA system assists nurses in appropriately diagnosing patients and preventing MAEs. This approach enables hospitals and clinics to meet patient safety objectives (Mulac et al., 2021). Computerized Physicians’ Order Entry System (CPOE) The CPOE system helps nurses deliver medications currently functioning in the system. Using CPOE systems has been estimated to prevent around half of all medication errors (Jungreithmayr et al., 2021). A drug prescription should meet requirements such as legibility and accuracy to avoid MAEs. CPOE systems can significantly minimize unclear prescriptions and data exclusion, typical contributors to medication errors (Jungreithmayr et al., 2021). Medication Reconciliation (MR) MR is crucial to eliminate exclusion and replication errors, improper dosages or schedules, and harmful or adverse drug interactions. Adverse events can be reduced to improve patient safety by efficient MR, reducing the unwanted hospital stay of patients and mitigating healthcare costs (Chiewchantanakit et al., 2020). The MR strategy for Mr. John can help guarantee that his prescription information is updated during his hospitalization. This procedure involves contrasting his medicines with the drug prescription (Elbeddini et al., 2021). The Role of Nurses in Coordinate Care for Patient Safety Medication errors adversely affect patient safety. MAEs can result in extended hospital stays, incurring significant costs for medical facilities and individuals. Nurses can avoid these additional expenditures by playing their role in coordinating care (Mileski et al., 2020). Nurses can follow evidence-based drug safety procedures such as the five rights of drug management, including the right patient, prescription drugs, dosage, met hod of administration, and timing. Nurses regularly give the right medicine

Capella 4020 Assessment 2 Root Cause Analysis and Safety Improvement Plan

Capella 4020 Assessment 2 Root Cause Analysis and Safety Improvement Plan Name Capella university NURS-FPX 4020 Improving Quality of Care and Patient Safety Prof. Name Date Root-Cause Analysis and Improvement Plan Root-cause analysis (RCA) is an approach that evolved in the medical field and is used to explore the direct and indirect contributing variables for a preventable adverse event and develop a prevention strategy (Kwok et al., 2020). The most common application of RCA in healthcare is in the analysis of Medication Administration Errors (MAEs), which contribute to Adverse Drug Events (ADE). ADE has adverse patient implications, ranging from insignificant negative outcomes to potentially fatal situations (Singh et al., 2023). MAEs resulted in a patient safety issue at the Vila Health Hospital. This study will investigate the root cause of the MAE incident, taking into account the factors that contributed to the problem. Furthermore, an evidence-based safety improvement plan will be developed based on the organization’s available resources to avoid such problems. Root-cause analysis of medication administration errors One of the biggest causes of preventable patient damage in healthcare systems is inappropriate drug practices. The majority of these errors occur during the process of administration of drugs. Nurses are mainly accountable for MAEs (Wondmieneh et al., 2020). Lack of collaboration and records, a lack of medication interaction understanding, and inadequate instruction for patients result in MAEs that cause ADE (Guncag et al., 2021). By completing a comprehensive RCA, organizations can determine the sources of mistakes and design focused measures to avoid adverse events. A 52-year-old, Mr. Joseph, experienced adverse events due to MAEs. He was the patient of cardiac myopathy. During his hospital stay, the nurse misunderstood his handwritten medication prescription and gave him the wrong medicine, resulting in severe ADE, including increased cardiac rate and shortness of breath. It happens due to the injurious reaction of the wrong medicine with other drugs. The medication administration mistake committed by the nurse was an underlying concern. Poor standard of care and uncertain practices can result in significant death and disability in patients (Vaismoradi et al., 2020). To prevent repeated occurrences of severe drug reactions due to MAEs, it is critical to develop compatible guidelines for medication dispensing and highlight the importance of administering drug education (Vaismoradi et al., 2020). As a result, it is critical to recognize the elements contributing to the issue and develop an immediate safety improvement plan to address them. Elements Contributed to Safety Issues Assessing the primary cause of the patient protection concern, mainly Ms. Joseph’s MAE incident indicates various contributing variables relating to drug administration in the healthcare system. Inappropriate Medication Reconciliation (MR) and evaluation methods, such as the absence of complete drug records and accurate prescription histories, result in MAEs and harm the well-being of patients (Millichamp & Johnston, 2020). During nursing training, nurses acquire the five rights of administering medicines, which include the proper patient, prescription medicines, dosage, mode of delivery, and time. However, there are instances where nurses fail to adhere to this standard guideline, resulting in MAEs (Martyn et al., 2019). According to research, 38.6% of pharmaceutical mistakes were attributed to incorrect time management, while 27.5% were attributed to incorrect evaluation and prescription to the incorrect patient (Tsegaye et al., 2020). Capella 4020 Assessment 2 Root Cause Analysis and Safety Improvement Plan The absence of defined standards for pharmaceutical prescribing, as well as clear recommendations and decision support systems, leads to dependence on human knowledge, which increases the risk of MAEs and adverse events (Alshahrani et al., 2021). Continuing professional education (CPD) is critical for nurses to promote and upgrade their expertise and abilities based on recent developments (Hakvoort et al., 2022). It is reported that improper or lack of training of nurses leads to the MAEs. According to research, 78.7% of MAEs are caused by inadequate education (Tsegaye et al., 2020). This evidence demonstrates that nurses with a limited understanding of medications can make mistakes during medication administration without identifying side effects that can compromise patient safety (Hakvoort et al., 2022). Application of Evidence-Based Strategies Evidence-based and standard interventions can tackle the incidents due to MAEs and the fundamental reasons indicated for these issues. The MR process is critical in encouraging an appropriate approach to drug administration. Hazardous occurrences can be decreased to promote patient safety through effective MR, minimizing unnecessary hospitalizations and lowering medical costs (Milanez-Azevedo et al., 2022). Integrating Electronic Health Records (EHR) systems with MR allows for the accessibility of correct and updated medication records. It assists in lowering healthcare administrative expenses by eliminating duplicate drug prescriptions or problems with duplication and related issues (Adane et al., 2019). Introducing the Medication Error Reporting System (MERS) assists with recognizing possible contributors or indicators for medication mistakes. MERS provides beneficial data by revealing issues that need improvement to increase patient safety (Karande et al., 2021). Moreover, this system is critical for readily minimizing mistakes and their associated ADR. MERS allows doctors and nurses to assess causative variables in the incidence of prescription mistakes. This framework prevents medication-related adverse reactions (Afaya et al., 2021). Capella 4020 Assessment 2 Root Cause Analysis and Safety Improvement Plan Barcoding scanning or Barcoding Medication Administration (BCMA) system can aid in reducing ADE by improving medication administration. The BCMA approach promotes the accuracy and efficacy of drug distribution and administration. Scanning barcodes confirms the details of the medication, ensuring that the appropriate drug, dose, and procedure is employed. The BCMA program helps caregivers accurately assess patients to avoid MAEs. This method allows healthcare facilities to accomplish goals related to patient safety (Owens et al., 2020). Collaboration and coordination with pharmacists and health personnel can also assist patients with complex health issues in analyzing pharmaceutical prescriptions. Raising drug interaction awareness and instruction is essential in reducing MAEs (Jaam et al., 2021). To reduce MAEs and their impact on patient safety, comprehensive training sessions for medical professionals concentrating on drug interactions and medication administration are required (Vifladt et al., 2023). How Strategies Address Adverse Events Related to Medication Administration Error Evidence-based techniques will deal with the ADE associated with MAEs. Medical personnel can obtain detailed drug details by integrating EHR and BCMA (Owens et al., 2020). MERS assists in the identification of potential causes

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit Name Capella university NURS FPX 4020 Improving Quality of Care and Patient Safety Prof. Name Date Improvement Plan Toolkit The improvement plan toolkit developed in this assessment aims to enhance understanding of the safety improvement plan for reducing patient identification errors among healthcare staff and the relevant workforce. As the Arnold Palmer Hospital has been facing patient identification errors lately, a safety improvement plan is developed in the previous assessment. To better understand this plan, the improvement plan toolkit is designed to comprise research-based evidence focusing on patient identification errors and a tailored safety improvement plan. The toolkit is built by delving into research articles and drawing relevant articles as evidence-based practices to prevent patient misidentification. The four categories focusing on patient identification errors and safety improvement plans are patient identification and its significance in healthcare, procedures, and protocols to prevent patient identification, technology integration, and innovation and human-centered approaches towards correct patient identification. Patient Identification and its Significance in Healthcare Rahmawati, T. W., Sari, D. R., Ratri, D. R., & Hasyim, M. (2020). Patient identification in wards: What influences nurses’ complicance? Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit, 9(2). https://doi.org/10.18196/jmmr.92121 This article by Rahmawati et al. (2020) highlights the patient identification as a critical factor in patient safety. Moreover, it delves into the factors associated with low compliance with patient identification among nurses in inpatient settings. The article emphasizes the significance of patient identification with two identities: before diagnostic or therapeutic procedures and before administering medications and blood transfusions. It also highlights that patient identification is not limited to bracelet identifiers. Still, patient and family engagement in treatments by communicating with healthcare professionals should also be encouraged to promote a safety culture by reassuring patient identity. The article also states some stats on patient identification errors; for instance, the article mentioned that about 12 near misses in one hospital in 2019 occurred due to patient identification errors, showing the non-compliance of nurses towards patient identification protocols, procedures, and technologies. The root problems that lead to identification errors among patients identified by authors include lack of education and nurse awareness on patient identification, lack of implementation of SOPs for patient identification, late printing of bracelet identifiers, and lack of documentation of patients’ lists for registration. These factors have led to low compliance with patient identification among ward nurses. This resource is helpful for nurses to understand patient identification and why patient identification occurs in the first place. Moreover, this article has valuable data on factors required to promote patient safety by accurate patient identification and factors that trigger patient misidentification. This article can be valuable for all healthcare and non-clinical staff to understand patient safety, patient identification, and factors contributing to patient identification errors. NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit Sheedy, C., & Richard, S. (2020). Patient identification errors in the operating room. In Making healthcare safer III: A critical analysis of existing and emerging patient safety practices. Agency for Healthcare Research and Quality (US). https://www.ncbi.nlm.nih.gov/books/NBK555511/ This book chapter discusses patient identification errors in operating rooms. The study highlights that a review of 106 articles showed that wrong patient practices account for almost 0.9-1.86% of patient misidentification. The errors occur during surgery due to communication barriers, wristband errors such as removed wristbands, or absence of wristbands. After discussing the factors leading to the wrong patient and wrong-site surgery due to the misidentification of patients, the article highlights the methods to promote patient safety practices by emphasizing patient identification. These methods include implementing checklists and protocols such as the JC Checklist and the World Health Organization’s checklist for safe surgery. Other methods included marking the surgery site among patients with an indelible pen to avoid errors due to patient misidenfticiation. Additionally, the study considered using verification protocols and forms for accurate patient identification before surgery. These methods were effective in lowering the rates of surgical errors due to wrong patient identification. This study is useful for nurses to understand how patient identification errors occur in operating rooms. Moreover, healthcare professionals can find this resource valuable as it suggests methods to prevent surgical errors due to the misidentification of patients. By implementing these practices, healthcare professionals, including surgeons and nurses, can alleviate surgical mistakes and promote patient safety. NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit Romano, R., Marletta, G., Sollami, A., La Sala, R., Sarli, L., Artioli, G., & Nitro, M. (2021). The safety of care focused on patient identity: An observational study. Acta Bio Medica : Atenei Parmensis, 92(Suppl 2), e2021038. https://doi.org/10.23750/abm.v92iS2.11328 This article focuses on patient safety care from the perspective of patient identity. The study was performed to evaluate nursing students’ knowledge regarding the correct identification of patients. The study showed homogeneity in considering the correct patient identification protocols applicable within the internship. The study considered bracelet identifiers as the most beneficial strategy for accurate patient identification. This resource is helpful for nurses as it shows them the patterns of knowledge of patient identification among nursing students and how various methods and strategies can be used, as stated by the article. Further, the article is valuable as it educates nurses on using patient identifiers like bracelets to prevent errors in patient identification. It guides nursing educators on ways to improve the attitude of nursing students toward patient identification during internship programs. Patient Identification Errors Abraham, P., Augey, L., Duclos, A., Michel, P., & Piriou, V. (2021). Descriptive Analysis of Patient Misidentification From Incident Report System Data in a Large Academic Hospital Federation. Journal of Patient Safety, 17(7), 1. https://doi.org/10.1097/pts.0000000000000478 The article by Abraham and colleagues (2021) analyzes patient identification errors using incident report systems data. The resource found various factors that contributed to patient misidentification. The most frequently occurring errors were due to missed wristbands, which accounted for 34% of errors. Other contributing factors were wrong labeling, wrong charts, and administrative errors. This resource is useful for healthcare staff, including nurses, to gain insights into why patient identification errors occur and what factors lead to the

NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation

NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation Name Capella university NURS FPX 4020 Improving Quality of Care and Patient Safety Prof. Name Date Improvement Plan In-Service Presentation Hi everyone, I am —–, and I work at Arnold Palmer Hospital for Children as a baccalaureate-prepared nurse and team lead role; I am mentoring today’s session on an improvement plan. This safety improvement plan in-service presentation stemmed from evaluating the root-cause analysis of recently growing patient-identification error issues. I hope you all have a learning session today and practice more vigilantly to prevent the incidence of patient identification errors for children at our hospital. Agenda and Outcomes I will talk about the purpose and goals of the in-service session, the processes that need to be improved related to patient identification, and the role of the audience in addressing this safety concern. Moreover, I will also create resources and activities to encourage skill development and better comprehension of newly implemented processes. By the end of this session, the audience will have enhanced knowledge of preventing patient identification errors and hands-on experience with the technologies to be used. Moreover, they will be educated on protocols for patient identification to avoid errors. Purpose and Goals of Patient Identification Safety Presentation My aim for today’s presentation is to raise awareness among the healthcare workforce and administrative staff to prevent patient identification due to human errors and technological constraints. Additionally, the purpose of this session is to mitigate the risks associated with misidentification, which can lead to severe consequences such as medication errors, delays in care, incorrect treatments, and compromised patient safety (Rodziewicz & Hipskind, 2020). Our ultimate goal is to decrease the incidence of patient identification errors by 50% within one year. Additionally, the goal is to enhance the adherence to established patient identification protocols and procedures by 80% among healthcare and administrative staff. These goals are established by considering the SMART goal strategy, where goals are specific, measurable, attainable, realistic, and time-bound (Jeong et al., 2021). Safety Improvement Plan Overview of the Current Problem Currently, our healthcare organization has been tackling patient identification errors. Now, a root-cause analysis for one of these patient identification errors was performed due to the high emerging rates of this problem. The two patients, Julia and Jenny, came for vaccination, and their bracelet identifiers were replaced due to administrative errors. As a result, patients acquired the wrong vaccines, experienced adverse reactions, and increased susceptibility to diseases. The nurses also paid no heed to verifying patients before administering vaccines. The overall incident led the administrative team to delve into the root cause of the problem and create a plan to reduce these errors. Proposed Plan The proposed safety improvement plan includes implementing a barcode system, developing standardized protocols and checklists for double patient identification verification, and training staff, particularly the administrative and healthcare workforce. The barcode system will designate a barcode identifier for each patient and promote correct identification of the patient as the same barcode is assigned to the medication to be administered (Barakat & Franklin, 2020). This will reduce the onset of patient misidentification and enhance patient safety. Additionally, the healthcare administration will develop standards or protocols for patient identification, such as double verification and following the five rights of medication administration, where identifying the right patient is mandatory (Romano et al., 2021). The training sessions for healthcare and administrative staff will be performed to educate all relevant and responsible members on patient safety and the need for patient identification. This safety improvement plan will effectively boost patient safety in our organization (Romano et al., 2021). Need for Improving Safety by Avoiding Patient Identification Errors There is a pressing need for integrating new processes to improve patient safety by reducing identification errors. One of the significant reasons is that patient identification errors contribute to a substantial threat to safety of patients. They can lead to onset of adverse events like medication errors, compromised care treatments, and increased healthcare costs (Rahmawati et al., 2020). An evidence-based study states that about 236 patient identification errors occurred on losing their bracelet identifier (Rahmawati et al., 2020). By preventing these errors, patients will have better health outcomes as they receive correct care treatments and reduce healthcare costs. This requires reviewing incident reports and tracking the organization’s frequency of patient identification errors. Therefore, patient identification is an essential step towards patient safety, which must be correctly done by integrating relevant processes, protocols, and technologies. Role of Audience and Their Importance The success of the proposed safety improvement plan solely relies on the audience’s significant and active involvement and commitment. All the healthcare workforce and administrative are essential to fulfill the desired goal and achieve the purpose of the improvement plan. Clinical staff, including nurses, doctors, pharmacists, and other personnel, play a crucial role in adhering to new protocols, utilizing technology, and practicing accurate patient identification at every stage of care (Alomari et al., 2020). Since they are the primary caretakers of patients, their keen dedication to follow the new processes and technologies is necessary. Other front-line staff members, including receptionists and aides, are often the first point of contact with patients. Their diligence in following identification protocols is also essential (Burrows, 2020). Hospital administration must champion the improvement plan by allocating resources and creating a culture prioritizing patient safety. NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation The IT professionals will maintain and update technological solutions such as barcode scanners and overall barcode systems and upgrade EHRs to avoid system flaws (Houtan et al., 2020). The collaborative effort of each audience group is crucial to the success of the improvement plan. The organization will celebrate unified success with every milestone by implementing an improvement plan. It is crucial to address the growing safety concern of patient identification errors at our organization, as leaving them unaddressed can result in higher morbidity and mortality rates due to wrong treatments (Romano et al., 2021). Moreover, they cause high costs to the healthcare

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

NURS FPX 4020 Assessment 2 Root Cause Analysis and Safety Improvement Plan Name Capella university NURS FPX 4020 Improving Quality of Care and Patient Safety Prof. Name Date Root-Cause Analysis and Safety Improvement Plan This assessment highlights the issue of patient identification errors prevailing in Arnold Plamer Hospital. This hospital is dedicated to serving children, particularly providing pediatric healthcare services. In this hospital, the emerging patient-identification errors have impacted the health of many children. This paper will delve into root-cause analysis of misidentified patients and errors in patient identification. Furthermore, the safety improvement plan will be developed to address the growing issue. Analysis of the Root Cause In Arnold Palmer Hospital for Children, one fine day, two pediatric patients named Julia and Jenny came for vaccination. Their identification bracelets were mistakenly swapped, and Julia received the vaccinations intended for Jenny and vice versa. The nurse administering the vaccinations detected the error when Julia’s medical history did not match the Electronic Health Records (EHR) information. The nurse realized the patient’s identification did not match the digital records, prompting further investigation. This misidentification of patients affected both patients as Julia received vaccines that were not suited to her medical condition and experienced some allergic reactions as adverse effects. Similarly, Jenny was at risk of contracting diseases due to missed vaccinations, which her health condition required. Additionally, this incident caused anxiety and distress for the families involved, eroding trust in healthcare systems. The standard protocol for patient identification during vaccination needed to be followed. The nurse did not verify the patient’s identity by cross-checking identification bracelets and EHR data to execute the further vaccination procedure properly. Furthermore, there needed to be more communication between the administrative staff responsible for assigning patient identification bracelets and the nursing staff responsible for administering the vaccinations (Romano et al., 2021). Moreover, the hospital’s vaccination department’s high workload and fast-paced nature must have contributed to the oversight and resulted in this event. Lastly, the EHR system failed to raise an alert for a mismatch in patient identification, highlighting a potential flaw within the technology and requiring further upgrades and feature installation (Riplinger et al., 2020). Hence, the root-cause analysis indicates the procedural breakdowns, communication gap, human and environmental errors, and the need for an upgraded EHR system with better-aligned features. Application of Evidence-Based Strategies Patient identification errors impact patient safety and require implementing evidence-based strategies to ensure patient safety by delivering correct care treatments to the right patients. These strategies include using a Barcoding System to correctly identify the patients for medication administration and other therapies such as surgeries. The barcode system allows healthcare professionals to give a patient a specific barcode as an identifier in the form of a wristband and deliver care treatments based on the barcode allotted (Barakat & Franklin, 2020). One example of this system is Barcode Medication Administration, in which the barcode of a patient’s wristband is matched with a barcode on the medication to administer the correct medication to the right patient without making an error in patient identification (Owens et al., 2020). Literature states that about 236 patient identification errors occurred when patients lost bracelet identifiers (Rahmawati et al., 2020). This required a robust identification system for patients, such as biometric systems such as iris biometric systems where iris scanning for each patient is conducted to store as a template. This scanned template matches the patient for routine care treatment deliveries (Anne et al., 2020). NURS FPX 4020 Assessment 2 Root Cause Analysis and Safety Improvement Plan Other strategies include developing and enforcing standardized protocols for patient identification, including using checklists for verification. Implementing these checklists during patient encounters will reduce the incidence of patient misidentification, particularly before administering medications or vaccines (Riplinger et al., 2020). Moreover, healthcare professionals must establish regular communication channels, such as huddles or briefings, to discuss patient identification protocols and address any concerns or challenges the healthcare team faces. Furthermore, healthcare professionals must be trained on the importance of patient identification and ways to mitigate human errors that lead to patient harm (Vaismoradi et al., 2020). By implementing these strategies substantiated by literature and studies, patient identification errors can be effectively reduced, enhancing patient safety and facilitating patient experience. Improvement Plan with Evidence-Based and Best-Practice Strategies The safety improvement plan can effectively solve patients’ misidentification and subsequent implications of impaired patient safety. This plan will include implementing enhanced barcoding technology, developing standardized protocols and checklists for patient identification, and training for healthcare staff. The hospital administration will integrate an advanced barcoding system that extends beyond medication administration to include patient identification bracelets. The healthcare facility can ensure robust verification by expanding barcoding technology to patient identification, reducing misidentification risk (Romano et al., 2021). Healthcare leadership will play a role in developing and enforcing standardized protocols and checklists for patient identification, emphasizing barcode scanning as a crucial step. Combined with checklists, these procedures create a systematic approach to patient identification and reduce the likelihood of errors. Lastly, the plan will include implementing ongoing human factors training for healthcare, where leaders will emphasize the importance of attention to detail in patient identification. NURS FPX 4020 Assessment 2 Root Cause Analysis and Safety Improvement Plan Educating staff on common human errors that lead to patient identification errors will empower them with strategies to prevent these errors and enhance the safety culture (Romano et al., 2021). The desired outcomes of this safety improvement plan are reducing patient identification errors, enhancing patient safety, improving patient and family satisfaction, and increasing staff awareness and competence in patient identification. The timeline for the proposed improvement plan will be about one year. In the first two months, the healthcare organization will assess current patient identification processes and areas for improvement. In months 3-4, administrative staff will procure and implement an advanced barcoding system for the identification of patients. This will be followed by developing and disseminating standardized protocols and initiation of training for healthcare staff and administrative personnel in the next two months

NURS FPX 4020 Assessment 1 Enhancing Quality and Safety

NURS FPX 4020 Assessment 1 Enhancing Quality and Safety Name Capella university NURS FPX 4020 Improving Quality of Care and Patient Safety Prof. Name Date Enhancing Quality and Safety Improvement Nurses play a vital role in enhancing patient quality and safety as they primarily deliver care treatments through medication administration and monitoring (Alomari et al., 2020). In Arnold Palmer Hospital, patient safety issues of patient identification errors are growing tremendously, impacting several patients regarding medication and treatment errors. Therefore, this assessment will delve into improving patient safety issues of identification errors and incorporate evidence-based solutions to promote patient safety and care coordination. Factors leading to Specific Patient-Safety Risks Patient safety is essential to consider while delivering healthcare services in healthcare organizations. One of the significant patient safety risks is associated with errors in patient identification as they can pose grave risks to patients, such as the provision of wrong treatment leading to health deterioration (Bell et al., 2020). Various factors contribute to the onset of patient identification errors, such as manual data entry errors, lack of standardized patient identification protocols, and incomplete or outdated Electronic Health Records (EHRs). The manual data entry of patient information can lead to misinterpretation due to illegible handwriting or typographical mistakes. These mistakes can lead to patient identification errors (Bell et al., 2020). Inconsistent identification protocols across multiple healthcare facilities can contribute to dilemmas and mistakes. Hence, a lack of standardized procedures increases the likelihood of misidentification. Furthermore, incomplete or outdated information in EHRs can result in misidentification. This can occur when patient records are not regularly updated with accurate demographic details. Physicians are also prone to entering wrong-patient order entries, as one study relates that these errors happen for almost 600,000 patients with wrong order entries in the U.S. (Salmasian et al., 2020). Evidence-Based Practice Solutions for Patient Identification Errors to Enhance Patient Safety and Diminish Costs It is paramount to address patient identification errors as they can lead to poor patient safety and incidence of medication and treatment errors. For this purpose, applying evidence-based practices to avoid patient identification errors is mandatory. One of these evidence-based practice solutions is implementing barcode systems within the organization. The use of barcoding systems for patient identification has proved to reduce medication errors and enhance the rates of patient identification. One study finds that using barcode medication administration technology increased patient identification rates from 74% to 100% and reduced medication errors (Barakat & Franklin, 2020). Another strategy is integrating biometric technologies such as fingerprint or palm vein recognition to promote accurate patient identification. Another novel biometric technique researchers utilize is iris recognition systems for correct and accurate patient identification. This solution involves acquiring patients’ iris images, storing the features as iris templates, and matching them with patients’ iris for identification (Anne et al., 2020). Lastly, it is emphasized that hospital organizations must develop standardized patient identification protocols to reduce identification errors and improve patient safety (Riplinger et al., 2020). These technologies and evidence-based strategies can potentially increase patient safety by reducing identification errors. Moreover, costs can be effectively reduced by preventing costs associated with adverse events and rework due to errors (Riplinger et al., 2020). Role of Nurses in Improving Patient Safety and Reducing Costs Nurses have an enormous role in care coordination to facilitate patient safety and limit costs mainly related to risks leading to patient identification errors. They can ensure adherence to patient identification protocols during various healthcare interactions such as admissions, medication administration, and specimen collection. For example, implementing the “two-patient identifier” rule, where nurses consistently use at least two unique identifiers for patients, such as names and birth dates, before administrating medications, helps reduce the risk of patient identification errors during medication administration (Simamora, 2020). Nurses can actively use technologies such as barcoding systems during their daily tasks to ensure accurate patient identification. For example, scanning a patient’s wristbands and medication barcodes before administering medications helps verify patient identity and medication match, which reduces the likelihood of errors (Owens et al., 2020). Nurses can encourage patients and their family members to participate in their care by verifying their own identities and information. Patient safety is enhanced by educating patients to confirm their names and birthdates during interactions with healthcare providers, as empowered patients perform additional layers of identification (Simamora, 2020). Lastly, nurses can contribute to quality improvement initiatives to identify and mitigate patient identification risks within their healthcare settings. For example, by participating in root cause analysis following a patient identification error incident, nurses help assess system weakness and enable the implementation of corrective actions to prevent similar errors in the future (Vaismoradi et al., 2020). By coordinating care with relevant stakeholders, nurses can perform strategies to reduce identification errors and reduce costs associated with medication errors and adverse events due to misidentified patient cases (Simamora, 2020). Nurses’ Collaboration with Other Stakeholders Nurses must coordinate and collaborate with relevant stakeholders to adequately and appropriately address patient identification errors to enhance patient safety and reduce associated costs. The identified stakeholders for this purpose will be physicians, pharmacists, Health Information Technology (HIT) professionals, quality improvement teams, and hospital administrators. Physicians and pharmacists are involved in prescribing and dispensing medication. Coordinating with them ensures alignment in patient identification protocols and reinforces a shared commitment to accuracy. For this purpose, it is essential to communicate with these stakeholders clearly in standardizing identification processes during patient encounters and reducing the risks of errors due to misidentification (Alomari et al., 2020). HIT professionals are responsible for implementing and maintaining EHR systems and technology solutions. Nurses must collaborate with IT officers to ensure the proper functioning of patient identification technologies, such as barcoding systems and biometric tools, to reduce manual errors and enhance accuracy in patient identification. They will also need to coordinate with quality improvement teams as their primary goal is to identify and mitigate risks to overall safety and quality of care (Alomari et al., 2020). Nurses can effectively collaborate with QI officers to address the root causes

Capella 4010 Assessment 4 Stakeholder Presentation

Capella 4010 Assessment 4 Stakeholder Presentation Name Capella university NURS-FPX 4010 Leading in Intrprof Practice Prof. Name Date Slide 1: Stakeholder Presentation Good afternoon, leaders. I, _______, welcome you all for today’s presentation, highlighting a significant concern of prolonged Emergency Department (ED) waiting times in St. Mary’s Hospital. Slide 2: Agenda and Objectives The agenda of the presentation is to discuss the organizational issue and emphasize how important it is for leadership to address the issue. Moreover, the presentation underscores the relevance of the interdisciplinary team approach in mitigating the concern using the interdisciplinary plan proposed for St. Mary’s Hospital. Finally, I will elaborate on the plan’s implementation using the Plan-Do-Study-Act (PDSA) model and discuss the criteria to evaluate the plan’s success. Slide 3: Organizational Issue Recently, in an interview, Dr. Jennifer Rodriguez, Chief Medical Officer at our organization, highlighted the extended ED waiting times as a critical organizational challenge and requires a comprehensive approach to be mitigated. According to the literature, prolonged waiting times in ED are a significant healthcare concern worldwide. This issue substantially impacts patients, healthcare providers, organizations, and communities (Vainieri et al., 2020). Long waits may delay timely access to emergency care, leading to increased pain, discomfort, and anxiety for patients seeking medical attention. These worsened health outcomes and reduced patient satisfaction may erode patients’ trust in the healthcare providers and the system. Furthermore, Siamisang et al. (2020) explain that overcrowding in the ED due to long wait times burdens healthcare providers, eventually causing stress, fatigue, and burnout. These consequences compromise patient safety and healthcare practices. Ultimately, such organizational inefficiencies can hinder the delivery of high-quality and timely care, negatively affecting the reputation and financial viability of the healthcare facility. Thus, addressing this issue using an interdisciplinary team approach is crucial for patients’ health, staff well-being, and the organization’s effectiveness and for fostering a healthier community by ensuring timely access to emergency medical care. Slide 4: Importance of Leadership to Address the Issue From a wider perspective, addressing this issue is vital for healthcare leaders as unaddressed ED wait times may lead to several consequences for the healthcare system. Prolonged ED waiting times impact the healthcare system by aggravating the patient crowd and limiting the capacity of healthcare professionals to respond efficiently to emergencies. This incompetence can result in heightened costs, reduced quality of care, and staff burnout (Paling et al., 2020). Leadership is crucial in improving patient care, enhancing healthcare performance, and fostering a strong and responsive healthcare team by prioritizing interventions to address the issue. This leadership action aligns with the broader goals of the healthcare system to the well-being of the communities they serve. Slide 5: Relevance of an Interdisciplinary Team Approach Using an interdisciplinary team approach is relevant and often the best strategy for improving patient outcomes. Mosqueda (2022) emphasizes the importance of an interdisciplinary approach, especially in emergency settings, as this approach helps in caring for the patients, building a therapeutic connection, and improving care coordination, essential for decreasing ED waiting times and enhancing care quality. Since the issue is complex and multifaceted, involving professionals from various disciplines is vital to ensure a comprehensive and well-coordinated effort to implement effective solutions (Mosqueda, 2022). The interdisciplinary team for our proposal consists of physicians, nurses, ED specialists, administrators, and IT professionals, who can contribute to developing an all-inclusive plan to address extended ED waiting times. The interdisciplinary team approach combines diverse expertise to address pertinent issues in the healthcare sector, such as prolonged ED waiting times. The team members collaborate to identify areas of improvement, optimize workflows, and implement directed solutions. This holistic strategy ensures a comprehensive understanding of the issues. It enables the team to develop innovative interventions (Bendowska & Baum, 2023) to improve patient outcomes and enhance the efficiency of emergency care. Implementing the interdisciplinary plan proposal of interprofessional team triaging aims to reduce ED waiting times, improve patient outcomes, enhance patient satisfaction, and foster a responsive emergency care healthcare system within St. Mary’s Hospital. Slide 6: Evidenced-based Interdisciplinary Plan Our evidence-based interdisciplinary plan proposal introduces an interprofessional team triaging system in the emergency department. The primary objective of the plan is to streamline patient flow, optimize emergency processes, and reduce waiting times in the ED. Corkery et al. (2021) present in their study the effectiveness of interprofessional triaging in expediting the process of identifying and treating emergency cases to minimize patient waiting times and improve care quality. Another study by Yousefi et al. (2023) concludes that a triaging method that leverages interprofessional teams significantly impacts ED performance, particularly in reducing waiting times and improving patient satisfaction. Each team member plays a crucial role in successfully implementing the plan. Physicians are pivotal in providing insights into patients’ health conditions and the urgency of care. Their expertise will assist in prioritizing high-acuity cases, ensuring that critical patients receive immediate attention. Nurses, on the other hand, contribute to the practical aspects of patient management, ensuring that the triaging criteria align with the actual needs of patients. Additionally, ED specialists help with rapid decision-making by using their experience to manage complicated and emergency cases. While administrators supervise the plan’s strategic planning and resource allocation, IT professionals are vital to execute technological solutions such as improved communication mediums and data security to enhance the effectiveness of the team triaging process. Slide 7: Likelihood of Plan’s Success St. Mary’s Hospital’s interdisciplinary team triaging plan is expected to succeed, given its evidence-based approach and comprehensive implementation. Success depends on seamless collaboration among the interdisciplinary team members. Moreover, the effectiveness of optimized workflows, technological integration, and continuous improvement hinges on the commitment and active participation of the interdisciplinary team. It is essential to perform regular data analysis and establish feedback mechanisms to adapt to evolving needs to make this plan successful. Lastly, support from organizational leadership, adequate training and development, and ongoing communication are crucial for substantial improvements in ED waiting times and patient outcomes. Slide 8: Implementation of the Plan Implementing an interprofessional team triaging system is

Capella 4010 Assessment 3 Interdisciplinary Plan Proposal

Capella 4010 Assessment 3 Interdisciplinary Plan Proposal Name Capella university NURS-FPX 4010 Leading in Intrprof Practice Prof. Name Date Interdisciplinary Plan Proposal The worsening concern of prolonged waiting times in St. Mary’s Hospital’s Emergency Department (ED) demands an urgent, interdisciplinary intervention. This proposal focuses on implementing strategic measures within the ED. The desired outcome is to enhance patient experiences, optimize resource utilization, and guarantee prompt and effective delivery of healthcare services in the emergency setting. Objective The proposed plan involves the introduction of interdisciplinary triaging using diverse professionals such as nurses, physicians, and ED specialists. By leveraging a multifaceted approach to triaging, the objective is to expedite identifying and treating critical cases, reducing waiting times (Corkery et al., 2021). If achieved, this objective will lead to timely responses to patients’ conditions, eventually improving patient outcomes and enhancing organizational efficiency. Questions and Predictions Question # 1: What challenges may arise during the implementation of the interdisciplinary proposal, and how can these challenges be effectively addressed? Answer: Potential challenges may include communication issues such as role clarity and information sharing. Implementing clear communication protocols and regular team meetings can help alleviate these challenges. Resource limitations are another challenge that can be mitigated by optimized budgeting and avoiding resource wastage through continuous monitoring. Question # 2: What is the estimated time frame and resource allocation required to implement the plan successfully? Answer: The timeframe for implementing the plan is within 8-10 months. The required resources are dedicated training programs and educational resources, technological mediums for seamless communication, and adequate financial resources to support infrastructural changes, technological procurement, and training programs. Lastly, we will need the necessary equipment and resources to support efficient triaging, including designated team discussions and consultation areas. Question # 3: How can the organization sustain the momentum of the interdisciplinary team triaging model? Answer: By establishing a culture of continuous improvement, fostering leadership support, and conducting regular performance reviews and protocol updates, the organization can plan the sustainability of the interdisciplinary triaging model. Methods for Success Measurement Several evidence-based methods to measure the success of our proposal plan include time-based and team-based performance indicators, which include waiting times, resource utilization, and staff efficiency (Austin et al., 2020). Moreover, patient-related outcome metrics such as mortality and complication rates will provide insight into the areas of improvement. Data collection methods include quantitative methods such as statistical analysis of organizational dashboards. On the other hand, qualitative methods such as patient care surveys, interviews, and focus group discussions must be utilized to gain insights into patients’ and healthcare professionals’ experiences and perceptions of the new triaging system (Johansson et al., 2023). Change Theories and Leadership Strategies The Plan-Do-Study-Act (PDSA) cycle is a methodical approach for continuous improvement. It involves planning a change, implementing it on a small scale, studying the results, and acting on the results to make necessary adjustments or continue the efforts. Alqattan et al. (2021) effectively utilize this change theory to improve care quality in ED and reduce waiting times using various strategies such as interdisciplinary triaging, allocating and recruiting human resources, and establishing standardized communication protocols. This real-world example from the literature depicts the effectiveness of the PDSA model and prepares a foundation for St. Mary’s Hospital to implement the interdisciplinary plan proposal. During the planning phase, the interdisciplinary team at St. Mary’s Hospital will collaboratively develop a detailed project plan – defining roles, communication protocols, and achievable goals for improving patient outcomes and reducing waiting times. They will then execute the plan on a smaller scale, focusing initially on high-acuity patients, allowing for hands-on experience, recognizing challenges, and using real-time strategies to adapt. In the study phase, the team will collect data on patient waiting times, patient satisfaction, and staff feedback to assess the effectiveness of the triaging model. Based on the study findings, the team will make informed adjustments, fostering continuous improvement and optimizing the system for better outcomes. Leadership Strategy Transformational leadership inspires and motivates team members to achieve extraordinary outcomes, fostering a shared vision and commitment to organizational goals. According to the literature, this leadership strategy leads to effective collaboration. It enhances the staff’s commitment to the quality improvement goals, demonstrating the relevance and real-world connection with the context of implementing interdisciplinary team triaging at St. Mary’s Hospital (Iqbal et al., 2019). In the context of our interdisciplinary plan, the hospital’s leadership can articulate a convincing vision of improved patient outcomes, reduced waiting times, and enhanced overall emergency care. Moreover, the leaders can support the interdisciplinary team by recognizing their contributions and providing educational resources to implement the triaging system seamlessly. Lastly, transformational leaders may foster open and transparent communication among the interdisciplinary team through regular meetings and feedback sessions. This ensures the team is well informed and engaged in the project’s progress (López‐Medina et al., 2022). Team Collaboration Strategy The interdisciplinary team comprises physicians who will lead clinical assessments and treatment decisions. Nurses will simultaneously play a pivotal role in care coordination and communication. ED Specialists bring expertise to complex emergencies, aiding in rapid decision-making. Administrative staff will manage logistics and materials, ensuring a smooth workflow. Lastly, IT professionals will maintain and optimize technology for efficient data sharing. Interprofessional Education (IPE) is an effective collaboration approach that involves healthcare professionals from various disciplines learning together, fostering understanding of each other’s roles and enhancing collaborative skills (Zorek et al., 2021). This approach encourages collaboration, teamwork, and shared objectives among the interdisciplinary team through evidence-based best practices. In the context of St. Mary’s Hospital’s interdisciplinary proposal of team triaging, these practices include training sessions and workshops, leveraging collective expertise, and improving the efficiency of patient assessments and treatment prioritization. This approach aligns with the team’s need for seamless collaboration by promoting shared objectives and responsibilities, ultimately driving a successful interdisciplinary plan. Required Organizational Resources Implementing the interdisciplinary team triaging plan at St. Mary’s Hospital involves additional responsibilities for existing healthcare professionals, with a projected 10% salary increase to enhance staff motivation. Existing resources like training rooms

Capella 4010 Assessment 2 Interview and Interdisciplinary Issue Identification

Capella 4010 Assessment 2 Interview and Interdisciplinary Issue Identification Name Capella university NURS-FPX 4010 Leading in Intrprof Practice Prof. Name Date Interview and Interdisciplinary Issue Identification Interdisciplinary collaboration in healthcare involves professionals from diverse fields working together to address complex patient needs (Dinh et al., 2020). This assessment delves into a healthcare issue, highlighted in a focused interview at St. Mary’s Hospital. This issue can be addressed using an interdisciplinary approach. Thus, the assessment further elaborates on the change theories, leadership strategies, and collaboration approaches leading to interprofessional solutions. Interview Summary In a recent interview, Dr. Jennifer Rodriguez, a Chief Medical Officer at St. Mary’s Hospital, shed light on several critical issues plaguing the organization. St. Mary is a renowned healthcare facility for its excellence in patient care and innovative healthcare practices. With her extensive experience, Dr. Rodriguez oversees the medical operations, collaborates with healthcare teams, safeguards quality patient care, and addresses emerging medical issues at the organization. The primary issue highlighted in the interview was increased waiting times in the emergency department. She commented on previous attempts by the leadership to address this issue, such as recruiting staff and allocating resources. However, these strategies were ineffective due to a lack of sustainable planning and the failure to involve frontline medical staff in decision-making. Dr. Rodriguez further delved into the organizational culture, which lacked collaboration and interdisciplinary teamwork due to the hierarchical structure, which hindered effective communication channels, impeding the efforts to address the challenge. Additionally, she shared her experiences with interprofessional teams in her previous workplace, where a collaborative approach and teamwork led to significant improvements in patient outcomes. However, she finds this a pertinent gap in St. Mary’s. I employed effective strategies to gather sufficient information regarding the healthcare issue at St. Mary’s Hospital. Firstly, I used an open-ended questioning approach to encourage my interviewee, Dr. Rodriguez, to provide detailed responses. This approach allows interviewers to collect comprehensive thoughts without probing answers to the questions, offering a more nuanced understanding of the topic (Neuert et al., 2021). Additionally, I created a comfortable and confidential environment for Dr. Rodriguez to foster trust and encourage her to share honest insights, especially about leadership actions and the collaborative culture within the hospital. Issue Identification Prolonged stay (waiting times) in emergency departments is a significant issue in healthcare sectors worldwide. It is associated with an increased rate of mortality and poor patient outcomes. According to the literature, patients who waited more than four hours in an emergency department were nine percentage points higher in a hospital with 100% occupancy than in a facility with 85% bed occupancy. These long ED waiting times are interlinked with an augmented rate of hospital stays due to limited resources within the healthcare facility (Paling et al., 2020). To address this pertinent issue, an interdisciplinary approach is essential. Nurses, physicians, specialists, and administrative and support staff working collaboratively can optimize patient flow. For instance, interprofessional teams at triage stations can expedite decision-making and prioritize high-acuity cases, eventually reducing waiting times (Corkery et al., 2021). By fostering collaboration and shared responsibility, an interdisciplinary approach enhances the quality of care and streamlines operations (Dinh et al., 2020), ultimately alleviating ED waiting times and improving the overall patient experience. Change Theories That Could Lead to an Interdisciplinary Solution The most commonly used change theory in healthcare settings is the Plan-Do-Study-Act (PDSA) cycle, which involves planning a change, implementing it on a small scale, studying the results, and then modifying the improvement areas to act on a larger scale (Chen et al., 2021). This change theory can develop an interdisciplinary solution for prolonged ED waiting times by providing a systematic and iterative approach. It is relevant to our issue as it encourages data-driven modifications, addressing comprehensive and multifaceted contributors to prolonged ED waiting times. According to Alqattan et al. (2021), the interdisciplinary team can plan and implement change strategies to manage patient flow, such as introducing interprofessional triaging, augmenting human resources, and establishing standardized communication protocols The resource’s credibility can be assessed through the CRAAP criteria – currency, relevance, authority, accuracy, and purpose. These studies are pertinent to the issue addressed in this analysis. Credible journals authorize them and provide accurate and precise claims to support the PDSA model. This model is frequently endorsed by reputable organizations such as the Institute for Healthcare Improvement (IHI) and is extensively implemented in various healthcare settings. Leadership Strategies That Could Lead to an Interdisciplinary Solution Transformational Leadership is an effective strategy that involves inspiring and motivating team members to achieve shared goals. Since the prolonged ED waiting times require an interdisciplinary solution, this leadership style is best suited to foster a collaborative and innovative culture (Iqbal et al., 2019). Transformational Leaders can help establish an interdisciplinary solution by supporting team members to work around a shared vision, in our case, to improve ED efficiency and enhance patient care. These leaders motivate healthcare professionals to collaborate and show commitment towards the change strategies planned and implemented against prolonged ED waiting times. Thus, this leadership style is highly relevant to addressing our identified St. Mary’s Hospital issue. The resource used to describe transformational leadership is a credible source as it is published within 3-5 years, it presents the claims accurately, and the purpose of the study aligns with the purpose of our analysis. This leadership theory is well-established, supported by extensive research, and widely presented in the healthcare literature. Notable leadership frameworks, such as Bass’s Transformational Leadership Theory, support the credibility of this strategy as an effective approach for achieving positive change in healthcare organizations. Collaboration Approaches for Interdisciplinary Teams Interprofessional Education (IPE) is a collaborative approach that emphasizes coordination of healthcare professionals into cohesive teams. It promotes shared learning experiences, fostering effective communication and collaboration among various disciplines (Zorek et al., 2021). This approach addresses prolonged ER waiting times by fostering interprofessional collaboration where healthcare professionals understand each other’s expertise and work cohesively to streamline patient flow and optimize emergency care processes. The resource

Capella 4010 Assessment 1 Collaboration and Leadership Reflection Video

Capella 4010 Assessment 1 Collaboration and Leadership Reflection Video Name Capella university NURS-FPX 4010 Leading in Intrprof Practice Prof. Name Date Collaboration and Leadership Reflection Video Hi to everyone. My name is Kristy. In this reflection video, I will discuss the vital role of interprofessional collaboration in Health Promotion and Disease Prevention (HPDP) at the community health center. By an in-depth review of the case study presented, I will demonstrate the complexities of teamwork among healthcare workers. By exploring the issues encountered, this assessment seeks to emphasize the need for successful collaboration in maintaining effective HPDP services for community members. Healthcare team members can better develop interdisciplinary teamwork by considering critical perspectives from diverse medical experts and addressing the problems and ideas for the future (Doornebosch et al., 2022). Interdisciplinary Collaboration Experience As a practicing nurse, I took part in an interprofessional endeavor to improve HPDP at the community health center. The collaboration had both advantages and drawbacks. Reflective nursing practice proved crucial for analyzing and enhancing a team’s performance. HPDP’s interprofessional team consists of public health professionals, doctors, nurses, community healthcare providers, and social workers who collaborate to create and administer health promotion initiatives. The team offers patients continuous care, which includes health information, testing, and recommendations for local services (Capella University, n.d.). Successful Aspects of Interdisciplinary Collaboration In the investigation of interdisciplinary collaboration for HPDP, several cases were discovered that were very effective. Through the combined efforts of a multidisciplinary team, difficulties were successfully addressed. The team’s collective effort also performed an excellent job of respecting and leveraging our members’ abilities and experience. This was evidenced by the different abilities of team members, which aided in providing comprehensive care to the community. For instance, Community health workers provided health literacy and gathered information on the needs of the community (Rahman et al., 2021). Nurse Lily Tomski participates in health promotion programs. Furthermore, physicians, such as Dr. Aisha Patel, provided primary care by diagnosing, prescribing medications, and educating patients (Capella University, n.d.). Social workers handle patients’ psychological problems, enabling each team member to contribute to various aspects of the community, contributing to improved health promotion (Ross et al., 2021). Unsuccessful Aspects of Interdisciplinary Collaboration In the investigation of HPDP at community health centers, we identified many critical difficulties that hampered the efficiency of multidisciplinary cooperation. The primary challenge is to incorporate health promotion initiatives into medical care. Lack of uniform and standard protocols across departments due to a shortage of information and awareness. It confuses and renders prevention methods ineffective. Another barrier to success was poor interaction and collaboration among the interprofessional group and other community resources, which resulted in adverse health outcomes. The patient appeared to be imprisoned between opposing perspectives due to cultural diversity and logistical challenges with their treatment plan, resulting in inadequate treatment. Introducing culturally appropriate health promotion resources can enhance the comprehension and health of varied communities (Wen et al., 2022). Furthermore, the physician-patient ratio is a barrier to HPDP and comprehensive treatment. It led to inefficient patient guidance and care. Furthermore, despite efforts to develop open communication approaches, there were circumstances in which real-time information transmission stopped short, causing delays in addressing emerging health risks. Social determinants of health are also crucial barriers to effective HPDP. It can cause health disparities. Lastly, For efficient HPDP, community health data must be collected and analyzed on a timely basis. Delays in data collecting and the translation of research into practice result in negative outcomes (Fagherazzi et al., 2020). The Role of Reflective Nursing Practice in Improving Future Collaboration Reflective nursing practice is a useful approach for potential collaboration because it encourages nurses to critically analyze and become cautious and self-aware of their prior encounters (Rasheed et al., 2021). Reflection allows nurses to find opportunities for development, including boosting patient communication and defining duties within a multidisciplinary group. Nurses can promote honest discourse, anticipate issues, and implement standard clinical procedures (Pangh et al., 2019). This reflective strategy encourages nurses to be engaged in collaborative discussions, resulting in improved coordination during HPDP initiatives. Reflective practice also assists nurses in fostering empathy and compassion, enabling them to collaborate more effectively to achieve a common goal. Nurses can assist in promoting the culture of constant enhancement, which is vital to interprofessional collaborative work and the healthcare of the community (Marshall et al., 2022). Inefficiencies in Human Resource Management due to Poor Collaboration Evidence in the literature has revealed that inefficient interaction and collaboration within medical facilities waste both human and financial resources for those dealing with HPDP. For instance, Alderwick et al. (2021), demonstrate that when medical professionals do not collaborate successfully for HPDP, it can result in increased costs, ineffective care, and recurrent failures because of lack of compliance to standard protocol. Tiwary et al. (2021), promote this perspective, stating that poor communication and coordination among teams lead to patient delay in therapy and insufficient use of resources. Inappropriate collaboration leads to financial burden due to poor patient care. It ultimately demands more financial resources and funding. It has been reported that about 27% of clinical negligence results from communication difficulties. Capella 4010 Assessment 1 Collaboration and Leadership Reflection Video Wang et al. (2022), study provides insight into the repercussions of insufficient communication and collaboration in a healthcare organization. According to the authors, poor cooperation causes burnout among medical professionals and a high rate of turnover, resulting in poor-quality patient care. Moreover, poor cooperation leads to inadequate use of human resources due to misconceptions and duplication of roles. Ineffective collaboration influences monetary resources. As stated by Degu et al. (2019), factors contributing to inadequate interdisciplinary collaborations include inadequate professional assistance, insufficient interpersonal interaction, and poor interprofessional collaborations. Inadequate interprofessional cooperation influences patient safety and medical care, causing emotional distress among medical professionals. Ee et al. (2020), found that inadequate collaboration leads to inconsistent delivery of services, resulting in unsatisfactory patient outcomes and increased medical utilization. Lacking cooperation and coordination prohibits patients from managing their healthcare and obtaining critical services. All of these issues affect the effectiveness and productivity of the multidisciplinary team and have significant financial consequences for the health organization. Best-Practice Leadership Strategies for Interdisciplinary Teams According to multiple studies cited in the literature, effective leadership is critical

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