Capella 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

Greetings! My name is Priscilla, and I’m here to give you the safe medication administration improvement plan, which will address Medication Administration Errors (MAEs) that result in Adverse Drug Events (ADEs), as mentioned in assessment two.

Outline

This presentation will cover the following topics:

• Health care problem
• Purpose and goals of the in-service session
• Need and process to improve safety outcomes
• Role and importance of audience
• Resources and activities for engagement

Medication Administration Errors 

MAEs are defined as errors that occur during drug administration. The administration procedure is the final step in pharmaceutical management before final documentation. Most of these errors are made by nurses, the most significant medical personnel delivering medications to patients (Asefa et al., 2021). These errors can arise because of the administration of the incorrect medicine, dosage, or procedure at the incorrect time or to the incorrect patient (Ayorinde & Alabi, 2019). Medication administration must be done safely to safeguard patient safety and avoid ADEs. ADEs can cause mild to severe side effects, leading to in serious complications or mortality. In medical facilities, ADEs are responsible for adverse patient safety effects (Bangwal et al., 2020). The safe drug administration improvement plan is a holistic effort aimed at addressing the issues raised by MAEs.

Purpose and Goals of In-Service Session

Purpose

This in-service session on safe drug administration, focusing on reducing MAEs that cause ADEs, improves nurses’ understanding, abilities, and compliance with standard procedures (Wondmieneh et al., 2020). The session’s objective is to equip nurses with updated knowledge on ADEs to prevent the adverse effects of medication interactions caused by MAEs. The implementation of Electronic Health Record (EHR) and Barcoding Medication Administration (BCMA) systems assists in the reduction of MAEs and enables nurses to manage ADEs better (Grailey et al., 2023). Nurses can render informed judgments during medication administration if they better understand the adverse effects of MAEs, particularly ADEs. The training session encourages nurses to practice analytical abilities or strategies when administering drugs. Nurses can help to prevent adverse occurrences by recognizing and minimizing risks through their expertise (Marufu et al., 2022).

Goals

The following objectives are pertinent and attainable during the in-service session:

• Provide nurses with easily accessible tools, such as pharmaceutical reference guides, medication interaction databases, and organizational regulations and guidelines, to support informed decision-making and MAE management (Shahmoradi et al., 2021).
• Nurses will be aware of high-alert or complex drugs, their particular managing demands, administering practices, and measures to reduce the possibility of MAEs (Zyoud et al., 2019).
• By the end of the session, nurses will understand error prevention strategies and tools, including BCMA, verification, and digital prescriptions through EHR systems, to improve proficiency and validation procedures during administering drugs (Lunt & Mathieson, 2020).
• The session will encourage nurses to report and gain insight into drug errors. The seminar will emphasize the significance of report systems for incidents, for example, the use of a Medication Error Reporting System (MERS). It also emphasize on the implementation of preventative measures to avoid such mistakes in the future. (Afaya et al., 2021).

Need and Process to Improve Safety Outcomes

Need 

To prevent ADEs, there is a need to enhance safety outcomes related to MAEs (Kuklik et al., 2019). According to research, approximately 7000 deaths occur in the United States because of MAEs, with almost 400,000 occurrences of avoidable patient harm. MAEs caused ADEs in 25% of those admitted to hospitals. According to Fathy et al. (2020), the global financial effect of MAE costs approximately 42 billion dollars annually. This evidence highlights the critical need for comprehensive strategies to reform the medical sector to provide safety and more effective care. It is critical to deal with MAEs holistically and establish procedures that successfully reduce the incidence of avoidable MAEs, which result in ADEs and compromise patient safety (Kuklik et al., 2019).

Process

The safety improvement process intends to develop suitable medication administration practices to minimize ADEs in medical centers. This approach comprises evidence-based efforts to encourage patient safety. The first stage in the process is providing educational opportunities and training to medical staff to acquire the appropriate knowledge and competencies. Drug security expertise and comprehension also encourage involvement in continuing learning activities (Farzi et al., 2020). The second step is the execution of the Medication Reconciliation (MR) strategy. The MR involves assessing new drug prescription to those already in use, checking correctness, and eliminating disparities.  MR has been shown to help lower MAEs and prevent potential ADEs during hospitalization. Nurses can help minimize adverse effects of medication and promote patient safety by doing MR carefully (Ceschi et al., 2020)

In the third step of the process to improve safety, technological tools are employed to eliminate MERs and increase performance. Incorporating BCMA and EHR systems assists in lowering the probability of serious medical complications. Nurses can reliably validate medication codes and dispense medications to patients appropriately by using BCMA (Barakat & Franklin, 2020). Furthermore, drug administration processes are built using the Computerized Physician Order Entry (CPOE) system. Nurses can use CPOE to describe pharmacological interactions to improve medication accuracy and avoid adverse events (Mogharbel et al., 2021).

The final step of the improvement process involves enhancing the culture for MAE reporting, learning, and continuous improvement and enabling nurses and other healthcare providers to report MAE incidents if they happen (Obaid et al., 2023). These strategies focused on improving interactions, such as structured communication tools and interdisciplinary training, to lessen drug delivery mistakes and improve patient safety. Nurses can reduce drug-related hazards and promote safer drug administration methods by taking part in open communication and cooperating with other medical personnel (Dirik et al., 2019).

Role and Importance of Audience

To develop a successful improvement plan based on safe drug delivery, properly communicating the audience’s role is critical. The audience’s awareness of their duties can be improved by open communication, helps in the effectiveness of the plan (Dirik et al., 2019). Policymakers and the board of director’s members must be involved in developing supportive guidelines, distributing adequate funds, and offering strategic leadership. Their dedication and participation in the improvement plan are critical to its accomplishment, as they guarantee that the plan corresponds with the organization’s strategic objective (Lunghi et al., 2022). Furthermore, their participation in executing evidence-based procedures and adhering to organization standards increases their professional credibility (Lunghi et al., 2022).

The staff audience, which includes nurses and other medical personnel, is important to the effective implementation of the drug administration reform plan. Their routine interactions with patients and their participation in pharmaceutical processes make them crucial for patient safety (Mardani et al., 2020). MR and BCMA can be executed by medical professionals, minimizing MERs and reducing ADEs (Barakat & Franklin, 2020). Furthermore, Quality Improvement (QI) auditors perform a vital role in reporting by examining and reviewing the data weekly to verify the efficiency of the reporting system via suitable steps. They also assess employee awareness of safe pharmaceutical procedures to determine whether additional training is needed.

Capella 4020 Assessment 3 Improvement Plan in Service Presentation

Furthermore, they collect information from patients regarding their satisfaction and concerns with pharmaceutical safety protocols (Dave et al., 2022).  The engagement of this multidisciplinary group and the establishment of an improvement plan allows nurses and other medical staff to conduct their medical care duties efficiently, resulting in a secure and credible setting for patients (Dirik et al., 2019). Their dedication to precision, concern to information, and engagement with the medical professionals can substantially improve patient safety. The involvement and dedication of stakeholders is critical for obtaining the targeted objectives and ensuring the accomplishment of the improvement strategy (Mardani et al., 2020).

Resources and Activities for Engagement

Healthcare organizations can use various tools and resources for nurses to improve their skills and cognitive comprehension in drug administration safety. 

Training Workshops

Organizing collaborative training sessions is a beneficial strategy. These training sessions offer nurses a practical understanding of medication administration and research projects related to drug delivery (Jones et al., 2012). These workshops offer an engaging and interactive structure for nurses to gain insight into the most effective medicine delivery practices, highlighting the security precautions and guidelines. By providing nurses with the appropriate and relevant information and capabilities, these workshops reduce MAEs and ADEs (Jones et al., 2012). Nurses can enhance their abilities and comprehension of drug administration best practices by participating in these activities. 

E-Learning Modules

Establishing e-learning courses or blended learning approaches can help nurses meet their learning objectives significantly. These approaches allow nurses to engage with learning tools. For enhancing understanding and examining knowledge, interactive quizzes and evaluations can be employed (Farzi et al., 2020). 

Simulation Exercises

Simulation practices are useful in producing authentic instances that replicate medicine delivery issues. Nurses can develop their decision-making and problem-solving expertise by engaging in these simulations, which allow them to apply their expertise in a secure and controlled setting (Lamé & Dixon-Woods, 2020).

Feedback and Future Improvement

A range of strategies can be used to obtain responses from the audience on the plan for enhancement and the in-service workshop. Nurses who attended the training session will be given surveys and questionnaires. A detailed study of the response received is required to incorporate these suggestions for future enhancements. The information provided should be thoroughly analyzed and classified to find ideas and possibilities for improvement. Considering both constructive and adverse criticism can guide future adjustments to the training session. 

Conclusion 

I would want to conclude my presentation by going over the goals we accomplished today. We discussed pharmaceutical administration errors, their incidence, and their negative consequences. Nurses have obtained essential knowledge and abilities in identifying the implications of MAEs and recognizing ways to reduce medication errors in this session. The session discussed the significance of effective interaction and MR to reduce MAEs. Nurses are well-equipped to reduce ADEs by minimizing MAEs and enhancing drug safety by utilizing the knowledge and skills learned from the in-service program.

References

Afaya, A., Konlan, K. D., & Kim Do, H. (2021). Improving patient safety through identifying barriers to reporting medication administration errors among nurses: An integrative review. BioMed Central Health Services Research, 21, 1-10. https://doi.org/10.1186/s12913-021-07187-5

Asefa, K. K., Dagne, D., & Mekonnen, W. N. (2021). Medication administration error reporting and associated factors among nurses working in public hospitals, Ethiopia: A cross-sectional study. Nursing Research and Practice, 2021, 1-8. https://doi.org/10.1155/2021/1384168

Ayorinde, M. O., & Alabi, P. I. (2019). Perception and contributing factors to medication administration errors among nurses in Nigeria. International Journal of Africa Nursing Sciences, 11, 100153. https://doi.org/10.1016/j.ijans.2019.100153

Bangwal, R., Bisht, S., Saklani, S., Garg, S., & Dhayani, M. (2020). Psychotic disorders, definition, sign and symptoms, antipsychotic drugs, mechanism of action, pharmacokinetics & pharmacodynamics with side effects & adverse drug reactions: Updated systematic review article. Journal of Drug Delivery and Therapeutics, 10(1), 163-172. https://doi.org/10.22270/jddt.v10i1.386

Barakat, S., & Franklin, B. D. (2020). An evaluation of the impact of barcode patient and medication scanning on nursing workflow at a UK teaching hospital. Pharmacy, 8(3), 148. https://doi.org/10.3390/pharmacy8030148

Capella 4020 Assessment 3 Improvement Plan in Service Presentation

Ceschi, A., Noseda, R., Pironi, M., Lazzeri, N., Eberhardt-Gianella, O., Imelli, S., Ghidossi, S., Bruni, S., Pagnamenta, A., & Ferrari, P. (2021). Effect of medication reconciliation at hospital admission on 30-day returns to hospital. Journal of the American Medical Association (JAMA) Network Open, 4(9), 2124672. https://doi.org/10.1001/jamanetworkopen.2021.24672

Dave, N., Yaddanapudi, S., Jacob, R., & Varghese, E. (2022). Quality improvement and patient safety in India—Present and future. Pediatric Anesthesia, 32(11), 1185-1190. https://doi.org/10.1111/pan.14431

Dirik, H. F., Samur, M., Seren Intepeler, S., & Hewison, A. (2019). Nurses’ identification and reporting of medication errors. Journal of Clinical Nursing, 28(5-6), 931-938. https://doi.org/10.1111/jocn.14716

Farzi, K., Mohammadipour, F., Toulabi, T., Heidarizadeh, K., & Heydari, F. (2020). The effect of blended learning on the rate of medication administration errors of nurses in medical wards. Iranian Journal of Nursing and Midwifery Research, 25(6), 527. https://doi.org/10.4103%2Fijnmr.IJNMR_188_20

Capella 4020 Assessment 3 Improvement Plan in Service Presentation

Fathy, A. S. M., Khalil, N. S., Taha, N. M., & M Abd-elbaky, M. (2020). Nurse’s knowledge and practice regarding medication errors in critical care units: Descriptive study. Minia Scientific Nursing Journal, 8(1), 111-120. https://doi.org/10.21608/msnj.2020.188051

Grailey, K., Hussain, R., Wylleman, E., Ezzat, A., Huf, S., & Franklin, B. D. (2023). Understanding the facilitators and barriers to barcode medication administration by nursing staff using behavioral science frameworks. A mixed methods study. BioMed Central Nursing, 22(1), 378. https://doi.org/10.1186/s12912-023-01382-x

Jones, K. F., Paal, P., Symons, X., & Best, M. C. (2021). The content, teaching methods and effectiveness of spiritual care training for healthcare professionals: A mixed-methods systematic review. Journal of Pain and Symptom Management, 62(3), e261-e278. https://doi.org/10.1016/j.jpainsymman.2021.03.013

Kuklik, N., Stausberg, J., Amiri, M., & Jöckel, K. H. (2019). Improving drug safety in hospitals: A retrospective study on the potential of adverse drug events coded in routine data. BioMed Central Health Services Research, 19, 1-7. https://doi.org/10.1186/s12913-019-4381-x

Lamé, G., & Dixon-Woods, M. (2020). Using clinical simulation to study how to improve quality and safety in healthcare. British Medical Journal Simulation & Technology Enhanced Learning, 6(2), 87. https://doi.org/10.1136%2Fbmjstel-2018-000370

Capella 4020 Assessment 3 Improvement Plan in Service Presentation

Lunghi, C., Trevisan, C., Fusaroli, M., Giunchi, V., Raschi, E., Sangiorgi, E., & Poluzzi, E. (2022). Strategies and tools for supporting the appropriateness of drug use in older people. Pharmaceuticals, 15(8), 977. https://doi.org/10.3390/ph15080977

Lunt, C., & Mathieson, K. (2020). Emergency department nurses attitudes toward barcode medication administration. Canadian Journal of Emergency Nursing, 43(1), 6–11. https://doi.org/10.29173/cjen17

Mardani, A., Griffiths, P., & Vaismoradi, M. (2020). The role of the nurse in the management of medicines during transitional care: A systematic review. Journal of Multidisciplinary Healthcare, 1347-1361. https://doi.org/10.2147/JMDH.S276061

Marufu, T. C., Bower, R., Hendron, E., & Manning, J. C. (2022). Nursing interventions to reduce medication errors in pediatrics and neonates: Systematic review and meta-analysis. Journal of Pediatric Nursing, 62, e139-e147. https://doi.org/10.1016/j.pedn.2021.08.024

Mogharbel, A., Dowding, D., & Ainsworth, J. (2021). Physicians’ use of the computerized physician order entry system for medication prescribing: Systematic review. Journal of Medical Internet Research Medical Informatics, 9(3), e22923. https://doi.org/10.2196/22923

Obaid, L. M., Ali, I., Al Baker, A., Abdallah, W. O. A. S., Plando, R. L., Khawaldeh, M. E., & Panaligan, R. K. J. (2023). Sustaining a culture of safety and optimising patient outcomes while implementing zero harm programme: A 2-year project of the nursing services–SBAHC. British Medical Journal Open Quality, 12(4), e002063. http://creativecommons.org/licenses/by-nc/4.0/

Capella 4020 Assessment 3 Improvement Plan in Service Presentation

Shahmoradi, L., Safdari, R., Ahmadi, H., & Zahmatkeshan, M. (2021). Clinical decision support systems-based interventions to improve medication outcomes: A systematic literature review on features and effects. Medical Journal of the Islamic Republic of Iran, 35, 27. https://doi.org/10.47176%2Fmjiri.35.27

Wondmieneh, A., Alemu, W., Tadele, N., & Demis, A. (2020). Medication administration errors and contributing factors among nurses: A cross sectional study in tertiary hospitals, Addis Ababa, Ethiopia. BioMed Central Nursing, 19(1), 1-9. https://doi.org/10.1186/s12912-020-0397-0

Zyoud, S. E. H., Khaled, S. M., Kawasmi, B. M., Habeba, A. M., Hamadneh, A. T., Anabosi, H. H., & Al-Jabi, S. W. (2019). Knowledge about the administration and regulation of high alert medications among nurses in Palestine: A cross-sectional study. BioMed Central Nursing, 18, 1-17. https://doi.org/10.1186/s12912-019-0336-0

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