Capella 4020 Assessment 4 Improvement Plan Tool Kit

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Capella university

NURS-FPX 4020 Improving Quality of Care and Patient Safety

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Introduction – Improvement Plan Tool Kit

Medication errors cause unwanted damage to individuals, healthcare professionals, and healthcare systems. Nurses must recognize and promote strategies that enhance drug administration safety. A safety enhancement strategy necessitates an insignificant quantity of knowledge that can be shared among the relevant individuals (Amaniyan et al., 2020). A Medication Administration Error (MAE) improvement plan tool kit is created in this assessment. Google Scholar, PubMed Central, Capella Online Library, and CINAHL databases were used to generate this tool kit. This resource tool kit aims to help nursing staff and other healthcare providers execute the drug safety improvement plan with a comprehensive understanding and awareness of the associated ideas to accomplish effective outcomes.

Resource Tool Kit – Implementation and Sustainability

This resource kit is divided into four groups, allowing nurses to seek guidance from the most pertinent resources. These areas are:

a) Implementation of quality medication administration
b) Best practices of MAE reporting and improved patient safety
c) Evidence-based strategies for safety improvement plan
d) Staff-led interventions in medication safety

Implementation of Quality Medication Administration

Savva, G., Papastavrou, E., Charalambous, A., Vryonides, S., & Merkouris, A. (2022). Exploring nurses’ perceptions of medication error risk factors: Findings from a sequential qualitative study. Global Qualitative Nursing Research, 9, 23333936221094857. https://doi.org/10.1177/23333936221094857

This resource used a prospective observational study method to determine the incidence, and nature and identify the factors associated with MAEs. This study also focuses on interventions to reduce the risk factors. The resource group focuses on an improvement plan to enhance patient safety. This study claimed that most MAEs occur in intravenous doses of medications with 35% of total MAEs. The study has highlighted various MAEs attributed risk factors. One of the significant factors is staff, including nurses-related risk factors such as knowledge, expertise, patient medical condition, workload, and poor communication among staff members. Procedure-related mistakes are also common during the medication delivery process.

Exclusions and deviations from safe medication administration protocols are typical procedural mistakes. This study can assist nurses and healthcare staff discover more about the factors leading to MAEs. Comprehension of these risk variables can assist them in finding similar aspects in their organizations and implementing appropriate safety enhancement programs to achieve and sustain reforms. Furthermore, intravenous medication errors can be fatal to patients. Therefore, this study aids medical staff and nurses in their continual efforts to enhance the standard of care and guarantee the safety of patients.

Capella 4020 Assessment 4 Improvement Plan Tool Kit

Rozenblum, R., Rodriguez-Monguio, R., Volk, L. A., Forsythe, K. J., Myers, S., McGurrin, M., Williams, D. H., Bates, D. W., Schiff, G., & Seoane-Vazquez, E. (2020). Using a machine learning system to identify and prevent medication prescribing errors: A clinical and cost analysis evaluation. The Joint Commission Journal on Quality and Patient Safety, 46(1), 3–10. https://doi.org/10.1016/j.jcjq.2019.09.008

The authors investigated using a machine learning system to identify and prevent pharmaceutical dispensing mistakes. Furthermore, the article intends to assess medical procedures and economic implications following the implementation of this technology-based approach. This study showed that this technology-based method is crucial for reducing errors. It has detected a significant reduction in prescription errors. Preventing MAEs resulted in lower expenditures. This demonstrated that machine learning systems can generate clinically acceptable drug mistake alarms, which conventional clinical decision-support tools commonly fail to do. This technique can detect drug errors in advance. It helps the healthcare providers in developing strategies for drug delivery improvement plans.

Brito D. A., M., Carneiro, C. T., Bezerra, M. A. R., Rocha, R. C., & Da Rocha, S. S. (2022). Effective communication strategies among health professionals in neonatology: An integrative review. Enfermeria Global, 21(3), 578-591. https://doi.org/10.6018/eglobal.502051

Capella 4020 Assessment 4 Improvement Plan Tool Kit

This study examines methods for improving communication among multidisciplinary groups. The study emphasizes the significance of efficient interaction in promoting patient safety in hospitals. Poor communication results in increased adverse events of MAEs. The World Health Organization (WHO) has identified efficient collaboration among professionals as the second global aim for improving the security of patients and the standard of treatment. The authors suggest inter-professional communication enhancement strategies. These strategies will improve patient safety. The implementation of communication devices, exchange reporting, direct discussion, and the incorporation of efficient communication strategies in training sessions are all examples of successful communication approaches.

Regular discussions, multidisciplinary rounds, verification, and quick responses to interdisciplinary teammates are also effective strategies. The absence of standardization and insufficient recording of information about patients in the healthcare record are two challenges to successful communication. The authors support the procedures described to ensure effective interaction within the multidisciplinary group and boost patient safety. Efficient communication leads to better care. This article is a valuable asset for nurses adopting pharmaceutical quality improvement strategies.

Best Practices of Medication Errors Reporting and Improved Patient Safety

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

The significance of developing measures to mitigate medication-related damage is discussed in this article. Nurses need to report errors to reduce errors and enhance patient safety. The researchers conducted an integrative study to identify hurdles to nurses reporting MAEs. The investigators examined a variety of primary resources, and two significant concepts developed: organization and profession challenges, and behavioral barriers. A lack of an adequate reporting system, ambiguous definitions of pharmaceutical errors, and organizational behaviors have been identified as organizational hurdles. The absence of a proper MAE reporting system rendered reporting procedures difficult, mainly using the MAE reporting form, which is a primary hurdle to reporting and documenting MAEs. There is an imprecise description of ME inside the healthcare system, and differences over what should be considered reporting are a barrier to reporting MAEs.

The negative response of the administrators toward nursing staff results in the lack of error reporting and the absence of feedback after error investigation. Personal concerns like fear of embarrassment and job loss are professional and behavior impediments. Other challenges include a lack of awareness about errors and patient damage from the MAEs. This resource’s knowledge can assist healthcare systems and stakeholders address challenges to MAE reporting and improve drug administration and patient safety. This resource is crucial for nurses executing drug administration quality enhancement initiatives since the ability to target errors appropriately depends on the precision of data acquired from reporting. Thus, measures for minimizing barriers to MAE reporting must be developed and implemented.

Capella 4020 Assessment 4 Improvement Plan Tool Kit

Lee, H. Y., & Lee, E. K. (2021). Safety climate, nursing organizational culture and the intention to report medication errors: A cross-sectional study of hospital nurses. Nursing Practice Today, 8,(4), 284-292. https://doi.org/10.18502/npt.v8i4.6704

This article discusses the factors that influence MAE reporting in the inpatient environment. According to the researchers, MAEs cause patient damage, which is a challenge for medical facilities. 80% of drug mistakes occur during medicine delivery’s prescription and administration stages. Nurses must be engaged in developing strategies to limit their recurrence. The author highlighted the importance of MAE reports since they allow for examining an actual error that can potentially leveraged to avoid future mistakes.

The authors emphasize the need to establish a culture that promotes security instead of criticism in promising employee preparedness to disclose mistakes because worry about punishment for the errors results in fewer reports of errors. The cross-sectional investigation was carried out in four hospitals. Data on prescription errors, intent to report, healthcare system culture, and secure atmosphere were collected using questionnaires. The findings revealed that 21.6% of individuals had been involved in a MAEs, with just 11.1% reporting the mistake. The authors suggest that organizational assistance is needed to establish and sustain a safe environment in order to enhance MAE reporting, resulting in reduced patient damage. Quality enhancement techniques that enhance pharmaceutical safety must be identified, analyzed, and implemented.

Capella 4020 Assessment 4 Improvement Plan Tool Kit

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

This article focuses on analyzing the extent of MAE reporting and the factors related to it among nurses. The importance of MAE reporting systems is discussed in this study. Nurses play an essential role in supporting patient safety activities. Nurses should prevent MAEs from promoting patient safety . Reporting errors lessen their negative consequences and efficiently aids in the prevention of future mistakes that can lead to patient damage. Furthermore, disclosing MAEs minimizes personal harm and lowers economic expenditures. The author discussed MAE reporting options, particularly the importance of voluntary reporting in detecting MAEs. Error identification and reporting are significant approaches to reducing MAEs.

Errors reporting demands specialists identify MAEs and report them via appropriate processes. MAE reporting is an excellent method for identifying the root causes of drug administration errors and preventing them from recurring. According to the findings of this study, nurses reported few medication delivery errors. It signifies that there is an issue with nursing practice. Medical centers should develop and implement a reporting system, and nursing staff should exercise documenting and reporting mistakes using the reporting system. This article is helpful for nurses who are implementing drug quality enhancement plans as it emphasizes the significance of the MAE reporting system and helps the nurses and other healthcare professionals to develop strategies after the root cause analysis through the MAE reporting system.

Evidence-Based Strategies for Safety Improvement Plan

Hogerwaard, M., Stolk, M., Dijk, L. van, Faasse, M., Kalden, N., Hoeks, S. E., Bal, R., & Horst, M. ter. (2023). Implementation of Barcode Medication Administration (BMCA) technology on infusion pumps in the operating rooms. British Medical Journal (BMJ) Open Quality, 12(2). https://doi.org/10.1136/bmjoq-2022-002023

The authors stated that MAEs are dangerous to patient safety, causing disability and mortality. To combat MAEs, an efficient Barcode Medication Administration (BCMA) system was deployed in surgical facilities to govern the double-checking procedure. The study’s findings revealed that by employing the most recent BCMA methods, most of MAEs found have been avoided. The research highlights the importance of this upgraded BCMA technology as a tool for decreasing MAEs and improving patient safety.

Implementing current BCMA technology can help to prevent drug mistakes while safeguarding patient safety. By merging the scanning of bar codes and automation, it boosts the accuracy of the drug delivery procedure. This research emphasizes the need of using upgraded BCMA system as an essential tool for minimizing MAEs and dealing with patient safety concerns. Medical staff can successfully decrease the hazards related to drugs delivery errors and improve standard of care by utilizing this resource and maintaining high adherence to the BCMA system.

Guisado-Gil, A. B., Mejías-Trueba, M., Alfaro-Lara, E. R., Sánchez-Hidalgo, M., Ramírez-Duque, N., & Santos-Rubio, M. D. (2020). Impact of medication reconciliation on health outcomes: An overview of systematic reviews. Research in Social and Administrative Pharmacy, 16(8), 995-1002. https://doi.org/10.1016/j.sapharm.2019.10.011

Capella 4020 Assessment 4 Improvement Plan Tool Kit

The author has highlighted the significance of Medication Reconciliation (MR). According to the authors, MR minimizes the risk of medication discrepancies. Most of the pharmaceutical discrepancies or MAEs during treatment are because of unplanned pharmaceutical variances induced by validation problems. The purpose of this review is to determine the impact of MR on the welfare of patients. The author has detailed the drug’s key components, its evaluated medical effects, and the associations between MR and patient safety.

The data show that MR effectively provides beneficial results for patients and boosts healthcare. The MR technique helps avoid unwanted drug reactions, enhance patients’ health, and promote patient satisfaction by reducing MAEs. This study offers significant information for medical professionals, underlining the significance of making MR an everyday approach. Considering the outcomes of the research, medical practitioners can use MR to enhance drug safety and lower the chance of MAEs.

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

Capella 4020 Assessment 4 Improvement Plan Tool Kit

The researchers assessed the efficacy of multiple strategies for identifying and preventing MAEs and prescribing mistakes in this article. This review employs meta-analyses to analyze the effectiveness of various intervention alternatives. This study investigates the effectiveness of several solutions for reducing MAE in therapeutic and surgical systems. According to this review, Pharmacist-Led MR, digital MR, pharmacologist teamwork, practitioner education, and Computerized Physician Order Entry (CPOE) all help to reduce MAEs. A scheduled medicine distribution strategy also lowersMAEs. Training and collaboration among disciplines are effective strategies for reducing drug errors. This study will aid healthcare providers to decide and allocate funds for executing prescription techniques and reducing adverse incidents because of MAEs.

Staff- Led Interventions in Medication Safety

Mieiro, D. B., Oliveira, É. B. C. D., Fonseca, R. E. P. D., Mininel, V. A., Zem-Mascarenhas, S. H., & Machado, R. C. (2019). Strategies to minimize medication errors in emergency units: An integrative review. Revista Brasileira de Enfermagem, 72, 307-314. https://doi.org/10.1590/0034-7167-2017-0658

This article discusses the interventions used by nurses to mitigate MAEs in emergency departments. MAEs threaten both patient safety and medical personnel. However, administering drugs is complicated and susceptible to mistakes. Nurses must recognize and implement measures to increase patient safety. The authors conducted a comprehensive evaluation to identify the measures utilized by nurses to reduce MAEs in critical care facilities. Training sessions, seminars, simulation exercises, employee engagement in enhancement processes, multidisciplinary teamwork, and the use of technology have been suggested as measures to reduce MAE incidents.

The authors conclude that efficient interaction and collaboration among the various disciplines are essential to successfully implement MAE reduction strategies and promote patient safety. This article can guide a multidisciplinary group through the pharmaceutical procedure. This article emphasizes the importance of the nurse and the multidisciplinary group in improving drug delivery. The information provided is valuable to nurses in identifying the resources required to carry out treatments successfully.

Capella 4020 Assessment 4 Improvement Plan Tool Kit

Santos, L. L., Camerini, F. G., Fassarella, C. S., Almeida, L. F. D., Setta, D. X. D. B., & Radighieri, A. R. (2021). Medication time out as a strategy for patient safety: Reducing medication errors. Revista Brasileira de Enfermagem, 74, e20200136. https://doi.org/10.1590/0034-7167-2020-0136

According to the authors, it is the role of healthcare providers to apply initiatives to increase medication safety. The study used a quantitative, inductive research with observational data to investigate the execution of an interdisciplinary medication time-out method for MAE reduction. The medicine time-out was incorporated into the present morning multidisciplinary rounds. As a team of professionals, prescribed medications for each patient were examined. The intervention is successful and efficient without affecting individuals or physical resources.

The authors suggest that a multidisciplinary medication time-out is a viable, cost-effective technique for reducing MAEs and enhancing patient safety through collaborative decision-making. This study guides nurses in establishing drug quality enhancement initiatives because the suggested approach is successful and efficient, emphasizing the significance of multidisciplinary cooperation and organizational resource administration to enhance the administration of medications and improve the health of patients.

Nurmeksela, A., Mikkonen, S., Kinnunen, J., & Kvist, T. (2021). Relationships between nurse managers’ work activities, nurses’ job satisfaction, patient satisfaction, and medication errors at the unit level: A correlational study. BioMed Central Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-06288-5

This study examined the association between four factors: the role of a nurse’s supervisor, nurses’ job fulfillment , patient satisfaction, and MAEs. The nurse-to-supervisor ratio, an administrative factor, impacts the job satisfaction of nurses and, as a result, raises the likelihood of MAEs. This study offered some recommendations for nurse supervisors in order to enhance patient safety in terms of MAEs by guiding and encouraging nurses in their respective positions to handle and organize their responsibilities efficiently.

It is also suggested that. promoting a culture that encourages security and care that prioritizes patients within the hospital setting. Furthermore, healthcare executives should supervise their staff members to ensure that they can balance their duties with the the organizational objectives to deliver high-quality treatment and promoting patient safety. This study is beneficial for nurse leaders who will be implementing these practices in their workplaces so that the healthcare system accomplishes patient-centered security objectives.

Conclusion

Nurses can benefit from employing a toolkit including resources based on evidence to prevent MAEs. It allows nurses to improve patient safety, take evidence-based actions, and prevent drug mistakes. Using an evidence-based toolkit, nurses can boost the standard of care and assure patient medication safety. This comprehensive toolkit will help stakeholders establish and maintain a safety improvement plan in their healthcare organization. It will offer an extensive collection of credible and recent knowledge for nurses.

References

Amaniyan, S., Faldaas, B. O., Logan, P. A., & Vaismoradi, M. (2020). Learning from patient safety incidents in the emergency department: a systematic review. The Journal of emergency medicine, 58(2), 234-244. https://doi.org/10.1016/j.jemermed.2019.11.015

Capella 4020 Assessment 4 Improvement Plan Tool Kit

Santos, L. L., Camerini, F. G., Fassarella, C. S., Almeida, L. F. D., Setta, D. X. D. B., & Radighieri, A. R. (2021). Medication time out as a strategy for patient safety: reducing medication errors. Revista Brasileira de Enfermagem, 74, e20200136. https://doi.org/10.1590/0034-7167-2020-0136

Capella 4020 Assessment 4 Improvement Plan Tool Kit

Capella 4020 Assessment 4 Improvement Plan Tool Kit

Introduction – Improvement Plan Tool Kit

Resource Tool Kit – Implementation and Sustainability

Implementation of Quality Medication Administration

Capella 4020 Assessment 4 Improvement Plan Tool Kit

Capella 4020 Assessment 4 Improvement Plan Tool Kit

Capella 4020 Assessment 4 Improvement Plan Tool Kit

Capella 4020 Assessment 4 Improvement Plan Tool Kit

Evidence-Based Strategies for Safety Improvement Plan

Capella 4020 Assessment 4 Improvement Plan Tool Kit

Capella 4020 Assessment 4 Improvement Plan Tool Kit

Staff- Led Interventions in Medication Safety

Capella 4020 Assessment 4 Improvement Plan Tool Kit

Conclusion

References

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