NURS FPX 4010 Assessment 4 Stakeholder Presentation

Name

Capella university

NURS FPX 4010 Leading in Intrprof Practice

Prof. Name

Date

Stakeholder Presentation

Hello everyone, I am —-, and I am working as a nurse at Tampa General Hospital. Today, I will deliver my presentation targeting my stakeholder group of hospital administration and healthcare professionals, including physicians, pharmacists, IT specialists, and nurses. Let’s discuss the agenda for today.

Agenda

The following outlines will be discussed in this presentation:

• Organizational healthcare Issue
• Interdisciplinary team approach and its relevance
• Summary of the Interdisciplinary Plan
• Adoption and management of resources
• Evaluation and estimation

Organizational Healthcare Issue 

The particular organizational issue that our hospital is experiencing is higher rates of medication errors. Medication errors occur regularly due to poor communication and collaboration among healthcare professionals and the ineffectiveness of medication safety policies. The staff needs help to conduct effective interdisciplinary team collaboration. All these factors result in medication errors, ultimately impacting patient safety and experience. Medication errors are a global healthcare issue causing adverse health and financial implications (Souza et al., 2019).

Medication errors are avoidable adverse scenarios that can result in patient harm due to inappropriate use of medication. About 237 million medication errors occur annually, of which 68 million are clinically significant.  Approximately 50-70.2 % of errors can be avoided by implementing safe medication management strategies (World Health Organization, 2022). 

Solving Medication Errors 

The audience should care about solving this organization’s issue as it directly impacts patient safety and the well-being of individuals. Drug errors contribute to additional treatment requirements due to patient harm. By preventing these errors, the safety of patients is enhanced, and the risk of adverse reactions can be minimized (Di Muzio et al., 2019). Solving medication errors can boost the quality of care provided to patients as they have a right to acquire safe care treatments and alleviate their ailments without further worsening their health conditions due to these errors (Tawfik et al., 2019).

Patients’ trust in healthcare is eroded when there is a high prevalence of medication errors. By preventing medication errors, the audience can strengthen their trust and foster a positive relationship with healthcare professionals (Prentice et al., 2020). Lastly, the legal consequences and litigation can be prevented by complying with ethical standards and legal obligations of care treatments (Liu et al., 2020). Without addressing medication errors, patient harm can lead to death, legal consequences, and eroded trust in healthcare professionals.

Interdisciplinary Team Approach and its Relevance 

The interdisciplinary team strategy is particularly relevant to address the issue of medication errors in several ways. Most medication errors occur due to poor collaboration and communication among healthcare professionals, conducting interdisciplinary team meetings, or using technology to facilitate communication among staff. This will prevent medication errors and promote patient safety. Interprofessional team members can identify the root causes and conduct comprehensive risk assessments (Manias et al., 2020). This leads to developing and implementing appropriate strategies to address those causes of medication errors.

This approach also fosters an environment to promote continuity of care by addressing medication errors from prescription to administration stages. The interdisciplinary team can observe the holistic approach by examining the entire medication process and evaluating the social, psychological, and organizational factors contributing to these errors, such as communication breakdowns, system failures, and individual mistakes (Mieiro et al., 2019). Consequently, the team members can coordinate to target the factors and develop the right strategies. This will lead to improved health outcomes and achieve the goal of reducing medication errors (Souza et al., 2019). 

Interdisciplinary Plan Summary

The interdisciplinary plan aims to diminish the number of medication adverse events and patient harm by efficiently integrating Electronic Health Records (EHRs) in our hospital. The absolute goal is to enhance patient safety and create a culture of continuous improvement aligning with the organizational outcome, i.e., patient satisfaction.

Possibilities of Interdisciplinary Plan to Work

Integration and implementation of EHR can address medication errors by adding customized features, including notification for potential drug interactions, medical reconciliation, and dose-checking qualities (Gildon et al., 2019). Providing adequate training to healthcare professionals on using EHR efficiently could reduce medication errors. Staff members will be better connected about patients’ health conditions and provide the proper medication to patients (DiAngi et al., 2019). The EHR will promote seamless and streamlined communication and can provide real-time updates on patient’s medication changes (Vos et al., 2020). 

Role of Interdisciplinary Team to Implement Plan

The interdisciplinary team consisting of the hospital administrator, healthcare professionals including physicians, nurses, pharmacists, information technologists, and nurse informaticists and nurses will work together to execute the interdisciplinary plan to avoid medication errors. The hospital administrator will ensure that the healthcare workforce receives adequate training on the use of EHRs by IT technologists and nurse informaticists (Wilbanks & Aroke, 2020).

The IT technologists and nurse informaticists will collaboratively select the vendor and supervise the integration of EHRs. Moreover, they will foresee any future modifications based on the results obtained to ensure continuous improvement. The healthcare workforce will be the primary users of EHR to promote medication safety. They will update medication-related changes in EHR to facilitate communication and collaboration (Robertson et al., 2022).

Implementation of Interdisciplinary Plan 

An interdisciplinary plan will be implemented by following the PDSA cycle, which ensures continuous improvement in managing medication errors. The PDSA stands for Plan, Do, Study, Act cycle, which will help organizations in iterative testing and refinement of medication management (Moser et al., 2020). Following are the ways by which the PSDA cycle will help implement the interdisciplinary plan of installing and practically using the EHRs within healthcare organizations:

Plan

In this stage, the explicit goals for EHR integration will be defined, such as improving efficiency, reducing medication errors, enhancing quality of care, and meeting regulatory requirements. The goals will be specific, measurable, relevant, and time-bound. Moreover, the stakeholders primarily involved in medication management and requiring EHR use will be identified. These stakeholders will be healthcare professionals, IT personnel, and hospital administration (Carr et al., 2023). Lastly, the plan will be developed considering the needs of EHR integration and implementation, such as hardware and software selection, workflow redesigning, training and education, and data migration.

Do

The plan will be executed by integrating EHR and training staff members to transition to EHR users for medication prescription and administration. Moreover, the data will be gathered to observe the outcomes and performance indicators (Carr et al., 2023). 

Study

In this stage, the collected data will be observed and evaluated to identify any areas for improvement. Moreover, patient and healthcare professional feedback will be obtained to understand user experience and patient satisfaction. Lastly, the challenges and successes will be measured to make room for improvements or sustain the current changes (Carr et al., 2023).

Act

The last stage will involve adjusting the EHR integration and implementation based on the identified issues. The healthcare workforce will refine the processes to enhance performance and reduce medication errors. This will lead to implementing an adjusted plan and continuous improvement by iterating the change process throughout the PSDA cycle (Carr et al., 2023).

Management of Human and Financial Resources

 The interdisciplinary plan is so developed that it ensures effective management of resources without any chances of wasting them. Human resources are utilized to create a plan for the integration and practicality of EHRs. A communication plan is developed to keep staff informed about EHR integration, and the EHR experts can proactively address their concerns (Crowley et al., 2019).

They will also implement training programs to enhance staff proficiency in using EHR for medication management. Ultimately, human resources will be enabled to effectively use EHRs and prevent medication errors by safe medication administration as per patient’s health needs. In two intensive care departments of a community hospital, the healthcare workforce was able to reduce medication errors by using EHRs effectively (Carayon et al., 2021).

The financial resources are utilized to effectively integrate EHRs, from selecting vendors and installing software to purchasing hardware devices such as computers and tablets. Moreover, the costs are involved in providing training and education to the healthcare workforce. The financial resources are managed by planning a budget that includes costs while considering the system’s budget (Aguirre et al., 2019).

NURS FPX 4010 Assessment 4 Stakeholder Presentation

The resources are then allocated based on the prioritized areas and critical needs. Moreover, a Return on Investment (ROI) analysis is performed to assess the financial impact of EHR implementation. The improvements are measured in reducing errors, saving additional time and costs of medication errors, and providing efficient care (Aguirre et al., 2019). Lastly, the EHR implementation will be done on a pilot scale, and the extension to other departments will be provided after thorough evaluation to ensure continuous improvements and sustain these changes.

A 260-bed hospital evaluated the EHR implementation and designed the workflows for each department to manage financial resources and adopt this technology to improve the quality of care and reduce medication errors (Aguirre et al., 2019). In another study conducted in North America, the EHR implementation increased per-patient costs from $67750 to $5026000, but the costs can be reduced after data infrastructure is obtained (Mc Cord et al., 2019). 

Evaluation

The successful outcomes of the project will be as follows:

• Reduced medication errors and safe medication delivery
• Improved quality of care 
• Enhanced patient safety
• Reduced length of stay at hospital
• Enhanced patient satisfaction and job satisfaction (Manias et al., 2020)

The criteria that can be utilized to measure success include:

Patient Satisfaction

Patient satisfaction is an indirect method of determining the success of this plan. When medication errors are reduced and patients receive the correct medication, their health outcomes will be improved, leading to a quick recovery. This will cultivate patient satisfaction, and the patient feedback to investigate their satisfaction with care treatment can be obtained to determine whether the plan is successful (Kieval et al., 2020).

Measuring the Medication Errors 

 This is the direct method of measuring the success of this plan. Comparing the rate of medication errors pre and post-implementation of EHR can give a clear idea of the success of this plan. If medication errors are reduced after using EHR, the plan shows its success. If medication errors increase, further improvements must be made to address the challenges and pitfalls (Manias et al., 2020). 

Conclusion

To sum up, I discussed the prevailing issue of medication errors at Tampa General Hospital and required my audience’s attention as valuable stakeholders. This issue requires keen attention as it impacts patient safety. The interdisciplinary plan summary is to integrate the EHRs as medication error prevention technology. This requires the use of the PDSA approach for effective implementation. Moreover, the financial and human resources are adequately managed by various methods. Lastly, the success of this plan is evaluated by measuring patient satisfaction and comparing medication error prevalence before and after the implementation of EHRs. Thank you.

References

Aguirre, R. R., Suarez, O., Fuentes, M., & Sanchez-Gonzalez, M. A. (2019). Electronic health record implementation: A review of resources and tools. Cureus, 11(9). https://doi.org/10.7759/cureus.5649 

Carayon, P., Wetterneck, T. B., Cartmill, R., Blosky, M. A., Brown, R., Hoonakker, P., Kim, R., Kukreja, S., Johnson, M., Paris, B. L., Wood, K. E., & Walker, J. M. (2021). Medication safety in two intensive care units of a community teaching hospital after electronic health record implementation: Sociotechnical and human factors engineering considerations. Journal of Patient Safety, 17(5). https://doi.org/10.1097/PTS.0000000000000358 

Carr, L. H., Christ, L., & Ferro, D. F. (2023). The electronic health record as a quality improvement tool. Clinics in Perinatology, 50(2). https://doi.org/10.1016/j.clp.2023.01.008

Crowley, K., Mishra, A., Cruz-Cano, R., Gold, R., Kleinman, D., & Agarwal, R. (2019). Electronic health record implementation findings at a large, suburban health and human services department. Journal of Public Health Management and Practice, 25(1), E11–E16. https://doi.org/10.1097/phh.0000000000000768

NURS FPX 4010 Assessment 4 Stakeholder Presentation

DiAngi, Y. T., Stevens, L. A., Halpern – Felsher, B., Pageler, N. M., & Lee, T. C. (2019). Electronic Health Record (EHR) training program identifies a new tool to quantify the EHR time burden and improves providers’ perceived control over their workload in the EHR. JAMIA Open, 2(2), 222–230. https://doi.org/10.1093/jamiaopen/ooz003

Di Muzio, M., Dionisi, S., Di Simone, E., Cianfrocca, C., Di Muzio, F., Fabbian, F., Barbiero, G., Tartaglini, D., & Giannetta, N. (2019). Can nurses’ shift work jeopardize the patient safety? A systematic review. European Review for Medical and Pharmacological Sciences, 23(10), 4507–4519. https://doi.org/10.26355/eurrev_201905_17963 

Gildon, B., Condren, M., & Hughes, C. (2019). Impact of electronic health record systems on prescribing errors in pediatric clinics. Healthcare, 7(2), 57. https://doi.org/10.3390/healthcare7020057 

Kieval, J. Z., Al-Hashimi, S., Davidson, R. S., Hamilton, D. R., Jackson, M. A., LaBorwit, S., Patterson, L. E., Stonecipher, K. G., & Donaldson, K. (2020). Prevention and management of refractive prediction errors following cataract surgery. Journal of Cataract and Refractive Surgery, 46(8), 1189–1197. https://doi.org/10.1097/j.jcrs.0000000000000269 

Liu, J., Liu, P., Gong, X., & Liang, F. (2020). Relating medical errors to medical specialties: A mixed analysis based on litigation documents and qualitative data. Risk Management and Healthcare Policy, 13, 335–345. https://doi.org/10.2147/rmhp.s246452 

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(1), 1–29. https://doi.org/10.1177/2042098620968309 

NURS FPX 4010 Assessment 4 Stakeholder Presentation

Mc Cord, K. A., Ewald, H., Ladanie, A., Briel, M., Speich, B., Bucher, H. C., & Hemkens, L. G. (2019). Current use and costs of electronic health records for clinical trial research: A descriptive study. CMAJ Open, 7(1), E23–E32. https://doi.org/10.9778/cmajo.20180096 

Mieiro, D. B., Oliveira, É. B. C. de, Fonseca, R. E. P. da, 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(1), 307–314. https://doi.org/10.1590/0034-7167-2017-0658 

Moser, T., Edwards, J., Pryor, F., Manson, L., & OʼHare, C. (2020). Workflow improvement and the use of PDSA cycles. Quality Management in Health Care, 29(2), 100–108. https://doi.org/10.1097/qmh.0000000000000245 

Prentice, J. C., Bell, S. K., Thomas, E. J., Schneider, E. C., Weingart, S. N., Weissman, J. S., & Schlesinger, M. J. (2020). Association of open communication and the emotional and behavioural impact of medical error on patients and families: State-wide cross-sectional survey. BMJ Quality & Safety, 29(11), 883–894. https://doi.org/10.1136/bmjqs-2019-010367

Robertson, S. T., Rosbergen, I. C. M., Burton-Jones, A., Grimley, R. S., & Brauer, S. G. (2022). The effect of the electronic health record on interprofessional practice: A systematic review. Applied Clinical Informatics, 13(03), 541–559. https://doi.org/10.1055/s-0042-1748855 

Souza, A. F. R. de, Queiroz, J. C. de, Vieira, A. N., Solon, L. G. da S., & Bezerra, É. L. de S. F. (2019). Medication errors and their risk factors inherent to the medicinal prescription. Enferm Foco, 10(4), 12–16. https://enfermfoco.org/en/article/medication-errors-and-their-risk-factors-inherent-to-the-medicinal-prescription/ 

Tawfik, D. S., Scheid, A., Profit, J., Shanafelt, T., Trockel, M., Adair, K. C., Sexton, J. B., & Ioannidis, J. P. A. (2019). Evidence relating health care provider burnout and quality of care. Annals of Internal Medicine, 171(8), 555. https://doi.org/10.7326/m19-1152 

Vos, J. F. J., Boonstra, A., Kooistra, A., Seelen, M., & van Offenbeek, M. (2020). The influence of electronic health record use on collaboration among medical specialties. BMC Health Services Research, 20(1), 676. https://doi.org/10.1186/s12913-020-05542-6

NURS FPX 4010 Assessment 4 Stakeholder Presentation

Wilbanks, B. A., & Aroke, E. N. (2020). Using clinical simulations to train healthcare professionals to use electronic health records. CIN: Computers, Informatics, Nursing, 38(11). https://doi.org/10.1097/cin.0000000000000631 

World Health Organization. (2022). What is a medication error? https://cdn.who.int/media/docs/librariesprovider2/country-sites/medication-error-wpsd-final.pdf?sfvrsn=e5853e2a_1&download=true