Phillip January 8, 2024 No Comments

Capella 4010 Assessment 2

Capella 4010 Assessment 2: Interview and Interdisciplinary Issue Identification

Name

Capella university

NURS-FPX 4010 Leading People, Processes, and Organizations in Interprofessional Practice

Prof. Name

Date

Interview Summary 

My interview with Jennifer, my nurse colleague at Valley Hospital, occurred on Friday last week after we faced a severe medication administration error in the medical ward that led to the death of a patient. Jennifer has been a senior nurse at Valley Hospital for the last seven years. The Valley Hospital was renowned for its prompt care treatments for chronic care patients, paediatrics, and gyneacological interventions. My colleague Jennifer’s daily work routine revolved around delegating tasks to fellow nurses, supervising them, and assisting physicians in intricate matters.

The strategy I used to conduct this interview was based on open-ended questions. The open-ended questions of “how,” “why,” and “what” could reveal in-depth knowledge of healthcare organizations’ work. This strategy has been effective in information gathering as a pool of questions can be inquired, and further communication can be extended. In addition, open-ended questions restrict the interviewer from interjecting during the interviewee’s responses and allow the subject to elaborate. (Kaden, 2020). 

She highlighted medication errors as an alarming issue in the organization. The lack of effective and adequate communication leads to increasing medication errors. Nurses need to gain training about their medication duties, and physicians posing to be senior healthcare providers need to effectively collaborate with nurses. This collapsed collaborative culture has resulted in inappropriate medication management, leading to an escalating number of medical errors. She described that hospital administration is trying to resolve conflicts and guide individual healthcare professionals, which is reaping no fruits as no substantive improvements are there in medication management. She identifies that a similar collaborative effort (interprofessional training) is needed in their hospital, equipped to minimize the risk of hospital-acquired infections in 2020. 

Issue Identification

Medication errors are one of the leading factors that impact patient safety. According to the World Health Organization (WHO), approximately 237 million medication errors occur annually in healthcare settings within a single country (WHO, n.d). The underlying causes of medication errors are inadequate education and training of healthcare professionals in medication safety. Other reasons include poor communication and collaboration among healthcare professionals, incorrect documentation, and the need for medication organization (Thomas et al., 2019).

The interdisciplinary team is a practical approach to reducing the incidence of medication errors. A joint effort to provide coordinated care through safe prescription, dispensing, and administration can deliver high-quality care to patients with less chance of medication error (Manias et al., 2020). Additionally, with the effective interprofessional participation of physicians, pharmacists, and nurses, collaborative care transitioning can facilitate medication reconciliation processes (Stolldorf et al., 2021). Lastly, healthcare professionals can learn each other’s roles and responsibilities in safe medication management through interprofessional team education and training programs, fostering enhanced communication and collaboration (Irajpour et al., 2019).

Change Theories That Could Lead to an Interdisciplinary Solution

To propose an interdisciplinary solution for reducing medication errors, the PDSA cycle can be effectively implemented. The PDSA cycle stands for the Plan, Do, Study, and Act approach, which is effective for continuous improvement in addressing healthcare issues (An et al., 2020). PDSA is suited explicitly for tackling medication errors as this issue requires constant revisions and sustained changes to ensure no future medication errors occur, which is one of the features of this change theory.

Initially, administrators will identify the extent of medication errors and plan strategically to conduct interprofessional training and meetings and policy development to minimize the risks. Secondly, the plan will be implemented in smaller groups to assess its effectiveness. Lastly, necessary improvements would be made according to the results to make the strategic plan sustainable. The resource utilized here is credible and relevant as it is up-to-date, appropriately authorized, and accurately presented to support the PDSA cycle in managing changes within the healthcare setting. 

Leadership Strategies That Could Lead to an Interdisciplinary Solution

The leadership strategy includes collaborative leadership, which can facilitate interdisciplinary solutions through establishing teamwork and cooperation among the multidisciplinary team members using open communication, trust, and mutual respect. This strategy can be applied explicitly to medication errors where healthcare professionals can cooperate in safe medication management by ensuring adequate communication. In a study by Wei and colleagues (2019), collaborative leadership reduces medication errors by strengthening coordinated care delivery through effective and timely communication.

This source is credible as it is up to date, published within five years, and relevant to the organizational issue of medical errors, following the CRAAP criteria of currency, relevance, authority, accuracy, and purpose. The authors have adequate knowledge of this subject. They are related to the medical field, and these sources aim to enhance interprofessional collaboration for reducing medication errors and improving the quality of care.

Collaboration Approaches for Interdisciplinary Teams

Specific collaboration approaches are evident from the literature that foster a culture of interdisciplinary team coordination for reducing medication errors. One such collaboration approach is “shared-decision making”, where healthcare professionals from multiple disciplines can collaborate to make informed healthcare decisions by acquiring keen insights from all team members. They can conduct meetings on safe prescribing, dispensing, and administration, considering the health needs of patients through shared-decision making. This will allow them to thoroughly analyze a patient’s condition in a collaborative environment, leading to coordinated care. (Halli-Tierney et al., 2019).

Additionally, a technology-based collaboration strategy is another approach that enhances interdisciplinary teamwork for reducing medication errors. For instance, using EHR, healthcare professionals can prescribe medication that can be well-comprehended by nurses, and pharmacists can dispense accurate dosages as mentioned in EHR. This will reduce incidences of medication errors (Alanazi et al., 2019). These approaches to enhance interdisciplinary collaboration for reducing medication errors follow CRAAP criteria. Both these sources are recently published and relevant to the subject under consideration. Moreover, the authors have adequate knowledge of this subject, and the information is substantiated by evidence and is accurate. 

Conclusion

In conclusion, the issue identified during my interview with Jennifer is the increased incidences of medication errors. This significant healthcare issue requires an interdisciplinary approach, where all healthcare professionals can systemically align their tasks, reducing the chances of preventable adverse drug events. Valley Hospital can use a collaborative leadership strategy to overcome this looming issue. Along with this, shared decision-making and integrating technology (EHR) help address the pertinent patient safety issue, preserving healthcare quality. 

References

Alanazi, B., Butler-Henderson, K., & Alanazi, M. R. (2019). The role of electronic health records in improving communication between health professionals in primary healthcare centres in Riyadh: Perception of health professionals. Studies in Health Technology and Informatics, 264, 499–503. https://doi.org/10.3233/SHTI190272 

An, L., Backus, S., Han, B., Kane, M., & Blumberg, M. (2020). 100. reducing pediatric asthma hospital length of stay through a multidisciplinary carep pathway. Academic Pediatrics, 20(7), e47–e48. https://doi.org/10.1016/j.acap.2020.06.121 

Halli-Tierney, A. D., Scarbrough, C., & Carroll, D. (2019). Polypharmacy: Evaluating risks and deprescribing. American Family Physician, 100(1), 32–38. https://www.aafp.org/pubs/afp/issues/2019/0701/p32.html 

Irajpour, A., Farzi, S., Saghaei, M., & Ravaghi, H. (2019). Effect of interprofessional education of medication safety program on the medication error of physicians and nurses in the intensive care units. Journal of Education and Health Promotion, 8(196). https://doi.org/10.4103/jehp.jehp_200_19

Kaden, U. (2020). COVID-19 school closure-related changes to the professional life of a K–12 teacher. Education Sciences, 10(6), 165. https://doi.org/10.3390/educsci10060165  

Capella 4010 Assessment 2

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 

Stolldorf, D. P., Ridner, S. H., Vogus, T. J., Roumie, C. L., Schnipper, J. L., Dietrich, M. S., Schlundt, D. G., & Kripalani, S. (2021). Implementation strategies in the context of medication reconciliation: A qualitative study. Implementation Science Communications, 2(1). https://doi.org/10.1186/s43058-021-00162-5 

Thomas, B., Paudyal, V., MacLure, K., Pallivalapila, A., McLay, J., El Kassem, W., Al Hail, M., & Stewart, D. (2019). Medication errors in hospitals in the Middle East: A systematic review of prevalence, nature, severity and contributory factors. European Journal of Clinical Pharmacology, 75(9), 1269–1282. https://doi.org/10.1007/s00228-019-02689-y 

Wei, H., Corbett, R. W., Ray, J., & Wei, T. L. (2019). A culture of caring: The essence of healthcare interprofessional collaboration. Journal of Interprofessional Care, 34(3), 1–8. https://doi.org/10.1080/13561820.2019.1641476 

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

Capella 4010 Assessment 2