Phillip January 8, 2024 No Comments

Capella 4010 Assessment 3

Capella 4010 Assessment 3: Interdisciplinary Plan Proposal

Name

Capella university

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

Prof. Name

Date

Interdisciplinary Plan Proposal

This interdisciplinary plan proposal focuses on the current issue of medical errors faced by Valley Hospital. The proposed multidisciplinary plan will reduce the incidence of medical errors in the medical-surgical unit of the organization and enhance patient safety and satisfaction, leading to better economic stability and the hospital’s reputation.

Objective

This plan aims to implement a collaborative culture of care (shared making, effective multidisciplinary communication, and improved patient engagement) at Valley Hospital to significantly reduce medication errors at the prescribing, dispensing, and administration stages. Achieving this objective will enhance patient safety and health outcomes, reduce healthcare costs, and improve the hospital’s reputation.

Questions and Predictions

    1. How will a collaborative culture of care for medication management improve medication safety and reduce errors? Prediction: A collaborative culture will lead to a 20-25% reduction in medical mistakes within three to six months as the healthcare providers will work together to verify prescriptions, administer correct medication, and monitor patient responses effectively.
  • How time constraints and communication barriers will be overcome during interdisciplinary plan implementation? Prediction: Time constraints and communication barriers will be crushed using technologies like electronic health records (EHRs), where healthcare providers can collaborate remotely without physical presence. The EHR concisely presenting patient health data available for all healthcare providers simultaneously can enhance coordinated care delivery. 
  1. How will engaging patients in their medication management impact patient-related errors? Prediction: Patient engagement will lead to a 10% reduction in patient-related medication errors within six months as informed and engaged patients become active partners in medical error prevention. 

Methods for Determining Success

The evidence-based methods to determine the success of this proposal include using dashboard metrics such as enhanced patient satisfaction, reduced mortality rates associated with medication errors, and reduced number of medication errors. Moreover, patient surveys can be conducted to evaluate their experience with medication management, which can indirectly determine the success of this proposal (Choudhury & Asan, 2020; Dürr et al., 2021). 

Change Theories and Leadership Strategies

The proposed change theory of the PDSA cycle consisting of Plan, Do, Study, Act can foster enhanced buy-in from interdisciplinary teams to implement the project of improved collaboration among team members. The project team manager of Valley Hospital will plan ways by which the proposed interdisciplinary strategies to reduce medication errors can improve collaboration—for instance, conducting meetings with small groups of multidisciplinary team members to emphasize the significance of medical mistakes and how cooperation of team members can mitigate the incidence of these errors. They will devise ways to reduce medication errors, such as shared, timely communication with team members and patients and utilizing EHR technology to align efforts with each other’s task performances (Mondal et al., 2022). After devising these strategies, the hospital will implement them on a small scale, like in one department of Valley Hospital.

Later, their performance will be checked, and further improvements can be driven accordingly. This framework will allow the healthcare team to work collaboratively through strategic ways by which medical errors can be reduced, as healthcare providers will ensure that only prescribed medication is being administered. The leadership strategy includes collaborative leadership, where all interdisciplinary team members are encouraged to collaborate on this project of Valley Hospital. They are provided with an environment that promotes open communication and mutual respect.

Capella 4010 Assessment 3

Fostering a culture of mutual respect, healthcare professionals can share their insights on managing and reducing medication errors, improving collaboration, and overcoming barriers to care coordination (Bianchi et al., 2021). For instance, Valley Hospital’s plan comprising “shared decision-making” will be implemented through this leadership strategy where the team must collaborate to provide patients with medication as they are prescribed tailored to their health needs. Moreover, this will overcome communication barriers that hinder the effective implementation of this plan. Lastly, patient-provider engagement can be achieved through this strategy as patients are given adequate respect and value to collaborate with healthcare providers in safe medication management easily.

Team Collaboration Strategy

To successfully implement the interdisciplinary plan, team members from different departments must fulfill their roles and work coordinately. Physicians play a vital role in safe medication prescribing according to patient’s health needs to avoid prescription-based errors. The nurse leaders supervise and educate nurses on protocols for secure medication management (Irajpour et al., 2019). Nurses employed in Valley Hospital are responsible for double-checking medication before implementing the “five rights of medication administration” and consulting with physicians in case of misunderstanding. Pharmacists must collaborate with physicians to dispense proper medication dosage and prevent dispensing errors. Moreover, each healthcare provider must use EHR to update patient’s medical data to enhance collaboration. The hospital administration plays a significant role in managing medication errors by analyzing current patterns and future outcomes of these implemented strategies.

Patients will be primarily involved in collaboration, learning about safe medication management for self-administered medication. The collaboration approach planned to execute is conducting meetings for implementing a shared-decision strategy, making informed healthcare decisions, and using EHR as a technology-based collaboration tactic (Alanazi et al., 2019). Through shared decision-making, interdisciplinary teams can provide patient-centered care by involving patients in medication-related decisions that can prevent errors from miscommunication and lack of understanding of patients’ health needs. Moreover, EHR facilitates seamless communication and coordination among interdisciplinary teams as they can share up-to-date patient data on medication to promote safe medication management.   

Required Organizational Resources

The Valley Hospital requires at least two physicians, three pharmacists, five nurses, two IT specialists for EHR maintenance and working, and three hospital administrative staff members to implement the proposed multidisciplinary plan. Apart from basic salaries of $35,000 annually per staffing member, conducting training on safe medication and effective collaboration will cost $15,000. Additionally, Valley Hospital will need to acquire essential supplies (software and bandwidth) for the integration of EHR, which will require an initial cost of $90,000. Computers are available at workstations in the department, which can be utilized for this purpose.

A follow-up maintenance cost of $20,000 is an additional requirement every six months. The overall financial budget will be $650,000 for Valley Hospital to implement this plan. Suppose the plan is not implemented or remains unsuccessful, the organization may face a severe financial burden due to further increment in medication errors, litigation costs associated with malpractice, and increased healthcare costs due to health complications. Moreover, patient readmission rates would rise, further escalating the costs. Therefore, the organization must drive continuous improvements to reduce medication errors and improve patient safety. 

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 

Bianchi, C., Nasi, G., & Rivenbark, W. C. (2021). Implementing collaborative governance: Models, experiences, and challenges. Public Management Review, 23(11), 1–9. https://doi.org/10.1080/14719037.2021.1878777 

Choudhury, A., & Asan, O. (2020). Role of artificial intelligence in patient safety outcomes: Systematic literature review. JMIR Medical Informatics, 8(7), e18599. https://doi.org/10.2196/18599 

Dürr, P., Schlichtig, K., Kelz, C., Deutsch, B., Maas, R., Eckart, M. J., Wilke, J., Wagner, H., Wolff, K., Preuß, C., Brückl, V., Meidenbauer, N., Staerk, C., Mayr, A., Fietkau, R., Goebell, P. J., Kunath, F., Beckmann, M. W., Mackensen, A., & Neurath, M. F. (2021). The randomized AMBORA trial: Impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment with new oral anticancer agents. Journal of Clinical Oncology, 39(18), 1983–1994. https://doi.org/10.1200/jco.20.03088 

Capella 4010 Assessment 3

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 

Mondal, S., Banerjee, M., Mandal, S., Mallick, A., Das, N., Basu, B., & Ghosh, R. (2022). An initiative to reduce medication errors in neonatal care unit of a tertiary care hospital, Kolkata, West Bengal: A quality improvement report. BMJ Open Quality, 11(Suppl 1), e001468. https://doi.org/10.1136/bmjoq-2021-001468