Phillip January 8, 2024 No Comments

Capella 4020 Assessment 3

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

Welcome to our in-service session on the safety improvement plan for the community hospital. My name is —–, and I welcome you all to this session. I hope you all have a learning experience from this session that helps improve patient care quality. Drawing from recent events, including a case like Jiliana’s, we recognize the need to address medication administration errors head-on. You are encouraged to ask questions in our last segment, where we will have an interactive session to answer your queries and more. Before any more delays, let me first discuss the agenda for this session.

Agenda

We will talk about the following content:

  1. Purpose and goals of this in-service session
  2. Safety improvement plan
  3. Need to improve safety improvement outcomes
  4. Audience’s Role and their importance in the implementation of the proposed plan 
  5. Activity for skill practice and soliciting feedback

Purpose and Goals of the In-service Session

First, I will discuss this in-service session’s purpose, goals, and outcomes. This in-service session is conducted to address the medication administration errors taking place in our hospital and impacting patient safety. We have seen the ramifications firsthand, particularly in cases like Jiliana’s. To enhance patient safety and satisfaction, there was a pressing need to develop a safety improvement plan and raise awareness about how it can alleviate the alarming situation in our healthcare organization. Our goals target reducing medication administration errors, improving patient safety, reducing patient harm, providing better care quality, and improving clinical health outcomes. These goals are realistic and achievable with the help of the proposed safety improvement plan and your willingness to drive successful implementation. 

Outcomes of the In-Service Presentation

In this session, you will learn how medication administration errors can be prevented and the critical importance of communication between healthcare professionals, as seen in the Jiliana incident. You will gain insight into using BCMA effectively and how interprofessional collaboration can be vital in attaining this goal. You will learn how to improve collaboration by employing communication strategies.  Moreover, you will learn about your essential role in safe medication management to enhance patient safety and delivery of better quality of care. Lastly, you will learn new skills and practices to facilitate safe medication administration. This will empower you in your clinical and health practices and manage patient safety during medication administration. 

Safety Improvement Plan

Considering the recent case of Jiliana and other similar incidents, our hospital faces adverse medication administration events due to several factors, including non-adherence to safe medication management rules, lack of interdisciplinary collaboration, and negligent behaviors of healthcare professionals in medication management. To address the devastating situation of our hospital, a safety improvement plan is developed for healthcare professionals and the workforce.

The proposed plan includes developing guidelines on safe medication administration for nurses to implement in nursing practices. This will avoid errors due to poor nursing practices as they follow the five rights of medication administration (Hanson & Haddad, 2022). Additionally, the plan includes employing communication strategies such as use of EHR and conducting physical meetings to enhance interdisciplinary collaboration (Burgener, 2020). Lastly, the plan includes integrating healthcare information technology, such as Barcode medication administration (BCMA), to prevent medication administration errors (Pruitt et al., 2023).

Need to Improve Safety Outcomes

Addressing these issues is paramount, not just for the hospital’s reputation but also to ensure the safety and well-being of our patients, as evident from Jiliana’s adverse experience. Healthcare organizations must improve patients’ health conditions instead of further deteriorating them. When adverse events like medication administration errors occur abundantly in hospitals, numerous implications are encountered. These implications directly relate to patients as their safety is impacted, and they undergo additional treatments and procedures, leading to increased emotional, physical, and financial burdens (Assunção-Costa et al., 2022).

Besides, hospitals are significantly impacted as their resources are excessively utilized, resulting in financial crises, and healthcare providers may have to be terminated due to poor performance and high turnover rates. This leads to the economic instability of healthcare organizations. Moreover, higher rates of medication administration errors also lessen the hospital’s reputation. Considering these repercussions associated with unaddressed medication administration errors, it is vital to improve the safety outcomes of our organization to avoid potential negative consequences.

Audience’s Role and Importance

Our audience has a crucial role in making the improvement plan for medication administration successful. This is accomplished by collaborating with nurses, physicians, and healthcare administration. The staff audience will be expected to help implement and drive the improvement plan as they are the primary stakeholders responsible for patients’ safety. Their role is critical to successfully implementing an improvement plan for medication administration. Nurses are front-line healthcare providers who are responsible for administering medication. By practicing the proposed plan strategies, they can avoid making medication errors. Learning the five rights of medication and implementing them practically using barcode medication administration technology can prevent medication errors due to wrong drugs and negligent behavior. 

Moreover, by collaborating with physicians in understanding the prescription and acknowledging the proper medication for a patient, medication errors due to poor communication can be prevented. Lastly, the healthcare administration can ensure the improvement plan is implemented by evaluating the nursing performances and developing a policy on abiding by the rules of the five rights of medication administration. Moreover, administration can play a massive role in evaluating the dashboard metrics on medication administration to evaluate the efficacy of improvement plans and make prospective improvements.

Implementing a safety improvement plan enhances patient safety and benefits the audience by embracing their role in the plan. They will experience job satisfaction, bonuses, and fringe benefits from organizations with better performance. Moreover, they will be promoted to higher designations, such as team leads with better salaries. Ultimately, the safety improvement plan brings valuable results for patients, the audience, and the organization.

Resources and Activity for Skills Practice 

 In this segment, we will do an activity to hone your safe medication administration skills. I would like you all to make four groups of five individuals each. Moreover, I would distribute fictional patient profiles with medication orders, including dosage, frequency, and route. In each scenario, participants must verify the patient’s identity, calculate the correct dosage, and double-check with a physician to ensure medication is correctly prescribed. Then, you will proceed with drug administration using the BCMA technology to dummy patients. Rotate scenarios and mix different routes and medications to challenge participants.

Furthermore, introduce distractions and interruptions to simulate real-world conditions and practice mindfulness. This will enable the development of new skills such as mindfulness, collaboration with interdisciplinary team members, and practicing safe medication guidelines by BCMA application. After that, you will debrief about the new processes and skills, and your questions will be answered, such as how to deal with glitches you may encounter using BCMA, how to promote communication if the interdisciplinary team is unavailable, etc. To resolve this issue, you will contact technologists or nurse informaticists available in our hospital to rule out glitches in BCMA use. Moreover, you will contact the physician via telephone to immediately settle medication issues to ensure patient safety.

Soliciting Feedback 

Lastly, your feedback will be solicited through a questionnaire where you can share your opinions on a safety improvement plan. This feedback will be integrated for future improvements to facilitate your work and enhance patient safety. Health administration will ensure revisions are done promptly according to the needs of patients, their safety, and healthcare providers’ concerns. This will lead to patient satisfaction and job satisfaction among employees. 

Conclusion

To sum up, we discussed the agenda and outcomes with particular emphasis on the purpose and goals of this in-service presentation on a safe medication administration improvement plan. We further discussed the safety improvement plan and why we must implement it. This is followed by the role of the staff audience and their critical participation in driving improvements in safe medication management. Furthermore, we conducted an activity to practice new skills in using BCMA and practicing the five rights of medication administration and interprofessional collaboration strategies. 

References

Assunção-Costa, L., Costa de Sousa, I., Alves de Oliveira, M. R., Ribeiro Pinto, C., Machado, J. F. F., Valli, C. G., & de Souza, L. E. P. F. (2022). Drug administration errors in latin America: A systematic review. PLOS ONE, 17(8), e0272123. https://doi.org/10.1371/journal.pone.0272123 

Burgener, A. M. (2020). Enhancing communication to improve patient safety and to increase patient satisfaction. The Health Care Manager, 39(3), 128–132. https://doi.org/10.1097/hcm.0000000000000298

Capella 4020 Assessment 3

Hanson, A., & Haddad, L. M. (2022). Nursing rights of medication administration. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK560654/ 

Pruitt, Z. M., Kazi, S., Weir, C., Taft, T., Busog, D.-N., Ratwani, R., & Hettinger, A. Z. (2023). A systematic review of quantitative methods for evaluating electronic medication administration record and bar-coded medication administration usability. Applied Clinical Informatics, 14(01), 185–198. https://doi.org/10.1055/s-0043-1761435