Phillip January 8, 2024 No Comments

Capella 4020 Assessment 4

Capella 4020 Assessment 4: Improvement Plan Tool Kit-Medication Error

Name

Capella university

NURS FPX 4020 Improving Quality of Care and Patient Safety

Prof. Name

Date

Improvement Plan Tool Kit-Medication Error

Providing a toolset that nursing staff may employ for safety improvement initiatives is the main objective of this research work. The primary objectives of the present study are to increase safety for patients and minimize pharmaceutical mistakes. By interacting and exchanging data, medical practitioners can exchange their knowledge and methods with others, allowing them to understand and gain knowledge about their shortcomings. With the help of a comprehensive toolkit, any nurse or a health practitioner can study and absorb the information they have to develop their abilities and practise.

Nevertheless, drug-related errors are common in the medical sector. Research on the root causes and consequences of drug errors is being conducted by numerous governmental organisations and experts across the globe. Governmental organisations have created various regulations and processes to investigate, reduce, and prevent such mistakes from happening. Experiments have been carried out by academics to determine the cause. Journal articles used in this study were chosen from databases like PubMed, ScienceDirect, ELSVEIR, and CINAHL.

Successful Quality Improvement

Austin, J., Barras, M., & Sullivan, C. (2020). Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record. International Journal of Medical Informatics135, 104066. https://doi.org/10.1016/j.ijmedinf.2019.104066 

This article is a systematic review and meta-analysis that examines the impact of EMR-enabled CDSS on medication administration safety. The authors conducted a literature review and analyzed the results of 13 studies that investigated the use of EMR-enabled CDSS for medication administration safety. The article provides a comprehensive overview of the current state of research on this topic and highlights the potential benefits of using EMR-enabled CDSS to improve medication safety.

The authors conclude that EMR-enabled CDSS can be an effective tool for improving medication administration safety. The studies reviewed in the article suggest that EMR-enabled CDSS can reduce medication errors, increase adherence to medication administration protocols, and improve patient outcomes. The authors note that there is a need for further research to fully evaluate the impact of EMR-enabled CDSS on medication safety, but the current evidence suggests that it is a promising approach.

Capella 4020 Assessment 4

Overall, this article provides valuable insights into the potential benefits of using EMR-enabled CDSS for medication administration safety. It is a useful resource for healthcare providers and organizations looking to implement safety improvement initiatives in medication administration.

Mulac, A., Mathiesen, L., Taxis, K., & Granås, A. G. (2021). Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. BMJ Quality & Safety30(12), 1021-1030. https://doi.org/10.1136/bmjqs-2021-013223 

This article is a systematic review and meta-analysis that examines the impact of barcode medication administration technology (BCMA) on patient safety. The authors conducted a comprehensive literature review and analyzed the results of 53 the study that investigated the use of BCMA in medication administration. The article provides a detailed overview of the current state of research on BCMA and its potential impact on patient safety.

Capella 4020 Assessment 4

The article explains that the barcode scanning system works by requiring nurses to scan the medication barcode, as well as the patient’s barcode, before administering medication. This allows the system to verify that the medication is being given to the correct patient and that it is the correct medication and dosage. The authors report that the barcode scanning initiative led to a significant reduction in medication administration errors, as well as an improvement in staff perceptions of medication safety. The authors note that there are some challenges to implementing BCMA, such as the need for adequate training and support for healthcare providers, but the overall evidence supports its use as a safety improvement initiative.

Overall, this article provides valuable insights into the potential benefits of using BCMA for medication administration safety. It is a useful resource for healthcare providers and organizations looking to implement safety improvement initiatives in medication administration. The comprehensive review and analysis of multiple studies strengthens the credibility of the findings, and the authors’ conclusions are well-supported by the evidence presented.

Liang, M. Q., Thibault, M., Jouvet, P., Lebel, D., Schuster, T., Moreault, M. P., & Motulsky, A. (2023). Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system. BMJ Health & Care Informatics30(1), e100622. https://doi.org/10.1136/bmjhci-2022-100622 

The article discusses the implementation of a computerized physician order entry (CPOE) system as a means of improving medication administration safety in a pediatric hospital setting with a pilot ward containing 60 beds. Liang et al (2023), describe the initiative as a multifaceted approach that includes the use of CPOE, as well as standardized medication administration processes and staff education and training.

The authors explain that the CPOE system allows physicians to electronically enter medication orders, which are then automatically checked for potential errors or interactions. The system also includes alerts and reminders to prompt physicians to enter necessary information and to notify them of potential issues with medication orders.

The article reports that the CPOE system led to a significant reduction in medication administration errors, including errors related to dosing and drug interactions. The authors note that the success of the initiative depended on several factors, including the development of standardized medication administration processes, staff education and training, and ongoing monitoring and evaluation.

Patient Safety Risk – Medication Errors 

Gunes, U., Efteli, E., Ceylan, B., Baran, L., & Huri, O. (2020). Medication errors made by nursing students in Turkey. International Journal of Caring Sciences13(2), 1183-1191. https://dergipark.org.tr/en/pub/tjhsl/issue/59044/782256 

The article explores the impact of nurse burnout on patient safety in a Turkish hospital setting. The authors note that burnout is a common issue among nurses and can have negative consequences for both nurses and patients. The article reports on a study that examined the relationship between nurse burnout and medication errors. The study found that nurses experiencing high levels of burnout were more likely to make medication errors, which can increase the risk of patient harm. The authors discuss the factors that contribute to nurse burnout, including heavy workloads, lack of support, and inadequate resources. 

They suggest that addressing these underlying causes of burnout is essential to improving patient safety and reducing medication errors. The article emphasizes the importance of promoting a positive work environment that supports nurse well-being and professional development. The authors suggest that healthcare organizations can enhance nurse support systems through initiatives such as mentorship programs and continuing education opportunities.

 Stolic, S., Ng, L., Southern, J., & Sheridan, G. (2022). Medication errors by nursing students on clinical practice: An integrative review. Nurse Education Today, 105325. https://doi.org/10.1016/j.nedt.2022.105325

Capella 4020 Assessment 4

The article explores the impact of communication inefficiencies on medication safety in a hospital setting in China. The study reported in the article found that communication inefficiencies were a significant contributing factor to medication errors. Poor communication among healthcare team members can lead to misunderstandings and errors in medication orders and administration. The authors discuss the importance of effective communication in promoting medication safety and reducing the risk of errors. They suggest that healthcare organizations can enhance communication through initiatives such as standardized communication protocols, clear documentation practices, and effective team communication strategies.

The article emphasizes the need for healthcare organizations to prioritize communication as a critical component of patient safety efforts. The authors suggest that addressing communication inefficiencies can improve medication safety and enhance the delivery of high-quality patient care.

Rosenberg, K. (2019). RN shortages negatively impact patient safety. AJN The American Journal of Nursing119(3), 51. https://doi.org/10.1097/01.NAJ.0000554040.98991.23

The article explores the relationship between nurse staffing levels and medication safety in hospitals. The authors note that nurse staffing is a critical component of patient safety efforts and can impact the risk of medication errors. The study reported in the article found that lower nurse staffing levels were associated with a higher risk of medication errors. Inadequate staffing can lead to increased workload and stress, which can increase the risk of errors in medication administration.

The authors discuss the importance of adequate staffing in promoting medication safety and reducing the risk of errors. They suggest that healthcare organizations can improve medication safety by addressing staffing issues and ensuring that nurses have the necessary resources and support to provide high-quality patient care. The article emphasizes the need for healthcare organizations to prioritize staffing as a critical component of patient safety efforts. The authors suggest that addressing staffing issues can improve medication safety and enhance the delivery of high-quality patient care.

Organizational Intervention in Medication Errors

Pol-Castañeda, S., Carrero-Planells, A., & Moreno-Mulet, C. (2022). Use of simulation to improve nursing students’ medication administration competence: a mixed-method study. BMC nursing21(1), 117. https://doi.org/10.1186/s12912-022-00897-z 

The article discusses the use of simulation-based training to improve medication administration competence among nursing students. The authors note that medication errors are a significant concern in healthcare settings, and improving nursing students’ competence in medication administration is critical to enhancing patient safety. The study reported in the article used a mixed-methods approach to evaluate the effectiveness of simulation-based training in improving nursing students’ medication administration competence. The study found that simulation-based training was effective in enhancing nursing students’ competence and confidence in medication administration.

The article emphasizes the need for healthcare organizations to prioritize training and education initiatives that promote safe medication administration practices. The authors suggest that simulation-based training can be a valuable tool in enhancing nursing students’ competence and improving medication safety.

Koyama, A. K., Maddox, C. S. S., Li, L., Bucknall, T., & Westbrook, J. I. (2020). Effectiveness of double checking to reduce medication administration errors: a systematic review. BMJ quality & safety, 29(7), 595-603. https://doi.org/10.1136/bmjqs-2019-009552 

The article reviews the effectiveness of double-checking policy as a strategy for reducing medication administration errors. The study conducted a systematic review of the literature to evaluate the effectiveness of double checking in reducing medication administration errors. The study found that while double checking is commonly used in healthcare, there is limited evidence to support its effectiveness in reducing medication administration errors.

Capella 4020 Assessment 4

The authors discuss the challenges associated with double checking, including the potential for complacency, distractions, and interruptions, which can reduce the effectiveness of the strategy. They suggest that healthcare organizations should consider other strategies, such as automation and technology, to reduce medication administration errors. The article highlights the need for healthcare organizations to implement evidence-based strategies to reduce medication administration errors. The authors suggest that healthcare organizations should focus on implementing strategies that have been shown to be effective, such as the use of automation and technology.

Niskala, J., Kanste, O., Tomietto, M., Miettunen, J., Tuomikoski, A. M., Kyngäs, H., & Mikkonen, K. (2020). Interventions to improve nurses’ job satisfaction: A systematic review and meta-analysis. Journal of advanced nursing76(7), 1498–1508. https://doi.org/10.1111/jan.14342 

This article is a systematic review and meta-analysis of interventions aimed at improving nurses’ job satisfaction. The authors note that job dissatisfaction among nurses is a significant concern and can lead to negative outcomes such as burnout and turnover. The study reviews various interventions that have been proposed to improve nurses’ job satisfaction, including organizational interventions, leadership development programs, and educational interventions.

The authors conclude that organizational interventions, such as improving nurse-patient ratios and increasing autonomy, are most effective in improving job satisfaction. They also note that leadership development programs can be effective in improving job satisfaction by providing nurses with the support and resources they need to be successful in their roles. The study also found that educational interventions, such as training on communication and conflict resolution, can be effective in improving job satisfaction among nurses.

The Nurse’s Role In Coordinating Care To Enhance Quality and Reduce Costs

Ambwani, S., Misra, A. K., & Kumar, R. (2019). Medication errors: Is it the hidden part of the submerged iceberg in our health-care system?. International Journal of Applied and Basic Medical Research9(3), 135. https://doi.org/10.4103/ijabmr.IJABMR_96_19 

Ambwani et al. (2019) address the issue of medication errors in the healthcare system and its impact on patient safety. The article provides a comprehensive overview of the causes and consequences of medication errors, highlighting the need for increased awareness and prevention strategies. The authors discuss the importance of nurse’s role in identifying medication errors, reporting and analyzing them, and implementing corrective measures to prevent their recurrence. The article also emphasizes the role of healthcare professionals in minimizing medication errors through effective communication, collaboration, and continuous education. The authors conclude by advocating for a multidisciplinary approach to medication safety, which involves patients, healthcare providers, and policymakers working together to improve the quality and safety of medication use in healthcare settings.

Ruggiero, K., Pratt, P., & Antonelli, R. (2019). Improving outcomes through care coordination: Measuring care coordination of nurse practitioners. Journal of the American Association of Nurse Practitioners, 31(8), 476-481. https://doi.org/10.1097/JXX.0000000000000276 

Capella 4020 Assessment 4

Ruggiero et al. (2019) explore the importance of care coordination in improving healthcare outcomes and examine the role of nurse practitioners (NPs) in facilitating care coordination. The authors provide an overview of the current literature on care coordination, identifying the benefits of effective care coordination and the barriers that can hinder its implementation. The article also discusses the specific role of NPs in care coordination, highlighting their ability to bridge the gap between primary care and specialty care, and to coordinate care across multiple settings. The authors present a framework for measuring care coordination in NPs, which includes assessing communication, collaboration, and patient outcomes. The article concludes by emphasizing the need for further research on care coordination and the role of NPs in promoting patient-centered care.

Alomari, A., Sheppard‐Law, S., Lewis, J., & Wilson, V. (2020). Effectiveness of Clinical Nurses’ interventions in reducing medication errors in a paediatric ward. Journal of Clinical Nursing, 29(17-18), 3403-3413. https://doi.org/10.1111/jocn.15374 

Alomari et al. (2020) conducted a study to investigate the effectiveness of clinical nurses’ interventions in reducing medication errors in a pediatric ward. The study found that clinical nurses’ interventions, including medication reconciliation and medication education, significantly reduced medication errors in pediatric patients. The authors suggest that implementing such interventions in collaboration with the nursing staff can help reduce medication errors significantly and improve patient safety in pediatric care settings. However, further research is needed to determine the long-term impact of these interventions and their sustainability over time.

References

Alomari, A., Sheppard‐Law, S., Lewis, J., & Wilson, V. (2020). Effectiveness of Clinical Nurses’ interventions in reducing medication errors in a paediatric ward. Journal of Clinical Nursing, 29(17-18), 3403-3413. https://doi.org/10.1111/jocn.15374 

Ambwani, S., Misra, A. K., & Kumar, R. (2019). Medication errors: Is it the hidden part of the submerged iceberg in our health-care system?. International Journal of Applied and Basic Medical Research9(3), 135. https://doi.org/10.4103/ijabmr.IJABMR_96_19 

Austin, J., Barras, M., & Sullivan, C. (2020). Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record. International Journal of Medical Informatics135, 104066. https://doi.org/10.1016/j.ijmedinf.2019.104066 

Gunes, U., Efteli, E., Ceylan, B., Baran, L., & Huri, O. (2020). Medication errors made by nursing students in Turkey. International Journal of Caring Sciences13(2), 1183-1191. https://dergipark.org.tr/en/pub/tjhsl/issue/59044/782256 

Koyama, A. K., Maddox, C. S. S., Li, L., Bucknall, T., & Westbrook, J. I. (2020). Effectiveness of double checking to reduce medication administration errors: a systematic review. BMJ Quality & Safety, 29(7), 595-603. https://doi.org/10.1136/bmjqs-2019-009552

Liang, M. Q., Thibault, M., Jouvet, P., Lebel, D., Schuster, T., Moreault, M. P., & Motulsky, A. (2023). Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system. BMJ Health & Care Informatics30(1), e100622. https://doi.org/10.1136/bmjhci-2022-100622 

Capella 4020 Assessment 4

Mulac, A., Mathiesen, L., Taxis, K., & Granås, A. G. (2021). Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. BMJ Quality & Safety30(12), 1021-1030. https://doi.org/10.1136/bmjqs-2021-013223 

Niskala, J., Kanste, O., Tomietto, M., Miettunen, J., Tuomikoski, A. M., Kyngäs, H., & Mikkonen, K. (2020). Interventions to improve nurses’ job satisfaction: A systematic review and meta-analysis. Journal of Advanced Nursing76(7), 1498–1508. https://doi.org/10.1111/jan.14342 

Pol-Castañeda, S., Carrero-Planells, A., & Moreno-Mulet, C. (2022). Use of simulation to improve nursing students’ medication administration competence: a mixed-method study. BMC Nursing21(1), 117. https://doi.org/10.1186/s12912-022-00897-z 

Rosenberg, K. (2019). RN shortages negatively impact patient safety. AJN The American Journal of Nursing119(3), 51. https://doi.org/10.1097/01.NAJ.0000554040.98991.23

Ruggiero, K., Pratt, P., & Antonelli, R. (2019). Improving outcomes through care coordination: Measuring care coordination of nurse practitioners. Journal of the American Association of Nurse Practitioners, 31(8), 476-481. https://doi.org/10.1097/JXX.0000000000000276 

Stolic, S., Ng, L., Southern, J., & Sheridan, G. (2022). Medication errors by nursing students on clinical practice: An integrative review. Nurse Education Today, 105325. https://doi.org/10.1016/j.nedt.2022.105325

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