NURS FPX 4020 Assessment 1 Enhancing Quality and Safety
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Enhancing Quality and Safety

NURS FPX 4020 Assessment 1 Enhancing Quality and Safety

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Capella university

NURS-FPX 4020 Improving Quality of Care and Patient Safety

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Date

Enhancing Quality and Safety

Patient safety utilizes safety science techniques to establish a reliable healthcare delivery system (Brigitta & Dhamanti, 2020). Medication administration errors (MAEs) pose a threat to patients’ lives and, if not fatal, can result in treatment setbacks leading to prolonged hospital stays. Consequently, patient trust in healthcare systems diminishes, accompanied by increased treatment costs. This study aims to examine the factors contributing to MAEs and propose strategies for enhancing patient care quality.

Factors Leading to Patient Safety Risks

Before delving into the primary contributors to patient safety risks in healthcare settings, an incident involving medication error in a hospital will be discussed. In a busy hospital, Nurse Ella was responsible for diabetic patient care in her ward. Mr. Wallace, diagnosed with Diabetes type 2, was prescribed two insulin pens: one with rapid-acting insulin for pre-meal administration and the other with long-acting insulin for once-daily administration. Despite her intentions, Ella mistakenly administered a higher-than-normal dose of rapid-acting insulin to Mr. Wallace instead of the prescribed long-acting insulin dose. This error led to symptoms of hypoglycemia in the patient, requiring prompt intervention from healthcare staff.

Nurses, entrusted with drug administration, play a crucial role in delivering safe and accurate treatment. They are frequently the primary source of medication administration errors due to their frontline involvement in patient care. A cross-sectional study conducted in institutional settings revealed a 57.7% prevalence of MAEs among participant nurses, with 30.4% committing errors more than three times (Tsegaye et al., 2020). Major factors contributing to medication administration errors by nurses include insufficient training, prescribing errors, stress, burnout, and communication gaps among healthcare professionals.

Lack of Knowledge and Training

Inadequate experience and knowledge regarding drug doses, interactions, contraindications, and potential adverse effects significantly contribute to medication administration errors. Research indicates that 78.7% of medication errors stem from nurses’ inadequate training (Hassen et al., 2022). Nurses with advanced pharmaceutical knowledge and appropriate training demonstrate reduced likelihood of medication administration errors.

The Communication Gap Between Healthcare Professionals

Inadequate communication and collaboration among healthcare staff, including pharmacists, physicians, and nurses, can lead to medication errors. Studies have shown a higher incidence of medication administration errors in hospitals with communication gaps among healthcare staff (Ghasemi et al., 2022).

Prescribing Errors

Prescription errors occur when healthcare professionals inaccurately prescribe medications, resulting in incorrect dosages, inappropriate instructions, and other serious issues. Incompletely written prescriptions contribute to 71% of prescription-related errors, while transcription errors account for the remaining 29% (White et al., 2019).

Stress, Burnout, and Mental Health Challenges Among Healthcare Workers

Excessive workloads, long shifts, moral dilemmas, perceived job instability, and lack of social support elevate stress levels among nurses, leading to psychological distress, burnout, and other illnesses. A study assessing registered nurses’ burnout found that 30% exhibited high burnout levels, increasing the likelihood of patient care and medication errors by five times (White et al., 2019).

Evidence-Based Best Practices Solutions

To enhance patient safety and reduce medication administration costs, evidence-based best practice solutions are imperative. Several techniques supported by academic or professional sources include:

Technique

Description

QSEN Approach Focuses on six fundamental skills: patient-centered care, teamwork, evidence-based practice, quality improvement, patient safety, and informatics (Watanabe et al., 2021).
Medication Reconciliation Contrasting a patient’s current medication regimen with prescriptions enhances patient safety during care transitions (Koprivnik et al., 2020).
Computerized Physician Order Entry (CPOE) Systems Electronically submitting medication orders reduces adverse drug events (Skalafouris et al., 2022).
Barcode Medication Administration (BCMA) Systems Ensures correct medication delivery through patient identification and barcoded labels, preventing errors (Ye, 2023).
Clinical Decision Support System (CDSS) Provides research-based suggestions to healthcare practitioners, alerting them to possible medication errors or allergies (Manias et al., 2020).
Value-Based Formulary Management Strategies Selecting medications based on clinical efficacy, cost-effectiveness, and safety enhances healthcare quality while reducing costs (Weinmeyer et al., 2021).

Nurse-Led Coordination to Optimize Patient Safety

Enhancing medication administration entails nurse collaboration with healthcare stakeholders. Clear communication between nurses and physicians, along with coordination with pharmacists and IT personnel, reduces medication errors and improves patient safety. Nurses’ collaboration with pharmacists reduces prescription errors, ensuring accurate medication administration (Koprivnik et al., 2020).

Conclusion

Medication administration errors pose significant risks to patient safety and increase treatment costs. However, these errors can be mitigated by identifying contributing factors and implementing appropriate solutions. Best practices such as medication reconciliation, technological advancements, teamwork promotion, and value-based approaches play vital roles in error prevention. Collaboration between nurses and stakeholders further enhances patient care quality and safety.

References

Alrabadi, N., Shawagfeh, S., Haddad, R., Mukattash, T., Abuhammad, S., Al-rabadi, D., Abu Farha, R., AlRabadi, S., & Al-Faouri, I. (2021). Medication errors: A focus on nursing practice. Journal of Pharmaceutical Health Services Research, 12(1), 78–86. https://doi.org/10.1093/jphsr/rmaa025

Ghasemi, F., Babamiri, M., & Pashootan, Z. (2022). A comprehensive method for the quantification of medication error probability based on fuzzy SLIM. PLOS ONE, 17(2), e0264303. https://doi.org/10.1371/journal.pone.0264303

Hassen, A., Abozied, A., Mahmoud, E., & El-Guindy, H. (2022). Mental health nurses’ knowledge regarding patients’ rights and patients’ advocacy. NILES Journal for Geriatric and Gerontology, 5(2), 307–324. https://doi.org/10.21608/niles.2022.243510

NURS FPX 4020 Assessment 1 Enhancing Quality and Safety

Koprivnik, S., Albiñana-Pérez, M. S., López-Sandomingo, L., Taboada-López, R. J., & Rodríguez-Penín, I. (2020). Improving patient safety through a pharmacist-led medication reconciliation program in nursing homes for the elderly in Spain. International Journal of Clinical Pharmacy, 42(2), 805–812. https://doi.org/10.1007/s11096-020-00968-8

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

Skalafouris, C., Reny, J.-L., Stirnemann, J., Grosgurin, O., Eggimann, F., Grauser, D., Teixeira, D., Jermini, M., Bruggmann, C., Bonnabry, P., & Guignard, B. (2022). Development and assessment of PharmaCheck: An electronic screening tool for the prevention of twenty major adverse drug events. BMC Medical Informatics and Decision Making, 22(1). https://doi.org/10.1186/s12911-022-01885-8

Watanabe, Y., Claus, S., Nakagawa, T., Yasunami, S., & Teshima, M. (2021). A study for the evaluation of a safety education program for nursing students: Discussions using the QSEN safety competencies. Journal of Research in Nursing, 26(1-2), 97–115. https://doi.org/10.1177/1744987121994859

NURS FPX 4020 Assessment 1 Enhancing Quality and Safety

Weinmeyer, R. M., McHugh, M., Coates, E., Bassett, S., & O’Dwyer, L. C. (2021). Employer-led strategies to improve the value of health spending: A systematic review. Journal of Occupational & Environmental Medicine, 64(3), 218–225. https://doi.org/10.1097/jom.0000000000002395

Ye, J. (2023). Patient safety of perioperative medication through the lens of digital health and artificial intelligence. JMIR Perioperative Medicine, 6(1), e34453. https://doi.org/10.2196/34453