Redo Assessment 3-Class 3
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Class3Powerpoint_Assessment_3.pptxImprovement Plan In-Service Presentation
Root Cause Analysis
Quality improvement initiatives are critical in the health setting
The improvement plan tool kit aims at enabling nurses and health care setting in implementing safe and sustainable approaches towards patient safety.
The improvement plan will focus on medical errors in the surgical and transplant units
Over 98,000 death related cases are reported annually due to medical errors (Scott & Henneman, 2017).
Medical errors are categorized into time errors, dose errors, medication errors, and patient errors.
However, surgical units report dose errors as the most common error.
This result from communication inefficacies, poor staff management procedures, lack of appropriate systems in medical reporting and unclear guidelines towards patient safety
The behavioral determinant define how best health professionals adhere to the set ethical standards.
Maladministration or ignorance in a healthcare setting is leading factors towards medical errors.
This makes it paramount for nurses and other healthcare professionals to institute quality care (Scott & Henneman, 2017).
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Root Cause Analysis
Root Cause Analysis is a Quality Improvement tool in health case initiatives
RCA process and how effective they can implemented in the formal quality improvement projects (Charles, 2016).
It utilizes a methodology that helps in causal identification and development of corrective actions
Reducing of medical errors requires establishing the root causes and contributing factors, and actions in preventing recurring errors.
The analysis aims to establish the leading causes of medical errors in the surgical departments.
Some of the obstacles identified include cultural norms, the burden in reporting measures, anxiety, poor feedback, time constraints, and selectivity of reporting (Charles, 2016).
Highly sensitive departments, such as surgical units, need to address such concerns separately with their special teams.
The team members involved will include the physicians, nurses, supervisors, quality improvement experts, and ancillary staff.
The time of completion would vary depending on the complexities
The designed time frame would be one to three months.
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Improving Patient Safety Focusing on Medication Administration and Reducing Costs
The need to emphasize the ethical implications of medication error and their relative contribution to the same (Hammoudi et al., 2018).
Developing work policies that are set to ensure accountability of health professionals
Nurses are trained in how best to handle patient safety.
Ensure that staffing schedules are well managed to reduce cases of work overload and human errors.
Negligence on their part could result in the suspension of their licenses or even revocation of their practicing license (Hammoudi et al., 2018).
Hospitals need to train their workforce to adopt new technology.
EHR, helps identify medical errors and trace those liable for accountability
Her systems improve reporting measures allowing hospitals to act fast on cases of medical errors.
The nurses need to be trained to understand their changing roles in improved care (Charles et al., 2016).
The staff need to understand the need to coordinate their roles to reduce workload and improve communication to reduce interruptions
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Nurse’s Role in Coordinating Care to Enhance Quality and Reduce Costs
They engage directly with patients across all units
They adhere to set safety guidelines for patient care and ethical measures (Hammoudi et al., 2018).
They report on effectiveness of measures towards patient safety (Dall’Ora et al., 2016)
They liaise with other health professionals in ensuring that patients recover and leave the hospital
Nurses role underpin those of patient safety
nurses are the primary care giver in hospitals
They deal directly with patients for preventive care
They are held liable for any issues related to patient care (Hammoudi et al., 2018).
It is up to them to set the precedence on ethical guidelines in for quality improvement plans
nurses have to be trained on their contribution towards reduced medical errors.
nursing practice needs clear scheduling to ensure that they perform their roles at optimum for reduce medical errors (Dall’Ora et al., 2016)
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Implementation and Resource Management
The plan can be implemented by educating all healthcare professionals on patient safety and reducing medical errors (Hammoudi et al., 2018).
Specialized staff will be involved in the improvement plans i.e IT specialist
Purchasing of new equipment to replace the obsolete ones ]
Implementation new EHR systems that match with skills of the staff
The plan can be managed by identifying and noting the areas that need improvement and budgeting for them.
Implementing and managing the resources is essential in ensuring the objectives of the improvement plans are met.
There are various capital and human resources to be put into consideration for the implementation plans. This will entail educating and training of the staff to ensure that the plans align with their roles in patient safety. All health professionals need to understand their role in ensuring patient safety. A budget will be set aside for equipment and in setting up appropriate systems for the hospitals. These systems need to support
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Evaluations
Reduced rates of deaths in surgical units as a result of medical errors
Nurses understanding their changing roles in improving patient safety
Reduction of adverse health events to patients receiving an organ transplant, surgery, or any other medication.
Improved and effective communication between healthcare professionals (Charles et al., 2016)
Reduced cases of conducting surgery and transplantation on wrong patients and wrong sites.
Evaluations are set to see how effective the plans are. There needs to be evaluation procedures in the reducing the cases reported from medical errors. the nurses need to understand and improve their knowledge towards patient safety. Evaluation needs to take consideration for the communication procedures. This may need the need of surveys to receive feedback on the implementation process. In essence , there needs to be a reduction in adverse health events on the side of the patients. Overall, this will reduce the medical errors reported and death that results from medication errors. Realizing all these will show that the plan was successful, and no resources were mismanaged.
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Conclusion
Continuous improvement plans need to be at the core of the organization
A culture of change ensures that organization continue to establish root cause analysis of the existing barriers in healthcare
They need to put into consideration of the contribution of their staff in improved care in surgical units
Improvement initiative plans reflect the ethos of the organization
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References
Charles, R., Hood, B., Derosier, J. M., Gosbee, J. W., Li, Y., Caird, M. S., . . . Hake, M. E. (2016). How to perform a root
cause analysis for workup and future prevention of medical errors: A review. Patient Safety in Surgery, 10(1), 20-20.
doi:10.1186/s13037-016-0107-8
Dall'Ora, C., Griffiths, P., & Ball, J. (2016). Twelve-hour shifts: Burnout or job satisfaction? Nursing Times
(1987), 112(12-13), 22-23.
Hammoudi, B. M., Ismaile, S., & Abu Yahya, O. (2018). Factors associated with medication administration errors and why
nurses fail to report them. Scandinavian journal of caring sciences, 32(3), 1038-1046.
Scott, S. S., & Henneman, E. (2017). Underreporting of medical errors. Medsurg Nursing, 26(3), 211.
