Assessment 4: Improvement Plan Tool Kit
Perla1427
Improvementplantoolkitsimilarity.docx
NURS-FPX4020_007780_1_1223_OEE_33 - NURS-FPX4020 - SPRING 2022 - SECTION 33
SafeAssign Draft Review
Perla Rodriguez on Tue, Jun 07 2022, 11:59 AM
92% highest match
Submission ID: 7a360144-3ab1-42ea-bfeb-c258b82db6f3
· ImprovementPlanToolKit 4.docx Word Count: 1,850 Attachment ID: 5607984238 92%
Citations (3/3)
1 1
Another student's paper
Citation is highlighted. Click to remove highlighting
2 2
Another student's paper
Citation is highlighted. Click to remove highlighting
3 3
Another student's paper
Citation is highlighted. Click to remove highlighting
1 Improvement Plan Tool Kit
Perla Rodriguez
1 School of Nursing and Health Sciences, Capella University NURS-FPX4020: Improving Quality of Care and Patient Safety Dr. Brandi Ballantyne
June 7, 2022
Introduction
1 This improvement plan tool set will enable nurses keep clients secure by reducing drug mistakes. The toolkit includes communication best standards, recordkeeping best practices, personal methods to enhance client and staff protection, and procedural best techniques for disclosing and enhancing drug errors. Every subsection includes three annotated references with article summaries and why they're relevant.
Communication Best Standards
Vermeir, P., Vandijck, D., Degroote, S., Peleman, R., Verhaeghe, R., Mortier, E.,. & Vogelaers, D. (2015). Communication in healthcare: a narrative review of the literature and practical recommendations. International journal of clinical practice, 69(11), 1257-1267.
This research compares written communication to face to face communication. Vermeir, et al., (2015) argue that face to face I important in obtaining full details, but written communication remain the best method of communication, especially when ordering medications or prescriptions. This article teaches nurses to always opt for written orders, to avoid medication errors. In case of an order made through the phone, the nurse is encouraged to note it down immediately, to prevent errors
1 Center for Drug Evaluation and Research. (2019, August 23). Working to Reduce Medication Errors. https://www.fda.gov/drugs/drug-information-consumers/working-reducemedication-errors.
This FDA article covers how medical staff might convey drug hazards by labelling or double-checking prescription choices. Most drugs must be labelled before being given to nurses, which involves the pharmacist. Labeling medications and double-checking reduces pharmaceutical errors by increasing knowledge of probable blunders. This article might help employees learn about medicine labels and medication cooperation.
Ammouri, A. A., Tailakh, A. K., Muliira, J. K., Geethakrishnan, R., & Al Kindi, S. N. (2015). Patient safety culture among nurses. International nursing review, 62(1), 102-110.
The results of this research indicate that nurses operating at certain Omani hospitals had a higher positive perception of the client safety mindset in the areas of coordination across departments, institutional training and progressive development, as well as feedback and communications concerning mistake. The client is often cared for by a diverse team of medical professionals and in a number of medical environments inside the hospital. Because of this, communication and collaboration within hospital units are needed in order to deliver treatment that is both effective and safe for the patient. This article helps healthcare professionals to develop proper communication across department.
Proper documentation
Edwards, M., & Moczygemba, J. (2004). Reducing medical errors through better documentation. The health care manager, 23(4), 329-333.
This study seeks to investigate the reduction of medication or errors through a better documentation process. According to the article, failure to document anything means that it is not done. This can possibly lead to overdosing. Nurses are required to write down any medication they have administered, to prevent double administration or the medication which may risk the patient health, as well as lower the quality of care. This publication may help nurses to understand that failure to document medications administered as well as time could have a detrimental effect to the patient, and that they are required to keep comprehensive records of everything they do to prevent medication errors
1 Martin, A., & Holland, J. (2019). 1 35 Assessing the completeness of medication reconciliation documentation by resident physicians at hospital admission for pediatric asthma patients. Paediatrics & Child Health, 24(Supplement_2). https://search.proquest.com/openview/57df5c7ed944240785f63e92349a7fd3/1?pqorigsite=gscholar&cbl=2032237.
This study examines resident doctors' drug balance competence. Accurate balancing reduces the risk of prescription mistake for nurses. Even though the publication focusses on resident doctors, nurses may utilize this knowledge to cross examine their drug balance work and guarantee correctness. This article instructs nurses on how to properly record drugs on entry and how to fix errors. Proper admission recording reduces medication mistakes by up to 80% since nurses and physicians have a reliable foundation for the client's meds.
Wang, L. 1 (2020, May 17). Dynamic reaction picklist for improving allergy reaction documentation in the electronic health record. https://academic.oup.com/jamia/article-abstract/27/6/917/5838465.
This article discusses how proper drug mistake recording benefits both patients and doctors. Without a precise recording of the error, there is an elevated chance for additional drug errors, even if the following measures are aimed to rectify the initial mistake. This article is beneficial for nurses since it discusses why precise documentation is crucial following a prescription mistake. This essay reminds nurses regarding the need of prompt documentation. Documentation may safeguard a nurse if a drug mistake is litigated
Personal Methods to Enhance Client and Staff Protection
DeClifford, J. 1 (2015, April 13). Impact of an Emergency Department Pharmacist on Prescribing Errors in an Australian Hospital. https://onlinelibrary.wiley.com/doi/abs/10.1002/j.2055-2335.2007.tb00766.x. This Wiley Online Library piece examines why some patients' medication records were correct at arrival and others required redoing throughout their hospitalization. If ED pharmacists gave medication backgrounds on time, the client's medication record was most certain to be correct the first time. This article is crucial since a client's proper prescription history minimizes the likelihood of medication mistake. This article focuses on ED pharmacists, but nurses may utilize it to understand how to get a client off to a nice beginning in the clinic. If a nurse notices medication records aren't being finalized on time, she may address this topic with the pharmacist. This would assist medical practitioners prevent drug errors.
Rodziewicz, T. 2 L., Houseman, B., & Hipskind, J. E. (2022). 2 Medical error reduction and prevention. StatPearls [Internet].
The article describes various ways that can be used to prevent medication errors. It does comment about double -checking. The authors stated that double-checking patients’ information right before a surgical procedure is important, to prevent surgical errors. Similarly, double checking medications before administration is crucial in reducing medication errors. Inviting the patient to confirm the procedures that are about to be done on then is a way of double checking, to prevent errors. This article invites nurses to double check procedures and medications, to verify them and ultimately reduce medication errors.
Jones, J. 1 H., & Treiber, L. A. 1 (2018, April 23). Nurses' 1 rights of medication administration: Including authority with accountability and responsibility. https://onlinelibrary.wiley.com/doi/abs/10.1111/nuf.12252.
Individual measures that nurses might take to reduce medication mistakes are also discussed. For instance, the "five rights" of pharmaceutical administration (right patient, right drug, right time, right dosage, and right recording) are enumerated and discussed. It is emphasized that these aspects are significant since they keep nurses interested in the medicine administration procedure. When nurses want a refresher on the five rights of drug delivery, they might use this reference. It will assist nurses in implementing safety efforts by empowering them to take action autonomously and be vigilant for drug mistakes while administering medications individually.
Procedural Best Techniques for Disclosing and Reducing Drug Errors
Abdel-Latif, M. M. (2016, June). 1 Knowledge of healthcare professionals about medication errors in hospitals. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4910473/.
This National Library of Medicine article examines medical medication mistakes among medical professionals. It discusses a survey of 323 physicians, nurses, and pharmacists concerning prescription mistakes and their understanding. Approximately 68.7% of the 323 seemed informed of the clinic's notification process; they said it was complicated and unclear, therefore they petitioned for a simpler approach. This article will assist nurses adopt reporting of drug mistakes since they can adjust the guidelines to make it simpler. This article may help nurses modify policy or submit new suggestions to management.
Robertson, J. J., & Long, B. (2018). Suffering in silence: medical error and its impact on health care providers. The Journal of emergency medicine, 54(4), 402-409.
Many of the medication errors go unreported due to the fear or imperfection, according to the author. This study aims to give understanding and encouragement for those who are trying to recover after being engaged in an unpleasant medical incident but feel as if they are battling the healing process alone. This paper encourages nurses and other health care providers to report any6 medication errors to ease the guilty that be associated with the error committed.
PJ. Pronovost, C. A. 1 G., Spath, P., JJ. Rooney, L. N. V. H., CM. Vollmer, N. S., JB. Kruskal, B. 1 S., Gano, D., JS. Carroll, J. W. R. (September, 2016). 1 How to perform a root cause analysis for workup and future prevention of medical errors: a review. 1 Patient Safety in Surgery. https://pssjournal.biomedcentral.com/articles/10.1186/s13037-016-0107-8.
This article discusses how underlying cause analysis can uncover drug mistakes and build prevention measures. This method comprises document audits, employee interviews, and determining contributing elements. Staff members communicate faults they've seen to upper management. Understanding others' report reduces errors. This resource helps nurses who need to report a problem.
References
1 Abdel-Latif, M. M. (2016, June). 1 Knowledge of healthcare professionals about medication errors in hospitals. 3 Retrieved July 1, 2020, from Center for Drug Evaluation and Research. 1 (2019, August 23). Working to Reduce Medication Errors. https://www.fda.gov/drugs/drug-information-consumers/working-reducemedication-errors.
DeClifford, J. 1 (2015, April 13). Impact of an Emergency Department Pharmacist on Prescribing Errors in an Australian Hospital. Retrieved July 1, 2020. https://onlinelibrary.wiley.com/doi/abs/10.1002/j.2055-2335.2007.tb00766.x.
Edwards, M., & Moczygemba, J. (2004). Reducing medical errors through better documentation. The health care manager, 23(4), 329-333.
Jones, J. 1 H., & Treiber, L. A. 1 (2018, April 23). Nurses' 1 rights of medication administration: Including authority with accountability and responsibility. Retrieved July 1, 2020. https://onlinelibrary.wiley.com/doi/abs/10.1111/nuf.12252.
Martin, A., & Holland, J. (2019). 1 35 Assessing the completeness of medication reconciliation documentation by resident physicians at hospital admission for pediatric asthma patients. Paediatrics & Child Health, 24(Supplement_2). Retrieved July 1, 2020. https://search.proquest.com/openview/57df5c7ed944240785f63e92349a7fd3/1?pqorigsite=gscholar&cbl=2032237.
PJ. Pronovost, C. A. 1 G., Spath, P., JJ. Rooney, L. N. V. H., CM. Vollmer, N. S., JB. Kruskal, B. 1 S., Gano, D., JS. Carroll, J. W. R. (September, 2016). 1 How to perform a root cause analysis for workup and future prevention of medical errors: a review. 1 Patient Safety in Surgery. https://pssjournal.biomedcentral.com/articles/10.1186/s13037-016-0107-8.
Robertson, J. J., & Long, B. (2018). Suffering in silence: medical error and its impact on health care providers. The Journal of emergency medicine, 54(4), 402-409.
Rodziewicz, T. 2 L., Houseman, B., & Hipskind, J. E. (2022). 2 Medical error reduction and prevention. StatPearls [Internet].
Vermeir, P., Vandijck, D., Degroote, S., Peleman, R., Verhaeghe, R., Mortier, E.,. & Vogelaers, D. (2015). Communication in healthcare: a narrative review of the literature and practical recommendations. International journal of clinical practice, 69(11), 1257-1267.
