swot analysis

NU 668 Roles and Issues for Advanced Practice

SWOT Analysis

Problem: Polypharmacy in the geriatric population

Strengths

- Educate consumers, families, individual

clinicians, health care teams, and systems on

how they can contribute to promoting safety

and reducing errors

-Understand the benefits and limitations of

selected safety-enhancing technologies (such

as barcodes, Computer Provider Order Entry,

and electronic prescribing)

- Demonstrate critical thinking skills when

reconciling medications for any unnecessary

or inappropriate drugs to avoid cognitive

impairment and prevent adverse drug events

Weaknesses

-Reducing polypharmacy requires a system

or process change

-There may be lack of electronic record

collaboration across settings (hospital, urgent

care and private clinics

-Lack of integrated system between provider

settings and pharmacists

-Prescription cascading (treating symptoms

from adverse effect of another drug)

-Control of medication cost

Opportunities

-Participate as a team member to design,

promote and model effective strategies to

reduce risk of harm to self and others by

reducing patient or caregiver error when

self-administering medications

-Prioritize predicting and preventing adverse

drug interactions by using STOPP/START

Criteria

-APRNs to be informed by AGS BEERS

Criteria for potentially inappropriate

medication in older adults

-Be a safety mentor and role model

-Integrated EMR system development and

application to reconcile previous and current

medications lists across all settings such as the

hospital urgent care and primary care

-Utilize EMR software that flags drug

allergies

Threats

-Recognize the value of analyzing systems

and individual accountability when errors or

near misses occur

-Due to lack of financial support, private

entities may not have invested in integrated

EMR software

-Clinicians time constraint during visits

prevent a thorough drug-drug interaction

review.

-Insurance coverage of medication

References

Rochon, P., A. (2018) Drug prescribing for older adults. In J. Givens (Ed) UpToDate. Retrieved

from:

https://www-uptodate-com.regiscollege.idm.oclc.org/contents/drug-prescribing-for-older-

adults?search=polypharmacy&sectionRank=1&usage_type=default&anchor=H18186995

&source=machineLearning&selectedTitle=1~71&display_rank=1#H18186995

SWOT Analysis. (n.d.) Retrieved from: https://i.ytimg.com/vi/FGs-z3Cv6xs/maxresdefault.jpg

Quality and Safety Education for Nurses (QSEN). (2019). Graduate QSEN competencies.

Retrieved from http://qsen.org/competencies/graduate-ksas/