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Improvement Plan Tool Kit Annotated Bibliography
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Improvement Plan Tool Kit Annotated Bibliography
Among the most important aspects of patient security include the attempt to reduce
instances which healthcare givers offer wrong prescriptions to the patients. Other aspects relating
to patient security include omissions of prescription, wrong dose preparation and extra dosage of
medication. Such errors can be reduced by use of an improvement plan toolkit. This paper
includes sections of patient safety, correspondence, welfare of individuals and disclosing and
solving drug problems. Each section will include a list of references and comments about the
references aimed to improve on errors affecting patent safety.
Annotated Bibliography
Improved Communication Practices
Kenward, L., Whiffin, C., & Townend, M. (2021). The needs of clients coming to counselling
following second harm: AQ methodology study. Counselling and Psychotherapy
Research. https://onlinelibrary.wiley.com/doi/abs/10.1002/capr.12475. This study
documents reveals how healthcare experts communicate with their patients about
imaginable drug errors and those individuals with second harm. Notably, after a mistake,
it is important to communicate with the patient about the effects associated with the
mistake and how the mistake would affect their clinical visits. When a patient receives
such kind of information from his doctor, he is better ready to embrace and deal with any
effect that results from any mistake. The article depicts that, caretakers should utilize
their better correspondence gifts to help the patents. Further, the articles give ways in
which doctors can assist patients who are hospitalized due to errors regarding drug
prescription and poor administration of drugs.
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Rezaei, T. (2019). Analysis of medication errors by RCA method and implementation of
reducing strategies to improve patient safety in Hujjat Kuh-Kamari Hospital in Marand -
2017. Journal of Injury and Violence Research, 11(2).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4758389/. This journal depicts a
clinical practice article and it emphasizes on clinical correspondence and provides some
helpful knowledge on the same. The article provides that the best way to procure
information is by associating others with the information. Every audience should take
that frame of mind from the source of information while also observing their non-verbal
cues. Additionally, the audience should take note of the feelings of the speaker’s
appearances and should be able to learn what is happening rather than just listening. It is
important for the doctors to communicate to each other and figure out how to reduce
errors. The article also provides insights on how some correspondence methods are
relevant in several settings.
Maharjan, S., Shrestha, A., Shakya, V., Maharjan, M., Panthee, B., & Joshi, R. (2024).
Knowledge and Perception Regarding Medication Error Among Nurses. PubMed, 21(4),
629–635. https://doi.org/10.33314/jnhrc.v21i4.4883. This paper employs a survey that
targeted nurses with the aim of understanding their knowledge and perception on
medication errors. This is due to the fact that the study aims at discovering the knowledge
that the nurses have regarding medication errors, their attitude toward medication safety
and any practices they undertake in relation to medication errors. Therefore, by exploring
the views of the nurses participating in this study, the findings help in considering factors
to increase the chances of errors’ occurrence as well as potential steps to minimize such
errors in healthcare organizations. The evidence synthesized in this paper has informed
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the extent of education and training required in order to reform nurses’ medication
practice and ultimately eliminate the occurrence of mistakes in practice.
Best Practices Documentation
Martin, A., & Holland, J. (2019). 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. In this diary article, further details of how the
occupant doctors ensure that their patient’s drugs records are accurate and natured-fully.
Particular specifications of this article are the inhabitant specialists however attendants
with endowment compromise medicine might benefit from this information. These
medical caretakers who guarantee precision in their work, should check their work a
minimum of twice in collaboration with another person who could be another medical
attendant, or the unit secretary. This article is one that medical caretakers might
recommend for the course if they are unsure about how to handle an error. Therefore,
attendants and specialists should consider this document since it is a proven to effectively
reduce medicine mistakes.
Boakye, D. S., Konadu, E., Boateng, E. A., Kumah, E., Dzakadzie, F., & Buabeng, K. O. (2024).
Nurses’ Refusal to Report Medication Administration Errors in a Ghanaian Municipality:
Uncovering the Barriers with a Quantitative Approach. Nursing Forum, 2024, 1–9.
https://doi.org/10.1155/2024/9664624. This document entails a study concerning barriers to
reporting medication administration errors among the nurses in a Ghanaian municipality. In
quantitative research with questionnaires, the article identifies and discuss the features that
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hinder nurses to report medication errors and thus pave the way for a clearer understanding
of underreporting in health care. The study will focus on identifying factors hindering the
reporting of medication errors among the nurses especially in order to provide details
regarding promoting a culture of safety which is key to improving the quality of care in the
health care sector. Through recognizing and therefore reducing these barriers, this research
aims at enhancing error reporting and thus enhancing learning and communication amongst
the nurses and other professionals.
Mikulic, I. , Likic, R. , Cegec, I. , Erdeljic Turk, V. , Radacic Aumiler, M. , Makar Ausperger, K. , &
Mercep, I. (2022). Two severe perioperative hypersensitivity reactions in a single patient—a case
report of a medication error. Allergo Journal International, 1-2.
https://link.springer.com/article/10.1007/s40629-022-00213-w. Through the application of this
article, clinics can easily avoid committing solution errors and preventing their patients from
being harmed by avoiding the following patients’ medication sensitivities and allergies. Doctors
are the prescribers when it comes to medication and if they do not pay attention to their patient’s
sensitivity to medication then they will be oblivious to the fact that the meds they prescribe can
put a patient at risk from the other drug they are already on. This article might be useful to
medical caretakers in coming to terms with the fact that pen and paper work is so paramount in
tracking details since doing so helps those with a permit and the overall health of patients when
paperwork is not done to the best of ability. This article might help the attendants understand
why it is necessary to maintain accurate and detailed records as the article outlines the harms of
doing this. Enlisted medical caretakers could use this asset as a signpost as they train new
recruits about how to get about their tasks. In the first step of getting rid of the medication errors,
the nursing staff should be geared in a proper manner to minimize prescribing. Along these lines,
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it is doubtful that a wrong signal will be given regarding the intake of medication at the
emergency clinic.
Improving the safety of patients and doctors
DeClifford, J. (2015, April 13). Impact of an Emergency Department Pharmacist on Prescribing
Errors in an Australian Hospital. This research includes data on tolerant graphs that can
be found in an article at the Wiley Online Library. For instance, one of the elements
highlights why one set of patient records should be right when the patient was first
admitted while the other patient reports should have been rewritten while the patient
was undergoing treatment at the medical services clinic. According to the data put
forwarded, prescription history graphs provided on time by the drug specialists
working in the crisis division were comparatively more exact whenever they first were
available than they would have been in the history if had been delayed to any later
time. Because it lists all the prescriptions that have been duly prescribed to the right
patient, it is the breakdown and the only core issue in this type of writing. While its
foundational focus is on drug specialists employed with crisis facilities, a single care
can use it to get how to start patients off very adequately when assigned to medical care
services units. Imagine a medical attendant understands that stories of the prescriptions
that patients receive done are not completed within adequate time. In that case, the
medical caretaker might peruse this article and question the drug specialist after reading
the article. With this, it turns out to be feasible that staff who possibly work with a
patient’s group of consideration might make additional minor errors with medications.
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Jones, J. H. , & Treiber, L. A. (2018, April 23). Nurses' rights of medication administration:
Including authority with accountability and responsibility. https://onlinelibrary. wiley.
com/doi/abs/10. 1111/nuf. 12252. This article dentifies some specific activities that
require actions by single medical caretakers towards avoiding the occurrence of
medicine ruins within the establishment of medical service. As per the “five rights of
medicine” which are “right quiet”, “right medication”, “ideal opportunity”, “perfect
sum” and “right documentation”- one of the specific responsibilities of a medical
attendant is to ensure that medicine is controlled as per these five rights- the
significance of every one of them in lessening the possibility of drug instalments is
explained in every one of the articles. Therefore, these large parts contribute to
guaranteeing the most popular approach that the attendants are well elaborate
throughout the medicine organization. Hence, clinical specialists who trust that their
thought about the five rights of medication conveyance may be valuable in following
these assets.
Lasater,LK.LB., Aiken,LL.LH., Sloane,LD., French,LR., Martin,LB., Alexander,LM., &
McHugh,LM.LD. (2021). Patient outcomes and cost savings associated with hospital safe
nurse staffing legislation: An observational study.LBMJ Open,L11(12),
e052899.Lhttps://doi.org/10.1136/bmjopen-2021-052899. The main objectives of this
observational study by Lasater et al. (2021) are patient outcomes and cost estimates
associated with legislated safe nurse staffing in hospitals. The focus of the paper will be
on draw qualitative and quantitative analysis on the subject of ratio of per capita nurse
staffing and outcome on the care quality, length of stay, costs and advocacies safe
staffing levels in health-care organizations. Key implications of the study include the
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relationship between NSString; adequate numbers of nurses, meaning reduced mortality,
fewer readmissions, and decreased expense to the hospital. Thus, highlighting the fact
that the increase in costs linked to safe nurse staffing provisions that resulted from
legislative measures is a worthy investment to secure better quality of patient outcomes
and, at the same time, the effectiveness of the overall healthcare service provision.
Medication Error Reporting and Improvement Best Practices
Maiden,LJ. (2021).LA quantitative and qualitative inquiry into moral distress compassion Fatigue
[sic], medication error, and critical care nursing.
https://sigma.nursingrepository.org/handle/10755/23152. This paper focusses on the areas
of moral distress, compassion fatigue, medication error, and their correlation within the
context of critical care nursing. In this paper, the author employs both quantitative and
qualitative research designs to seek CHWs experiences regarding medication errors,
moral distress, and compassion fatigue. To understand the research findings, it is crucial
to examine the associations between moral stress, secondary traumatic stress, and the
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emergence of medication errors in the critical care environment. With analysis of
differences in detail and specificities of interactions between a nurse and a patient and
their effects on determinants of patients’ care, the present work provides significant
information to the spheres of nursing research and practice.
Rasool,LM.LF., Rehman,LA.LU., Imran,LI., Abbas,LS., Shah,LS., Abbas,LG., Khan,LI., Shakeel,LS.,
Ahmad Hassali,LM.LA., & Hayat,LK. (2020). Risk factors associated with medication
errors among patients suffering from chronic disorders.LFrontiers in Public
Health,L8.Lhttps://doi.org/10.3389/fpubh.2020.531038. This document aims at exploring
the nature and incidence of medication errors in patients with chronic complications. The
authors describe how aspects like patient age, the healthcare- system burden, the quantity
of medications administered, the presence of other diseases and different prescribers or
determinants contribute to the frequency of medication errors. The study’s results
indicate that possible factors that contribute to medication errors include age, overly
taxed health systems, use of many drugs at the same time, and the presence of other
health conditions. The authors focused on such core issues as minimizing prescribers’
concerns, increasing the healthcare providers’ knowledge, implementing web resources,
and even shaping the use of interventions in order to decrease the risk of medication
errors in chronic disease management.
Chitale,LD. (2019). Ancillary studies: Contribution to error and error prevention.LError Reduction
and Prevention in Surgical Pathology, 77-106.Lhttps://doi.org/10.1007/978-3-030-18464-
3_5. The emphasis in this article is placed on how ancillary studies assist in error
detection and even eradiation in the field of surgical pathology. In the chapter, the author
elaborates on the role of different adjunctive methods and differential diagnostics in
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improving the diagnostic inaccuracy and the respectively improved results for the patient.
More so, the author elaborates on how quality control and quality assurance of ancillary
tests like immunohistochemistry and molecular pathology are important for their
validation and implementation as well as to provide for their effective monitoring. In this
chapter, the authors have shared examples along with clinical case scenarios and
discussed how ancillary studies can help in recognizing errors, refining the margin of
error, and therefore, contributing to the betterment of patient care interventions in
surgical pathology.
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References
Boakye, D. S., Konadu, E., Boateng, E. A., Kumah, E., Dzakadzie, F., & Buabeng, K. O. (2024).
Nurses’ Refusal to Report Medication Administration Errors in a Ghanaian Municipality:
Uncovering the Barriers with a Quantitative Approach. Nursing Forum, 2024, 1–9.
https://doi.org/10.1155/2024/9664624
Chitale,LD. (2019). Ancillary studies: Contribution to error and error prevention.LError Reduction
and Prevention in Surgical Pathology, 77-106.Lhttps://doi.org/10.1007/978-3-030-18464-
3_5.
DeClifford, J. (2015, April 13). Impact of an Emergency Department Pharmacist on Prescribing
Errors in an Australian Hospital
Jones, J. H. , & Treiber, L. A. (2018, April 23). Nurses' rights of medication administration:
Including authority with accountability and responsibility
Kenward, L., Whiffin, C., & Townend, M. (2021). The needs of clients coming to counselling
following second harm: AQ methodology study. Counselling and Psychotherapy
Research. https://onlinelibrary.wiley.com/doi/abs/10.1002/capr.12475
Lasater,LK.LB., Aiken,LL.LH., Sloane,LD., French,LR., Martin,LB., Alexander,LM., &
McHugh,LM.LD. (2021). Patient outcomes and cost savings associated with hospital safe
nurse staffing legislation: An observational study.LBMJ Open,L11(12),
e052899.Lhttps://doi.org/10.1136/bmjopen-2021-052899.
Maharjan, S., Shrestha, A., Shakya, V., Maharjan, M., Panthee, B., & Joshi, R. (2024).
Knowledge and Perception Regarding Medication Error Among Nurses. PubMed, 21(4),
629–635. https://doi.org/10.33314/jnhrc.v21i4.4883
12
Maiden,LJ. (2021).LA quantitative and qualitative inquiry into moral distress compassion Fatigue
[sic], medication error, and critical care nursing.
https://sigma.nursingrepository.org/handle/10755/23152
Martin, A., & Holland, J. (2019). 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
Mikulic, I. , Likic, R. , Cegec, I. , Erdeljic Turk, V. , Radacic Aumiler, M. , Makar Ausperger, K.
, & Mercep, I. (2022). Two severe perioperative hypersensitivity reactions in a single
patient—a case report of a medication error. Allergo Journal International, 1-2.
https://link.springer.com/article/10.1007/s40629-022-00213-w.
Rasool,LM.LF., Rehman,LA.LU., Imran,LI., Abbas,LS., Shah,LS., Abbas,LG., Khan,LI., Shakeel,LS.,
Ahmad Hassali,LM.LA., & Hayat,LK. (2020). Risk factors associated with medication
errors among patients suffering from chronic disorders.LFrontiers in Public
Health,L8.Lhttps://doi.org/10.3389/fpubh.2020.531038
Rezaei, T. (2019). Analysis of medication errors by RCA method and implementation of
reducing strategies to improve patient safety in Hujjat Kuh-Kamari Hospital in Marand -
2017. Journal of Injury and Violence Research, 11(2).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4758389/
13
