Assessment 4: improvement plan tool kit

Assessment 4: Improvement Plan Tool Kit

· For this assessment, you will develop a Word document or an online resource repository of at least 12 annotated professional or scholarly resources that you consider critical for the audience of your safety improvement plan, pertaining to medication administration, to understand or implement to ensure the success of the plan.

Communication in the health care environment consists of an information-sharing experience whether through oral or written messages (Chard & Makary, 2015). As health care organizations and nurses strive to create a culture of safety and quality care, the importance of interprofessional collaboration, the development of tool kits, and the use of wikis become more relevant and vital. In addition to the dissemination of information and evidence-based findings and the development of tool kits, continuous support for and availability of such resources are critical. Among the most popular methods to promote ongoing dialogue and information sharing are blogs, wikis, websites, and social media. Nurses know how to support people in time of need or crisis and how to support one another in the workplace; wikis in particular enable nurses to continue that support beyond the work environment. Here they can be free to share their unique perspectives, educate others, and promote health care wellness at local and global levels (Kaminski, 2016).

You are encouraged to complete the Determining the Relevance and Usefulness of Resources activity prior to developing the repository. This activity will help you determine which resources or research will be most relevant to address a particular need. This may be useful as you consider how to explain the purpose and relevance of the resources you are assembling for your tool kit. The activity is for your own practice and self-assessment, and demonstrates course engagement.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 1: Analyze the elements of a successful quality improvement initiative.

1. Analyze usefulness of resources for role group responsible for implementing quality and safety improvements with medication administration.

. Competency 2: Analyze factors that lead to patient safety risks.

2. Analyze the value of resources to reduce patient safety risk or improve quality with medication administration.

. Competency 3: Identify organizational interventions to promote patient safety.

3. Identify necessary resources to support the implementation and sustainability of a safety improvement initiative focusing on medication administration.

. Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.

4. Present reasons and relevant situations for resource tool kit to be used by its target audience.

4. Communicate resource tool kit in a clear, logically structured, and professional manner that applies current APA style and formatting.

References

Chard, R., & Makary, M. A. (2015). Transfer-of-care communication: Nursing best practices. AORN Journal, 102(4), 329–342.

Kaminski, J. (2016). Why all nurses can/should be authors.Canadian Journal of Nursing Informatics, 11(4), 1–7.

Professional Context

Nurses are often asked to implement processes, concepts, or practices—sometimes with little preparatory communication or education. One way to encourage sustainability of quality and process improvements is to assemble an accessible, user-friendly tool kit for knowledge and process documentation. Creating a resource repository or tool kit is also an excellent way to follow up an educational or in-service session, as it can help to reinforce attendees’ new knowledge as well as the understanding of its value. By practicing creating a simple online tool kit, you can develop valuable technology skills to improve your competence and efficacy. This technology is easy to use, and resources are available to guide you.

Scenario

For this assessment, consider taking one of these two approaches:

· Build on the work done in your first three assessments and create an online tool kit or resource repository that will help the audience of your in-service understand the research behind your safety improvement plan pertaining to medication administration and put the plan into action.

· Locate a safety improvement plan (your current organization, the Institution for Healthcare Improvement, or a publicly available safety improvement initiative) pertaining to medication administration and create an online tool kit or resource repository that will help an audience understand the research behind the safety improvement plan and how to put the plan into action.

Preparation

Google Sites is recommended for this assessment; the tools are free to use and should offer you a blend of flexibility and simplicity as you create your online tool kit. Please note that this requires a Google account; use your Gmail or GoogleDocs login, or create an account following the directions under the “Create Account” menu.

Refer to the following links to help you get started with Google Sites:

· G Suite Learning Center. (n.d.). Get started with Sites. https://gsuite.google.com/learning-center/products/sites/get-started/#!/

· Google. (n.d.). Sites. https://sites.google.com

· Google. (n.d.). Sites help. https://support.google.com/sites/?hl=en#topic=

Instructions

Using Google Sites, assemble an online resource tool kit containing at least 12 annotated resources that you consider critical to the success of your safety improvement initiative. These resources should enable nurses and others to implement and maintain the safety improvement you have developed.

It is recommended that you focus on the 3 or 4 most critical categories or themes with respect to your safety improvement initiative pertaining to medication administration. For example, for an initiative that concerns improving workplace safety for practitioners, you might choose broad themes such as general organizational safety and quality best practices; environmental safety and quality risks; individual strategies to improve personal and team safety; and process best practices for reporting and improving environmental safety issues.

Following the recommended scheme, you would collect 3 resources on average for each of the 4 categories focusing on safety with medication administration. Each resource listing should include the following:

· An APA-formatted citation of the resource with a working link.

· A description of the information, skills, or tools provided by the resource.

· A brief explanation of how the resource can help nurses better understand or implement the safety improvement initiative pertaining to medication administration.

· A description of how nurses can use this resource and when its use may be appropriate.

Remember that you must make your site ‘public’ so that your faculty can access it. Check out the Google Sites resources for more information.

Here is an example entry:

· Merret, A., Thomas, P., Stephens, A., Moghabghab, R., & Gruneir, M. (2011). A collaborative approach to fall prevention. Canadian Nurse, 107(8), 24–29.

. This article presents the Geriatric Emergency Management-Falls Intervention Team (GEM-FIT) project. It shows how a collaborative nurse lead project can be implemented and used to improve collaboration and interdisciplinary teamwork, as well as improve the delivery of health care services. This resource is likely more useful to nurses as a resource for strategies and models for assembling and participating in an interdisciplinary team than for specific fall-prevention strategies. It is suggested that this resource be reviewed prior to creating an interdisciplinary team for a collaborative project in a health care setting.

Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

· Identify necessary resources to support the implementation and continued sustainability of a safety improvement initiative pertaining to medication administration.

· Analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements focusing on medication administration.

· Analyze the value of resources to reduce patient safety risk related to medication administration.

· Present reasons and relevant situations for use of resource tool kit by its target audience.

· Communicate in a clear, logically structured, and professional manner that applies current APA style and formatting.

Example Assessment: You may use the following example to give you an idea of what a Proficient or higher rating on the scoring guide would look like but keep in mind that your tool kit will focus on promoting safety with medication administration. Note that you do not have to submit your bibliography in addition to the Google Site; the example bibliography is merely for your reference.

· Assessment 4 Example [PDF].

To submit your online tool kit assessment, paste the link to your Google Site in the assessment submission box.

Example Google Site: You may use the example Google Site, Resources for Safety and Improvement Measures in Geropsychiatric Care, to give you an idea of what a Proficient or higher rating on the scoring guide would look like for this assessment but keep in mind that your tool kit will focus on promoting safety with medication administration.

Note: If you experience technical or other challenges in completing this assessment, please contact your faculty member.

Additional Requirements

· APA formatting: References and citations are formatted according to current APA style

URL
https://courserooma.capella.edu/bbcswebdav/institution/NURS-FPX/NURS-FPX4020/220100/Course_Files/cf_Exemplar_NURS-FPX4020_Assessment_4.pdf

OVERALL COMMENTS

I am sorry to see that SafeAssign has identified your submission of assessment 4 in FPX 4020 as almost identical to a submission by another student. Your aim is 70% identical, your level one headings are almost identical and presented in the same order, and most concerning is that all 12 of your tool kit resources are identical and under a similar heading as the other studentâ��s paper. Perla, I am very concerned as this is the second academic honesty voilation in this course. As per Capella policy, I must score this attempt as non-performance and fill out the academic honesty form.

DOWNLOAD YOUR EVALUATED ASSESSMENT FILE

COMPETENCY 1

Analyze the elements of a successful quality improvement initiative.

CRITERION

Analyze factors that lead to patient safety risks.

Your result: Non-Performance

Distinguished

Analyzes usefulness of resources for role group responsible for implementing quality and safety improvements with medication administration. Provides specific examples of utility in the context of a specific health care setting.

Proficient

Analyzes usefulness of resources for role group responsible for implementing quality and safety improvements with medication administration.

Basic

Summarizes but does not analyze usefulness of resources for role group responsible for implementing quality and safety improvements with medication administration.

Non-Performance

Does not analyze usefulness of resources for role group responsible for implementing quality and safety improvements with medication administration.

Faculty Comments:

CRITERION

Explain the nurse’s role in coordinating care to enhance quality and reduce costs.

Your result: Non-Performance

Distinguished

Uses persuasive, engaging language to present compelling reasons and relevant situations for resource tool kit use by its target audience.

Proficient

Presents reasons and relevant situations for resource tool kit use by its target audience

Basic

Lists reasons or situations for resource tool kit use, but they are not compelling or their relevance to the target audience is unclear.

Non-Performance

Does not present reasons and relevant situations for resource tool kit use by its target audience.

Faculty Comments:

COMPETENCY 2

Analyze factors that lead to patient safety risks.

CRITERION

Identify organizational interventions to promote patient safety.

Your result: Non-Performance

Distinguished

Analyzes the value of resources to reduce patient safety risk or improve quality, identifying those that may be most valuable for reducing patient safety risk or improving quality with medication administration.

Proficient

Analyzes the value of resources to reduce patient safety risk or improve quality with medication administration.

Basic

Describes resources to reduce patient safety risk or improve quality with medication administration.

Non-Performance

Does not analyze the value of resources to reduce patient safety risk or improve quality with medication administration.

Faculty Comments:

COMPETENCY 3

Identify organizational interventions to promote patient safety.

CRITERION

Analyze the elements of a successful quality improvement initiative.

Your result: Non-Performance

Distinguished

Identifies necessary resources to support the implementation and sustainability of a safety improvement initiative focusing on medication administration. Organizes resources logically for ease of use.

Proficient

Identifies necessary resources to support the implementation and sustainability of a safety improvement initiative focusing on medication administration.

Basic

Identifies resources, but the necessity or support for the safety improvement initiative focusing on medication administration is unclear.

Non-Performance

Does not identify necessary resources to support the implementation and sustainability of a safety improvement initiative focusing on medication administration.

Faculty Comments:

COMPETENCY 4

Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.

CRITERION

Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.

Your result: Non-Performance

Distinguished

Communicates online resource tool kit using a Google Sites in a clear and organized structure, and professional manner that applies nearly flawless, current APA style and formatting throughout.

Proficient

Communicates resource tool kit in a Word doc in a clear, logically structured, and professional manner that applies partially follows APA style and formatting.

Basic

Communicates online resource kit using a Word Doc or Google Sites in an unclear and disorganized structure and unprofessional manner that minimally follows APA style and formatting.

Non-Performance

Communicates a resource tool kit in an unclear, illlogically structured, and unprofessional manner that does not apply current APA style and formatting and contains many errors and/or incorrect citations.

Faculty Comments:

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 
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2 2 Another student’s paper 
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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.

Wang, L. 1 (2020, May 17). Dynamic reaction picklist for improving allergy reaction documentation in the electronic health record. Retrieved July 1, 2020. https://academic.oup.com/jamia/article-abstract/27/6/917/5838465

2 School of Nursing and Health Sciences, Capella University NURS-FPX4020: Improving Quality of Care and Patient Safety Dr. Brandi Ballantyne June 10, 2022

Introduction

Reducing medication errors has been discussed in various settings and by various persons. However, it still remains an issue of concern to the safety of patients as well as the quality of care offered. Therefore, in this paper, I will devise an improvement plan tool to help healthcare professionals especially nurses to minimize medication errors. The paper contains annotated bibliography of twelve articles, in four topics, each having three articles.

Importance of communication

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.

The article delivers comprehensive information regarding medication errors. This includes causes, adverse effects, and also ways of minimizing medication errors. Additionally, it offers important information of how nurses should practice good communication with patients, involving them in their own care. This article may be useful to nurses in including their patients in their own care, like reporting any side effects, or any reactions caused by drugs. Nurses can also utilize the document to educate patients on importance of communicating any problems in regard to their health.

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.
3 Paediatrics & Child Health, 24, e14-e15.

The publication investigates the impacts of failure to maintain medication reconciliation on patients. According to the authors, failure to document the medications previously taken at home during admission may post a challenge on discharge prescription, and cause medication errors. Therefore, by understanding the underlying risks, nurses need to utilize this knowledge to capture all the details during admission, as well as take part in reviewing discharge prescription for their patients, since they are patient’s advocates.

3 Wang, L., Blackley, S.
V., Blumenthal, K.
G., Yerneni, S., Goss, F.
R., Lo, Y. C.,. & Zhou, L. (2020). 3 A dynamic reaction picklist for improving allergy reaction documentation in the electronic health record.
Journal of the American Medical Informatics Association, 27(6), 917-923.

In this article, the authors discuss about the importance of not only disclosing medication errors, but also recording them properly and clearly. The author argues that there are increased chances of committing an additional medication error when the initial one is not recorded. In regard to nurses, they need to develop the culture of documenting errors, irrespective of the repercussions that might occur, in order to protect the patient from more errors, as well as to ensure patient safety and quality of care.

Individual Measures to Reduce MedicationErrors

deClifford, J. 4 M., Caplygin, F.
M., Lam, S.
S., & Leung, B. K. (2007). 5 Impact of an emergency department pharmacist on prescribing errors in an Australian hospital.
4 Journal of Pharmacy Practice and Research, 37(4), 284-286.

The authors examine the prescription errors that are connected to the emergency department pharmacist. It has ben noted out that timely retrieval of a patient’s medication history and health records could be essential in reducing prescription errors. Although this article directly addresses pharmacist, it is useful to nurses, since it teaches them to have complete medical and health records of a patients, before administering any medications, this is extremely useful in preventing medication errors in hospitalized patients, and during discharge.

Rodziewicz, T. L., Houseman, B., & Hipskind, J. E. (2022). 6 Medical error reduction and prevention. StatPearls [Internet].

This article describes different 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. (2018, July). 7 Nurses’ rights of medication administration:
In Nursing forum (Vol. 53, No. 3, pp. 299-303).

Although the five rights of medication administration have been made mandatory in efforts to reduce medications errors, the authors state that these rights are still not followed. The article calls upon all nurse to ensure that they perform their role as caregivers, in providing quality and safe care to their patient through observing the rights of medication administration. This article is important to nurses since it urges them to take a personal and individual responsibility to ensure that patient receive the right medication, and dosages via the right route.

Significant methods of disclosing medication errors

1 Abdel-Latif, M. M. (2016). 1 Knowledge of healthcare professionals about medication errors in hospitals.
3 Journal of basic and clinical pharmacy, 7(3), 87.

According to the findings in this article, the awareness of medication errors among healthcare professionals varies. Also, it was identified that those with poor knowledge on medication errors are at high risk of performing medication errors, since they do not know the precautions that help to minimize them. This publication educates nurses to be education seekers, to ensure that they are up-to-date with any recent evidence-based procedures that help to reduce medication errors.

Robertson, J. J., & Long, B. (2018). Suffering in silence: 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.

3 Charles, R., Hood, B., Derosier, J.
M., Gosbee, J.
W., Li, Y., Caird, M. S.,. & Hake, M. E. (2016). 1 How to perform a root cause analysis for workup and future prevention of medical errors: a review. 3 Patient safety in surgery, 10(1), 1-5.

In this article, the authors discuss the application of route cause analysis to expose medication errors. Medical practitioners are encouraged to ensure that they gather as much information from patients as possible, in order to understand the causative factors, as well as device an appropriate management plan to prevent medication errors. This information is important to nurses especially in gathering sensitive information, as well as reporting variables that are crucial to patients’ safety.

References

1 Abdel-Latif, M. M. (2016). 1 Knowledge of healthcare professionals about medication errors in hospitals.
3 Journal of basic and clinical pharmacy, 7(3), 87.

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.

deClifford, J. 4 M., Caplygin, F.
M., Lam, S.
S., & Leung, B. K. (2007). 5 Impact of an emergency department pharmacist on prescribing errors in an Australian hospital.
4 Journal of Pharmacy Practice and Research, 37(4), 284-286.

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. (2018, July). 7 Nurses’ rights of medication administration:
1 Including authority with accountability and responsibility.
7 In Nursing forum (Vol. 53, No. 3, pp. 299-303).

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.
3 Paediatrics & Child Health, 24, e14-e15.

Charles, R., Hood, B., Derosier, J.
M., Gosbee, J.
W., Li, Y., Caird, M. S.,. & Hake, M. E. (2016). 1 How to perform a root cause analysis for workup and future prevention of medical errors: a review. 3 Patient safety in surgery, 10(1), 1-5.

Robertson, J. J., & Long, B. (2018). Suffering in silence: 8 medical error and its impact on health care providers. The Journal of emergency medicine, 54(4), 402-409.

Rodziewicz, T. L., Houseman, B., & Hipskind, J. E. (2022). 6 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.

3 Wang, L., Blackley, S.
V., Blumenthal, K.
G., Yerneni, S., Goss, F.
R., Lo, Y. C.,. & Zhou, L. (2020). 3 A dynamic reaction picklist for improving allergy reaction documentation in the electronic health record.
Journal of the American Medical Informatics Association, 27(6), 917-923.

NURS-FPX4020_007780_1_1223_OEE_33 – NURS-FPX4020 – SPRING 2022 – SECTION 33

SafeAssign Draft Review

Perla Rodriguez on Sat, Jun 11 2022, 3:24 PM

60% highest match

Submission ID: 582d3d55-01b0-4f08-98a9-d22019edbeba

· ImprovementPlanToolKit (doc).docx  Word Count: 1,803 Attachment ID: 5617850999  60%

Citations (8/8)

1 1 Another student’s paper 
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2 2 Another student’s paper 
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3 3 Another student’s paper 
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4 4 Another student’s paper 
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5 5 https://anzhealthpolicy.biomedcentral.com/articles/10.1186/1743-8462-6-24 
~~Citation is highlighted. Click to remove highlighting~~ 

6 6 https://epdf.pub/to-err-is-human-building-a-safer-health-system.html 
~~Citation is highlighted. Click to remove highlighting~~ 

7 7 Another student’s paper 
~~Citation is highlighted. Click to remove highlighting~~ 

Nice work, remember to earn distinguished on this assignment you must create an online tool kit. Please see the comments below and let me know if you have any questions!

Dr. Ballantyne

DOWNLOAD YOUR EVALUATED ASSESSMENT FILE

COMPETENCY 1

Analyze the elements of a successful quality improvement initiative.

CRITERION

Analyze factors that lead to patient safety risks.

Your result: Proficient

Distinguished

Analyzes usefulness of resources for role group responsible for implementing quality and safety improvements with medication administration. Provides specific examples of utility in the context of a specific health care setting.

Proficient

Analyzes usefulness of resources for role group responsible for implementing quality and safety improvements with medication administration.

Basic

Summarizes but does not analyze usefulness of resources for role group responsible for implementing quality and safety improvements with medication administration.

Non-Performance

Does not analyze usefulness of resources for role group responsible for implementing quality and safety improvements with medication administration.

Faculty Comments:

You did a good job analyzing the usefulness of the resources as related to the role group thatâ��s responsible for implementing the quality and safety improvement measures. To earn a higher proficiency, you need to create an online tool kit.

CRITERION

Explain the nurse’s role in coordinating care to enhance quality and reduce costs.

Your result: Basic

Distinguished

Uses persuasive, engaging language to present compelling reasons and relevant situations for resource tool kit use by its target audience.

Proficient

Presents reasons and relevant situations for resource tool kit use by its target audience

Basic

Lists reasons or situations for resource tool kit use, but they are not compelling or their relevance to the target audience is unclear.

Non-Performance

Does not present reasons and relevant situations for resource tool kit use by its target audience.

Faculty Comments:

In your introduction, it appears that you attempted to present compelling reasons to use a resource tool kit; however, it did not adequately support the use of the tool kit. To reach a higher performance, you could have addressed how the tool kit could assist a targeted audience or specific practicing nurses and how it would be an advantage for them to use.

COMPETENCY 2

Analyze factors that lead to patient safety risks.

CRITERION

Identify organizational interventions to promote patient safety.

Your result: Proficient

Distinguished

Analyzes the value of resources to reduce patient safety risk or improve quality, identifying those that may be most valuable for reducing patient safety risk or improving quality with medication administration.

Proficient

Analyzes the value of resources to reduce patient safety risk or improve quality with medication administration.

Basic

Describes resources to reduce patient safety risk or improve quality with medication administration.

Non-Performance

Does not analyze the value of resources to reduce patient safety risk or improve quality with medication administration.

Faculty Comments:

Thank you for your insightful analysis of the value of resources to reduce patient safety risks and improve quality. To reach a higher performance level, you could have clearly identified the most valuable resources and create an online tool kit.

COMPETENCY 3

Identify organizational interventions to promote patient safety.

CRITERION

Analyze the elements of a successful quality improvement initiative.

Your result: Proficient

Distinguished

Identifies necessary resources to support the implementation and sustainability of a safety improvement initiative focusing on medication administration. Organizes resources logically for ease of use.

Proficient

Identifies necessary resources to support the implementation and sustainability of a safety improvement initiative focusing on medication administration.

Basic

Identifies resources, but the necessity or support for the safety improvement initiative focusing on medication administration is unclear.

Non-Performance

Does not identify necessary resources to support the implementation and sustainability of a safety improvement initiative focusing on medication administration.

Faculty Comments:

You did an excellent job identifying the necessary resources to support the implementation and sustainability of the safety improvement plan. In addition, you grouped the resources in a manner that was logical and easy to use. Well done! To earn a higher proficiency, you will need to create an online tool kit.

COMPETENCY 4

Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.

CRITERION

Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.

Your result: Non-Performance

Distinguished

Communicates online resource tool kit using a Google Sites in a clear and organized structure, and professional manner that applies nearly flawless, current APA style and formatting throughout.

Proficient

Communicates resource tool kit in a Word doc in a clear, logically structured, and professional manner that applies partially follows APA style and formatting.

Basic

Communicates online resource kit using a Word Doc or Google Sites in an unclear and disorganized structure and unprofessional manner that minimally follows APA style and formatting.

Non-Performance

Communicates a resource tool kit in an unclear, illlogically structured, and unprofessional manner that does not apply current APA style and formatting and contains many errors and/or incorrect citations.

Faculty Comments:

Unfortunately, about half of your resources are too old to use. Remember, in this course, all resources must be 5 years old or less. You are providing evidence-based best practice strategies; therefore, you need the most recent information.

1 Improvement Plan Tool Kit

Perla Rodriguez

Capella University NURS-FPX 4030: 1 Improving Quality of Care and Patient Safety Dr.
Brandi Ballantyne June 19, 2022

Introduction

1 Reducing medication errors has been discussed in various settings and by various persons.
However, it still remains an issue of concern to the safety of patients as well as the quality of care offered.
Therefore, in this paper, I will devise an improvement plan tool to help healthcare professionals especially nurses to minimize medication errors.
The paper contains annotated bibliography of twelve articles, in four topics, each having three articles.

Importance of communication

Alert, S. E. (2017). Inadequate hand-off communication. 2 Sentinel event alert, 58(1), 6. https://jointcommission.new-media-release.com/2017_hand_off_communication/assets/SEA_58_Hand_off_Comms_83017_EMBARGOED.PDF This publication addresses inadequate hand-off communications. During hand-offs, healthcare professionals are encouraged to provide accurate information regarding patients. This is important in maintaining safety of patients through out their care. Inadequate handoffs have been linked to several medication mistakes, including double medication administration. This article helps nurses tu understand the importance of gathering and compiling all patient data, accurately and handing them over to the incoming nursing staff timely and properly.

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 The article delivers comprehensive information regarding medication errors.
This includes causes, adverse effects, and also ways of minimizing medication errors.
Additionally, it offers important information of how nurses should practice good communication with patients, involving them in their own care.
This article may be useful to nurses in including their patients in their own care, like reporting any side effects, or any reactions caused by drugs.
Nurses can also utilize the document to educate patients on importance of communicating any problems in regard to their health.

Raley, J., Meenakshi, R., Dent, D., Willis, R., Lawson, K., & Duzinski, S. (2017). The role of communication during trauma activations: investigating the need for team and leader communication training. Journal of Surgical Education, 74(1), 173-179.

This article discussed the importance of team leader training. It indicates that continuous training of team leaders concerning communication is important. This increases their communication skills, among healthcare professionals, reducing medication errors. Nurses need to seize the available opportunities for training. This will help them enhance their communication skills, and ultimately result to promote effective communication in the healthcare settings. Nurses may use this source to understand the importance of continuous communication training.

Proper documentation

3 Billstein-Leber, M., Carrillo, C. J. 3 D., Cassano, A.
T., Moline, K., & Robertson, J. J. (2018). 3 ASHP guidelines on preventing medication errors in hospitals.
American Journal of Health-System Pharmacy, 75(19), 1493-1517.

This article examines several ways of preventing medication errors. One of the mentioned initiatives is proper recording. according to the authors, if an adverse drug reaction occurs, the patient should be stabilized first and then the reaction (eg, allergy, contraindication, side effect, or intolerance) should be documented in the patient’s medical record to allow all practitioners caring for the patient access to the event. Nurses may utilize this document to understand why comprehensive record keeping is important in reducing medical 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, e14-e15.

The publication investigates the impacts of failure to maintain medication reconciliation on patients.
According to the authors, failure to document the medications previously taken at home during admission may post a challenge on discharge prescription, and cause medication errors.
Therefore, by understanding the underlying risks, nurses need to utilize this knowledge to capture all the details during admission, as well as take part in reviewing discharge prescription for their patients, since they are patient’s advocates.

Wang, L., Blackley, S.
V., Blumenthal, K.
G., Yerneni, S., Goss, F.
R., Lo, Y. C.,. & Zhou, L. (2020). 1 A dynamic reaction picklist for improving allergy reaction documentation in the electronic health record.
Journal of the American Medical Informatics Association, 27(6), 917-923.

In this article, the authors discuss about the importance of not only disclosing medication errors, but also recording them properly and clearly.
The author argues that there are increased chances of committing an additional medication error when the initial one is not recorded.
In regard to nurses, they need to develop the culture of documenting errors, irrespective of the repercussions that might occur, in order to protect the patient from more errors, as well as to ensure patient safety and quality of care.

Individual Measures to Reduce Medication Errors

Melnyk, B. 4 M., Orsolini, L., Tan, A., Arslanian-Engoren, C., Melkus, G. D. 5 E., Dunbar-Jacob, J.,. & Lewis, L. M. (2018). 5 A national study links nurses’ physical and mental health to medical errors and perceived worksite wellness.
Journal of Occupational and Environmental Medicine, 60(2), 126-131.

The article talks about the physiological and psychological wellbeing of nurses, the connection between health and clinical mistakes, and the link between how nurses feel about wellness endorsement and their wellbeing. Health should be a top primary concern for healthcare systems if they want to improve the health of healthcare professionals, improve the effectiveness of care, and reduce the risk of risky medical mistakes that could have been avoided. Nurses can utilize this article to learn about the negative impact their poor health can have on a patients’ safety, and be willing to report any signs of ill health.

Rodziewicz, T. 1 L., Houseman, B., & Hipskind, J. E. (2022). 1 Medical error reduction and prevention. StatPearls [Internet].

1 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. (2018, July). 1 Nurses’ rights of medication administration:
Including authority with accountability and responsibility.
In Nursing forum (Vol. 53, No. 3, pp. 299-303).

1 Although the five rights of medication administration have been made mandatory in efforts to reduce medications errors, the authors state that these rights are still not followed.
The article calls upon all nurse to ensure that they perform their role as caregivers, in providing quality and safe care to their patient through observing the rights of medication administration.
This article is important to nurses since it urges them to take a personal and individual responsibility to ensure that patient receive the right medication, and dosages via the right route.

Disclosing medication errors

Mansour, R., Ammar, K., Al-Tabba, A., Arawi, T., Mansour, A., & Al-Hussaini, M. (2020). 6 Disclosure of medical errors: physicians’ knowledge, attitudes and practices (KAP) in an oncology center. BMC medical ethics, 21(1), 74. https://doi.org/10.1186/s12910-020-00513-2 Employing simulation seminars to educate practitioners on mistake disclosure has improved their knowledge and competence in this crucial area. They had a better understanding of Medical and Health Liability Law after attending the session. instruction on medical error disclosure, local rules, and understanding of the Medical and Health Liability Law is recommended to reduce medication errors. after reading this article, nurses can understand the importance of continuous training concerning disclosing medical errors and be vigilant to grab such opportunities when they present.

Robertson, J. 1 J., & Long, B. (2018). 1 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 any medication errors to ease the guilty that be associated with the error committed.

Borz-Baba, C., Johnson, M., & Gopal, V. (2020). 7 Designing a Curriculum for the Disclosure of Medical Errors:
A Requirement for a Positive Patient Safety Culture.
Cureus, 12(2), e6931. https://doi.org/10.7759/cureus.6931 Developing a training program on preventable medical mistakes Disclosure provides a chance to analyze the challenges that residents have when reporting and disclosing mistakes, to develop a program that is more individually tailored, and to evaluate residents’ performance in a variety of core competency areas. This article can be helpful for nurse educators in their periodic review of curriculum, or during curriculum development, to ensure that nurses receive knowledge that is improves their error reporting habits.

References

Alert, S. E. (2017). Inadequate hand-off communication. 2 Sentinel event alert, 58(1), 6. https://jointcommission.new-media-release.com/2017_hand_off_communication/assets/SEA_58_Hand_off_Comms_83017_EMBARGOED.PDF Billstein-Leber, M., Carrillo, C. J. 3 D., Cassano, A.
T., Moline, K., & Robertson, J. J. (2018). 3 ASHP guidelines on preventing medication errors in hospitals.
American Journal of Health-System Pharmacy, 75(19), 1493-1517.

Borz-Baba, C., Johnson, M., & Gopal, V. (2020). 7 Designing a Curriculum for the Disclosure of Medical Errors:
A Requirement for a Positive Patient Safety Culture.
Cureus, 12(2), e6931. https://doi.org/10.7759/cureus.6931 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.

Jones, J. 1 H., & Treiber, L. A. (2018, July). 1 Nurses’ rights of medication administration:
Including authority with accountability and responsibility.
In Nursing forum (Vol. 53, No. 3, pp. 299-303).

Mansour, R., Ammar, K., Al-Tabba, A., Arawi, T., Mansour, A., & Al-Hussaini, M. (2020). 6 Disclosure of medical errors: physicians’ knowledge, attitudes and practices (KAP) in an oncology center. BMC medical ethics, 21(1), 74. https://doi.org/10.1186/s12910-020-00513-2 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, e14-e15.

Melnyk, B. 4 M., Orsolini, L., Tan, A., Arslanian-Engoren, C., Melkus, G. D. 5 E., Dunbar-Jacob, J.,. & Lewis, L. M. (2018). 5 A national study links nurses’ physical and mental health to medical errors and perceived worksite wellness.
Journal of Occupational and Environmental Medicine, 60(2), 126-131.

Raley, J., Meenakshi, R., Dent, D., Willis, R., Lawson, K., & Duzinski, S. (2017). The role of communication during trauma activations: investigating the need for team and leader communication training. Journal of Surgical Education, 74(1), 173-179.

Robertson, J. 1 J., & Long, B. (2018). 1 Suffering in silence:
medical error and its impact on health care providers.
The Journal of emergency medicine, 54(4), 402-409.

Rodziewicz, T. 1 L., Houseman, B., & Hipskind, J. E. (2022). 1 Medical error reduction and prevention. StatPearls [Internet].

1 Wang, L., Blackley, S.
V., Blumenthal, K.
G., Yerneni, S., Goss, F.
R., Lo, Y. C.,. & Zhou, L. (2020). 1 A dynamic reaction picklist for improving allergy reaction documentation in the electronic health record.
Journal of the American Medical Informatics Association, 27(6), 917-923.

NURS-FPX4020_007780_1_1223_OEE_33 – NURS-FPX4020 – SPRING 2022 – SECTION 33

SafeAssign Draft Review

Perla Rodriguez on Sun, Jun 19 2022, 2:22 PM

89% highest match

Submission ID: 932ab176-37a1-47be-b7cc-8c6599a04fb6

· LImprovementPlanToolKit1.docx  Word Count: 1,900 Attachment ID: 5638349377  89%

Citations (7/7)

1 1 Another student’s paper 
~~Citation is highlighted. Click to remove highlighting~~ 

2 2 https://dokumen.pub/introduction-to-quality-and-safety-education-for-nurses-2nbsped-9780826123404-0826123406-9780826123411-0826123414.html 
~~Citation is highlighted. Click to remove highlighting~~ 