Improvement Plan In-Service Presentation
NURS FPX 4020 Assessment 1 Improvement Plan In-Service Presentation
Hello everyone! My name is Katherine and today I will be presenting an improvement plan for the medication administration errors that occur in a healthcare facility. Medication errors have been increasing and they not only result in the organization spending billions of dollars due to it every year but can cause a life-threatening situation and distress in the patients. It has been estimated that about 7,000-9,000 people die each year in the US due to medication errors (Tariq et al., 2022). In a recent case of a teenage cancer patient, Sam, who was admitted for a TPN infusion. The nurses after 5 hours of admission realized that she kept the rate at 190 mL/hr instead of 120 mL/hr which caused the patient to feel sick. Such situations demonstrate the facility’s failure and urge the need for an improvement plan that encourages the nurses to work together following a protocol providing safe administration and great quality of care to patients.
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Purpose & Goals of In-Service Session Focussing on Safe Medication Administration
The in-service sessions focusing on safe medication administration will present the values of the organization to the working staff so a vision or goal of the facility is crystal clear. Such sessions would help the nurses find common ground between them as they will be working towards a united goal. Such sessions provide awareness and training to the staff helping them acquire the skills that would promote the safety of the patients.
NURS FPX 4020 Assessment 1 Improvement Plan In-Service Presentation
Empowering education is a crucial step and with the appropriate model, it can enhance the effectiveness of the training being provided. Such models should be composed of practical and self-directed learning. Training like these can help improve the quality of care by achieving participation in the design and implementation, problem-solving approach, research skills, clinical performance monitoring, and motivational factors (Chaghari et al., 2017). This session will help the nurses learn the importance of a multidisciplinary team and how to follow the safety improvement plan and other protocols to ensure patient safety. The importance of leadership roles and handling or maintenance of different smarter tools would be better understood.
Need & Process to Improve Safety Outcomes
Most of the medication errors reported are related to wrong doses and they not only lead to life-threatening situations but they prolong the stay of the patient at the hospital which increases the cost (Zaree et al., 2018). The medication errors that are caused accidentally could lead to distress among the nurses too as they feel guilty about the consequences. This shows the need to improve safety outcomes so that patient safety is significant and the nurses stay satisfied and confident too. Some of the common mistakes that occur with infusion pumps are the mishandling of devices, indirect patient tasks related to the infusion pump, manual programming, improper communication, and managing tangled tubes (Bacon et al., 2020). The most common form of error with the infusion pump is the incorrect rate.
The process to mitigate such errors and improve patient safety is forming a multidisciplinary team for a proper flow of communication and coordination. This team would also assign leadership roles that would lead to the indirect tasks related to the pump being divided so the nurses don’t neglect any sort of medication dose. Training and workshops should be provided to the nurses so they are more aware of handling. The intervention of smarter infusion pumps could lower the errors at a greater rate as there will be automated programming. They also have alerts that make the nurses aware of dispensing errors (Melton et al., 2019). The implementation of proper standardized workflow with protocols could improve safety outcomes.
Audience’s Role in & Importance of Making the Improvement Plan
Nurses has a crucial role in providing the best patient services as they work closely with them. The audience should be able to improve their knowledge and make use of the most credible evidence to implement evidence-based care so the errors can be mitigated. The participation of the audience can lead to a proper implementation which would allow the formation of a multidisciplinary team. Nurses also have to provide awareness or education to their patients so they can be involved in decision-making, this promotes total transparency from both sides avoiding any adverse event (Hawai’i/Pacific University, 2022).
This improvement plan will provide support to the nurses which will reduce the burden and allow them to work to their full potential. This plan will promote transparency and lead to education or training of the staff making them better at handling tools which would increase the efficiency of tools and reduce time and cost because medication errors will be avoided.
Resources or Activities to Understand Safety Improvement Initiative
Resources should be utilized efficiently to make them efficient and save costs. More educated and experienced staff should be hired for even better multidisciplinary teams so the burden is reduced. Smart infusion pumps should be replaced with the old manual ones. Workshops should be kept to provide education to the existing staff.
The organization must have a positive and supportive environment so there is accountability for the actions. There need to be no cases of a medication error that go reported so all the cases can be analyzed. Effective reporting methods should be adopted (Mutair et al., 2021)Budget needs to be set for the new technology of infusion pumps.
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Conclusion
The in-service session will allow the nurses to be educated on the safety improvement plan that is crucial in mitigating the errors. The most common infusion pump error is with the rate. If there is a proper multidisciplinary team, effective communication, the intervention of smarter pumps, and education the errors can be avoided.
References
Bacon, O., & Hoffman, L. (2020). System-level patient safety practices that aim to reduce medication errors associated with infusion pumps: an evidence review. Journal of Patient Safety, 16(3), S42–S47. https://doi.org/10.1097/pts.0000000000000722
NURS FPX 4020 Assessment 1 Improvement Plan In-Service Presentation
Chaghari, M., Saffari, M., Ebadi, A., & Ameryoun, A. (2017). Empowering Education: A New Model for In-service Training of Nursing Staff. Empowering Education: A New Model for In-Service Training of Nursing Staff. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5238493/#:~:text=Active%20participation%20of%20nurses%20in,utilization%20of%20adult%20learning%20principles.
Hawai\’i Pacific University. (2022, February 2). The Importance of a Nurse’s Role in Patient Safety. Hawaiʻi Pacific University Online. https://online.hpu.edu/blog/nurses-role-in-patient-safety/
Melton, K. R., Timmons, K., Walsh, K. E., Meinzen-Derr, J. K., & Kirkendall, E. (2019). Smart pumps improve medication safety but increase alert burden in neonatal care. BMC Medical Informatics and Decision Making, 19(1). https://doi.org/10.1186/s12911-019-0945-2
Mutair, A. A., Alhumaid, S., Shamsan, A., Zaidi, A. R. Z., Mohaini, M. A., al Mutairi, A., Rabaan, A. A., Awad, M., & Al-Omari, A. (2021). The effective strategies to avoid medication errors and improving reporting systems. Medicines, 8(9), 46. https://doi.org/10.3390/medicines8090046
Tariq, R., Vashisht, R., Sinha, A., & Scherbak, Y. (2022). Medication dispensing errors and prevention [E-book]. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK519065/
Zaree, T. Y., Nazari, J., Asghary Jafarabadi, M., & Alinia, T. (2018). Impact of Psychosocial Factors on Occurrence of Medication Errors among Tehran Public Hospitals Nurses by Evaluating the Balance between Effort and Reward. Safety and Health at Work, 9(4), 447–453. https://doi.org/10.1016/j.shaw.2017.12.005
