NURS FPX 4020 Assessment 4 Attempt 1 Improvement Plan Tool Kit

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Improvement Plan Tool Kit

NURS FPX 4020 Assessment 4 Attempt 1 Improvement Plan Tool Kit

This improvement plan tool set seeks to make it easier for nurses to put safety improvement measures in place and maintain them. The method is concentrated on the adoption and implementation of evidence-based health interventions within a specific setting. Implementation science also attempts to improve the quality of healthcare. This action plan for improvement is based on four categories. Necessary resources for safe medication administration, factors that lead to patient safety risks, organizational interventions to promote patient safety and nurse’s role in coordinating care to enhance quality and reduce costs.

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Annotated Bibliography

The Elements Of Successful Quality Improvement Pertaining To Medication Administration

Boehm, L. M., Stolldorf, D. P., & Jeffery, A. D. (2020). Implementation science training and resources for nurses and nurse scientists. Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing52(1), 47–54. https://doi.org/10.1111/jnu.12510 

The improvement of the quality is covered in this article. Generally speaking, QI refers to work that tries to increase the value, safety, and calibre of medical care. The Model for Improvement is one popular QI framework that aids users in creating SMART (specific, measurable, achievable, relevant, and time-bound) goals. This SMART goal includes both a change approach for effective improvement and quantitative metrics to evaluate outcomes. Although the method is concentrated on the  integration of evidence-based health interventions within a specific setting, implementation science also attempts to improve the quality of healthcare. Fortunately, healthcare organisations are starting to comprehend the fundamentals of quality improvement as they work to increase treatment quality and accessibility. For the assessment of delirium in hospitalized patients, guidelines advocate the use of valid and trustworthy techniques. Inaccuracies in nursing assessments at one hospital that used a validated delirium screening method later led to undetected delirium and lost chances to treat delirious patients. The next QI project’s objective was to increase nurse delirium assessment accuracy to >80%. The improvement team employed a multimodal educational intervention and ran a run chart in real-time to observe trends in delirium assessment accuracy. Over an 11-month period, delirium evaluation accuracy increased from 70% to 96%. This QI program was successful as a result, and it later spread to two other hospital departments.

Darawad, M. W., Othman, E. H., & Alosta, M. R. (2019). Nurses’ satisfaction with barcode medication‐administration technology: Results of a cross‐sectional study. Nursing & health sciences21(4), 461-469. https://doi.org/10.1111/nhs.12620  

NURS FPX 4020 Assessment 4 Attempt 1 Improvement Plan Tool Kit

The advantages of bar coding in lowering medicine administration errors are covered in this research. To increase safety when administering medications, many organisations have utilised bar code scanning. As an illustration, when a nurse scans a bar code on a patient’s wristband and on the medication to be given, the information is sent to a computer software system where algorithms examine several databases and produce real-time warnings or approvals. MAEs were reduced relative to baseline by 85% in patients with solid tumors who underwent a BCMA system

Rohde, E., & Domm, E. (2018). Nurses’ clinical reasoning practices that support safe medication administration: An integrative review of the literature. Journal of clinical nursing27(3-4), e402-e411. https://doi.org/10.1111/jocn.14077

The significance of patient education on drug administration is examined in this article. The client is informed by nurses about the medications they are prescribed, including when appropriate. The use of any prescription, over-the-counter (OTC), and nutritional supplements, as well as any known drug allergies, should be documented by clients on an ongoing basis. Information about side effects, precautions, how to handle negative reactions, and where to find more unbiased, reliable information should be given to clients. For instance, you would probably need to undergo many blood tests over time to probably need to undergo many blood tests over time to determine whether your doctor has prescribed a dosage that is too high or too low if you were prescribed thyroid medicine or blood thinners. Your doctor would be able to modify your dosage based on the results of these tests until they found the optimal amount for you.

Implementing Quality and Safety Improvements with Medication Administration

Shitu, Z., Hassan, I., Aung, M. M. T., Kamaruzaman, T. H. T., & Musa, R. M. (2018). Avoiding medication errors through effective communication in a healthcare environment. Malaysian Journal of Movement, Health & Exercise7(1), 115. https://doi.org/10.15282/mohe.v7i1.202

           Numerous studies have demonstrated the connection between inter-professional communication and patient safety and drug error. Language hurdles, the means of communicating, the physical location, and the social context are the main communication problems in the healthcare environment. Clinicians should uphold effective teamwork and communication in order to support safe and effective practice in hospitals and prevent prescription errors. The safety of patients should be a top priority in healthcare settings, yet poor communication puts both their health and safety at danger. It is advised that written and verbal communication take place simultaneously because doing so gives the information numerous avenues to travel. Nurses should read this article if they wish to learn more about communication and grasp the importance of spreading awareness in order to improve safety in the healthcare setting. Also discussed are strategies for overcoming barriers to effective communication.

Nkurunziza, A., Chironda, G., & Mukeshimana, M. (2018). Perceived contributory factors to medication administration errors (MAEs) and barriers to self-reporting among nurses working in paediatric units of selected referral hospitals in Rwanda. International Journal of Research in Medical Sciences6(2), 401-407. https://doi.org/10.18203/2320-6012.ijrms20180276

          This article explores the factors that lead to pharmaceutical errors and looks at ways to avoid them. The findings of this study demonstrated that fatigue brought on by an increased workload was the primary cause of most errors. Reducing work pressure is the best method to reduce errors. The nurse to patient ratio can be made better to accomplish this. Employing additional people will help nurse managers address their human resource issues. Nurses should have access to workshops and trainings to advance their understanding of pharmacology, medicine preparation, and adverse effects. In order to effectively serve patients, this essay stresses to nurses the significance of decreasing workload. By reading this article, nurses will learn about some typical reasons why medication errors occur as well as some preventative measures.

NURS FPX 4020 Assessment 4 Attempt 1 Improvement Plan Tool Kit

Chen, Y., Wu, X., Huang, Z., Lin, W., Li, Y., Yang, J., & Li, J. (2019). Evaluation of a medication error monitoring system to reduce the incidence of medication errors in a clinical setting. Research in Social & Administrative Pharmacy : RSAP15(7), 883–888. https://doi.org/10.1016/j.sapharm.2019.02.006  

          Population-based studies conducted in various zones have consistently revealed exceptionally high rates of MAEs and the associated avoidable fatalities. The essay acknowledges the value of a system for accurately reporting drug errors as a metric for attaining patient safety. In order to reduce the risk that future patients would sustain harm, drug mistake reporting procedures should be modified and improvement initiatives should be undertaken. Clinical staff members and healthcare organizations can provide patients with better care thanks to decreased MAEs. MAEs have developed into a significant issue that is taxing the healthcare system and harming patients. By utilizing efficient preventive methods, nurses can contribute to the reduction of MAEs. The effectiveness of a monitoring system can be evaluated based on how well the collected data is used to increase patient safety. Health professionals can use this article to identify the qualities of a successful MAE reporting plan. A reporting method should be safe, produce useful suggestions, and bring about positive improvements.

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Organizational Interventions to Promote Patient Safety

Khalil, H., Bell, B., Chambers, H., Sheikh, A., & Avery, A. J. (2017). Professional, structural and organisational interventions in primary care for reducing medication errors. The Cochrane Database of Systematic Reviews10(10), CD003942. https://doi.org/10.1002/14651858.CD003942.pub3

This article focuses on organisational improvements that involve revisions to clinical multidisciplinary teams and professional responsibilities (such as nurse- or pharmacist-led chronic illness clinics and nurse prescribing). Organizational interventions may have included home-based medication reviews by pharmacists or nurses, as well as telephone consultations. These strategies attempted to involve staff in risk management to improve patient safety. By standardising the ordering, storage, preparation, and administration of these medications, limiting their use, and employing automated warnings to increase awareness while prescribing or administering them, organisations can lower the risk of error with “high alert” medications.

Coles, E., Anderson, J., Maxwell, M. et al. The influence of contextual factors on healthcare quality improvement initiatives: a realist review. Syst Rev 9, 94 (2020). https://doi.org/10.1186/s13643-020-01344-3 

According to this article, which widely reflects system-level and individual-level contextual elements, supporting “organisation” as a major context in the programme theory. It covered organisational systems, procedures, and activities related to human resources. In the review and context assessment examples, awareness of the potential effects of organisational contexts and local conditions is prominently discussed. According to the evidence, an organization’s infrastructure should ideally support improvement. A key component of this infrastructure was identified as the organization’s culture, which is comprised of the organization’s history, policies, strategy, and governance as well as its shared vision, beliefs, and behavioural patterns.

Niskala, J., Kanste, O., Tomietto, M., Miettunen, J., Tuomikoski, A. M., Kyngäs, H., & Mikkonen, K. (2020). Interventions to improve nurses’ job satisfaction: A systematic review and meta-analysis. Journal of Advanced Nursing76(7), 1498–1508. https://doi.org/10.1111/jan.14342 

This article suggests that in order to increase nurses’ job satisfaction and lower turnover, healthcare organizations and management should take effective interventions into consideration. Nurse managers should concentrate on organizational tactics that will encourage employees’ intrinsic motivation. 

Workshops, educational sessions, classes, and training sessions made up the interventions’ main educational component.

The Nurse’s Role In Coordinating Care To Enhance Quality And Reduce Costs

Coles, E., Anderson, J., Maxwell, M. et al. The influence of contextual factors on healthcare quality improvement initiatives: a realist review. Syst Rev 9, 94 (2020). https://doi.org/10.1186/s13643-020-01344-3 

According to this article, public sector organisations place a high priority on enhancing health and wellbeing results. A lot of work has been put into using quality improvement (QI) in healthcare over the past ten years as a way to deliver evidence-based treatment, enhance care delivery systems, and improve clinical outcomes. Realist inquiry, which incorporates theory, research data, and practical knowledge, is the best method for comprehending the problems associated with implementation in challenging healthcare environments.

Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for nursing. Orthopedic Nursing36(1), 12. https://doi.org/10.1097/NOR.0000000000000308 

This article highlights how shifting social and disease-type demographics, together with quality and cost concerns, provided the greatest impetus for the need for reform. Patient-centered care across the continuum  provides seamless, affordable, and high-quality care. Nurses are positioned to contribute to and lead the transformative changes that are occurring in healthcare. These changes call for a fresh focus on patient-centered care, data analytics, and quality improvement along with a new or improved set of wellness and population care knowledge, skills, and attitudes. Nursing professionals must work together to provide patient-centered, coordinated care.

NURS FPX 4020 Assessment 4 Attempt 1 Improvement Plan Tool Kit

Young, J., Daulton, B., & Griffith, C. (2022, January). The effectiveness of an educational intervention to enhance undergraduate nursing students’ competence with interprofessional collaboration. In Nursing Forum (Vol. 57, No. 1, pp. 69-77).            https://doi.org/10.1111/nuf.12655

The importance of interprofessional collaboration and teamwork in providing high-quality client care has been highlighted in this article. The outcomes for patients are improved when healthcare professionals work together more effectively and communicate more effectively. To create a client-centered care plan that is culturally competent, nurses must interact equally with other healthcare professionals.

Martyn, J. A., Paliadelis, P., & Perry, C. (2019). The safe administration of medication: Nursing behaviours beyond the five-rights. Nurse Education in Practice37, 109-114.

https://doi.org/10.1016/j.nepr.2019.05.006

This article clarifies how nurses have a special role in medicine administration since they are typically the last person to verify that the prescription has been prescribed and administered properly before delivery. Receiving instruction on a guide to clinical medicine administration, which includes “Right drug,” “Right route,” “Right time,” and “Right dose,” is standard during nursing education. The most common types of pharmaceutical administration errors are wrong dosage, unit conversion, and chemical concentration.

References

Boehm, L. M., Stolldorf, D. P., & Jeffery, A. D. (2020). Implementation science training and resources for nurses and nurse scientists. Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing52(1), 47–54. https://doi.org/10.1111/jnu.12510   

Chen, Y., Wu, X., Huang, Z., Lin, W., Li, Y., Yang, J., & Li, J. (2019). Evaluation of a medication error monitoring system to reduce the incidence of medication errors in a clinical setting. Research in social & administrative pharmacy : RSAP15(7), 883–888. https://doi.org/10.1016/j.sapharm.2019.02.006 

Coles, E., Anderson, J., Maxwell, M. et al. The influence of contextual factors on healthcare quality improvement initiatives: a realist review. Syst Rev 9, 94 (2020). https://doi.org/10.1186/s13643-020-01344-3 

Darawad, M. W., Othman, E. H., & Alosta, M. R. (2019). Nurses’ satisfaction with barcode medication‐administration technology: Results of a cross‐sectional study. Nursing & health sciences21(4), 461-469. https://doi.org/10.1111/nhs.12620 

Khalil, H., Bell, B., Chambers, H., Sheikh, A., & Avery, A. J. (2017). Professional, structural and organisational interventions in primary care for reducing medication errors. The Cochrane database of systematic reviews10(10), CD003942. https://doi.org/10.1002/14651858.CD003942.pub3

Martyn, J. A., Paliadelis, P., & Perry, C. (2019). The safe administration of medication: Nursing behaviours beyond the five-rights. Nurse education in practice37, 109-114.

https://doi.org/10.1016/j.nepr.2019.05.006

NURS FPX 4020 Assessment 4 Attempt 1 Improvement Plan Tool Kit

Niskala, J., Kanste, O., Tomietto, M., Miettunen, J., Tuomikoski, A. M., Kyngäs, H., & Mikkonen, K. (2020). Interventions to improve nurses’ job satisfaction: A systematic review and meta-analysis. Journal of advanced nursing76(7), 1498–1508. https://doi.org/10.1111/jan.14342 

Nkurunziza, A., Chironda, G., & Mukeshimana, M. (2018). Perceived contributory factors to medication administration errors (MAEs) and barriers to self-reporting among nurses working in paediatric units of selected referral hospitals in Rwanda. International Journal of Research in Medical Sciences6(2), 401-407.

https://doi.org/10.18203/2320-6012.ijrms20180276

Rohde, E., & Domm, E. (2018). Nurses’ clinical reasoning practices that support safe medication administration: An integrative review of the literature. Journal of clinical nursing27(3-4), e402-e411. https://doi.org/10.1111/jocn.14077 

Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for nursing. Orthopedic nursing36(1), 12. https://doi.org/10.1097/NOR.0000000000000308 

Shitu, Z., Hassan, I., Aung, M. M. T., Kamaruzaman, T. H. T., & Musa, R. M. (2018). Avoiding medication errors through effective communication in a healthcare environment. Malaysian Journal of Movement, Health & Exercise7(1), 115. https://doi.org/10.15282/mohe.v7i1.202

Young, J., Daulton, B., & Griffith, C. (2022, January). The effectiveness of an educational intervention to enhance undergraduate nursing students’ competence with interprofessional collaboration. In Nursing Forum (Vol. 57, No. 1, pp. 69-77).

https://doi.org/10.1111/nuf.12655