Capela FPX 4020 Enhancing Quality and Safety

Medication Errors

Ensuring patient safety is one of the most profound roles for nurses and other professional caregivers. In this sense, health care organizations and professionals strive to transform patients’ experiences by preventing medication errors and other clinical aspects that hinder recovery processes and individual satisfaction. Despite the importance of enhancing patient safety, caregivers and health care institutions struggle to realize this objective because of process complexities and other contextual issues like ineffective cultures, workplace burnout, and conflicting roles.

Capela FPX 4020 Enhancing Quality and Safety

As a result, the need to promote clinical safety rests on professional nurses, requiring them to develop quality improvement (QI) initiatives and safety improvement strategies to help institutions realize the overall objective of providing quality care to patients. In response to the unmatched need for holistic measures to promote patient safety, nurses embrace evidence-based practices and professional collaboration as the primary approaches to reduce medical errors, infections, and deaths.

Medication Errors and Patients’ Safety

Often, errors entail preventable mistakes that affect process effectiveness and lead to detrimental effects. Health care professionals are not immune to medical flaws because they may occur inadvertently. Therefore, nurses and other caregivers are prone to making mistakes and carrying the mantle of dealing with the consequences of medication errors. Manias et al. (2020) argue that medical errors occur at any point in medication management processes, including prescription, transcription, dispensing, monitoring, and administering.

Individual flaws, unreliable working relationships between professionals, poor communication, patient-related issues, and technical failures are the causal factors for medical errors. Also, breakdowns in institutional information-sharing mechanisms, staffing patterns, and unreliable policies may lead to flawed medication management processes.

Undoubtedly, many recently recorded medication error scenarios involve wrong drug administration, dispensing mistakes, and incorrect regimen quantities. The consequences of these medical error scenarios are often detrimental to patients, on-duty nurses, and organizations. Manias et al. (2020) agree that medication errors are among the primary causes of deaths, injuries, and incapacitations globally.

The authors echo the World Health Organization’s contention that “medication errors cost an estimated $42 billion annually worldwide, which is 0.7% of the total global health expenditure (Manias et al., 2020, p. 2). As a result, professional caregivers and health care organizations should invest massively ineffective, evidence-based, and proven strategies to address causal factors for medical mistakes.

Evidence-based Practice (EBP), Medication Errors, and Patients’ Safety

Although health care organizations conceptualize multiple interventions for reducing medical errors, the evidence-based practice model cut across all departmental and professional protocols of ensuring process efficiency. Songur et al. (2017) present the EBP model as a problem-solving approach that allows professionals to integrate research evidence, channel clinical expertise, and incorporate patient values or preferences to promote health outcomes. Evidence-based practices require nurses to apply contextual understanding and outside information to solve problems and enhance decisions regarding patient safety and clinical environments. In this sense, nurses can analyze problems, establish trade-offs between benefits and risks emanating from their actions, and foster professional relationships with other health care providers.

The evidence-based practice (EBP) model is crucial in enhancing proper situational assessment and utilizing scientifically proven interventions to reduce medication errors and promote clinical safety. Nkurunziza et al. (2020) note that unclear reporting mechanisms, poor self-reporting techniques, insufficient training, and nursing burnout are among the most prominent causes of medication errors. Nurses and other caregivers should enhance professional skills and competencies by utilizing internal or external evidence to align their operations according to clinical contexts. Arguably, EBP allows nurses to translate theoretical knowledge to safe practices and transfer information to other professionals by developing self-reporting experiences.

Professional Collaboration and Patient Safety

Professionalism is a learning endeavor that relies massively on information sharing mechanisms and timely consultations. Health care professionals must embrace team performance, collective responsibility, and collaboration as the most effective approaches to reduce medication errors. In this sense, nurses should collaborate with patients, department leaders, physicians, technological analysts, social workers, and organizational leadership when delivering quality care to recipients. Irajpour et al. (2019) introduce organizational learning and purposeful training as practical interventions that promote interpersonal relationships, proper knowledge acquisition, and experience sharing among health professionals.

Interprofessional education is an opportunity that allows practitioners to learn from each other and collaborate in designing practical interventions for patient safety (Irajpour et al., 2020, p. 2). When nurses access meaningful training and education from experienced professionals like senior advanced practice registered nurses (APRNs), physicians, and clinical pharmacists, they acquire reliable information and knowledge regarding medication management processes. Undoubtedly, training and education programs for nurses are essential strategies to prevent medication errors emanating from inadequate awareness, practical competencies, and other human-related causes. Also, such programs improve patient safety by enhancing professional capacity to collaborate with patients and trainers in addressing clinical problems.

Conclusion

Medication errors compromise professionalism for nurses because they hinder patient safety and process effectiveness. Health Care institutions and caregivers face challenges in enhancing safe clinical environments because of communication breakdowns, technical failures, and human-related issues that lead to medical errors. Often, poor medication management processes lead to death, harm, and massive economic burdens to institutions. Nurses embrace evidence-based practice (EBP) in integrating internal and external evidence in daily operations. Arguably, EBP, professional education or training, and interprofessional collaboration are essential approaches for promoting patient safety and reducing medical errors.

Identify Safety Risks and Solutions References

  • Irajpour, A., Farzi, S., Saghaei, M., & Ravaghi, H. (2019). Effect of interprofessional education of medication safety program on the medication error of physicians and nurses in intensive care units. Journal of education and health promotion, 8, 196. https://doi.org/10.4103/jehp.jehp_200_19
  • Manias, E., Kusljic, S., & Wu, A. (2020). Interventions to reduce medication errors in adult medical and surgical settings: a systematic review. Therapeutic Advances in Drug Safety, 11, 1-29. https://doi.org/10.1177/2042098620968309
  • Nkurunziza, A., Chironda, G., Mukeshimana, M., Uwamahoro, M., Umwangange, M., & Ngendahayo, F. (2020). Factors contributing to medication administration errors and barriers to self-reporting among nurses: a review of the literature. Rwanda Journal of Medicine and Health Sciences, 2(3), 294. https://doi.org/10.4314/rjmhs.v2i3.14
  • Sonğur, C., Özer, Ö., Gün, Ç., & Top, M. (2017). Patient safety culture, evidence-based practice, and performance in nursing. Systemic Practice and Action Research, 31(4), 359-374. https://doi.org/10.1007/s11213-017-9430-y

Capela FPX 4020 Enhancing Quality and Safety Instructions

For this assessment, you will develop a 3-5 page paper that examines a safety quality issue pertaining to medication administration in a health care setting. You will analyze the issue and examine potential evidence-based and best-practice solutions from the literature as well as the role of nurses and other stakeholders in addressing the issue.

Health care organizations and professionals strive to create safe environments for patients; however, due to the complexity of the health care system, maintaining safety can be a challenge. Since nurses comprise the largest group of health care professionals, a great deal of responsibility falls in the hands of practicing nurses. Quality improvement (QI) measures and safety improvement plans are effective interventions to reduce medical errors and sentinel events such as medication errors, falls, infections, and deaths. A 2000 Institute of Medicine (IOM) report indicated that almost one million people are harmed annually in the United States, (Kohn et al., 2000) and 210,000–440,000 die as a result of medical errors (Allen, 2013).

The role of the baccalaureate nurse includes identifying and explaining specific patient risk factors, incorporating evidence-based solutions to improving patient safety and coordinating care. A solid foundation of knowledge and understanding of safety organizations such as Quality and Safety Education for Nurses (QSEN), the Institute of Medicine (IOM), and The Joint Commission and its National Patient Safety Goals (NPSGs) program is vital to practicing nurses with regard to providing and promoting safe and effective patient care.

You are encouraged to complete the Identifying Safety Risks and Solutions activity. This activity offers an opportunity to review a case study and practice identifying safety risks and possible solutions. We have found that learners who complete course activities and review resources are more successful with first submissions. Completing course activities is also a way to demonstrate 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.
Explain evidence-based and best-practice solutions to improve patient safety focusing on medication administration and reducing costs.

Competency 2: Analyze factors that lead to patient safety risks.
Explain factors leading to a specific patient-safety risk focusing on medication administration.

Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs.
Explain how nurses can help coordinate care to increase patient safety with medication administration and reduce costs.
Identify stakeholders with whom nurses would need to coordinate to drive quality and safety enhancements with medication administration.

Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar or punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

References

Allen, M. (2013). How many die from medical mistakes in U.S. hospitals? Retrieved from https://www.npr.org/sections/health-shots/2013/09/20/224507654/how-many-die-from-medical-mistakes-in-u-s-hospitals.

Kohn, L. T., Corrigan, J., & Donaldson, M. S. (Eds.). (2000). To err is human: Building a safer health system. Washington, DC: National Academy Press.

Professional Context

As a baccalaureate-prepared nurse, you will be responsible for implementing quality improvement (QI) and patient safety measures in health care settings. Effective quality improvement measures result in systemic and organizational changes, ultimately leading to the development of a patient safety culture.

Scenario

Consider a previous experience or hypothetical situation pertaining to medication errors, and consider how the error could have been prevented or alleviated with the use of evidence-based guidelines.

Choose a specific condition of interest surrounding a medication administration safety risk and incorporate evidence-based strategies to support communication and ensure safe and effective care.

For this assessment:

Analyze a current issue or experience in clinical practice surrounding a medication administration safety risk and identify a quality improvement (QI) initiative in the health care setting. Identify Safety Risks and Solutions

Capela FPX 4020 Enhancing Quality and Safety Instructions

The purpose of this assessment is to better understand the role of the baccalaureate-prepared nurse in enhancing quality improvement (QI) measures that address a medication administration safety risk. This will be within the specific context of patient safety risks at a health care setting of your choice. You will do this by exploring the professional guidelines and best practices for improving and maintaining patient safety in health care settings from organizations such as QSEN and the IOM.

Looking through the lens of these professional best practices to examine the current policies and procedures currently in place at your chosen organization and the impact on safety measures for patients surrounding medication administration, you will consider the role of the nurse in driving quality and safety improvements. You will identify stakeholders in QI improvement and safety measures as well as consider evidence-based strategies to enhance quality of care and promote medication administration safety in the context of your chosen health care setting.

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 that you know what is needed for a distinguished score.

Explain factors leading to a specific patient-safety risk focusing on medication administration.
Explain evidence-based and best-practice solutions to improve patient safety focusing on medication administration and reducing costs.
Explain how nurses can help coordinate care to increase patient safety with medication administration and reduce costs.
Identify stakeholders with whom nurses would coordinate to drive safety enhancements with medication administration.
Communicate using writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.

Additional Requirements

Length of submission: 3–5 pages, plus title and reference pages.
Number of references: Cite a minimum of 4 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.
APA formatting: References and citations are formatted according to current APA style.