Assessment 1: Enhancing Quality and Safety
Medication errors, which can occur at any stage in the medication use process, can have serious consequences for patients. Common types of errors include prescribing the wrong medication or dose, administering the medication to the wrong patient, and not following established protocols.
Strategies to reduce the risk of medication errors include double-checking medication orders, using computerized prescribing systems, and providing staff with education and training on medication safety practices. The purpose of this paper is to summarize an experience where a medication error occurred, analyze patient safety risks from this scenario, provide potential evidence-based preventive solutions, explain how nurses can coordinate this prevention, and identify stakeholders with whom the nurse should coordinate.
Mr. X, a 52-year-old black male, had been admitted to our inpatient unit for the past three days. During this admission, he was diagnosed with stage II hypertension. Among his regimen was Lisinopril tabs for hypertension. His physician had prescribed 10mg tabs once daily on the day of his discharge from the hospital. A pharmacist, who was licensed, dispensed the medication and checked that it was the correct medication and had not expired.
However, the pharmacist made a mistake in filling the prescription and gave the patient 20 mg tablets of Lisinopril instead of the prescribed 10 mg tablets. The patient, who was a nurse, took the medication as directed and experienced severely low blood pressure and dizziness, requiring treatment at the emergency department the following day.
Patient Safety Risks from This Scenario
In the scenario described, the patient experienced a range of patient safety risks due to the medication error, including an adverse drug reaction, a delay in treatment, inconvenience, and financial costs (Vaismoradi et al., 2020). The adverse drug reaction was caused by the patient receiving a higher than the prescribed dose of Lisinopril, which resulted in symptoms such as hypotension and dizziness.
The delay in treatment and inconvenience resulted from the patient having to go to the emergency department for treatment. The financial costs included the cost of treatment at the emergency department and any additional medical care that may be required. This situation highlights the importance of addressing potential issues in the medication use process to ensure the safety of patients.
Potential Evidence-Based Preventive Solutions
Medication errors pose significant risks to patient safety and are a common problem in healthcare settings. In the scenario described, a patient experienced an adverse drug reaction due to receiving a higher than the prescribed dose of Lisinopril, which caused symptoms such as hypotension and dizziness.
The patient also experienced a delay in treatment, inconvenience, and financial costs as a result of the error. Several evidence-based preventive solutions can be implemented to prevent similar errors and improve patient safety. For example, using computerized prescribing systems can help reduce the risk of errors by alerting healthcare professionals to potential issues with prescriptions.
Implementing a policy of double-checking medication orders and administration can also help reduce the risk of errors. Standardizing processes for prescribing, dispensing, and administering medication can also help reduce the risk of errors, as can providing education and training on medication safety practices to healthcare professionals (Mohanna et al., 2022). This healthcare organization can help reduce the risk of medication errors and improve patient safety by implementing these and other evidence-based preventive solutions.
Nurse Coordination to Reduce Costs and Improve Patient Medication Administration Safety
In healthcare settings, nurse coordination can be a useful tactic for cutting costs and enhancing patient drug administration safety. The administration of medications can be made more efficient and less error-prone by collaboration between nurses and other healthcare providers. Nurses can act as a central point of contact for organizing medication orders to ensure that the right medication is prescribed, distributed, and provided to the right patient at the right time.
They can be crucial in monitoring and assessing the efficacy of medications, as well as in spotting and resolving any potential problems that may arise during prescription use (Williams et al., 2021). Nurses can assist lower costs and increasing patient safety by lowering the chance of prescription errors by coordinating their efforts and collaborating closely with other healthcare professionals.
An efficient method for enhancing medication safety in hospital settings is nurse coordination. Nurses can engage with various stakeholders, such as doctors, pharmacists, patients, caregivers, and quality improvement teams, to accomplish this (Russ-Jara et al., 2021). Nurses can assist in ensuring that the appropriate medication is prescribed, supplied, and provided to the appropriate patient at the appropriate time by working with these stakeholders.
They can be crucial in monitoring and assessing the efficacy of medications, as well as in spotting and resolving any potential problems that may arise during prescription use (Mardani et al., 2020). Nurses can improve the quality and safety of drug administration and contribute to the safety of their patients by collaborating with other healthcare providers.
Medication errors can have serious consequences for patients and can occur at any stage in the medication use process. Strategies to reduce the risk of errors include double-checking medication orders, using computerized prescribing systems, and providing education and training on medication safety practices. Nurse coordination can help reduce costs and improve patient safety by streamlining the medication use process, coordinating medication orders, and monitoring and evaluating the effectiveness of medications.
Nurses can coordinate with stakeholders such as physicians, pharmacists, patients, caregivers, and quality improvement teams to drive quality and safety enhancements with medication administration. By implementing these strategies, healthcare organizations can help reduce the risk of medication errors and improve patient safety.
Mardani, A., Griffiths, P., & Vaismoradi, M. (2020). The role of the nurse in the management of medicines during transitional care: A systematic review. Journal of Multidisciplinary Healthcare, 13, 1347–1361. https://doi.org/10.2147/JMDH.S276061
Mohanna, Z., Kusljic, S., & Jarden, R. (2022). Investigation of interventions to reduce nurses’ medication errors in adult intensive care units: A systematic review. Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses, 35(4), 466–479. https://doi.org/10.1016/j.aucc.2021.05.012
Russ-Jara, A. L., Luckhurst, C. L., Dismore, R. A., Arthur, K. J., Ifeachor, A. P., Militello, L. G., Glassman, P. A., Zillich, A. J., & Weiner, M. (2021). Care coordination strategies and barriers during medication safety incidents: A qualitative, cognitive task analysis. Journal of General Internal Medicine, 36(8), 2212–2220. https://doi.org/10.1007/s11606-020-06386-w
Vaismoradi, M., Tella, S., A Logan, P., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health, 17(6), 2028. https://doi.org/10.3390/ijerph17062028
Williams, R., Aldakhil, R., Blandford, A., & Jani, Y. (2021). Interdisciplinary systematic review: does alignment between system and design shape adoption and use of barcode medication administration technology? BMJ Open, 11(7), e044419. https://doi.org/10.1136/bmjopen-2020-044419
Assessment 1 Instructions: Enhancing Quality and Safety
Instructions 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. â€¢ Explain factors leading to a specific patient-safety risk. â€¢ Explain evidence-based and best-practice solutions to improve patient safety related to a specific patient-safety risk and reduce costs. â€¢ Explain how nurses can help coordinate care to increase patient safety and reduce costs. â€¢ Identify stakeholders with whom nurses would coordinate to drive safety enhancements. â€¢ Communicate using writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style. Additional Requirements *** â€¢ Length of submission: 3â€“5 pages, plus title and reference pages. â€¢ 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. â€¢ APA formatting: References and citations are formatted according to current APA style.