NURS FPX 4020 Assessment 4

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit

In response to the threats that are present in patient safety issues, healthcare institutions need to formulate viable strategies and carry out appropriate interventions. The purpose of this resource toolkit for health professionals is to supply the provider with a state-of-the-art framework focusing on nurses’ staffing, environmental safety, and staff-led proactive methods in fin. The toolkit provides the required knowledge and tools to the healthcare staff by incorporating evidence-based research findings and best practices. This knowledge enables the team to ensure safety standards, reduce risk factors, and promote a culture of excellent care delivery.

Annotated Bibliography General Organizational Safety and Quality Best Practice

McHugh, M., Aiken, L., Sloane, D., Windsor, C., Douglas, C., & Yates, P. (2021). Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: A prospective study in a panel of hospitals. The Lancet, 397(10288), 1905–1913. https://doi.org/10.1016/S0140-6736(21)00768-6

The authors performed an observation-based study to determine whether the implementation of safe nurse staffing acts positively affected patients and reduced costs. The research findings bore great importance in regard to the outcomes of the patients as they became safer due to compliance with nurse-to-patient ratios ratios. These results include reduced mortality rates and hospital-acquired infections. Consequently, in healthcare institutions, the strict abidance of safe staffing levels produces cost savings because of lower infection rates and lesser intervention costs. This study gives the correct reasons as to why nurse staffing regulations can help us eliminate patient risk and provide financial flexibility for healthcare institutions.

Yinusa, A., & Faezipour, M. (2023). Optimizing healthcare delivery: A model for staffing, patient assignment, and resource allocation. Applied System Innovation, 6(5), 78. https://doi.org/10.3390/asi6050078

Yinusa and Faezipour, by means of such simulation and economic modeling, have shown how different staffing contentions could help to solve shortages while not dropping the quality of care and costs at the same time. Study results indicate that using flexible staffing models, like nurse staffing pools or float staff, is very useful in building organizations` capacity to adapt to changing patient volumes and acuity levels. Tools that incorporate predictive analytics and workforce management allow healthcare organizations to preserve patient safety by taking into account staff shortage mitigation while avoiding wasting resources.

Hamad, M. M. E., & Bah, S. (2022). Impact of implementing electronic health records on medication safety at a HIMSS stage 6 hospital: The pharmacist’s perspective. Canadian Journal of Hospital Pharmacy, 75(4), 267–275. https://doi.org/10.4212/cjhp.3223

Hamad and Bah scrutinize how the growing adoption of EMRs in the HIMSS hospital stage 6 affects medication safety from the pharmacist’s viewpoint. Study findings demonstrated the role of EHRs in comprehensive medication safety improvement with an increase in medical error and drug adverse events reduction. EHRs helped the medical staff to work as a team, where information exchange was vast; therefore, there was no doubt about the accuracy and timeliness of medication-related events. This paper highlights the leveraging of technology (EHRs) to improve medication safety and support and implement the safety error elimination initiative in healthcare organizations.

Alanazi, M. F., Shahein, M. I., Alsharif, H. M., Alotaibi, S. M., Alanazi, A. O., Alanazi, A. O., Alharbe, U. A., Almfalh, H. S. S., Amirthalingam, P., Hamdan, A. M., Veeramani, V. P., Mohamed, S. H. P., & Sayed Ali, M. A. (2022). Impact of automated drug dispensing system on patient safety. Pharmacy Practice, 20(4), 01-11. https://doi.org/10.18549/pharmpract.2022.4.2744

Drug-dispensing systems are the main areas of automation in modern healthcare. Therefore, Alanazi et al. researched the role of automated systems in the safety of patients in healthcare settings and facilities. The study results presented enough evidence to warrant the replacement of the traditional medication administration system with automated dispensing systems due to the enhanced accuracy and timeliness in medication administration, and in so doing, reducing the incidences of medication errors and adverse drug events. Automatic dispensing systems integrate the medication management processes for the personnel, and they reduce the load on the professionals; consequently, safety is ensured, and the sustainability of the safety enhancement programs such as systems approaches is supported. This article discusses the indispensable role of clinical automation and system integration in reducing the rates of patient safety incidents from medication errors.

Environmental Safety and Quality Risks

Alshehry, A. S. (2022). Nurse–Patient/Relatives conflict and patient safety competence among nurses. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 59(1). https://doi.org/10.1177/00469580221093186

The main objective of this article is to assess the link between nurse involvement and patient safety incidents. It lays particular emphasis on the role of nurses in decision-making and creating a well-knitted working environment. For example, the hospital context demonstrates the great worth of this resource since it portrays the fundamental part that hospital staff plays in the endeavor to have a safe environment for the patients. For example, in a case where many patients come for emergency treatment, and there are staffing shortages, the involvement of nurses in improvement initiatives will most definitely make triage processes much more efficient, provide timely interventions, and reduce the number of adverse events.

Devin, J., Cleary, B. J., & Cullinan, S. (2020). The impact of health information technology on prescribing errors in hospitals: A systematic review and behavior change technique analysis. Systematic Reviews, 9(1). https://doi.org/10.1186/s13643-020-01510-7

This material deals with how electronic health records (EHRs) put medical errors to a stop. Its purpose is to ensure that healthcare providers make use of the available technologies that facilitate proper communication, reduce the risk of medication errors, and improve patient care outcomes. With EHRs, the hospital or clinic management can be enhanced to a very high extent. The medication management undergoes better supervision and control. Nurses can use EHR to acquire prompt patient data, confirm drug ordering, and receive medication warnings for possible drug interactions or allergies that aim to minimize the chances of medication error and promote the safety of patients.

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit

Moreno‐Fergusson, M. E., Guerrero Rueda, W. J., Ortiz Basto, G. A., Arevalo Sandoval, I. A. L., & Sanchez–Herrera, B. (2021). Analytics and lean health care to address nurse care management challenges for inpatients in emerging economies. Journal of Nursing Scholarship, 53(6), 803–814. https://doi.org/10.1111/jnu.12711

This paper is concerned with the application of predictive analytics to improve nurse staff-level rationalization. Healthcare facilities may provide better service to their patients that is based on information acquired through analyzing historical data and patient acuity levels to predict staffing requirements more accurately, therefore providing sufficient staff and resources to the facility. In CCU or surgical wards, advanced tools can guide nurse managers in predicting TLS and potential adjustments in the number of staff members. For instance, during surge hours and cases with high critical levels, specific RN staff can be allotted to improve the safety and quality of care.

Bayan Alilyyani, Emad Althobaiti, Muath Al-Talhi, Talal Almalki, Tariq Alharthy, Alnefaie, M., Husam Talbi, & Abuzaid, A. (2024). Nursing experience and leadership skills among staff nurses and intern nursing students in Saudi Arabia: A mixed methods study. BMC Nursing, 23(1). https://doi.org/10.1186/s12912-024-01750-1

This article gives an account of the necessity of nurse leadership in developing an ambiance of safety in healthcare organizations. It prefers leadership skills, including open communication and implementation of quality improvement mechanisms. Within different healthcare units, nurse leaders are found to be pivotal in campaigning for patient safety initiatives, setting up systems of support for staff on the front line, and instituting evidence-based practices. Therefore, in, for example, a nursing home, the nurse leaders are supposed to conduct safety huddles, support staff involvement in the safety committee, and champion the hikes to reduce patient falls or medication errors.

Staff-Led Preventive Strategies

Chen, Y.-C., Guo, Y.-L. L., Chin, W.-S., Cheng, N.-Y., Ho, J.-J., & Shiao, J. S.-C. (2019). The patient–nurse ratio is related to nurses’ intention to leave their jobs through mediating factors of burnout and job dissatisfaction. International Journal of Environmental Research and Public Health, 16(23). https://doi.org/10.3390/ijerph16234801

The article describes the advocacy of nursing organizations in favor of nurse staffing ratios and the effectiveness of patient safety. It stresses the contradiction between the low nurse staffing levels and the negative medical results faced by patients, including the shortened lifespan and the occurrence of adverse events. The worth of this source is that it is underwritten with ideas of policy advocacy and the considerations of nurse-patient ratios to guarantee secure care delivery. For one, the effort to make the minimum staffing ratios required through legislation in an acute care facility can be an advocacy for the prevention of safety risks to patients, such as drug-related errors or falling incidents; the shortage of staff may cause that.

Afaf Almalki, Aseel Jambi, Basem Elbehiry, & Hala Albuti. (2023). Improving inpatient medication dispensing with an automated system. Global Journal on Quality and Safety in Healthcare, 6(4), 117–125. https://doi.org/10.36401/jqsh-23-15

This article discusses medication safety conflicts, erroneous drug doses, treatment failure, and other fitness issues in the pharmaceutical industry that can be removed with the automation of medication dispensing systems. It describes how these technologically innovative solutions can lead to safe and accurate use of medications, efficient workflow, and lowering medication errors. The usefulness of this resource can be judged from the perspective of the seriousness of drug allergies. Applying it in the relevant sections of the hospital would be beneficial, such as the emergency room or intensive care unit. Installing automated medication dispensing systems is projected to be one of the most efficient means of eradicating administration errors, dosage miscalculations, and adverse drug interactions that typically occur during patient medication.

Rodziewicz, T. L., Hipskind, J. E., & Houseman, B. (2023, May 2). Medical error reduction and prevention. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK499956/

This particular article mainly highlights the fact that effective communication strategies should be used to avoid unnecessary occurrences of patient safety and medical errors in the health sector. It contains several communication tools and approaches, which include standardized handoff protocols, structurally motioned tools, and team-employed communication ways. This asset is essential because its relevance with health practice settings has the potential to help prevent communication breakdowns that lead to adverse events or patient harm. For instance, in a surgical setting, the establishment of standardized handoff protocols between surgical teams as they send the patient to another department may help surgeries to proceed with optimal effectiveness; thus, they do not become at risk of potential postoperative complications or surgical errors.

Geese, F., & Schmitt, K.-U. (2023). Interprofessional collaboration in complex patient care transition: A qualitative multi-perspective analysis. Healthcare, 11(3), 359. https://doi.org/10.3390/healthcare11030359

This article attempts to demonstrate how interprofessional cooperation unifies efforts by medical practitioners to enhance patient safety and quality of care. It explores different models of partnerships and team-oriented approaches to care delivery with an emphasis put on participation in decision-making, interactions based on mutual respect, and communication skills of the healthcare provider as the key elements. The resource offered here is quite general and helpful in every healthcare setting when teamwork of various disciplines is required to solve complicated safety problems. For example, the use of interprofessional team huddles or case conferences can be implemented in a primary care clinic, which will, in turn, facilitate collaboration among physicians, nurses, pharmacists, and other healthcare providers, prompting more patient-centeredness leading to better diagnosis, seamless care planning, and diminishing chances of medical errors.

References

https://doi.org/10.36401/jqsh-23-15

https://doi.org/10.18549/pharmpract.2022.4.2744

Alshehry, A. S. (2022). Nurse–Patient/Relatives conflict and patient safety competence among nurses. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 59(1).

https://doi.org/10.1177/00469580221093186

https://doi.org/10.1186/s12912-024-01750-1

https://doi.org/10.3390/ijerph16234801

https://doi.org/10.1186/s13643-020-01510-7

Geese, F., & Schmitt, K.-U. (2023). Interprofessional collaboration in complex patient care transition: A qualitative multi-perspective analysis. Healthcare, 11(3), 359.

https://doi.org/10.3390/healthcare11030359

https://doi.org/10.4212/cjhp.3223

https://doi.org/10.1016/S0140-6736(21)00768-6

https://doi.org/10.1111/jnu.12711

Rodziewicz, T. L., Hipskind, J. E., & Houseman, B. (2023, May 2). Medical error reduction and prevention. National Library of Medicine; StatPearls Publishing.

https://www.ncbi.nlm.nih.gov/books/NBK499956/

Yinusa, A., & Faezipour, M. (2023). Optimizing healthcare delivery: A model for staffing, patient assignment, and resource allocation. Applied System Innovation, 6(5), 78.

https://doi.org/10.3390/asi6050078
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NURS FPX 4040 Assessment 1 Nursing Informatics in Health Care