- NURS FPX 8022 Assessment 3 Risk Mitigation Plan.
Assessment 3: Risk Mitigation Plan
Capella University
8022
Instructor Name
Due Date
Risk Mitigation Plan
At the same time, as digitization inside the healthcare environment is advancing at an increasing pace, the deployment of technology to clinics has redesigned the delivery of care to affected men or women, as well as monitoring and keeping information. In the wake of virtual clinical records, telemedicine, a long way off monitoring devices, and scientific choice beneficial, valuable resource tools have revolutionized the delivery of affected individual care; healthcare groups are also confronted with more modern traumatic conditions each day in the form of statistics breaches, machine failures, documentation errors, and useless strategies.
One of every Capella College NURS FPX 8022 guide—Healthcare Generation and Structures for Nurse Leaders—assessment three is the education of a proof-primarily based threat reduction charge layout defining, learning, and solving such dangers in a healthcare agency. The paper extensively examines a particular organizational threat, identifies the corresponding technological and medical vulnerabilities, and prescribes a threat reduction method with a proof-based approach and a structured idea. Explore NURS FPX 8022 Assessment 2 for more information.
Identifying the Risk: Medication Errors Due to EHR Downtime
The industrial organization company decided on for the sake of this threat minimization design is a town excessive-census health centre with a complex case combo that has a full-scale EHR gadget in the vicinity of all departments. one in each of the most considerable tech-related dangers that have been identified via the excellent and safety committee of the organization is remedy management mistakes in the course of EHR downtime events. Those are maximum super in conditions of scheduled or unscheduled downtime within the device, at the same time as medical doctors and nurses are forced to fall back on paper charting or ad hoc facts, foremost to do away with in medicine, dosing mistakes, and transcription mistakes.
An inner assessment of six months’ experience confirmed a sequence of instances wherein sufferers had been administered doses of the wrong drugs or were refused required pills due to breakdowns in verbal exchange in EHR during downtime. Those mistakes impacted, most importantly, massive care unit and emergency department patients, to whom accurate and well-timed drug management is vital to final effects. The commercial enterprise has no written downtime reaction insurance with associated staff schooling, possibility method of verbal exchange, and paper-primarily based documentation strategies, which raises the risk and puts providers and patients at risk.
This environment is the backdrop to amplify an expert exercising, commercial organization, and employer-level hazard reduction graph for the technological, organizational, and human root causes of medication mistakes after working hours for EHRs. It’s miles the acceptable level of NURS FPX 8022 Assessment 3 Risk Mitigation Plan, i.e., informatics management, interprofessional collaboration, and nice development through technological resiliency.
Root Cause Analysis and System Vulnerabilities
An RCA was completed as soon as possible to decide some of the motives for treatment mistakes that necessitated medication being removed from the system through outages in EHR. Clinicians, pharmacists, and IT professionals diagnosed, consistent with reviews submitted via surveys, that clinicians might sometimes feel helpless to switch to paper-primarily based document strategies whenever the EHR tool jams. Nurses further blanketed that most of the people nurses never used paper MARs once they were orientated and have been therefore harassed throughout outages. In wonderful instances, patients’ treatment lists are no longer available contemporaneously, and the clinician is once compelled to rely on memory or advanced lists. Interruptions created a fertile floor for omissions, duplications, or delays of drugs.
Technically, the organization’s outage approaches are fractured and poorly documented. While there’s a perfect enterprise approach for outage healing within IT, the medical departments need no longer constantly be informed on time or guided on how to get better to secure care. Outage tablets administered are neither reconciled nor reported, and tool recuperation is tougher to document and feature a follow-up because of this.
This assessment suggests a stop-to-prevent danger reduction price approach to sell device resilience and clinical workflow integrity and train clinicians with device and generation failure education to enhance affected character protection.
Risk Mitigation Strategy: A Multifaceted Approach
The change in the Good Buy layout consists of preventative controls, employee education, communications, and healing moves to restrict the ability to treat errors resulting from EHR downtime. An instance of this design structure is imposed by imposing a formalized EHR Downtime Response Protocol (DRP), an extraordinary way to protect the health centre’s all-hazards emergency operations plan and be supported by the presidential management’s resources.
The DRP will locate the location roles, obligations, and strategies for tool downtime. It’ll offer training on documentation, verification, and recording with the valuable aid of using famous through-the-organization MARs. To guide that, an exception difficulty available “Downtime Toolkit” on the aspect of paper MAR place of work paintings, remedy lists posted out, order verification slips posted out, and IT and pharmacy technical valid beneficial useful valuable resource mobile phone numbers may be stored available in all clinical devices. Toolkits can be checked for expired administrative centre artwork and espresso portions every month.
Downtime Training and Reconciliation Strategies
The body of people training may be protected in the mitigation method. All pharmacists, clinical docs, and nurses could be challenged with downtime simulation drills every six months, simulating EHR downtime. They could use paper-primarily based truly virtual documentation structures in the direction of drills properly. The drills can be critiqued and debriefed to determine where the workflow desires to be advanced and to retrain employees on excellent practices. Training for downtime may be taught to new employees during orientation, and there may be a single training module on the health centre, gaining knowledge of managing gadgets for regular competency.
Higher conversation is also one of the most important contributions to remedying mistakes. There may be an automatic communication tool for notifying the scientific frame of employees of an unplanned or planned outage through invulnerable messaging, overhead paging, and unit whiteboards. IT personnel will have a named representative to promptly answer clinical questions about the route of outages, supply system reputation, and recovery time. Sooner or later, after the EHR tool is restored online, reconciliation strategies might be initiated. Paper MARs can be reconciled to EHR information by a regular handoff device, and the medication pills are entered incorrectly. Pharmacy employees will verify and log out of the ones before filling out treatment paperwork in the affected individual’s document.
Role of the Nurse Leader in Risk Management
NURS FPX 8022 Assessment 3 Risk Mitigation Plan
According to NURS FPX 8022, the nurse chief’s characteristic is to reduce threats and place them into impact technology. The nurse chief is an educator, organizer, and medical workout instructor for protection. They are, moreover, imagined to include time desk downtime drill simulation exercises, ensure documentation exercise compliance, and increase readiness and versatility.
The nurse chief may even chair a technology resilience task force for nursing, pharmacy, IT, risk management, and super development membership. The task strain could be briefed quarterly on downtime recognition, tune downtime hour remedy errors, costs, and continuous tracking of DRP improvement. With departmental representative membership, the nurse leader can ensure mitigation plans remain woman-centred, interdisciplinary, and pragmatic.
Moreover, the nurse leader must encourage information-driven decision-making. By reading data concerning trends in treatment errors, ranges of stockouts, and employee traditional popular performance in simulation, they can suggest where to spend money on infrastructure, i.e., in dual-server structures or cell documentation devices.
Ethical and Regulatory Considerations
The change control graph is legally and ethically sound. The impermissible drug is included in the American Nurses Association (ANA) Code of Ethics and the Joint Commission’s nationally accepted character protection standards. Preventable mistakes by device failure aren’t institutional or professional mistakes in affected character safety assurance.
Moreover, the Scientific Clinical Medical Insurance Portability and Accountability Act (HIPAA) goals that affect the privacy of protected live pinformation The publicity or loss within the path of an outage threat is more likely in a paper office where artwork is not stored confidentially. The DRP circumvents this by providing confidential gadgets for office work and shopping for determined MARs processed by authorized employees. Paper records may be stored securely and shredded on reconciliation.
Measuring Success and Continuous Improvement
Some of the organization’s agency KPIs could be tracked, like the rate of medicine errors during outages, employee self-trust levels through pre- and post-schooling surveys, and EHR recovery reaction instances. The effectiveness and accuracy of downtime drills could also be tracked, and individuals’ comments could be used to refine the protocols.
Defining Success and Resilience
Be successful, but success is to be measured in terms of, other than mistakes, good buy, readiness, resiliency, and resiliency for recuperation, except compromising care. Those varieties will eventually discover their way into a complicated scientific environment, have more impenetrable personnel to work with, have era-associated disturbances, and have progressed trust with patients and households.
Conclusion
This has reinforced the significance of the chance cut charge being pre-emptive when making plans for this new digital health generation. By defining treatment mistakes during EHR downtime as organizational risk and developing an interprofessional mitigation design, leaders can actualize their promise of safety, effectiveness, and ethical outcomes. NURS FPX 8022 Assessment 3 Risk Mitigation Plan identifies technology, systems thinking, and management for workouts in complicated fitness structures. With collaboration, training, and non-preventive development, nurse leaders can oppose generational vulnerability in innovation strategies and excellence in affected character care.
References
- https://www.medpro.com/proactive-planning-EHR-downtime
- https://pmc.ncbi.nlm.nih.gov/articles/PMC6620179/
- https://codeofethics.ana.org/home
- https://www.jointcommission.org/standards/national-patient-safety-goals/
- https://www.magmutual.com/healthcare-insights/article/downtime-how-respond-when-third-party-systems-go-down