- NURS FPX 8030 Assessment 1 Building the Case for Healthcare Improvement.
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Hi, I am XYZ. I am here to talk about a critical patient safety issue that impacts the healthcare industry worldwide: medication error.
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Every day, the healthcare system is being updated and improved, but patient safety will remain the priority. Resolution of critical issues such as medication errors is an indispensable part of the process (Tariq & Scherbak, 2023). The goal is to achieve the highest quality healthcare provision and public confidence in healthcare institutions. This presentation shall afford insight into the multifaceted nature of medication errors, their impact on patient safety, and the need for evidence-based approaches that effectively reduce harmful mistakes in the comprehensive practice of medicine.
Patient Safety Issue and Need for Improvement
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In hospital settings, one of the most relevant patient safety issues that must be superimposed on the attention of hospitals is medication errors. These errors constitute a myriad of mistakes, ranging from erroneous dosage to incompatible drug prescriptions, leading to ADEs, which vary from near-fatal incidents (Naseralallah et al., 2023). Let’s dissect the difficult questions around this issue.
Errors, regardless of their type, may occur at different stages of the medication process, in settings as addressing the prescription, distribution, administration, and monitoring of such medication. For example, a physician unknowingly prescribes a drug with a different name but a similar sound to the actual medicine, which can cause confusion and dispensing/administration of wrong medications (Maharaj et al., 2020).
Apart from a lack of communication between healthcare providers, bad handwriting makes it challenging to read prescription instructions, and patients needing to be more knowledgeable about medications also account for many of these errors.
Take the example of Mrs. Smith, a 65-year-old patient who is under hospital treatment to control hypertension. Mrs. Smith suffers a complication due to the miscommunication between the doctor and the nursing staff, which results in an extra dose of her BP regulating medBP-regulating a drop in her blood pressure and a blackout through fainting and fogging down. Mher, the diabetic patient, faces a hypoglycemic episode after his glucose intended for another patient with the same image.
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Medication errors spread outside the patient as they impact the patient’s process impact, healthcare outcomes, and hospital resources. Consequences can include patient suffering ranging from physical injuries and psychological distress, longer stays in the hospitals, and higher healthcare costs (Ford et al., 2023). Medication errors diminish the reputation of healthcare institutions. It makes the patients doubtful and lowers their confidence in the healthcare service.
NURS FPX 8030 Assessment 1 Building the Case for Healthcare Improvement
The issue has to be approached in two ways: error prevention strategies and staff education. The second method requires incorporating technologies and interdisciplinary cooperation to prevent and manage such errors. These can be accomplished through systems such as electronic prescribing, bar code medication administration, protocols and templates, periodic review of medications, and an environment that promotes openness to mistake reporting (Naidu & Alicia, 2019). Hospitals can guarantee that patients’ safety, healthcare outcomes, and the principles of daily activities are strictly followed through their efforts to end medication errors and practically promote essential, well-founded measures.
Sources of Evidence
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Research articles and clinical practice standards constitute irreplaceable external forces reinforcing the need to consider medication shortcomings in hospital hospitals. Multiple trials reported in reputable medical journals showed the price, causes, and resulting affection errors, which are why evidence-based techniques should be implemented. One example is the study carried out by (Bates et al., 2014), which revealed that clinical pharmacists are vital in medication safety as medication errors caused more than 50% of all adverse drug reactions on hospital floors; hence, the need for reduction of errors to improve healthcare services quality.
NURS FPX 8030 Assessment 1 Building the Case for Healthcare Improvement
Consensus statements, distributed by professional organizations, make the best practices for medication safety and prevention applicable, while national databases assist in identifying error-prone medication types. Organizations like the ISMP and the AHRQ, with dedicated institutes for safe medication practice, collect verified information and send research-based recommendations to healthcare providers nationwide (Alothmany & Bannan, 2023). To make the healthcare organization’s policy of medication safety an example, emerging guidelines and national databases can be used as a basis for comparison. In this way, areas with the highest risk of errors can be identified, and measures can be taken to reduce the danger.
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Each outward reference stands for one aspect of medical mistakes, using data and figures and experts’ opinions on the severity of the problem and recommendations on what to do about it. By incorporating evidence-based facts from the relevant literature, clinical practice guidelines, consensus statements, and national databases, healthcare providers get a well-rounded outlook on medication safety issues (Böhmdorfer-McNair et al., 2021). They can implement proven strategies that will help the well-being of patients. Above all, these external sources provide an avenue for establishing a base for decision-making, quality improvement, and policy development based on error reduction and improvement in patient outcomes.
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Healthcare medication errors have been a significant issue of high priority since they affect a wide range of participants, from all stakeholders to the people, the community, and even healthcare providers. Recognizing that medication errors are a critical safety issue, hospitals, pharmacists, other providers, and even regulatory agencies agree that these errors should be given instant attention. This could take many forms, such as being sued for providing care, paying financial sanctions, and damaging the organization’s reputation, where medication errors may lead to side effects. Additionally, healthcare organizations are expected to follow safety guidelines from national accreditation organizations like the Joint Commission and the Centers for Medicare and Medicaid Services (CMS) (LaPelusa & Bohlen, 2023). This guarantees quality standards and error prevention.
Medical errors have direct repercussions on patients and their loved ones, as they are physically hurt, psychologically distressed, and financially strained on behalf of the sufferer in question. For example, a patient who has been given an incorrect type of drug or a wrong dose will most probably experience a drug reaction, a more extended period of hospitalization, and permanent disability in more severe cases (Khalil & Huang, 2020). Also, people living in the area worry about security and the sharpness of healthcare services rendered in nearby hospitals and medical centers. The dissemination of errors in medication causes a break of healthcare institutions toward the communal city members that makes them push the implementation of safety measures and, to a great extent, opening up the healthcare procedures.
They can be studying a situation where a community advocacy organization is working to introduce new regulatory rules that will make hospitals safer in terms of medication use after a row of deaths involving these particular drugs. Healthcare workers contribute to these task forces established when multidisciplinary teams come together and use their expertise to lower errors and enhance the quality of services (Rogers et al., 2023). These examples illustrate why the management of medication errors made them a deep concern for the healthcare safety issues involving patients, reinstatement of public trust, and maintaining the integrity of the healthcare system.
Intervention and Patient Outcomes
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The target for the intervention in a healthcare setting related to medication safety should be applying scientifically proven methods that reduce medications. Theserors and improves medication safety. This undertaking is a multilevel one that is deep at identifying the key factors that cause the recurrence of medication errors, creating an environment of safety, and developing technology that streamlines the medication management processes (Aghighi et al., 2022). To begin with, such an intervention could include implementing electronic each of such prescription systems, barcode medication administration, healthcare settings on protocols, programs for staff training on medication safety error prevention, and a language of communication skills.
The effect of quality assurance medication safety is noteworthy and widespread; it may have tremendous positive impacts by protecting patients, improving care outcomes, and increasing efficiency by highlighting electronic medical prescription systems, which are a vital factor in decreasing the incidence of medication errors and adverse drug events in a hospital environment. Electronic prescribing systems reduce medication usage mistakes and improve patient outcomes by regulating medication order submission, minimizing prescription failure rates resulting from transcription errors, and offering decision support to the prescribers.
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Besides, the barcode medication administration (BCMA) system, implemented extensively, significantly reduces medication administration errors and preventable adverse events. A research study states that BCA systems can reduce medication errors from 80 to 86% of cases, signifying they are effective for medication safety and preventing patient harm (Justinia et al., 2021). Using technology and evidence-based approaches, the quality improvement project’s goal will be to create a safer healthcare environment where the medication administration will be much lower in terms of errors, and patients will be able to get the best possible. Read more about our sample NURS FPX 8030 Assessment 4 for complete information about this class.
Conclusion
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Medication errors are the factors that make the patient’s safety and healthcare quality harder to achieve. By identifying the roots and implications of these flaws, taking evidence-based preventive actions, and inspiring healthcare workers to be safe, organizations will be able to lessen the risks, improve patient outcomes, and increase public trust. Let us unite in our efforts to realize an ultimate healthcare system where patients’ confidence is prioritized and everyone receives the best care available.
References
Aghighi, N., Aryankhesal, A., & Raeissi, P. (2022). Factors affecting the recurrence of medical errors in hospitals and the preventive strategies: A scoping review. Journal of Medical Ethics and History of Medicine, 3(2).
https://doi.org/10.18502/jmehm.v15i7.11049
Alothmany, H. N., & Bannan, D. F. (2023). Implementation status and challenges associated with implementing the targeted medication safety best practices in a tertiary hospital. Cureus, 2(5).
https://doi.org/10.7759/cureus.45552
Böhmdorfer-McNair, B., Huf, W., Reinhard Strametz, Nebosis, M., Pichler, F., Susanne Melitta Janowitz, & Ettl, B. (2021). Finding consensus about the level of medication safety in a hospital setting: Development and an example of application of a modified Delphi method. Frontiers in Public Health, 9(5).
https://doi.org/10.3389/fpubh.2021.630398
Ford, D. M., Budworth, L., Lawton, R., Teale, E. A., & O’Connor, D. B. (2023). In-hospital stress and patient outcomes: A systematic review and meta-analysis. PLOS ONE, 18(3), 282–789.
https://doi.org/10.1371/journal.pone.0282789
Justinia, T., Qattan, W., Almenhali, A., Khatwa, A., Alharbi, O., & Alharbi, T. (2021). Medication errors and patient safety: Evaluation of physicians’ responses to medication-related alert overrides in clinical decision support systems. Acta Informatica Medica, 29(4), 248.
https://doi.org/10.5455/aim.2021.29.248-252
Khalil, H., & Huang, C. (2020). Adverse drug reactions in primary care: A scoping review. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-019-4651-7
LaPelusa, A., & Bohlen, J. (2023). Medicare and Medicaid accreditation and deemed status. PubMed; StatPearls Publishing.
https://www.ncbi.nlm.nih.gov/books/NBK597359/
Maharaj, S., Brahim, A., Brown, H., Budraj, D., Caesar, V., Calder, A., Carr, D., Castillo, D., Cedeno, K., & Janodia, M. D. (2020). Identifying dispensing errors in pharmacy medical science school in Trinidad and Tobago. Journal of Pharmaceutical Policy and Practice, 13(1).
https://doi.org/10.1186/s40545-020-00263-x
Naidu, M., & Alicia, Y. L. Y. (2019). Impact of bar-code medication administration and electronic medication administration record system in clinical practice for an effective medication administration process. Health, 11(05), 511–526.
https://doi.org/10.4236/health.2019.115044
Naseralallah, L., Stewart, D., Price, M. J., & Vibhu Paudyal. (2023). Prevalence, contributing factors, and interventions to reduce medication errors in outpatient and ambulatory settings: A systematic review. International Journal of Clinical Pharmacy, 45(6), 1359–1377.
https://doi.org/10.1007/s11096-023-01626-5
Rogers, L., De Brún, A., & McAuliffe, E. (2023). Exploring healthcare staff narratives to gain an in-depth understanding of changing multidisciplinary team power dynamics during the COVID-19 pandemic. BMC Health Services Research, 23(1).
https://doi.org/10.1186/s12913-023-09406-7
Tariq, R. A., & Scherbak, Y. (2023). Medication dispensing errors and prevention. National Library of Medicine; StatPearls Publishing.