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NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initative Proposal

Student Name Capella University NURS-FPX 6016 Quality Improvement of Inter-professional Care Prof. Name Date Introduction The presentation today focuses on a proposal for a data analysis and quality improvement initiative concerning a healthcare issue. It emphasizes the importance of providing quality care, enhancing patient safety, and promoting interprofessional collaboration within healthcare organizations. The proposal is based on addressing adverse drug events (ADEs) at Vila Health facility. Health Care Problem – Adverse Drug Events (ADEs) ADEs, defined as harm caused to patients due to medication exposure or errors, pose significant risks, especially among the elderly population. The presentation highlights research findings on the prevalence of ADEs, their impact on patient health and hospital finances, and presents data specific to Vila Health facility. Analysis of Dashboard Metrics Related to ADEs Dashboard metrics at Vila Health facility indicate a minimal reduction in ADEs but raise concerns regarding increased length of stay and readmission rates. Strategies to address these issues are crucial to ensure patient safety and minimize financial burdens on the hospital. Outlining Quality Improvement Initiative The proposed quality improvement initiative includes implementing technology-assisted medication processes, continuous professional training, and proper hands-off protocols. However, resource availability remains a challenge and needs consideration for successful implementation. Interprofessional Perspectives and Actions Needed for QI Initiative Interprofessional collaboration, effective leadership, and communication are essential for successful QI initiatives. Specific actions for nurses, doctors, pharmacists, educators, leaders, and administrators are outlined to ensure patient safety and improve healthcare practices. Collaboration Strategies for Improving Quality Care Strategies such as interprofessional education, leadership, teamwork, and research are crucial for achieving desired outcomes. Emphasis is placed on effective communication, role clarification, ethical values, reflection, and shared decision-making. Conclusion In conclusion, addressing ADEs requires a concerted effort from healthcare professionals. The proposed QI initiative, backed by evidence-based solutions and collaboration strategies, aims to improve patient safety and quality of care at Vila Health facility. References Agency for Healthcare Research and Quality. (2020). Section 4: Ways to approach the quality improvement process. https://www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html Cha, A. E. (2016). Researchers: Medical errors now third leading cause of death in the United States. Washingtonpost.com. FDA. (2019). Working to Reduce Medication Errors. FDA. https://www.fda.gov/drugs/information-consumers-and-patients-drugs/working-reduce-medication-errors Ledlie, S., Gomes, T., Dolovich, L., Bailey, C., Lallani, S., Frigault, D. S., & Tadrous, M. (2023). Medication errors in community pharmacies: Evaluation of a standardized safety program. Exploratory Research in Clinical and Social Pharmacy, 9, 100218. Mayo Clinic Q&A: Reducing the risk of medication errors. (n.d.). MSN. Retrieved May 25, 2023, from https://www.msn.com/en-us/health/medical/mayo-clinic-qanda-reducing-the-risk-of-medication-errors/ar-AA10v08f NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initative Proposal 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), 1–29. https://doi.org/10.1177/2042098620968309 Implement strategies to prevent persistent medication errors and hazards. (2023, March 21). Institute for Safe Medication Practices. https://www.ismp.org/resources/implement-strategies-prevent-persistent-medication-errors-and-hazards Tariq, R. A., Vashisht, R., Sinha, A., & Scherbak, Y. (2020). Medication Dispensing Errors And Prevention. PubMed; StatPearls Publishing. https://pubmed.ncbi.nlm.nih.gov/30085607/ qlicksmart_admin. (2017, May 31). Impact of Medication Errors on Patients, Healthcare workers, and Hospitals. Qlicksmart – Sharps Safety Solutions for Surgical and Medical Professionals. https://www.qlicksmart.com/impact-medication-errors/?v=d71bdd22c8bb World Health Organization. (2018). Medication Without Harm. Www.who.int. https://www.who.int/initiatives/medication-without-harm NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initative Proposal

NURS FPX 6016 Assessment 2 Quality Improvement Initiative Evaluation

Student Name Capella University NURS-FPX 6016 Quality Improvement of Inter-professional Care Prof. Name Date Introduction  Errors in medication have a significant impact on addressing the issues of how people perceive medical care and how they think the quality of care will be provided to them in times of distress. Healthcare and the services that are being rendered by the companies have a significant impact on the perception that people have toward medical care. Errors in medication have a significant impact on the perception that people have toward medical care. Medication errors are one of the most significant and common errors in medical practice and have been prevalent across the world. It is the 3rd leading cause of death in the United States, and approximately 100,000 deaths are accounted for in the name of medication errors in the United States every year (Cha, 2016). Medication error is not solely based on having medication at the wrong time or accidentally doubling up the dosage; rather, it occurs at different stages of the medication use process and can result from other factors such as issues in medication systems, issues of medication management, or human error such as reliability mistakes, fatigue, a poor environment, or a staff shortage (World Health Organization, 2018).  NURS FPX 6016 Assessment 2 Quality Improvement Initiative Evaluation Likewise, the management of a patient with heart failure is one of the most complex medical situations that requires effective and active care, and errors in medication in such a condition can have a significant impact on the individual’s health or may lead to life-and-death circumstances. Errors in medication can have very significant as well as fatal consequences (Tariq et al., 2020). These may include things like passing away, being in a life-threatening scenario, being hospitalized, being disabled, or having birth defects (FDA, 2019). In rare instances, mistakes made with medication might result in the development of a new condition, which may be either temporary or permanent, such as itching, rashes, or a disfigurement of the skin (qlicksmart_admin, 2017). Medication errors can cause patients to suffer not just physically but also emotionally and psychologically. Medication errors have a number of negative effects, the most significant of which are a decline in patients’ levels of contentment and an erosion of their faith in the medical system (Tariq et al., 2020).  The aim of the current essay is to evaluate the quality improvement initiative, how the suggested changes aim to bring about change, and what can be done to outdo the lags in the suggested changes while evaluating the suggested changes efficiency altogether. Current Quality Care Initiative For enhancing medication safety and reducing medication errors, it is important to come up with ideas that may encourage thinking outside the box and thinking through while ensuring there’s no loophole missed. The suggested quality care initiative attempts to provide a plan that can help in resolving the issue by making sure that the medication is provided in safe hands. The case suggested that the error in medication led to an adverse event for the heart patient undergoing the surgery; thus, the first and foremost quality improvement step suggested was to enhance the medication’s safety by using a patient entry order that sorts medications alphabetically by their formula names rather than their brand names. Other methods could be using the barcodes or identifying specific medical dispensaries where people can buy those medications. This allows for a universal medication to be available regardless of the brand, allowing the patient to not get confused over which brand is best and get mugged for high prices. Learning about the medication that you take and asking questions regarding medication or sharing concerns allows the patient to understand their own medical conditions and associated risk, thus making them more serious in taking care of themselves (Mayo Clinic Q&A: Reducing the Risk of Medication Errors, n.d.; Manias et al., 2020). Similarly, having communication within the team with standardized protocols that allow it would also help in establishing clear and guided communication and information exchange, which increases patient safety and the quality of care that is being provided. NURS FPX 6016 Assessment 2 Quality Improvement Initiative Evaluation Similarly, promoting effective teamwork and communication among other healthcare providers, such as nurses, doctors, and pharmacists, can increase the safety of medication. By increasing the medication communication and ensuring that all the members are on board for the medication that is being given to the patient, it reduces the likelihood of the patient being maltreated while reducing the risk of an adverse event. Along with this, other strategies that were suggested were engaging patients and using technology to keep records. Studies have highlighted that maintaining and engaging the patient in their own care can have beneficial results for the patient as well as the healthcare provider. Engaging the patient in their own care can have beneficial results for the patient as well as the healthcare provider. Improving healthcare practices can be done by engaging patients and educating them so that they become capable of taking care of their medication and reduce the risk of error on their part. NURS FPX 6016 Assessment 2 Quality Improvement Initiative Evaluation Such as teaching them regarding when to take which medication, the timing of medication, and techniques of medication adherence. This can also encourage them to take initiative and express their concern regarding medication. Having programs regarding health literacy can help in understanding the educational materials and instructions, reduce medical errors, and teach what to do in an emergency. It is important to understand that involving patients in their care while ensuring end-to-end effective communication and utilizing the technology that allows to keep the record online and electronically manage the lab reports, medication details, and other information To better understand the origins and results of the initiatives, pertinent information is required from the hospital’s database whereby information about the prevalence of the medication errors, the hospital’s immediate actions to minimize complications, and the positive outcomes of these initiatives (reduced cases of
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NURS FPX 6016 Assessment 1 Adverse Event or Near-Miss Analysis

Student Name Capella University NURS-FPX 6016 Quality Improvement of Inter-professional Care Prof. Name Date Introduction  In the medical field, medication management tends to be one of the most important parts of any procedure or treatment, and any significant error in the medication tends to become hazardous for the patient and leave a bad impression on the hospital. Medication errors continue to be one of the most significant adverse events in medical history. Researchers have deeply investigated the contributing factors that may have contributed to the medical error (EMA, 2018; Stolic et al., 2022). There has been a tremendous increase in the number of patient safety-related publications explaining how near-misses or adverse events have impacted or caused potential harm (World Health Organization, 2018). Similarly, the World Health Organization has highlighted that one of the major causes of injury and avoidable harm in the health care system across the world is associated with medication errors, such as giving the wrong medication. Medication errors occur when inadequate medication systems and/or human factors such as weariness, bad environmental conditions, or staff shortages affect prescription, transcription, dispensing, administration, and monitoring practices (Khan & Tidman, 2022). These errors can then result in serious injury, disability, or even death. Implementing stronger medication systems and managing human factors can also prevent medication errors. Likewise, the estimated cost due to medication errors is approximately 42 billion dollars (World Health Organization, 2016). NURS FPX 6016 Assessment 1 Adverse Event or Near-Miss Analysis The aim of the current assignment is to understand the impact of medication errors. The case under discussion was based on providing the wrong medication to a heart patient, which led to an emergency situation. Due to the error on the part of the nurse, the patient had to undergo surgery, which had a significant impact on the patient. The aim of the current analysis was to investigate the near-miss incident and the implication it had on all the stakeholders, the root cause analysis, and the action plan to combat the issue. Implications of the Wrong Medication for All Stakeholders It is critical to understand that the wrong medication can have serious consequences, especially in critical cases such as those involving heart patients. For example, when such medication errors occur on the patient if the health care provider is a heart patient, the consequences are severe due to the critical nature of cardiovascular health. Medication error is a long-term problem, as it may come with many consequences for all of the individuals that are directly or indirectly affected by it (Marufu,  et al., 2022). It can have an impact on many stakeholders, such as: NURS FPX 6016 Assessment 1 Adverse Event or Near-Miss Analysis NURS FPX 6016 Assessment 1 Adverse Event or Near-Miss Analysis Root Cause Analysis of the Wrong Medication The root cause analysis of the situation that is being discussed is based on multiple perspectives, with the aim of finding every possible loophole that might have led to the medication error in a heart patient. Quality Improvement Actions The quality improvement actions allow the physicians as well as the nurses to become prepared for such issues and have a better plan to combat them in case of emergencies. Thus, to increase patient safety, the following plan can be implemented: Quality Improvement Initiative. The aim of the quality improvement initiative with respect to rescuing future adversities was designed to reduce medication errors in hospitals through the implementation of evidence-based practices and strategies. Conclusion  In conclusion, medication error prevention and quality improvement initiatives increase patient safety and reduce adverse events and near misses. A multidisciplinary team, baseline evaluation, explicit targets, and evidence-based initiatives can help healthcare organizations improve pharmaceutical safety. Standardization and simplification of medication processes, fostering a reporting and learning culture, continuous monitoring and evaluation, and healthcare team collaboration and communication are key components of the initiative. References  EMA. (2018, September 17). Medication errors. European Medicines Agency. https://www.ema.europa.eu/en/human-regulatory/post-authorisation/pharmacovigilance/medication-errors Khan, A., & Tidman, M. M. (2022). Causes of medication error in nursing. Journal of Medical Research and Health Sciences, 5(1), 1753-1764. Marufu, T. C., Bower, R., Hendron, E., & Manning, J. C. (2022). Nursing interventions to reduce medication errors in paediatrics and neonates: Systematic review and meta-analysis. Journal of Pediatric Nursing, 62, e139-e147. https://doi.org/10.1016/j.pedn.2021.08.024 Stolic, S., Ng, L., Southern, J., & Sheridan, G. (2022). Medication errors by nursing students on clinical practice: An integrative review. Nurse Education Today, 105325. https://doi.org/10.1016/j.nedt.2022.105325 World Health Organization. (2018). Medication Without Harm. Www.who.int. https://www.who.int/initiatives/medication-without-harm World Health Organization. (2016). Medication Errors Technical Series on Safer Primary Care. https://apps.who.int/iris/bitstream/handle/10665/252274/9789241511643-eng.pdf NURS FPX 6016 Assessment 1 Adverse Event or Near-Miss Analysis