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NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation

Student Name

Capella University

NURS4020 Improving Quality of Care and Patient Safety

Prof. Name

Date

Improvement Plan In-Service Presentation

Hello everyone; I am ___, and today, I will discuss the safety improvement plan in this in-service presentation. First, I appreciate the participation of all these nurses who play a massive role in Tampa General Hospital by providing care treatments to patients day and night. However, we all know our hospital lags in providing adequate safety through care treatments, and we encounter numerous medication errors. To alleviate the incidence of these errors and enhance the safety of our patients, I will present a safety improvement plan to you all, encouraging you to improve your performance. I will first discuss the agenda of this presentation with you all.

Agenda and Outcomes

This presentation will entail the following content:

  • Purpose and goals of this in-service presentation session
  • Safety improvement plan
  • Role of audience in the implementation of the plan
  • New processes and skills development and understanding

By discussing these points, nurses can implement the safety improvement plan. This will enhance patient safety, reduce healthcare costs to patients and the system, improve work efficiency, and promote the hospital’s reputation. Now, let us begin discussing each point in detail. Please park your questions till the end, when we will conduct a question-answer session.

Purpose and Goals of In-Service Presentation Session

This in-service presentation session aims to mitigate the number of medication administration errors in our hospital lately. Medication administration errors are preventable adverse events that must be avoided in healthcare. Hospitals aim to improve patients’ conditions, and nurses must deliver quality care that satisfies patients’ health needs without aggravating their disease progressions. The goals of this presentation are as follows:

NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation

  • Adequate Knowledge of Identifying Medication Errors: Our goal is to equip our nurses with sufficient knowledge of medication and medication administration technologies. This will enable them to identify medication errors due to dosage miscalculations, incorrect medication administration techniques, and glitches in technologies that dispense the wrong medication.
  • Adherence to Medication Administration Protocols: Another goal is to enable nurses to implement medication administration protocols to minimize medication errors due to wrong medication, wrong patient, and wrong route of administration by double-checking processes, verification systems, and medical reconciliation.
  • Education on the Proper Use of Healthcare Information Technology:  Nurses will be educated on the correct use of healthcare technologies for medication administration, such as automated dispensing systems and barcode medication administration. This will ensure safe medication management through the effective and correct use of these technologies.
  • Compliance with Regulatory Standards and Hospital Policies: This session aims to raise awareness of the importance of complying with medication administration regulations and hospital policies. This will potentiate fulfilling our desired objective, i.e., reducing medication errors and enhancing patient safety.

Safety Improvement Plan

Overview of Current Problem and Proposed Plan

The medication administration errors at TGH mainly occur for various reasons. The primary causes include nurses’ competencies in meeting the medication administration standards, such as double-checking the medications, following the five rights of medication administration, lack of maintenance of automated dispensing systems, and negligence towards identifying medication errors due to non-serious attitudes. Therefore, the proposed safety improvement plan is made in such a way that it addresses these causes of medication administration errors.

The proposed safety improvement plan comprises training and educational programs for nurses to promote safe medication administration, revising the hospital’s SOPs for nurses, including developing policies on mindful medication administration and integrating BCMA technology and its practical use. The training session for nurses will enlighten their knowledge of accurate medication administration (Manias et al., 2021). The nurses will administer medication mindfully, applying the principles of safe medication delivery and ignoring external interruptions (Yang et al., 2022). Moreover, the BCMA technology integration can prevent medication errors due to wrong medication administration (Owens et al., 2020).

Need to Improve Safety Outcomes

TGH needs to improve safety outcomes for patients and reduce the incidences of medication administration errors.  Medication administration errors cause additional distress to patients physically, emotionally, and financially (Elliott et al., 2021). Patients’ recovery time extends, the chances of acquiring nosocomial infections increase, and they have to undergo additional treatments, which impacts their health. Moreover, their emotional and mental health is profoundly impacted as they experience adverse events like medication administration errors, increasing the chances of onset of post-traumatic stress disorder (PTSD) (Aubin et al., 2022).

NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation

The financial implications further worsen the condition as additional treatments and extended hospital stays require additional expenditures. Besides, the organization faces numerous issues, such as a declining reputation, financial implications, and decreased revenue, as patients prefer other health facilities over TGH. One study shows that healthcare costs can be reduced by $108 million in the U.S. by implementing harm-reduction strategies (Vaismoradi et al., 2020). Considering these factors, TGH must address this issue of medication administration and improve patient safety to avoid devastating repercussions in the future.

Audience’s Role and Importance 

Your active participation and adherence to the plan are required to implement the safety improvement plan successfully. As the nursing staff is mainly involved in medication administration, they must practice safe and correct medication administration techniques and strategies. By implementing these ways, nurses can enhance patients’ safety and reduce their vulnerability to medication administration errors.

The patient’s clinical health outcomes will improve as nurses follow medication administration protocols and avoid errors. Moreover, the healthcare costs will be reduced when nurses help implement the plan and drive improvements in the safe medication management process. Their critical position in medication administration makes them valuable stakeholders who can successfully implement the safety improvement plan (Vaismoradi et al., 2020).

Benefits of Active Participation of Nurses 

 Nurses can benefit from embracing their role in the plan in several ways. They will not have to pay heavy penalties for making medication errors. Their job satisfaction will be enhanced. Moreover, through correct medication administration, nurses will be saved from providing extensive recovery treatment, leading to reduced work burnout and an adequate work-life balance. The healthcare organization will give them additional bonuses, leadership roles, and other rewards for minimizing medication administration errors.

New Process and Skills Practice

The nurses will be required to gain expertise in new processes and skills to help them administer medications without making any mistakes. Some of these new processes and skills that they can adopt are as follows:

  • Nurses must learn about the effective use of technologies like ADS and BCMA. Moreover, they should be skilled in removing any glitches that may occur to prevent medication errors.
  • They should also learn communication strategies with interdisciplinary team members to avoid medication errors due to misunderstandings.
  • Nurses must seek further knowledge by delving into scholarly articles, the latest medication administration studies, and ways to solve medication administration errors.

Resources and Activities

Before concluding this presentation, I created resources and activities to understand the new processes and skill practices. I have printed six of the latest medication administration articles and relevant health information technologies to lessen these errors. I would like you all to make six groups of 5 members each. Then, I will distribute one printed article to each group. Then, I will give you all twenty minutes to review them and share your insights and any questions here individually.

This activity will further increase your knowledge of medication administration and encourage the implementation of this safety improvement initiative. We will discuss the questions thoroughly, and I will address them so that your confusion can vanish. Lastly, I would take your feedback on this improvement plan by giving you a “review paper” where you will rate this plan and in-service presentation. This feedback is necessary to revise the improvement plan and make the plan that also considers your valuable concerns and insights. This will result in a better performance of the safety improvement plan based on “shared making,” and further safe medication management can be procured through your active participation. 

Conclusion

To conclude, our presentation on the safety improvement plan discussed the general issue of medication administration at TGH and why it is necessary to address it. Later, we discussed the proposed safety improvement plan and the rationale behind its implementation. Furthermore, we discussed the role of nurses and their active participation in successfully implementing this plan.

Lastly, we devised new processes and engaged in activities where we shared insights on medication administration based on recent evidence-based articles. I hope you all learned something new from this in-service presentation, which will help you deliver the best care treatments to patients in the context of medication administration. Thank you.

References

Aubin, D. L., Soprovich, A., Diaz Carvallo, F., Prowse, D., & Eurich, D. (2022). Support for healthcare workers and patients after medical error through mutual healing: Another step towards patient safety. BMJ Open Quality, 11(4), e002004. https://doi.org/10.1136/bmjoq-2022-002004 

Elliott, R. A., Camacho, E., Jankovic, D., Sculpher, M. J., & Faria, R. (2021). Economic analysis of the prevalence and clinical and economic burden of medication error in England. BMJ Quality & Safety, 30(2), bmjqs-2019-010206. https://doi.org/10.1136/bmjqs-2019-010206

Manias, E., Street, M., Lowe, G., Low, J. K., Gray, K., & Botti, M. (2021). Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: A retrospective clinical audit. BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-07033-8 

Owens, K., Palmore, M., Penoyer, D., & Viers, P. (2020). The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction. Journal of Emergency Nursing, 46(6), 884–891. https://doi.org/10.1016/j.jen.2020.07.004

NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation

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), 1–15. https://doi.org/10.3390/ijerph17062028

Yang, R., Gu, Q., Chen, F., Yang, Y., Gu, L., Zhang, J., Lu, Z., & Zhang, X. (2022). Effect of evidence-based nursing management of protocol compliance in anticancer drug clinical trial. Asia-Pacific Journal of Oncology Nursing, 9(10), 100114. https://doi.org/10.1016/j.apjon.2022.100114