Student Name Capella University NURS4020 Improving Quality of Care and Patient Safety Prof. Name Date Improvement Plan Tool-Kit  This assessment presents an improvement plan toolkit for the healthcare workforce of Tampa General Hospital to reduce medication administration error rates and enhance patient safety. This toolkit gathers authentic and credible information from databases such as Google Scholar, CINAHL, PubMed, and Capella Online Library. This improvement plan toolkit aims to enable healthcare professionals of TGH to implement practical measures to deliver high-quality care treatments with most minor incidences of medication errors, particularly relevant to medication administration errors. Through adequate knowledge substantiated with evidence, the nurses and relevant healthcare professionals can implement a safety improvement plan effectively as their concepts are clear with a thorough understanding of the proposed plan. This resource toolkit comprises four major sections, including an overview of medication administration errors and nursing practices, preventing medication administration errors, training nurses on safe medication administration, and technological tools relevant to medication administration.  Overview of Medication Administration Errors and Nursing Practices Wondmieneh, A., Alemu, W., Tadele, N., & Demis, A. (2020). Medication administration errors and contributing factors among nurses: A cross-sectional study in tertiary hospitals, Addis Ababa, Ethiopia. BMC Nursing, 19(4), 1–9. https://doi.org/10.1186/s12912-020-0397-0  This resource discusses medication administration errors in hospitals in Ethiopia. Moreover, it highlights the risks and contributing factors that persist among healthcare organizations and lead to medication administration errors by nurses. The identified factors leading to the onset of these errors are lack of adequate training among nurses, unavailable guidelines on medication administration, external interruptions, insufficient work experience, and night duty shifts. This resource is helpful for nurses as they can predict the factors that lead to medication administration errors and gain further insights from this study’s past experiences and data. Moreover, they can use this resource to further educate their colleagues on the factors nurses must be careful about while administering the medications. Lastly, nurses can use the strategies provided by this resource, such as adherence to guidelines during medication administration and training nurses on the safe administration of medications. Tsegaye, D., Alem, G., Tessema, Z., & Alebachew, W. (2020). Medication administration errors and associated factors among nurses. International Journal of General Medicine, Volume 13(13), 1621–1632. https://doi.org/10.2147/ijgm.s289452  This article by Tsegaye and colleagues provides an overview of medication administration errors, including prevalence and types of medication administration errors such as errors of wrong dose, wrong time, parenteral route errors, wrong evaluation, and underdose errors. Furthermore, it highlights the work, managerial, and professional-related factors that lead to medication administration errors. NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit The factors included a lack of adequate communication, sufficiently trained nurses, interruptions, and unavailability of protocols for medication administration. Nurses can take help from this resource as it guides them on all possible factors that nurses must consider to avoid errors during medication administration. They can use this resource to overcome these factors in their healthcare settings and learn from the information discussed in this article. This will help them prevent medication administration errors due to these risk factors. Hanson, A., & Haddad, L. M. (2022). Nursing rights of medication administration. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK560654/  This resource discusses medication administration from a nursing practice perspective. It provides detailed information on nurses’ role in medication administration, issues of concern, clinical significance, and interdisciplinary interventions for safe medication administration. This resource highlights the nursing rights of medication administration, which nurses must learn and implement to improve patient safety and reduce medication administration errors. Nurses can use these rights of medication administration by using technologies like barcode medication administration (BCMA) or electronic medical records (EMR) to verify medications. Therefore, this resource can play a vital role in delivering medication administration as they must adhere to the five rights of medication administration. Preventing Medication Errors Rodziewicz, T., & Hipskind, J. (2019). Medical error prevention. http://www.saludinfantil.org/Postgrado_Pediatria/Pediatria_Integral/papers/Medical%20Error%20Prevention%20-%20StatPearls%20-%20NCBI%20Bookshelf.pdf This resource describes medication errors, types of errors, and multiple preventive measures for medication errors. This resource also highlights medication administration errors and ways to prevent them. For instance, training nurses or pharmacists to double-check medications, integrating barcode administration technologies, and medical reconciliation. Nurses can use this resource to learn about medication errors and practical strategies to overcome them. Moreover, they can integrate these preventive measures into their healthcare setups. Nurse leaders can propose these strategies to hospital administration to implement them and reduce medication administration errors. This resource will reduce patient safety risks by giving clear preventive measures for improving the quality of care with medication administration. 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  This resource highlights the interventions to reduce and prevent medication errors in medical and surgical units. This systemic review describes interventions for various errors, including prescribing, administering, and dispensing errors. Nurses can utilize this source to gain insight into medication administration errors and ways to prevent them. For instance, this resource emphasizes that computerized prescription entry (CPOE) and automated medication distribution systems reduce medication-giving errors. This resource can help nurses obtain knowledge and understanding of the combination of interventions implemented to reduce medication errors, such as the use of AMDS systems along with medication matching by trained nurses.  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  NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit This study discusses the nurses’ adherence to patient safety principles and emphasizes their role in providing safe and effective care treatments. This review article also highlights how nurses’ inadequate adherence to patient safety principles leads to medication administration errors. Moreover, it talks about the nurses’ adherence to principles of nursing care based on the task and work environment. For instance, nurses show better adherence to cooperative tasks such as double checking drugs during administration and availability of equipment such as BCMA