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NURS FPX 4020 Assessment 4: Improving Quality of Care and Patient Safety

NURS FPX 4020 Assessment 4: Improving Quality of Care and Patient Safety

Improvement Plan Tool Kit 

The significance of creating toolkits is becoming more and more evident as nurses and healthcare organizations work to promote an environment for quality as well as safety service. Constant assistance towards accessibility of these services is crucial in addition to the distribution of knowledge and conclusions supported by the scientific literature as well as the creation of toolkits. Training education can provide the opportunity for nurses to maintain this assistance outside of the office (Pesut & Greig, 2018). The nursing staff is skilled at helping individuals in times of emergency as well as supporting each other during their time of work. There, nursing staff can speak openly about their distinctive point of view, instruct other staff, in addition, can advance local and worldwide healthcare care well-being.

Annotated Bibliography

The Elements of a Successful Quality Improvement Initiative for the Administration of Medications 

Holland, E., Bateman, B. T., Cole, N., Taggart, A., Robinson, L. A., Sugrue, R., Xu, X., & Robinson, J. N. (2019). Evaluation of a quality improvement intervention that eliminated routine use of opioids after cesarean delivery. Obstetrics & Gynecology, 133(1), 91–97. https://doi.org/10.1097/AOG.0000000000003010

Assuring that drugs are given accurately as well as safety is essential for ensuring effective medical treatment. There are six important elements to consider in the delivery of medication that is safe for the patient. These are listed below

  • Route of administration
  • Dosage time
  • Type of medicine
  • Dose calculation
  • Specific patient to be administered 
  • Proper documentation

Liu, Y.-L., Chen, D., Shang, P., & Yin, D.-C. (2019). A review of magnet systems for targeted drug delivery. Journal of Controlled Release, 302, 90–104. https://doi.org/10.1016/j.jconrel.2019.03.031

Improvement in pharmaceutical delivery can be done in a number of ways. Particular work environments have an impact on safety issues such as errors while the administration of medicine to patients. Examples are a lack of professionals or high personnel turnover, numerous interruptions, poorly planned pharmaceutical safety rules, and a violation of laws as well as regulations. 

NURS FPX 4020 Assessment 4: Improving Quality of Care and Patient Safety

Rodziewicz, T. L., Hipskind, J. E., & Houseman, B. (2022, May 1). Medical error prevention. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK499956/

E-prescribing input, safety alerts regarding the safe use of medications, barcode readers of medicines, sophisticated intravenous pumps, and the use of containers having only a single dose are examples of technologies that have the ability to reduce or prevent errors when administering medications.

Providing patients and their nursing with adequate instructions regarding when to take medications at home as well as when to call nursing staff if they have any questions increases the effectiveness of health care. Look-alike and sound-alike i.e., LASA is the term that is broadly used for drugs that look alike as well as sound-alike to each other. These drugs have names that are very similar and can be mixed while their process of packaging dispensing and handling. 

Bryan, R., Aronson, J. K., Williams, A., & Jordan, S. (2020). The problem of look‐alike, sound‐alike name errors: Drivers and solutions. British Journal of Clinical Pharmacology, 87(2). https://doi.org/10.1111/bcp.14285

Numerous medications look alike or sound alike (LASA). These drugs can be mixed up if their names, packing, or administering device designs are identical. The Joint Commission has prepared a list of such kind of problematic medicines having confusing names. Significantly risky medications are more prone to be misused and cause harm to the health of the patient. To deal with this serious problem an institute of safe medication and practices has made a list of medicines that are risky and addictive for the health of the patient to be prescribed and administered only with great intention of the medically approved highly qualified practitioners and their respected staff. There is a list of drugs that require high alert according to the Institute for Safe Medication Practices (ISMP).

Factors Leading to Patient Safety Risks

Bates, D. W., & Singh, H. (2018). Two decades since to err is human: An assessment of progress and emerging priorities in patient safety. Health Affairs, 37(11), 1736–1743. https://doi.org/10.1377/hlthaff.2018.0738

The health of patients may be in danger due to numerous circumstances. The life of the affected patient is at risk whenever safety is compromised, making it a very crucial aspect of all medical procedures and practices. Safety regarding patient health is essential throughout all stages of medication, for this reason following given below factors have an impact on patient safety risk:

  • Absence of cooperation among nurses
  • Absence of coordination
  • Mistakes in surgery
  • Incorrect drug quantity

Such standards determine if a health system offers respectable patient safety. A small error can lead to confusion among the nurses and have serious lethal effects.

Organizational Interventions to Promote Patient Safety

Haugen, A. S., Sevdalis, N., & Søfteland, E. (2019). Impact of the World Health Organization surgical safety checklist on patient safety. Anesthesiology, 131(2), 1. https://doi.org/10.1097/aln.0000000000002674

Nurses are always updating old methods as they seek to get better in such specific areas. They help healthcare organizations to achieve advancements in quality. Organizations should give nurses the necessary information regarding change-provoking new initiatives as well as recent innovations. This is particularly relevant to the advantages and disadvantages of a change that was brought to improve results from the ANA (American Nursing Association) point of view presence of nursing staff and their activity is the major indicator of the health of the patient. For a patient to receive good medical treatment, a nursing facility is essential.

NURS FPX 4020 Assessment 4: Improving Quality of Care and Patient Safety

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 

An organization must educate the nursing staff about the recent advancement regarding medication policies as well as the care of the patient all these elements will add to the improvement of patient satisfaction with health. In order to prevent or minimize the risk associated with the administration of the dose, several hospitals employ a single-dose strategy. Nurses must understand and apply exact treatments and procedures to mitigate the risk of error associated with drug administration. The organization must ask the nursing staff to follow the patient’s profile regarding their medication.

Nurse’s Role in Coordinating Care to Enhance Quality and Reduce Costs

Donelan, K., Chang, Y., Berrett-Abebe, J., Spetz, J., Auerbach, D. I., Norman, L., & Buerhaus, P. I. (2019). Care management for older adults: The roles of nurses, social workers, and physicians. Health Affairs, 38(6), 941–949. https://doi.org/10.1377/hlthaff.2019.00030

Whenever it concerns raising the standard of a medical facility, nurses always are the center of interest. At the same time, involving participants is essential to moving these efforts forward.  The quality of the hospital as well as expenditures depend on patients, doctors, administrators, senior nurses, and cashier executives. As everyone gets involved in the procedure so executives make improvement efforts by making plans and policies. To increase performance as well as effectiveness, the duty of supervisors is to ensure that these plans and policies are carried out properly. Patient-Centered Outcomes Study Institute (PCORI) also said that stakeholder participation in the study process is a necessary thing. 

Manomenidis, G., Panagopoulou, E., & Montgomery, A. (2019). Job burnout reduces hand hygiene compliance among nursing staff. Journal of Patient Safety15(4), e70-e73. https://doi.org/10.1097/PTS.0000000000000435 

It has been estimated that even in hospital emergency rooms, nurses serve as patients’ guardians. They stay attentive in their efforts to reduce low hygiene compliance rates in healthcare settings. The nurses additionally monitor the evaluation of low hygiene compliance ratios due to insufficient time in emergency units. There is also the issue of limited access to good sanitation. They also investigate the cause of low hygiene compliance percentages in healthcare settings due to the misallocation of hand sanitizer in emergency rooms. It all stems from the stress and workload of nurses in healthcare settings, which reduces the quality of work by increasing drug mishandling and administration.

Park, H., & Yu, S. (2019). Effective policies for eliminating nursing workforce shortages: A systematic review. Health Policy and Technology, 8(3), 296–303. https://doi.org/10.1016/j.hlpt.2019.08.003

As accordingly to recent studies medical organizations, staff members including nurses and doctors as well as governments need strong programs and plans to conduct daily basis work. System optimization is also required to improve patient quality. Doctors need to improve their skills according to research that is increasing day by day. 

Wei, H., Sewell, K. A., Woody, G., & Rose, M. A. (2018). The state of the science of nurse work environments in the United States: A systematic review. International Journal of Nursing Sciences, 5(3), 287–300. https://doi.org/10.1016/j.ijnss.2018.04.010

The work of the nurse is to eliminate the risk of error by increasing the quality of their work and as a result, it will contribute to improvements in health care and patient health. The role of executives and managers is to maintain and apply policies for the working of health care. 

Evidence-Based Strategies to Communicate in a Manner that Supports Safe and Effective Patient Care

Muth, C., Blom, J. W., Smith, S. M., Johnell, K., Gonzalez‐Gonzalez, A. I., Nguyen, T. S., Brueckle, M. ‐S., Cesari, M., Tinetti, M. E., & Valderas, J. M. (2018). Evidence supporting the best clinical management of patients with multimorbidity and polypharmacy: A systematic guideline review and expert consensus. Journal of Internal Medicine, 285(3). https://doi.org/10.1111/joim.12842

Patient satisfaction involves the protection of the patient record, digitalization of the process of treatment, and maintaining it in a good manner. In order to address the main issues with medication. Safety enhancement strategy in addition to practical ways to assist and remove these concerns is recently evaluated. This plan states that this procedure can be made more effective by putting a focus on training outcomes inside the health systems, the patient’s mindset about the care strategy and its consequences, and clear training guides for the medical personnel. 

Siyal, A., Junejo, A., Zawish, M., Ahmed, K., Khalil, A., & Soursou, G. (2019). Applications of blockchain technology in medicine and healthcare: Challenges and future perspectives. Cryptography, 3(1), 3. https://doi.org/10.3390/cryptography3010003

By keeping an eye on the health of patients, collecting data and up-to-date arrangements such safety strategies can be carried out in a good manner. It may be possible to improve this process by promoting the use of recent studies, such as audio and written patient interviews. Additionally, the efficiency of the procedure might be increased to more than 50 percent through the appropriate application of the barcodes.

Conclusion

An improvement plan toolkit can enhance the quality of outcomes for patients. It can promote positive patient-centered care. Pesut & Greig (2018) reported that even though the process of care delivery to patients can be tough but nurses play an essential role in providing efficient care to patients. Interdisciplinary collaboration and identification of patient safety risk help in achieving satisfactory outcomes for patients. 

References 

Bates, D. W., & Singh, H. (2018). Two decades since to err is human: An assessment of progress and emerging priorities in patient safety. Health Affairs, 37(11), 1736–1743. https://doi.org/10.1377/hlthaff.2018.0738 

Bryan, R., Aronson, J. K., Williams, A., & Jordan, S. (2020). The problem of look‐alike, sound‐alike name errors: Drivers and solutions. British Journal of Clinical Pharmacology, 87(2). https://doi.org/10.1111/bcp.14285 

Donelan, K., Chang, Y., Berrett-Abebe, J., Spetz, J., Auerbach, D. I., Norman, L., & Buerhaus, P. I. (2019). Care management for older adults: The roles of nurses, social workers, and physicians. Health Affairs, 38(6), 941–949. https://doi.org/10.1377/hlthaff.2019.00030 

Haugen, A. S., Sevdalis, N., & Søfteland, E. (2019). Impact of the World Health Organization surgical safety checklist on patient safety. Anesthesiology, 131(2), 1. https://doi.org/10.1097/aln.0000000000002674 

Holland, E., Bateman, B. T., Cole, N., Taggart, A., Robinson, L. A., Sugrue, R., Xu, X., & Robinson, J. N. (2019). Evaluation of a quality improvement intervention that eliminated routine use of opioids after cesarean delivery. Obstetrics & Gynecology, 133(1), 91–97. https://doi.org/10.1097/AOG.0000000000003010 

Liu, Y.-L., Chen, D., Shang, P., & Yin, D.-C. (2019). A review of magnet systems for targeted drug delivery. Journal of Controlled Release, 302, 90–104. https://doi.org/10.1016/j.jconrel.2019.03.031 

Manomenidis, G., Panagopoulou, E., & Montgomery, A. (2019). Job burnout reduces hand hygiene compliance among nursing staff. Journal of Patient Safety15(4), e70-e73. https://doi.org/10.1097/PTS.0000000000000435

Muth, C., Blom, J. W., Smith, S. M., Johnell, K., Gonzalez‐Gonzalez, A. I., Nguyen, T. S., Brueckle, M. ‐S., Cesari, M., Tinetti, M. E., & Valderas, J. M. (2018). Evidence supporting the best clinical management of patients with multimorbidity and polypharmacy: A systematic guideline review and expert consensus. Journal of Internal Medicine, 285(3). https://doi.org/10.1111/joim.12842 

Park, H., & Yu, S. (2019). Effective policies for eliminating nursing workforce shortages: A systematic review. Health Policy and Technology, 8(3), 296–303. https://doi.org/10.1016/j.hlpt.2019.08.003 

Pesut, B., & Greig, M. (2018). Resources for educating, training, and mentoring nurses and unregulated nursing care providers in palliative care: A review and expert consultation. Journal of Palliative Medicine, 21(S1), S-50-S-56. https://doi.org/10.1089/jpm.2017.0395

Rodziewicz, T. L., Hipskind, J. E., & Houseman, B. (2022, May 1). Medical error prevention. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK499956/ 

Siyal, A., Junejo, A., Zawish, M., Ahmed, K., Khalil, A., & Soursou, G. (2019). Applications of blockchain technology in medicine and healthcare: Challenges and future perspectives. Cryptography, 3(1), 3. https://doi.org/10.3390/cryptography3010003 

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 

Wei, H., Sewell, K. A., Woody, G., & Rose, M. A. (2018). The state of the science of nurse work environments in the United States: A systematic review. International Journal of Nursing Sciences, 5(3), 287–300. https://doi.org/10.1016/j.ijnss.2018.04.010 

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