The Care Quality And Patient Safety Assignment

The Care Quality And Patient Safety Assignment

Below are some additional resources you can use

Stalter, A. M., & Mota, A. (2017). Recommendations for promoting quality and safety in health care systems. The Journal of Continuing Education in Nursing, 48(7), 295–297.

Allison, J. (2016). Ideas and approaches for quality-assessment and performance-improvement projects in ambulatory surgery centers. AORN Journal, 103(5), 483–488.

Johnson, L., McNally, S., Meller, N., & Dempsey, J. (2019). The experience of undergraduate nursing students in patient safety education: A qualitative study. Australian Nursing and Midwifery Journal, 26(8), 55.

Institute for Healthcare Improvement. (n.d.). Josie King – What happened to Josie? [Video]. http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities/WhatHappenedtoJosieKing.aspx  The Care Quality And Patient Safety Assignment

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Enhancing Quality and Safety

The Healthcare industry has evolved from just care delivery and serving sick patients to establishing an environment that meets patient needs and ensures quality improvement and patient safety are top-level. According to Stalter & Mota (2017), an effective healthcare organization is regarded as one that focuses on care quality and patient safety as critical elements of its care delivery practices. However, due to the complexity of the healthcare industry, maintaining safety has not been a straightforward case. Today, the healthcare sector, organizations and care delivery process have become inter-professional teamwork where every player works to improve the organization’s performance and patient experience. Quality improvement in the healthcare sector has become critical in improving the quality of care delivered and ensuring patient care, safety and needs are optimized in the healthcare organizations or settings (Allison, 2016)The Care Quality And Patient Safety Assignment. Quality improvement is an evidence-based or data-founded guide to improve patient safety and quality of healthcare delivery.

Nurses or nursing professionals contribute to the healthcare workforce as the most significant and dominant in number. Not only do they work directly with patients, but they also bear most of their demands. Nurses must possess the right skills and knowledge when administering patient medication. as major players in the healthcare sector, nurses play indispensable roles in ensuring quality and patient safety are of high level. Medication and related errors are one of the sectors prone to errors and risks. Quality improvement and patient consideration for patients with reference to medication entail developing and implementing effective interventions to minimize medical errors. According to Johnson et al. (2019), nurse roles entail identifying and denoting specific risk factors threatening patient safety while collaboratively working to improve patient experience through coordinated care and overall safety. A solid foundation of knowledge and understanding of safety organizations such as Quality and Safety Education for Nurses (QSEN), the Institute of Medicine (IOM), and The Joint Commission and its National Patient Safety Goals (NPSGs) program is vital to practicing nurses concerning providing and promoting safe and effective patient care. Based on a baccalaureate nurse point of view, this paper provides a detailed insight into factors affecting patient safety, evidence-based practices, and nursing coordination to ensure optimum quality of care and patient safety.

Factors Leading To A Specific Patient-Safety Risk Focusing On Medication Administration

Quality improvement (QI) measures and safety improvement plans are effective interventions to reduce medical errors and sentinel events such as medication errors, falls, infections, and deaths (Wondmieneh et al., 2020). World health organization (WHO) regards patient safety as the absence of preventable harm in the care delivery process. The process of patient safety and quality improvement is an ever-changing, demanding coordinated effort to prevent patient harm. Different factors contribute to medication administration errors, including lack of appropriate monitoring, medically complex patients, inexperienced staff, and poor handwriting. According to IOM, medication therapy is one of the primary interventions in addressing most illnesses. Patients receiving medication interventions are exposed to benefits and potential harm (Toivo et al., 2019)The Care Quality And Patient Safety Assignment. Harm from medications can result from unintended consequences and medication errors. With nurses at the forefront in medication administration, inadequate education on patient safety and care quality, staffing adequacies, excess workloads, fatigue, flawed dispensing systems, and labelling-related issues, nurses are challenged daily to ensure patients access proper medication at the right time. In the healthcare setting, the chances of medication administration errors are always present; hence, nurses and other related professionals must focus on ensuring patient safety as the number one priority.

Evidence-Based And Best-Practice Solutions To Improve Patient Safety Focusing On Medication Administration And Reduce Costs

Healthcare professionals can change and differentiate between the compromise of patient safety and quality care delivery (Wondmieneh et al., 2020)The Care Quality And Patient Safety Assignment. By adopting evidence-based practices, they can actively help adopt best, most effective quality improvement practices to address medication administration-related errors while factoring the cost of care. Medication safety is a natural remedy to patient safety Healthcare organizations and professionals should invest in effective medication administration processes and measures. According to Toivo et al. (2019), assessing and improving the healthcare work environment caters to massive success in improving patient and medication administration safety. Medication administration errors can become common when the healthcare setting or environment is prone to a staffing shortage, turnover, poorly designed medication safety protocols, ignoring guidelines and policies, and multiple distractors and interruptions. To improve the quality and safety I medication, a healthcare organization should develop and implement flawless workflows, creating the best environment for nurses and other care providers to adopt and implement the 5 rights of medication administration effectively. These are the proper medication, the correct route, the right time, the right individual, and the correct dosage.

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In addition to creating the best work environment, other measures include; the implementation of medication safety technologies; educating nurses, patients and caregivers; adopting strategies to differentiate look-alike or sound-alike drugs and taking extra caution with high-alert medications, hence adopting double-checking measures, utilizing name alerts and ensuring streamlined documentation. According to Johnson et al. (2019), with current technology and age, systems have become critical in helping to manage medication administrations. The system helps keep the right records and alerts in case medicine is dispensed. Workplace training for nurses ensures they remain alert on new drugs available while ensuring safety measures are well refreshed during administration. Regarding training, nurses are familiarized with protocols to adopt in case of a medical error, which helps minimize the adverse effects of such errors. The presence of look alike and sound alike can be addressed by adopting clear labelling and handwriting of the prescribing clinician hence reducing chances of medication error. While addressing medication administration errors is one approach to improving healthcare and patient safety, the approach can only be successful through teamwork and interprofessional collaboration. Improved work environment, collaboration, adequate labelling and utilization of IT tools to monitor and make follow-up helps improve care quality, safety, and a foundation for cost-effective care. The Care Quality And Patient Safety Assignment

How Nurses Can Help Coordinate Care To Increase Patient Safety With Medication Administration And Reduce Costs

Medication-related errors are threats to patient safety. While improving patient safety can be implemented via diverse practices, addressing or reducing medication-related errors has become a significant concern in improving the quality of care and overall safety. Nurses are critical players in a healthcare setting. In addition to their positioning, knowledge, skills, nurses present direct contact with patients; hence their input is critical to addressing medication administration-related errors (Allison, 2016)The Care Quality And Patient Safety Assignment. Care coordination entails delivering care safely, effectively, and appropriately, ensuring quality care experience and the best patient outcome/experience. Nurses, through coordinated care, can participate by sharing knowledge and patient details with other team members such as physicians, pharmacists, informatics, etc. (Gorgich et al., 2017). other efforts include working to ensure a seamless transition of care, working with other professionals to ensure personalized patient based and proactive care is adopted, and ensuring improved safety and affordable care.

Nurses’ participation helps in the effective and efficient use of available resources, contributing to positive healthcare reforms that improve care quality for individuals and populations. Nurses can participate in empowering coordinated care by providing feedback and a source of information, improving the decision-making process, and subsequent benefits in care delivery prove. According to Gorgich et al. (2017)The Care Quality And Patient Safety Assignment, nurses’ participation in coordinated care results in fewer emergency visits, improved or more excellent patient confidence, reduced cost of care and increased survival rate, and better care quality and safety. Regarding medication administration errors, nurses can review and verify that the correct details, i.e., patient, medication, dosage and route against the transfer orders or listed medications, are in the right state. They should act as the second eye to ensure what the patient has been given and what is documented is the right thing.

Additionally, the nurses should participate in implementing organizational procedures for medication administration. Finally, nurses can improve medication knowledge, patient education and practice environment improvement through coordinated care. Through the active development of a supportive environment, nurses foster teamwork, drawing input from diverse professionals to counter-check on each other, resulting in reduced chances for medication errors.

Stakeholders With Whom Nurses Would Coordinate To Drive Safety Enhancements With Medication Administration

Patient safety is critical to quality nursing care (Stalter & Mota, 2017). However, healthcare systems are prone to error, which can jeopardize the safety of patient care due to diverse factors and system flaws. Nurses are critical players in a healthcare setting, with their input indispensable to establishing effective, affordable, quality care. Various stakeholders are responsible for successfully coordinating care and ensuring patient safety is delivered to the best of, minimal error occurs, and patient experience is improved. Regarding addressing medication safety, different stakeholders’ input is indispensable. These include; external regulators, patient safety organizations, nurses, pharmacists, physicians, patients and their families/caregivers. While nurses are the primary coordinator, the safety agencies ensure that a healthcare organization has a healthy work environment and that critical medication dispensation policies are followed. Pharmacists ensure the five rights of medication are implemented and counter-checks the physician’s prescription. The physician ensures that prescribed medication aligns with the patient’s needs regarding illness and body specifications such as age. Patients and their caregivers ensure the medication is taken as prescribed, with any anomaly reported immediately noted. While the stakeholders have diverse roles in medication administration, their collaboration and review of each other’s work ensure minimized chances for medical errors. The Care Quality And Patient Safety Assignment

References

Allison, J. (2016). Ideas and approaches for quality-assessment and performance-improvement projects in ambulatory surgery centers. AORN Journal, 103(5), 483-488.

Gorgich, E. A. C., Barfroshan, S., Ghoreishi, G., & Yaghoobi, M. (2017). Investigating the Causes of Medication Errors and Strategies to Prevention of Them from Nurses and Nursing Student Viewpoint. Global Journal of Health Science, 8(8), 220. https://doi.org/10.5539/gjhs.v8n8p220

Johnson, L., McNally, S., Meller, N., & Dempsey, J. (2019). The experience of undergraduate nursing students in patient safety education: A qualitative study. Australian Nursing and Midwifery Journal, 26(8), 55. The Care Quality And Patient Safety Assignment

Stalter, A. M., & Mota, A. (2017). Recommendations for promoting quality and safety in health care systems. The Journal of Continuing Education in Nursing, 48(7), 295-297.

Toivo, T., Airaksinen, M., Dimitrow, M., Savela, E., Pelkonen, K., Kiuru, V., Suominen, T., Uunimäki, M., Kivelä, S.-L., Leikola, S., & Puustinen, J. (2019). Enhanced coordination of care to reduce medication risks in older home care clients in primary care: a randomized controlled trial. BMC Geriatrics, 19(1). https://doi.org/10.1186/s12877-019-1353-2

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 The Care Quality And Patient Safety Assignment

Assessment 1 Instructions: Enhancing Quality and Safety

Top of Form

Bottom of Form

  • For this assessment, you will develop a 3-5 page paper that examines a safety quality issue pertaining to medication administration in a health care setting. You will analyze the issue and examine potential evidence-based and best-practice solutions from the literature as well as the role of nurses and other stakeholders in addressing the issue.

Health care organizations and professionals strive to create safe environments for patients; however, due to the complexity of the health care system, maintaining safety can be a challenge. Since nurses comprise the largest group of health care professionals, a great deal of responsibility falls in the hands of practicing nurses. Quality improvement (QI) measures and safety improvement plans are effective interventions to reduce medical errors and sentinel events such as medication errors, falls, infections, and deaths. A 2000 Institute of Medicine (IOM) report indicated that almost one million people are harmed annually in the United States, (Kohn et al., 2000) and 210,000–440,000 die as a result of medical errors (Allen, 2013)The Care Quality And Patient Safety Assignment.

The role of the baccalaureate nurse includes identifying and explaining specific patient risk factors, incorporating evidence-based solutions to improving patient safety and coordinating care. A solid foundation of knowledge and understanding of safety organizations such as Quality and Safety Education for Nurses (QSEN), the Institute of Medicine (IOM), and The Joint Commission and its National Patient Safety Goals (NPSGs) program is vital to practicing nurses with regard to providing and promoting safe and effective patient care.

You are encouraged to complete the Identifying Safety Risks and Solutions activity. This activity offers an opportunity to review a case study and practice identifying safety risks and possible solutions. We have found that learners who complete course activities and review resources are more successful with first submissions. Completing course activities is also a way to demonstrate course engagement. The Care Quality And Patient Safety Assignment

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

    • Competency 1: Analyze the elements of a successful quality improvement initiative.
      • Explain evidence-based and best-practice solutions to improve patient safety focusing on medication administration and reducing costs.
    • Competency 2: Analyze factors that lead to patient safety risks.
      • Explain factors leading to a specific patient-safety risk focusing on medication administration.
    • Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs.
      • Explain how nurses can help coordinate care to increase patient safety with medication administration and reduce costs.
      • Identify stakeholders with whom nurses would need to coordinate to drive quality and safety enhancements with medication administration.
    • Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
      • Organize content so ideas flow logically with smooth transitions; contains few errors in grammar or punctuation, word choice, and spelling.
      • Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format. The Care Quality And Patient Safety Assignment

References

Allen, M. (2013). How many die from medical mistakes in U.S. hospitals? Retrieved from https://www.npr.org/sections/health-shots/2013/09/20/224507654/how-many-die-from-medical-mistakes-in-u-s-hospitals.

Kohn, L. T., Corrigan, J., & Donaldson, M. S. (Eds.). (2000). To err is human: Building a safer health system. Washington, DC: National Academy Press. The Care Quality And Patient Safety Assignment

Professional Context

As a baccalaureate-prepared nurse, you will be responsible for implementing quality improvement (QI) and patient safety measures in health care settings. Effective quality improvement measures result in systemic and organizational changes, ultimately leading to the development of a patient safety culture.

Scenario

Consider a previous experience or hypothetical situation pertaining to medication errors, and consider how the error could have been prevented or alleviated with the use of evidence-based guidelines.

Choose a specific condition of interest surrounding a medication administration safety risk and incorporate evidence-based strategies to support communication and ensure safe and effective care.

For this assessment:

    • Analyze a current issue or experience in clinical practice surrounding a medication administration safety risk and identify a quality improvement (QI) initiative in the health care setting. The Care Quality And Patient Safety Assignment

Instructions

The purpose of this assessment is to better understand the role of the baccalaureate-prepared nurse in enhancing quality improvement (QI) measures that address a medication administration safety risk. This will be within the specific context of patient safety risks at a health care setting of your choice. You will do this by exploring the professional guidelines and best practices for improving and maintaining patient safety in health care settings from organizations such as QSEN and the IOM. Looking through the lens of these professional best practices to examine the current policies and procedures currently in place at your chosen organization and the impact on safety measures for patients surrounding medication administration, you will consider the role of the nurse in driving quality and safety improvements. You will identify stakeholders in QI improvement and safety measures as well as consider evidence-based strategies to enhance quality of care and promote medication administration safety in the context of your chosen health care setting.

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Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you know what is needed for a distinguished score.The Care Quality And Patient Safety Assignment

    • Explain factors leading to a specific patient-safety risk focusing on medication administration.
    • Explain evidence-based and best-practice solutions to improve patient safety focusing on medication administration and reducing costs.
    • Explain how nurses can help coordinate care to increase patient safety with medication administration and reduce costs.
    • Identify stakeholders with whom nurses would coordinate to drive safety enhancements with medication administration.
    • Communicate using writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.

Additional Requirements

    • Length of submission: 3–5 pages, plus title and reference pages.
    • Number of references: Cite a minimum of 4 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.
    • APA formatting: References and citations are formatted according to current APA style. The Care Quality And Patient Safety Assignment