Executive Summary Of Medication Errors Assignment Paper

Executive Summary Of Medication Errors Assignment Paper

this assignment is building on assessment 1 you just completed order # 246642 on medication errors
included is the instructions with the guided questions document and the scoring guide on what the instructor is looking for to earn a distinguished grade
included is also an example of how an executive summary is written Executive Summary Of Medication Errors Assignment Paper

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Executive Summary

Nurse leaders are tasked with identifying and describe outcome measures related to medication errors in order to address safety and quality problems within the organization. This executive summary presents the findings of a gap analysis conducted to examine existing outcome measures and assess their strategic value in relation to medication errors identified as a systemic problem. The summary analyzes the strategic value of these measures and proposes changes based on evidence-based information. The goal of this executive summary is to raise awareness among executive leaders and gain their support for the proposed changes in order to improve patient outcomes and foster a culture of quality and safety within the organization.

Key Quality and Safety Outcome Measures

Medication errors are a significant concern in our healthcare organization and have been identified as a systemic problem through gap analysis. One key quality and safety outcome measure related to medication errors is the incidence rate of adverse drug events (ADEs). ADEs are defined as “an injury resulting from medical intervention related to a drug” (Sahilu et al., 2021). This outcome measure is important because it indicates the level of harm caused by medication errors and allows for the identification of specific areas for improvement. This outcome measure is being measured because it is a widely accepted indicator of medication safety and is used to track progress and identify areas for improvement in medication safety efforts. The data collected from this outcome measure can indicate patterns of medication errors and identify high-risk areas, thus providing a basis for targeted interventions to improve medication safety (Tamblyn et al., 2018)Executive Summary Of Medication Errors Assignment Paper. This outcome measure allows us to assess the current level of medication safety in our organization and track progress over time.

The rate of medication reconciliation errors constitute another key quality and safety outcome measure related to medication errors. Medication reconciliation is the process of comparing a patient’s medications to their current medications on admission and ensuring that there is no duplication or contraindication between the two lists (Shojania et al., 2018). This outcome measure is important because it is one of the most important strategies to reduce medication errors and adverse drug events. This outcome measure is being measured to assess the effectiveness of the medication reconciliation process in our organization and to identify areas for improvement. The data collected can indicate the rate of errors and discrepancies found during the reconciliation process, and inform targeted interventions to improve the process and ultimately reduce medication errors.

Strategic Value to an Organization of Specific Outcome Measures

The incidence rate of ADEs and the rate of medication reconciliation errors are two important outcome measures that have a significant impact on patient care. The ADEs outcome measure indicates the level of harm caused by medication errors and allows for the identification of specific areas for improvement, which can ultimately improve patient outcomes. The rate of medication reconciliation errors outcome measure allows for the assessment of the effectiveness of the medication reconciliation process and identification of areas for improvement, which can ultimately reduce medication errors and improve patient outcomes (Shojania et al., 2018)Executive Summary Of Medication Errors Assignment Paper. These effects have implications for a culture of quality and safety within an organization as they provide a basis for targeted interventions and continuous improvement efforts. Measuring these outcomes regularly allows for tracking progress and identifying areas for improvement, which is important in maintaining a culture of quality and safety. Not measuring these outcomes could lead to a lack of understanding of the current level of medication safety within the organization and a lack of progress in reducing medication errors and improving patient outcomes. It could also lead to a lack of accountability and a lack of understanding of the areas that need improvement in order to foster a culture of quality and safety.

Relationships between the Systemic Problem and Specific Quality and Safety Outcomes

The specific outcome measures related to medication errors in our healthcare organization include the incidence rate of ADEs and the rate of medication reconciliation errors. These outcome measures are directly related to the problem of medication errors as they provide insight into the level of harm caused by medication errors and the effectiveness of medication reconciliation processes in the organization. Research has shown that a high incidence rate of ADEs is associated with a higher rate of medication errors (Sahilu et al., 2021)Executive Summary Of Medication Errors Assignment Paper. Similarly, a high rate of medication reconciliation errors has been linked to an increased risk of medication errors and adverse drug events (Shojania et al., 2018). Therefore, it can be inferred that a high incidence rate of ADEs and a high rate of medication reconciliation errors in an organization is indicative of a high level of medication errors. Furthermore, monitoring and tracking these outcome measures allows for the identification of specific areas for improvement and the implementation of targeted interventions to reduce medication errors and improve patient outcomes.

Quality and Safety Culture

Our organization’s strategic plan includes initiatives to improve patient safety and the quality of care. The incidence rate of ADEs and the rate of medication reconciliation errors are closely aligned with these initiatives as they provide insight into the level of harm caused by medication errors and the effectiveness of medication reconciliation processes, which are crucial aspects of patient safety and quality of care. Research has shown that a high incidence rate of ADEs and a high rate of medication reconciliation errors are associated with a higher risk of medication errors and adverse drug events (Sahilu et al., 2021). Therefore, by tracking and monitoring these outcome measures, our organization can identify specific areas for improvement and implement targeted interventions to reduce medication errors and improve patient outcomes (Tamblyn et al., 2018)Executive Summary Of Medication Errors Assignment Paper. Furthermore, by continuously monitoring and improving these outcome measures, our organization is promoting a culture of quality and safety. This is because it shows that the organization is committed to identifying and addressing issues related to patient safety and quality of care, and it helps to create a culture of continuous improvement and accountability.

Leadership Team

The leadership team could support the implementation and adoption of proposed practice changes affecting specific outcomes by taking a number of specific steps. One key step would be to clearly communicate the rationale and importance of the proposed changes to all members of the organization, including staff, patients and other stakeholders (Farokhzadian et al., 2018). This can be done through regular meetings, newsletters, and other forms of communication. Another key step would be to involve staff and other stakeholders in the design and implementation of the proposed changes (Farokhzadian et al., 2018).  This can be done through involving staff in focus groups, committees, and other forms of engagement. This approach can help to build buy-in and ownership of the proposed changes among staff, and can also help to identify any potential barriers or challenges that may need to be addressed.

The leadership team should also provide education and training to staff on the proposed changes. This can be done through providing training on the new processes, policies, or technologies that are being implemented. This approach can help to ensure that staff have the necessary knowledge and skills to implement the proposed changes effectively. Additionally, the leadership team should establish a system for monitoring and evaluating the proposed changes (Farokhzadian et al., 2018)Executive Summary Of Medication Errors Assignment Paper. This can be done through establishing performance indicators, conducting audits and reviews, and gathering feedback from staff and other stakeholders. This approach can help to ensure that the proposed changes are having the desired impact and can help to identify any areas for improvement. This approach would be effective because it involves clear communication, engagement, education, and monitoring, which are all critical to ensuring the successful implementation and adoption of proposed practice changes. By involving staff, communicating the rationale for the changes, providing education and training, and monitoring progress, the leadership team can foster a culture of quality and safety, which is crucial for the success of the proposed changes.

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References

Farokhzadian, J., Dehghan Nayeri, N., & Borhani, F. (2018). The long way ahead to achieve an effective patient safety culture: Challenges perceived by nurses. BMC Health Services Research18(1). https://doi.org/10.1186/s12913-018-3467-1

Sahilu, T., Getachew, M., Melaku, T., Sheleme, T., Abu, D., & Zewdu, T. (2021). Potential adverse drug events and its predictors among hospitalized patients at Medical Center in Ethiopia: A prospective observational study. Scientific Reports11(1). https://doi.org/10.1038/s41598-021-91281-5

Shojania, K. G., Burton, E. C., McDonald, K. M., Goldman, J., & Hicks, R. W. (2018). Medication reconciliation: a systematic review. The BMJ, 356, j1351. https://doi.org/10.1136/bmj.j1351

Tamblyn, R., Winslade, N., Lee, T. C., Motulsky, A., Meguerditchian, A., Bustillo, M., Elsayed, S., Buckeridge, D. L., Couture, I., Qian, C. J., Moraga, T., & Huang, A. (2018). Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: The RightRx project. Journal of the American Medical Informatics Association25(5), 482-495. https://doi.org/10.1093/jamia/ocx107

Assessment 2 Instructions: Executive Summary

Top of Form

Bottom of Form

  • Write an executive summary, 4-5 pages in length, of existing outcome measures related to a performance issue uncovered in your gap analysis that you intend to address Executive Summary Of Medication Errors Assignment Paper.

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

As a nurse leader, you must be able to access, identify, and describe outcome measures as they relate to safety and quality problems in your organization.

This assessment provides an opportunity to examine existing outcome measures, assess their strategic value, and present your findings to executive leaders in a manner that will help you gain their support.

Quality and safety are everyone’s responsibility as a team of interprofessional care delivery partners. Together we develop policies that support quality and safe care delivery. As part of the interprofessional team, nurses are leaders in care and thus are responsible and accountable for leading and providing safe quality care.

Health care delivery is structured around evidenced-based information. Quality is defined by exploring proven, evidenced-based information. After reviewing and defining evidenced-based information, the interprofessional team applies this knowledge to assess the organization’s or the practice setting’s ability to provide evidenced-based care delivery. When a gap in care is identified, it is important to propose an evidenced-based change and to execute a plan for improved care.

Your summary of relevant outcome measures is based on your findings from the quality and safety gap analysis you completed in the previous assessment.

Preparation

Your analysis of the gap between current and desired performance was the first step toward improving outcomes. You now have the information you need to move forward with proposed changes. Your next step is to focus on existing outcome measures and their relationship to the systemic problem you are addressing. For this assessment, you have been asked to draft a summary of existing outcome measures for your organization’s executive team to raise awareness of the problem and the strategic value of existing measures Executive Summary Of Medication Errors Assignment Paper.

Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

Building stakeholder support is crucial to fostering and sustaining change. Therefore, as you approach this assessment, think about the stakeholders whose support you will need for the change you want to bring about.

    • What information is most essential for both the formal and informal stakeholders to understand about the proposed change?
    • How might you communicate the need for change using just a few sentences (this is often referred to as an “elevator speech”).

The following resources are required to complete the assessment.

    • APA Style Paper Tutorial [DOCX]. Use this for your executive summary.

Requirements

Note: The requirements outlined below correspond to the grading criteria in the Executive Summary Scoring Guide. Be sure that your written analysis addresses each point, at a minimum. You may also want to read the Executive Summary Scoring Guide and Guiding Questions: Executive Summary [DOCX] to better understand how each criterion will be assessed Executive Summary Of Medication Errors Assignment Paper.

Composing the Executive Summary

    • Explain key quality and safety outcomes.
    • Determine the strategic value to an organization of specific outcome measures.
    • Analyze the relationships between a systemic problem in your organization or practice setting and specific quality and safety outcomes.
    • Determine how specific outcome measures support strategic initiatives related to a quality and safety culture.
    • Determine how the leadership team would support the implementation and adoption of proposed practice changes affecting specific outcomes.

Writing and Supporting Evidence

    • Write clearly and concisely, using correct grammar and mechanics.
    • Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Additional Requirements

Format your document using APA style.

    • Use the APA Style Paper Tutorial [DOCX]. Be sure to include:
      • A title page and reference page. An abstract is not required.
      • A running head on all pages.
      • Appropriate section headings.
      • Properly-formatted citations and references.
    • Your summary should be 4–5 pages in length, not including the title page and reference page. Executive Summary Of Medication Errors Assignment Paper

Portfolio Prompt: You may choose to save your executive summary to your ePortfolio.

Competencies Measured

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

    • Competency 1: Analyze quality and safety outcomes from an administrative and systems perspective.
      • Explain key quality and safety outcomes.
      • Analyze the relationships between a systemic problem in an organization and specific quality and safety outcomes.
    • Competency 2: Determine how outcome measures promote quality and safety processes within an organization.
      • Determine how specific outcome measures support strategic initiatives related to a quality and safety culture.
    • Competency 3: Determine how specific organizational functions, policies, processes, procedures, norms, and behaviors can be used to build reliability and high-performing organizations.
      • Determine the strategic value to an organization of specific outcome measures. Executive Summary Of Medication Errors Assignment Paper
    • Competency 4: Synthesize the various aspects of the nurse leader’s role in developing, promoting, and sustaining a culture of quality and safety.
      • Determine how a leadership team would support the implementation and adoption of proposed practice changes affecting specific outcomes.
    • Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
      • Write clearly and concisely, using correct grammar and mechanics.
      • Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Guiding Questions

Executive Summary

This document is designed to give you questions to consider and additional guidance to help you successfully complete the Executive Summary assessment. You may find it useful to use this document as a pre-writing exercise, an outlining tool, or as a final check to ensure that you have sufficiently addressed all the grading criteria for this assessment. This document is a resource to help you complete the assessment. Do not turn in this document as your assessment submission. Executive Summary Of Medication Errors Assignment Paper

Composing the Executive Summary

Explain key quality and safety outcome measures.

  • Why are these outcomes important?
  • Why are these outcomes being measured?
  • What does the data indicate?

Determine the strategic value to an organization of specific outcome measures.

  • To what extent do these measures impact patient care?
  • What are the implications of these effects for a culture of quality and safety?
  • Why it is important to continue to measure these outcomes?
  • What are the potential consequences of not measuring these outcomes?

Analyze the relationships between a systemic problem in your organization or practice setting and specific quality and safety outcomes.

  • What are the specific outcome measures related to the systemic problem you identified in Assessment 1.
  • How, and to what extent, are these outcomes related to the problem?

Determine how specific outcome measures support strategic initiatives related to a quality and safety culture.

  • Review your organization’s or practice setting’s strategic plan.
  • To what extent do the outcome measures relate to the organization’s strategic plan to improve safety and quality?
  • To what extent do these outcome measures promote a culture of quality and safety? Executive Summary Of Medication Errors Assignment Paper

Determine how the leadership team could support the implementation and adoption of proposed practice changes affecting specific outcomes.

  • What specific steps would you expect nurse leaders to take?
  • Why would this approach be effective?

Writing, Supporting Evidence, and APA Style

Consider the purpose of your executive summary, the appropriate tone and style, and the expectations of the executive leaders who will be reading it.

Write clearly and concisely, using correct grammar and mechanics.

  • Express your main points and conclusions coherently.
  • Proofread your writing to minimize errors that could distract readers and make it more difficult to focus on the substance of your summary.

Integrate relevant and credible sources of evidence to support your assertions, correctly formatting citations and references using APA style. Executive Summary Of Medication Errors Assignment Paper

  • Integrate relevant evidence from at least 4 scholarly or professional sources.

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Submission Reminders

  • Have you identified key quality and safety outcomes and explained why they are being measured?
  • Have you determined the strategic value of specific outcome measures?
  • Have you closely examined the relationships between a systemic problem in your organization or practice setting and specific quality and safety outcomes?
  • Have you determined how specific outcome measures support strategic initiatives related to a quality and safety culture?
  • Have you determined how the leadership team would support the implementation and adoption of proposed practice changes and the role of nurse leaders?
  • Are your claims and conclusions well supported by at least 4 sources of credible evidence?
  • Is your analysis properly formatted and 4–5 pages in length, including the title page and reference page?
  • Have you proofread your writing to minimize errors that could distract the audience and make it more difficult to focus on the substance of your presentation? Executive Summary Of Medication Errors Assignment Paper