4010BSN NURS FPX 4010 Assessment 4: Stakeholder Presentation ​​​​​​​Plan Proposal For Medication Errors CAPELLA UNIVERSITY SCHOOL OF NURSING AND HEALTH SCIENCES

Mar 2021

Content

NURS FPX4010 Assessment 4: Stakeholder Presentation

• Organizational and patient issue of medication errors
• Evidence-based interdisciplinary plan
• Implementing interdisciplinary plan
• Managing human and financial resources
• Evidence-based criteria to evaluate success of plan
• Evidence-based criteria to evaluate the outcomes

NURS FPX4010 Assessment 4: Stakeholder Presentation

Medication errors

• Near misses and adverse effects may harm the patients
• Medication errors are one of the major reasons for adverse effects
• The errors affect organizational functions and processes 
• Medication errors increase work burden
• Medication errors lead to blame culture and conflicts
• It is difficult to identify errors at times

Types of medication errors

• Ordering or prescription errors
• Transcribing errors
• Documenting errors
• Dispensing errors
• Administering errors
• Dosage errors

NURS FPX4010 Assessment 4: Stakeholder Presentation

Effects of medication errors

• Delayed care
• High cost of care
• Mortality and morbidity
• Long-term side effects
• Sense of guilt, disappointment, fear and inadequacy
• Lower patient trust 

PDSA Cycle

• Plan
  • Identify and create a team
  • Create aim and objectives
  • Analyze current approach
  • Identify potential interdisciplinary solution

NURS FPX4010 Assessment 4: Stakeholder Presentation

Evidence-based interdisciplinary plan

• Do phase
  • Role-based interdisciplinary team
  • Error reporting system with physician order entry
  • Direct communication channel in reporting system
  • Checklist to compare prescription, EHR, dosage, and medicine
  • Bar-code-based medication system
  • Shared decision-making with root-cause analysis

Evidence-based interdisciplinary plan

• Report any changes in packaging or brand
• Do not use abbreviations
• Limit interferences during drug administration through
  • Tabards
  • Nurse collaboration 
• Communication protocols for faster response

Study and Act Phase

• Examine the results to check
  • Analyze error rates
  • Calculate response rate
  • Compare cost with benefit
  • Analyze burnout and perspectives
  • Analyze patient satisfaction
  • Observed side-effects
  • Identify need for change

Managing Financial & human resources

• Motivate the health care professionals to increase performance
• Increase nurse to patient ratio
• Manage burden and schedule the work
• Solve conflicts
• Provide support, incentives, and resources
• Procure error reporting, bar-code, and checklist system
• Manage finances without compromising with quality of care

NURS FPX4010 Assessment 4: Stakeholder Presentation

Criteria to evaluate success

• Reduced medication errors
• Increase in response rate
• Reduction in cost
• Reduction in burnout
• Increase in patient satisfaction

Criteria

• Faster root-cause analyze
• Increase in effective communication
• Higher job satisfaction
• Increased trust in patients
• Increased computer science competencies and skills 

NURS FPX4010 Assessment 4: Stakeholder Presentation

Conclusion 

Medication errors include prescription, dispensing, dosage calculation, and drug administration errors. As stakeholders’ units are involved, an integrated system with EHR, medication reporting and communication, bar-code, tabards to reduce interferences, a checklist for verification, and education and training staff are beneficial in reducing errors and promote quality culture. 

References

• Bosma, B., Hunfeld, N., Roobol-Meuwese, E., Dijkstra, T., Coenradie, S., & Blenke, A. et al. (2020). Voluntarily reported prescribing, monitoring and medication transfer errors in intensive c