NURS FPX 4020 Assessment 2 Root-Cause Analysis and Safety Improvement Plan - NURS FPX 4020 Assessment 2 Root-Cause Analysis and Safety Improvement Plan

NURS FPX 4020 Assessment 2 Root-Cause Analysis and Safety Improvement Plan - NURS FPX 4020 Assessment 2 Root-Cause Analysis and Safety Improvement Plan

 

Identifying the main reason behind a problem helps in avoiding those problems in the future and also helps with making a safety improvement plan that focuses on avoiding those problems and decreasing the adverse events that happen because of those problems. When an event happens in the hospital the nursing staff needs to make sure to study all the factors and then describe the root cause. Correct identification of the root cause will play a key role in making a safety improvement plan that improves the quality of care and patient safety in the healthcare organization. Communication is most commonly considered the main problem in the adverse events happening in hospitals so a well-coordinated system is required to be maintained (Martin-Delgado et al., 2020). 

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Analysis of the Root Cause Related to Hypoglycemia Medication Administration in an Organization

Every disease has its treatment if a person cannot recover fully the most advanced level of treatment is done to make sure the patient feels better than before or at the time he or she came to the hospital. Hypoglycemia is a disease where the blood sugar level of the patient drops. This mostly happens with diabetic patients who are taking medications or are on insulin. This condition can turn life-threatening if not treated on time. If not treated on time patients can even faint and not respond properly. Nurses carried out a root cause analysis of the patients suffering from Hypoglycemia and the solutions advised were having an interdisciplinary approach towards the patients and having a well-coordinated system that takes care of the patient’s needs and supervises and monitors the vitals of the patients to avoid the adverse effects that might be caused by errors. There are several medication errors as well that needs to be avoided such as there are times when due to lack of communication overdose occurs and that can even risk the lives of the patients. It is important to understand the value of a well-coordinated system as while giving them medicines for other reasons like depression or anxiety their current condition of hypoglycemia should be kept in mind as there have been several cases of side effects of the medication advised for other health condition colliding with the current condition. The nurses need to intervene in such cases to reduce the impact and make sure patient safety is maintained. The root cause analysis carried out by the nurses always helps in better understanding and solutions for the patient’s safety and quality of care in the healthcare organization (Shea et al., 2019). 

Application of Evidence-Based Strategies and Best Practices Strategies 

Ensuring patients’ safety and quality of care in the hospital is not something only nurses have to take care of but also the other healthcare professionals should be responsible enough to make sure there are no margins of error that might lead to compromising the quality of care or patient’s safety. It is really important to educate nurses about the factors that can have an impact on the patients’ health. There should be an interactive session in the healthcare organization to make sure the care coordination is being practiced. Coordination and communication are two main elements that are interconnected but these elements contribute the most to maintaining patient safety. As mentioned above medication errors occur there are cases where not understanding the value of coordination has created a mess. The nurses should double-check the prescribed medicines received at the pharmacy by the patients as there are chances of not receiving the right medicines another role of nurses should be when their shift ends they need to inform the next one on the shift about the patient’s health and all the given medications so that the chances of overdosage are minimized (Horntvedt et al., 2018). The patients not taking insulin require a higher level of medical attention as compared to the ones on insulin. The patients should be given the right attention and advice in terms of their diet and the fasting protocols they need to follow. Diabetes patients are advised to take meals within a certain described time frame as that keeps their bodies normal and the required nutrients are received. The best strategy is to adopt an approach that reduces the risk margins in the patients by informing them about the self-management ways through which in case of emergency they can treat themselves. The use of Insulin and Sulfonylurea increases the risk of hypoglycemia so healthcare professionals should carry out a complete test to reduce medication errors and should not prescribe until the case is clear. A team working approach

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