NURS FPX 4020 Assessment 4 Attempt 1 Improvement Plan Tool Kit

NURS FPX 4020 Assessment 4 Attempt 1 Improvement Plan Tool Kit

Reiner, G., Pierce, S. L., & Flynn, J. (2020). Wrong drug and wrong dose dispensing errors are identified in pharmacist professional liability claims. Journal of the American Pharmacists Association, 60(5), e50–e56. https://doi.org/10.1016/j.japh.2020.02.027

This study gathered the data for the claims of the wrong dose of dispensing errors and wrong drug dispensing errors. The study showed that with automation and technology the claims of wrong drug dispensing error decreased from 43.8% in 2013 to 36.8% in 2018, whereas, the wrong dose claims in 2013 were 31.5% and it decreased to 15.3%. The study concluded that even with smarter systems the wrong dose and drug dispensing errors continue to occur due to system or human factors. This supports the implementation of an improvement initiative. This resource is helpful for the nurses in a managerial position to realize that human factors contribute the most to dispensing errors and with the right training for the staff, these factors could be improved and minimized. In a case where implementation of technology was considered to avoid errors without recognizing the human factors, then technology would not prove to be as helpful as even the smarter technological systems require great human skills. 

Hoffman, L., & Bacon, O. (2020). Making healthcare safer iii: A critical analysis of existing and emerging patient safety practices [Internet]. [E-book]. Agency for Health Care Research and Quality. NURS FPX 4020 Assessment 4

This book talks about how 72.9% of the hospitals in the US are using smarter infusion pumps and many organizations have identified them to be safer as they have safety features like an alarm system. The Institute of Medicine has suggested the adoption of smarter infusion pumps as an effective intervention to reduce medication errors. But along with this, this book emphasizes the education of nurses, protocols, and workflows to be an important part of the system to make sure that the implementation of such technologies is successful. Standardization and streamlining of the workflow are important facilitators. All of these reviews were supported by credible studies. This is again helpful for the administration and managerial nurses to recognize the importance of providing protocols, guidelines, and education so the nurses have steps to follow through when working with technology. For example, in a case where nurses are unaware of the workflows with technology, the technology implementation would fail and it would instead become time-consuming because the nurses would spend time figuring out the system.

Implementing Quality & Safety Improvements in Medication Administrations

Hanson, A., & Haddad, L. (2021). Nursing rights of medication administration [E-book]. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK560654/

This book identifies the nurse’s responsibility when administering medications to patients. It claims nurses have a standard guideline of instructions to minimize patients’ risks. It bases the instructions on the implementation of five “rights” which includes the sequence of:

• Right Patient
• Right Drug
• Right Route
• Right Time
• Right dose

This makes sure that a correct recipient is identified before prescribing a medication, the right drug is being administered to the patient by making sure the name of the patient and the drug, nurses should be educated about the safe delivery of drugs, drugs should be administered at the right time, and the correct concentration should be given. This resource is helpful for registered nurses, emergency room nurses, and students of nursing as it provides a guideline for the nurses to follow through. Emergency room nurses can highly benefit from this as they would have a checklist of these five rights to quickly double-check when a patient suddenly arrives in the ER needing quick treatment making the chances of error happening to rise. For example, in a case where nurses do not have such protocols to make sure safe medication administration, the nurses might be unsure or feel lost as to if they followed the right track. 

Khalil, H., & Lee, S. (2018). The implementation of a successful medication safety program in primary care. Journal of Evaluation in Clinical Practice, 24(2), 403–407. https://doi.org/10.1111/jep.12870