Assessment 3: Improvement Plan In-Service Presentation

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Student Name

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Capella University

Course Name

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Prof Name
PX FEB 24, 2024
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Presentation Overview:
Hello, I'm ____, and today I'll be discussing a plan to enhance patient safety by reducing
medication errors during care. Let's explore the goals and strategies of this initiative.
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Session Objectives:
1. Examine the prevalence and consequences of medication errors.
2. Highlight the need for improving medication safety.
3. Suggest methods to strengthen medication safety.
4. Define the roles of participants in the safety plan.
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5. Provide resources and activities for skill development and understanding.

Medication Errors:
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These errors include giving the wrong drug or dose, using the wrong route, timing, or patient.
Studies show nurses spend about 40% of their time on medication, increasing error chances
(Obua, 2019). Thus, addressing these errors is crucial.
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Enhancing Medication Safety:

Hospitals report around 6.5 medication error-related adverse events per 100 admissions
(Carver & Hipskind, 2019). Over half occur during administration, a critical interception point. A
review found a 25.2% error rate during hospital administration, with severe harm or fatalities
linked to these errors (Azar et al., 2023).
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Improvement Plan:
Medication errors have significant costs and impact patients, families, staff, institutions, and
communities. They risk lives, lengthen hospital stays, and raise expenses. Therefore, a safety
plan is essential to address this public health issue.

Strategies for Medication Safety:

1. Promote incident reporting and a blame-free culture.
2. Encourage teamwork among different healthcare disciplines.
3. Utilize health technology to prevent adverse events and train staff in its use.

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Audience Role:
Active involvement from stakeholders is crucial. Healthcare organizations must engage
professionals, leaders, IT, finance, and quality improvement teams to develop effective plans.

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Resources and Activities:

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Utilize engaging resources and activities to educate staff and develop skills. This includes
checklists, simulated exercises, and interactive workshops.
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Conclusion:
Improving medication safety requires evidence-based plans. In-service sessions are vital for skill
enhancement, while interactive exercises aid in skill development and safety initiatives.
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References
Azar, C., Raffoul, P., Rizk, R., Boutros, C., Saleh, N., & Maison, P. (2023). Prevalence of
medication administration errors in hospitalized adults: A systematic review and
meta‐analysis up to 2017 to explore sources of heterogeneity. Fundamental & Clinical
Pharmacology. https://doi.org/10.1111/fcp.12873

Carver, N., & Hipskind, J. E. (2019). Medical error... StatPearls. Treasure Island (FL):
StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK430763

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Chegini, Z., Kakemam, E., Asghari Jafarabadi, M., & Janati, A. (2020). The impact of
patient safety culture and the leader coaching behavior of nurses on the intention to

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report errors: A cross-sectional survey. BMC Nursing, 19(1).
https://doi.org/10.1186/s12912-020-00472-4

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Kuitunen, S. (2022). Medication safety in intravenous drug administration: Error causes
and systemic defenses in the hospital setting. Helda. Helsinki. fi.
PX
https://helda.helsinki.fi/items/5441c513-bff7-4d79-b448-98954e2064a7

Labrague, L. J., Al Sabei, S., Al Rawajfah, O., AbuAlRub, R., & Burney, I. (2021).
Interprofessional collaboration as a mediator in the relationship between nurse work
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environment, patient safety outcomes, and job satisfaction among nurses. Journal of
Nursing Management, 30(1). https://doi.org/10.1111/jonm.13491

Manias, E., Kusljic, S., & Wu, A. (2020). Interventions to reduce medication errors in adult
medical and surgical settings: A systematic review. Therapeutic Advances in Drug
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Safety, 11(1), 1–29. https://doi.org/10.1177/2042098620968309

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Obua, U. (2019). Strategies for Reducing Medication Errors in an Outpatient Internal

Medicine Clinic – ProQuest.
https://www.proquest.com/openview/1933b2fc7c5bf1d708e99a9e150fe328/1?pq-orig
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site=gscholar&cbl=18750&diss=y

Waweru, E., Sarkar, N. D. P., Ssengooba, F., Gruénais, M. – E., Broerse, J., & Criel, B.
(2019). Stakeholder perceptions on patient-centered care at primary health care level in

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rural eastern Uganda: A qualitative inquiry. PLOS ONE, 14(8), e0221649.
https://doi.org/10.1371/journal.pone.0221649

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