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Assessment 4: Planning for Change: A Leader’s Vision

Student Name

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Capella University

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Prof Name
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FEB 10, 2023

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Planning for Change: A Leader’s Vision

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Greetings, esteemed colleagues. I extend a warm welcome to each of you as we delve
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into the strategies for minimizing medication errors within our healthcare organization.

Presentation Agenda
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In this presentation, we'll outline a comprehensive plan aimed at reshaping outcomes

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and nurturing a culture of quality and safety within our healthcare institution. We'll start
by underscoring the significance of safety and quality outcomes in healthcare
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organizations. Then, we'll outline crucial elements of the plan designed to bolster a
safety culture. Next, we'll delve into the impact of existing organizational functions,
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processes, and behaviors on safety and quality, particularly concerning medication

errors. Following that, we'll examine current outcome measures related to quality and
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safety, and strategies for enhancing health outcomes. Finally, we'll articulate a
forward-looking organizational vision centered on cultivating and sustaining a safety
culture, with a focus on the pivotal role nurse leaders can play in driving this cultural
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shift. Let's commence.

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Importance of Safety and Quality Outcomes in Healthcare Systems

Safety and quality outcomes are foundational pillars of every healthcare organization,
essential for safeguarding patient well-being. Ensuring patients receive high-quality care
and treatment is not only a fundamental right but also a moral imperative for hospitals.
By minimizing the risk of medical errors and associated complications, healthcare
organizations not only enhance patient safety but also bolster public trust in their
services (WHO, 2021). Moreover, achieving safe and high-quality care fosters a
supportive environment for healthcare professionals, contributing to improved staff
retention rates. Embracing a culture of safety aligns with ethical principles by prioritizing

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patient welfare and striving for optimal health outcomes.

Key Aspects of Plan to Achieve Culture of Safety

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To cultivate a culture of safety in medication management, several critical aspects must
be addressed:

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● Encouraging open communication among healthcare professionals to report
adverse events and near-misses related to medication management.
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● Standardizing medication management procedures to reduce variability and
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errors, with leadership playing a guiding role in adherence to these protocols.
● Establishing a blame-free reporting system to encourage prompt reporting of
adverse events and facilitate proactive interventions.
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● Prioritizing staff training and education on safe medication practices to instill a

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culture of safety within the organization.

Existing Organizational Processes, Functions, and Behaviors Influencing Quality

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and Safety
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Numerous organizational functions and behaviors impact the quality and safety of
medication management. Inadequate interdisciplinary collaboration and communication
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often contribute to medication errors. Leveraging electronic health records (EHR) can
mitigate this issue by ensuring all healthcare professionals have access to accurate
medication information. Additionally, traditional medication management methods are
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prone to errors and can be improved through the adoption of modern technologies such
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as barcode medication administration (BCMA) and computerized physician order entry

(CPOE) (Carver et al., 2019). Proactive measures, including staff education and
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training, can further enhance medication safety and improve patient outcomes.
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Knowledge Gaps, Unknown and Missing Information

Certain knowledge gaps hinder a comprehensive analysis of organizational functions

and their impact on quality and safety. Further research is needed to assess resources
for sustainability plans, leadership commitment to change, and staff acceptance of
proposed changes.

Current Outcome Measures

Various outcome measures are utilized to evaluate the safety and quality of medication
management. These include patient harm, mortality rates, and patient satisfaction,
among others. While these measures offer valuable insights, challenges such as
underreporting by nurses need to be addressed to ensure accurate data collection

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(Roumeliotis et al., 2019).

Steps Required to Achieve Improved Outcomes

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Achieving improved outcomes in medication management necessitates several steps:

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● Collecting and analyzing data on medication errors to identify areas for
improvement.
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● Implementing technological solutions such as CPOE and BCMA to reduce errors.
● Providing comprehensive staff training on medication safety.
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● Empowering leadership to champion change and monitor progress through
outcome measures.
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Assumptions
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This change plan operates under the assumptions that well-trained staff, integrated
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technologies, and effective policies can mitigate medication errors and promote a
culture of safety.
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Future Vision
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Looking ahead, we envision an organization where interprofessional collaboration and

robust leadership drive a culture of safety and quality in medication management.
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Leveraging integrated technologies and prioritizing patient safety will remain central to
our organizational ethos.
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Conclusion
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In conclusion, by addressing critical aspects of safety culture, understanding
organizational influences, and leveraging outcome measures, we can pave the way for
improved medication management outcomes. Through collaborative efforts and
visionary leadership, we can usher in a future where patient safety and quality of care
are paramount.

References:

● Alghamdi, A. A., Keers, R. N., Sutherland, A., & Ashcroft, D. M. (2019).

Prevalence and nature of medication errors and preventable adverse drug events
in paediatric and neonatal intensive care settings: A systematic review. Drug
Safety, 42(12). https://doi.org/10.1007/s40264-019-00856-9

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● Carver, N., Hipskind, J. E., & Gupta, V. (2019, April 28). Medical error. StatPearls
Publishing. https://www.ncbi.nlm.nih.gov/books/NBK430763/
● Guisado-Gil, A. B., Mejías-Trueba, M., Alfaro-Lara, E. R., Sánchez-Hidalgo, M.,

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Ramírez-Duque, N., & Santos-Rubio, M. D. (2019). Impact of medication
reconciliation on health outcomes: An overview of systematic reviews. Research

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in Social and Administrative Pharmacy.
https://doi.org/10.1016/j.sapharm.2019.10.011
● Roumeliotis, N., Sniderman, J., Adams-Webber, T., Addo, N., Anand, V., Rochon,
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P., Taddio, A., & Parshuram, C. (2019). Effect of electronic prescribing strategies
on medication error and harm in hospital: A systematic review and meta-analysis.
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Journal of General Internal Medicine, 34(10), 2210–2223.
https://doi.org/10.1007/s11606-019-05236-8
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● WHO. (2021). Global patient safety action plan 2021-2030: Towards eliminating
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avoidable harm in health care. In Google Books. World Health Organization.

https://books.google.com.pk/books?hl=en&lr=&id=csZqEAAAQBAJ&oi=fnd&pg=
PR7&dq=patient+safety+due+to+better+quality+of+care+delivery&ots=xJZY60ej
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su&sig=6meeh9QZUqr90TDF46Ttk-dorQU&redir_esc=y#v=onepage&q=patient
%20safety%20due%20to%20better%20quality%20of%20car
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