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Executive Summary
NURS FPX 6212 Assessment 2 Quality and safety outcomes are the core structural components in the health care organization that involve evidence-based care and acknowledge the abnormalities in the results so that modifications can be achieved to overcome the gaps. The system issue to be addressed in this case shall be Medication errors at the identified healthcare organization, the Vila Health facility. Some of the aid includes the assessment of the result, such as compliance with the developed EBP guideline, mortality ratios, client satisfaction, and the occurrence of incidents.
Explaining Key Quality & Safety Outcome
Quality outcomes in the healthcare organization are used as indicators by which to judge the nurses or the measures and efforts made in considering the given healthcare issues. The outcomes that are mainly evaluated primarily for medication error are the satisfaction level of the patient, patient self-report, patient mortality level, and the readmission of the patient. There can be financial and process results, such as whether the guidelines were followed, how much the cost per patient is, or the number of days of the patient’s stay. Quality and safety are significant aspects that need to be evaluated to estimate the scale of the problem. For instance, in cases of medication errors, there is a decline in the quality treatment outcomes of patients’ satisfaction and the confidence the patients have in healthcare facilities (Tariq et al., 2022).
NURS FPX 6212 Assessment 2 the strength of these outcome measures is that those who receive healthcare services in a particular organization will have a reference point for better service provision; the areas of pullouts are identified so that specific efforts can be devoted to them; this increases accountability or offers standardized and quantifiable methods of evaluating the healthcare organization.
The weakness of these outcome measures is the fact that the collection of data and the time-consuming process of assessment of the collected data takes a lot of time and effort. It may not portray views that are totally aligned with the healthcare providers and the patients. Outcome measures also have to include the external factors that affect the said outcomes. To illustrate, in the field of healthcare, age could also influence mortality rates, gender as well as socioeconomic status apart from medication errors. There is also the possibility of distortion; for instance, to tackle the issue of medication errors, instead of changing nurses’ behavior through interventions, the organization may have harsh penalties for the healthcare providers, and as a result, there are fewer cases knowingly due to the severe consequences.
Determining the Strategic Value
The two sets of measures related to patient safety and quality outcomes have strategic implications that must be considered. They are critical because they contribute to the accomplishment of an organization’s objectives and facilitate the formulation of change strategies. They can be beneficial to the organization in the following way: depending on the quality and safety issues to identify directions in which there could be an improvement to decrease the medication error rate and improve patient satisfaction. Thus, the organization can identify areas where the staff is insufficient or if poor performance is happening within the institution. NURS FPX 6212 Assessment 2, optimization of medication administration procedures can enhance the finding of high readmissions forked to medication maladministration (Uitvlugt et al., 2021). The safety and quality, therefore, can open the organization’s value to other stakeholders such as the patient, clinician, or nurse.
NURS FPX 6212 Assessment 2 Levels of Patient Satisfaction
For instance, outcome measures such as high levels of patient satisfaction may help the clinics attract more clients for the treatment. This can increase revenue and make everything cheaper. It also uses outcome measures in decision-making processes regarding change in different areas or interventions. For instance, the intervention of the bar-code medication administration system (BCMA) should be considered after assessing the quality and safety improvement measures in mortality rates. BCMA has especially been vital in reducing medication errors in that it offers intelligent tools that check prescriptions’ safety on their own. Consequently, it lays the foundation for a timely culture of safety (Naidu & Alicia, 2019).
The current outcome measures can create more value in the organization by putting all the measures together, such as patient satisfaction, adverse events, readmission, and mortality rates among patients in an organization, to give a deeper understanding of organizational performance. It is possible to see if the mission and the goals of an organization are being fulfilled through the trends that are studied using graphs, charts, etc.
Analyzing Relationships Between Medication Errors & Quality and Safety Outcomes
Medication errors are increasing, and research shows that they are a grave concern to Vila’s health because they result in adverse events and fatalities; thus, the correlation between medication mistakes and quality and safety measures must be understood. The descriptive research variables that were investigated included the safety and quality markers of adverse events, patient satisfaction, duration of stay, mortality rate, and readmissions. Factors that lead to medication errors are mostly Staff’s poor understanding of the type of medicines given, failure to communicate with other staff, high workload, and working conditions. Such factors incline toward medication errors, which, hence, culminate inpatient complications as well as adverse events (Neugebauer et al., 2021).
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Complications affect the health of patients and increase health expenses. Medication errors also relate to quality outcomes since medication errors and adverse events with complications prolong hospitalization for additional treatment, adding to the costs and reducing the impact on patients (Rasool et al., 2020). As a result of all this, medication errors lower the patients’ satisfaction, hence a decline in healthcare delivery reputation and patient confidence. Such adverse effects also contribute to readmission to the hospital, which is harmful to the patients.
NURS FPX 6212 Assessment 2 relevant information that could be obtained to paint a better picture of medication errors is detailing the causes of the errors by using root-cause analysis. The rate and different subcategories of medication errors, the severity level of these errors, and the correlation with the education level of the healthcare providers can be quantified.
NURS FPX 6212 Assessment 2 Strategic Initiatives
The measures that can be strategic for a culture of safety and quality regarding the patient satisfaction outcome measure are the following: The improvement of educational patient programs for medication safety that enhance the patient’s knowledge and self-efficacy (Cha et al., 2021). Surveys and questionnaires can be administered to the patients so as to rate their medical experience and their level of satisfaction. The initiative for the outcome measure for the length of stay can be giving training to all the healthcare providers to have confidence in avoiding medication errors, such as providing training or related workshops. There could be the use of technology such as BCMA in checking prescriptions too to avert risk and adverse events that may hinder the patient’s stay for a long time at the hospital (Naidu and Alicia, 2019). It can also be possible to create a medication safety committee in charge of reviewing the trends of medication errors and causes for the outcome measure of adverse events.
The vision of the Vila Health strategic plan is to put patient safety first by eliminating the possibility of adverse events occurring in the health facility with the involvement of human traffic as a cause. Since escalating cases of Medication Errors characterize the current situation, the organization has to conform to technological interventions such as BCMA, undergo an overhaul of workforce issues, consider the absence of competency and training, and deficient disparities in healthcare.
Leadership Team Supporting Adoption of Proposed Practice
A leadership team is, therefore, crucial when it comes to change in safety and quality outcomes. The leadership team plays its role in the accumulation and supply of the resources required for the execution of the changes outlined before. The resources can comprise equipment, staffing, and finances to train the healthcare providers to eliminate medication errors. The leadership team will also improve unity and cooperation by involving all the stakeholders and communicating the stakeholders’ initiatives for the changes. The leadership team has understood the importance of inter-professional collaboration in the provision of patient care and the profession’s shared kingdom and quality improvements).
Conclusion
This paper will demonstrate that safety and quality outcomes are at the core of the healthcare problem of medication errors. NURS FPX 6212 Assessment 2 signifies that the best ways of improving the patient’s overall healthcare and the general level of satisfaction and minimizing the number of adverse event cases are the use of technologies such as BCMA, staff educational programs, and patient educational programs. Similar to change implementation, leadership is also crucial to the change process since it is the leaders who drive changes.
References
Cha, S. S., Kim, M., Moon, H. S., & Lee, E. (2021). Development and effectiveness of a patient safety education program for inpatients. International Journal of Environmental Research and Public Health, 18(6), 3262. https://doi.org/10.3390/ijerph18063262
Naidu, M., & Alicia, Y. L. Y. (2019). Impact of bar-code medication administration and electronic medication administration record system in clinical practice for an effective medication administration process. Health, 11(05), 511–526. https://doi.org/10.4236/health.2019.115044
Neugebauer, J., Tóthová, V., Chloubová, I., Hajduchová, H., Brabcová, I., & Prokešová, R. (2021). Causes and interventions of medication errors in healthcare facilities. Příčiny a intervence medikačního pochybení ve zdravotnických zařízeních. Ceska a Slovenska farmacie : casopis Ceske farmaceuticke spolecnosti a Slovenske farmaceuticke spolecnosti, 70(2), 43–50.
Oreg, S., & Berson, Y. (2019). Leaders’ impact on organizational change: Bridging theoretical and methodological chasms. Academy of Management Annals, 13(1), 272–307. https://doi.org/10.5465/annals.2016.0138
Rasool, M. H., Rehman, A. U., Imran, I., Abbas, S., Shah, S., Abbas, G., Khan, I., Shakeel, S., Hassali, M. A., & Hayat, K. (2020). Risk factors associated with medication errors among patients suffering from chronic disorders. Frontiers in Public Health, p. 8. https://doi.org/10.3389/fpubh.2020.531038
Tariq, R., Vashisht, R., Sinha, A., & Scherbak, Y. (2022). Medication Dispensing Errors And Prevention. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK519065/
Uitvlugt, E. B., Janssen, M. J. A., Siegert, C. E., Kneepkens, E., Van Den Bemt, B. J. F., Van Den Bemt, P. M. L. A., & Karapinar-Çarkit, F. (2021). Medication-related hospital readmissions within 30 days of discharge: Prevalence, preventability, type of medication errors and risk factors. Frontiers in Pharmacology, 12. https://doi.org/10.3389/fphar.2021.567424