Assessment 4: Improvement Plan Tool Kit
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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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Enhancement Plan Toolkit: Elevating Medication Safety
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Implementing a safety enhancement plan requires the effective dissemination of pivotal
information to pertinent stakeholders. In healthcare environments, such information, drawn from
authentic, credible, and evidence-based sources, is pivotal for instituting a justified safety
enhancement plan. This toolkit, dedicated to tackling Medication Administration Errors (MAEs),
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is meticulously crafted using databases such as Google Scholar, PubMed Central, Capella
Online Library, CINAHL, ScienceDirect, and JSTOR. Its primary objective is to empower nurses
and nurse leaders with comprehensive knowledge and insights, ensuring the successful
execution of a medication safety improvement plan.
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Toolkit for Resource Implementation and Sustainability
This resource toolkit organizes information into four easily comprehensible sections:
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1. Risk Factors of MAEs:
- Assunção-Costa et al. (2022) conducted an observational study to identify factors associated
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with medication administration errors, highlighting interruptions, excessive workload, and errors
in administration routes as significant contributors. The study underscores the importance of
understanding these factors for implementing sustainable safety improvement plans.
- Rostami et al. (2019) explored medication omission errors, emphasizing factors such as high
medication prescription volumes leading to missed doses. The study suggests strategies for
identifying high-risk populations and implementing effective safety improvement plans.
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- Wondmieneh et al. (2020) identified factors like lack of training, experience, absence of
standardized guidelines, and disruptions during administration and night shifts contributing to
medication administration errors. The study recommends educational training and creating
supportive environments for nurses to enhance medication safety.
2. Role of Nurses and Managers in Medication Safety:
- Abdulmutalib & Safwat (2020) outline nursing strategies for reducing medication errors,
emphasizing interventions by nurse managers to enhance medication safety.
- Lappalainen et al. (2019) explore the impact of transformational leadership on medication
safety, highlighting its role in fostering a trustworthy and supportive environment conducive to
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safety.
- Nurmeksela et al. (2021) correlate nurse managers' work activities, nurses' job satisfaction,
patient satisfaction, and medication errors, proposing strategies for improving patient safety
through supportive management practices.
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3. Medication Error Reporting:
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- Afaya et al. (2021) identify barriers to reporting medication administration errors and
recommend creating an enabling environment with minimal punishments and educating nurses
on reporting systems.
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- Mutair et al. (2021) review effective strategies to prevent medication errors and enhance
reporting systems, emphasizing the role of nurse managers in encouraging prompt error
reporting.
- Unal & Seren İntepeler (2019) focus on the development and impact of medical error
reporting software programs, highlighting their significance in promoting a culture of patient
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safety among healthcare professionals.
4. Evidence-based Solutions:
- Larson & Lo (2019) recommend the implementation of computerized provider order entry
and bar-coded medication administration systems to prevent medication errors.
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- Manias et al. (2020) propose interventions such as provider education, medication
reconciliation, and interprofessional collaboration to reduce medication errors.
- Salar et al. (2020) suggest strategies such as healthcare professional training, improving
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nurses' ability to read medication orders, and accreditation for safe medication administration
practices.
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Conclusion
This improvement plan toolkit offers credible and relevant resources for stakeholders to enact
positive changes in medication safety. By emphasizing professional training, standard guideline
establishment, technological integration, and interprofessional collaboration, it aims to elevate
the quality of care and prioritize patient safety.
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References
Abdulmutalib, I., & Safwat, A. (2020). Nursing strategies for reducing medication errors.
Egyptian Journal of Nursing and Health Sciences, 1(1), 26–41.
https://doi.org/10.21608/ejnhs.2020.80266
Afaya, A., Konlan, K. D., & Kim Do, H. (2021). Improving patient safety through identifying
barriers to reporting medication administration errors among nurses: An integrative review. BMC
Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-07187-5
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Assunção-Costa, L., de Sousa, I. C., Silva, R. K., do Vale, A. C., Pinto, C. R., Machado, J. F.,
Valli, C. G., & de Souza, L. E. (2022). Observational study on medication administration errors
at a University Hospital in Brazil: Incidence, nature, and associated factors. Journal of
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Pharmaceutical Policy and Practice, 15(1). https://doi.org/10.1186/s40545-022-00443-x
Lappalainen, M., Härkänen, M., & Kvist, T. (2019). The relationship between nurse manager’s
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transformational leadership style and medication safety. Scandinavian Journal of Caring
Sciences, 34(2), 357–369. https://doi.org/10.1111/scs.12737
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Larson, K., & Lo, C. (2019). Potential cost savings and reduction of medication errors due to
implementation of computerized provider order entry and bar-coded medication administration
in the Fraser Health Authority. Univ Br C Med J, 10, 45-46.
https://med-fom-ubcmj.sites.olt.ubc.ca/files/2019/03/Commentary-14.pdf
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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 Safety, 11,
204209862096830. https://doi.org/10.1177/2042098620968309
Mutair, A. A., Alhumaid, S., Shamsan, A., Zaidi, A. R. Z., Mohaini, M. A., Al Mutairi, A., &
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Al-Omari, A. (2021). The effective strategies to avoid medication errors and improve reporting
systems. Medicines, 8(9), 46. https://doi.org/10.3390/medicines8090046
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Nurmeksela, A., Mikkonen, S., Kinnunen, J., & Kvist, T. (2021). Relationships between nurse
managers’ work activities, nurses’ job satisfaction, patient satisfaction, and medication errors at
the unit level: A correlational study. BMC Health Services Research, 21(1).
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https://doi.org/10.1186/s12913-021-06288-5
Rostami, P., Heal, C., Harrison, A., Parry, G., Ashcroft, D. M., & Tully, M. P. (2019). Prevalence,
nature and risk factors for medication administration omissions in English NHS Hospital
Inpatients: A retrospective multicentre study using medication safety thermometer data. BMJ
Open, 9(6). https://doi.org/10.1136/bmjopen-2018-028170
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Salar, A., Kiani, F., & Rezaee, N. (2020). Preventing the medication errors in hospitals: A
qualitative study. International Journal of Africa Nursing Sciences, 13, 100235.
https://doi.org/10.1016/j.ijans.2020.100235
Unal, A., & Seren İntepeler, S. (2019). Medical error reporting software program development
and its impact on pediatric units’ reporting medical errors. Pakistan Journal of Medical Sciences,
36(2). https://doi.org/10.12669/pjms.36.2.732
Wondmieneh, A., Alemu, W., Tadele, N., & Demis, A. (2020). Medication administration errors
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and contributing factors among nurses: A cross-sectional study in tertiary hospitals, Addis
Ababa, Ethiopia. BMC Nursing, 19(1). https://doi.org/10.1186/s12912-020-0397-0
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