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Techniques to Improve the Quality of Healthcare and Patient Safety

Introduction

Nurses can conduct their actions based on a framework that enables them to administer medication and healthcare most effectively to enhance patient survival and safety. The task involves the development of a healthcare toolkit needed to direct and assist nurses in implementing effective healthcare systems that enhance successfulness in treatment, diagnosis, and disease prevention. A robust healthcare program should develop a culture characterized by safety, competence, accuracy in diagnosis, quick recovery, and sustainable provision of healthcare facilities.

Annotated Bibliography

Efficient Organizational Safety and Robust Best Practices

Armstrong, G. E., Dietrich, M., Norman, L., Barnsteiner, J., & Mion, L. (2017). Nurses’ perceived skills and attitudes about updated safety concepts: Impact on medication administration errors and practices. Journal of Nursing Care Quality, 32(3), 226-233. doi:10.1097/NCQ.0000000000000226

The article seeks to provide a workable solution concerning the challenges

during the administration phase of human treatment that includes close to 25 percent of medical

errors that can lead to death or delayed recovery. The bedside nurse is the technician who is most

likely to make such medical mistakes and risk the safety of the patients. Therefore, it is important to

evaluate the need for improved safety techniques that facilitate the enhancement of skills and

treatment attitudes of bedside nurses. The impact of medication errors can be significant. It may

lead to adverse effects that include physical injury, poisoning because of drug-related errors, and

failure to observe effective medication systems. Research concerning efficient medical

interventions is important to maintain the planned time of stay in the hospital and unnecessarily

increase the cost of medication for innocent patients. The research identifies the reasons for

advanced drug effects, including drug reactions, therapeutic mistakes, and failure of diagnosis

and treatment procedures. Therefore, the medication errors that are responsible for close to 25%

of adverse drug effects are preventable, and therefore competent practice needs to help

protect patients’ health.

Fleiszer, A. R., Semenic, S. E., Ritchie, J. A., Richer, M., & Jean-Louis, D. (2015). An organizational perspective on the long-term sustainability of a nursing best practice guidelines program: A case study. BMC Health Services Research, 15 Retrieved from http://library.capella.edu/login?qurl=https%3A%2F%2Fsearch.proquest.com%2Fdocview%2F1779552422%3Facco.

Healthcare implementations and treatment systems require effective innovations for a sustained framework for long-term needed for effective efforts to protect patients’ health. Proper creation of firm foundations is important to implement the desperately required basis for quality healthcare systems. The research seeks to identify the improvements needed to improve the healthcare innovations that are important to enhance sustainability through robust best practices and innovations needed to improve the success of medication interventions. The research team conducted a qualitative case study to identify the resources and processes needed to implement a sustainable program for nursing departments at organizational levels. The sustainability model requires a combination of procedures that uphold the development of quality institutionalization models, proper identification of the system’s benefits, and diligent development. Therefore, it is important to understand that effective initial development and creation of an effective foundation for medication models do not guarantee successful long-term sustainability for healthcare programs. Sustainable development programs develop under proper organizational programs, innovation, and continuous leadership structures to spearhead sustainable healthcare systems.

Lavenberg, J. G., Cacchione, P. Z., Jayakumar, K. L., Leas, B. F., Mitchell, M. D., Mull, N. K., & Umscheid, C. A. (2019). Impact of a Hospital Evidence‐Based Practice Center (EPC) on Nursing Policy and Practice. Worldviews on Evidence-Based Nursing, 16(1), 4–11. https://doiorg.library.capella.edu/10.1111/wvn.12346.

The researchers conducted a healthcare study in 2006 and realized that patient care delivery needs to be high quality, safe, and of significant value that support nursing excellence.

Synergistic operations are important in organizational excellence because they improve staff quality

as they participate in building effective programs that ease the survival of patients in

challenging medical operations. These aspects have led to a research exercise to

examine the innovations needed to improve healthcare policy-making and best practices needed

to enhance the excellence of the Quadruple Aim framework that helps make successful

healthcare programs. The research method for the study exercise included creating a descriptive

analysis of most hospital databases and a review of the information systems that hospital systems

use to implement effective medication programs. The researchers also administered an electronic

questionnaire to nurses willing to provide insights concerning quality healthcare

programs. The majority of the nurses called for a review of the nursing processes and medication

systems.

Aspects of Environmental Safety and Risk-Related Qualities.

Mohanty, S. (2016). Awareness of medication error, medication management, and prevention among staff nurses in Odisha IMS &Sum hospital. Nitte University Journal of Health Science, 6(4), 18-22. Retrieved from http://library.capella.edu/login?qurl=https%3A%2F%2Fwww.proquest.com %2Fdocview%2F1888702130%3Faccountid%3D27965

Mohanty (2016) conducted a study to evaluate the skill and technical knowledge of staff nurses as a vital assessment of their ability to prevent medical errors and ineffective management of medical systems. The role of nurses in administering healthcare services is to ensure that the system upholds proper medical order and medication administration for effective health practices. The method for the research activity involved the creation of a descriptive approach to collect data concerning medication practices. The results for the study reveal that a significant proportion, close to 39%, of the nurses, reported that medication errors are likely to occur because the poor reading of treatment instructions and improper labeling of drugs can help eliminate medication errors. Other human based-factors like fatigue, burnout, and heavy workload can increase inefficiencies in treatment models. Medication administration is important for nurses as it increases the effectiveness of healthcare programs. Error-free medication involves proper skills and knowledge needed to understand the challenges a person can face when administering healthcare. Therefore, it is important to equip nurses and medication personnel with sufficient skills to improve an error-free medication.

Getnet, M. A., & Bifftu, B. B. (2017). Nurses experienced work interruption during the medication administration process and associated factors in northwest Ethiopia. Nursing Research and Practice, 2017, 8937490-7. doi:10.1155/2017/8937490

The background of the research exercise is the increased medication administration errors that can adversely affect the treatment and recovery of a patient as they undergo the end-to-end healthcare processes from preparation, documentation, and provision of care facilities that can have significant interruptions. The role of the research process is to identify the challenges that lead to medication interruptions and the related impacts that cause impaired administration processes. The method for the healthcare organizations study involved a prospective-based observation model that seeks to understand the aspects of cross-sectional operations. The research identified that a substantial percentage of nursing personnel had experienced effective interruptions caused by insufficiencies in the care programs. The severity of work interruptions can effectively risk the healthcare effectiveness of a treatment program.

Wondmieneh, A., Alemu, W., Tadele, N., & Demis, A. (2020). Medication administration errors and contributing factors among nurses: A cross-sectional study in tertiary hospitals, Addis Ababa, Ethiopia. BMC Nursing, 19(1), 4. doi:10.1186/s12912-020-0397-0.

The study seeks to identify the unsafe medication practices that can lead to harmful patient impacts, including injury and poisoning, aspects that healthcare organizations can avoid. Healthcare institutions can understand the effects of a particular medication error to improve the quality of healthcare processes in tertiary care systems. The healthcare research system used hospital-based methods involving a self-administered model comprising a survey questionnaire and multi-variate logistic regression analysis process to understand the various administration errors that nurses report and the challenges they face that may lead to unforeseen errors. The results showed that about 98% of the nurses accept that healthcare professionals are likely to have significant medical administration errors. Among these nurses, a huge percentage, close to 68%, have committed minor or major healthcare administration errors that had various impacts on the patients, like delayed recovery. Therefore, medication administration error elimination is an essential but sophisticated operation that threatens the safety of patients.

Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Medical Journal, 38(12), 1173-1180. doi:10.15537/smj.2017.12.20631

The item that encouraged the researchers to conduct the study was the urge to identify the essential clinical and laboratory service requirements needed for safety and efficiency in care programs. The experts uncovered the clinical and laboratory transfusion practice challenges that can adversely affect safe patient care procedures for the organization. It is necessary for healthcare institutions like the National Healthcare Service (NHS) that develops based on a multi-professional healthcare model to support healthcare efficiencies. The authors sought to reveal the challenges related to healthcare information systems. Hospitals can fail to have safe information technology systems to safeguard personal and confidential information concerning patient data. Technology failure can lead to immense health impacts for patients given that modern healthcare systems have their support systems implemented through information technology and computer-based systems. The system involves medication errors and adverse drug administration that are avoidable. The organization can reduce medication errors and fatal drug administration errors that affect drug reactions and healthcare practice systems. The system can improve the efficiency of healthcare models by developing information systems that support robust risk identification, training, and information governance framework.

The Chu, R. Z. (2016, August). Simple steps to reduce medication errors. Retrieved from Nursing 2020: https://journals.lww.com/nursing/Fulltext/2016/08000/Simple_steps_to_reduce_medication_erro rs.16.aspx

The frontline nurses are essential in administering healthcare and critical medications, and they need to understand the various instances that lead to errors and risks related to medication processes. The study identifies the factors that enhance the efficiency of nurses and reduce the possibility of error as intensive medication models, proper decision-making, and sufficient cognitive skills. These capacities are needed to evaluate the effectiveness of business models that guide the skilled personnel in enhancing the medication administration practice. Given that healthcare organizations need to implement a system that delivers fast and excellent treatment of patients. It is important to identify the impacts of errors related to healthcare administration issues, including the increased time that a patient spends in hospitals because of delayed recovery. Others include substantial harm on the patient and arising medication instances on individual patients. Medical errors can also be significant causes of emotionally-traumatic conditions for the nurses and may make them lose their psychological health and suitability.

Gorgich, E. A. C., Barfroshan, S., Ghoreishi, G., & Yaghoobi, M. (2015). Investigating the causes of medication errors and strategies to prevent them from nurses’ and nursing student viewpoints. Global Journal of Health Science, 8(8), 54448. doi:10.5539/gets.v8n8p220 .

The reason for conducting the research is that medical administration errors are vital causes of dreadful healthcare impacts globally and are a crucial threat to patient safety. The article sought to uncover the aspects that cause medication errors and the associated impacts, which shall be crucial in identifying the prevention of these errors in healthcare systems and practices. The research methods comprised a comprehensive cross-sectional descriptive evaluation through questionnaires that helped gather information concerning the instances that enhance the making of errors by patients. The study results showed that most nurses are likely to cause medication errors because of burnout and fatigue because of exceedingly huge workloads. Therefore, it is important to properly organize the working schedules to allow for rest and reduced work pressure that reduces the concentration of nurses and healthcare practitioners. It is, therefore, crucial to practice effective human resource management actions that provide employees with enough time to prepare medications and gather pharmacological insights needed to master the healthcare and treatment systems.

Alteren, Johanne (10/2018). “Conflicting priorities: Observation of medicine administration”. Journal of clinical nursing (0962-1067), 27 (19-20), p. 3613

The reason for conducting the research study is the prevalent interruptions that affect proper medicine administration to patients and the uncertainties related to the challenges of care processes. The method for studying the interruptions that affect nurses is a non-participant approach. Three hundred and fifty-one nurses provided information through a paper-based observation grid for patients in different organizational models. The study results revealed that nurses are usually interrupted by fellow healthcare personnel and distracted during their various medication provision instances. Distracted nurses are likely to make errors when handling complex procedures because of loss of focus and the huge task of re-entering the care process in the medication structure. Nurses respond to disturbances by numerous double-checks to help ensure that they affirm the need and accuracy of a treatment process. Unavoidable distractions include the distractions caused by emergencies, where they have to report to another nurse or healthcare professional for a critical healthcare operation.

Fossum, M., Hughes, L., Manias, E., Bennett, P., Dunning, T., Hutchinson, A., . . . Bucknall, T. (2016). Comparison of medication policies to guide nursing practice across seven Victorian health services. Australian Health Review, 40(5), 526. doi:10.1071/AH15202

The researchers evaluated medication administration efficiencies to review and compare the frameworks for healthcare services in Australia, including the medication control policies that the organization uses to guide the nurses and medication professionals. The method for this evaluation consisted of review processes for medication management policies where employees would have challenges understanding policy content and the needs for health services and the regulations that determine the quality of healthcare models. The results for the organization show that more than half of the health service personnel in the state of Victoria do not have sufficient and standard guidelines concerning medication processes like staff authorization and patient self-administration. Improper understanding of the healthcare control policies like proper labeling of medications, poisons, and injections are responsible for medication errors; improper documentation and record management can also affect medication and trigger errors that lead to dreadful impacts to innocent patients. Therefore, it is important to adopt double-checking and proper communication of medication orders to nurses and skilled healthcare personnel.

Khalil, H., Bell, B., Chambers, H., Sheikh, A., & Avery, A. J. (2017). Professional, structural

and organizational interventions in primary care for reducing medication errors. The Cochrane database of systematic reviews, 10(10), CD003942. https://doi.org/10.1002/14651858.CD003942.pub3

The background for the research is the impact of medication-related adverse events in primary care that be a barrier to effective and safe hospital admissions and mortality rates. Failure to observe proper medication can lead to tragic errors like adverse drug reactions that can affect the recovery of a patient. The research aims to examine the professional, organizational, and structural operations that affect proper standard care practices needed to eliminate the threat of medication-related accidents and threats. The effects of medication errors are unnecessary medical admissions, the occurrence of possible emergencies, and increased mortality that shows an impaired healthcare process. The research methods included reference checking, evaluation and uncovering of citations, and meeting with study authors who have written various forms of grey literature. The results for the study revealed that structural models, professional interventions, and computer-related processes are significant sections that may have errors that lead to substantial impacts on patients.

Olsen, E. (2018). Influence from organizational factors on patient safety and safety behavior among nurses and hospital staff. International Journal of Organizational Analysis (2005), 26(2), 382-395. doi:10.1108/IJOA-05-2017-1170

The study aims to assess the role of hospital systems in promoting safe and efficient patient safety programs that improve patient survival, rate of recovery, and overall patient safety results. The research is organization-based as it uncovers the organizational and behavioral characteristics that affect patient safety and the efficiency of nurses. The method for the research is a theoretical approach where experts identify the dimensions that determine the robustness of a hospital system and the behavioral aspects of healthcare practitioners. The study involved a cross-sectional survey where they collected data from 1703 healthcare professionals concerning the safety of patient care systems. The study revealed that healthcare systems are interconnected and require improved safety behavior and patient safety interventions needed to implement a quality end-to-end hospital setting. It is vital to understand the social dynamics within a hospital environment that guide professionals and nurses to observe the safety behaviors and perceptions needed for good patient safety practices.

References

Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Medical Journal, 38(12), 1173-1180. doi:10.15537/smj.2017.12.20631

Alteren, Johanne (10/2018). “Conflicting priorities: Observation of medicine administration”. Journal of clinical nursing (0962-1067), 27 (19-20), p. 3613

Chu, R. Z. (2016, August). Simple steps to reduce medication errors. Retrieved from Nursing 2020: https://journals.lww.com/nursing/Fulltext/2016/08000/Simple_steps_to_reduce_medication_erro rs.16.aspx

Getnet, M. A., & Bifftu, B. B. (2017). Work interruption experienced by nurses during medication administration process and associated factors, northwest Ethiopia. Nursing Research and Practice, 2017, 8937490-7. doi:10.1155/2017/8937490

Gorgich, E. A. C., Barfroshan, S., Ghoreishi, G., & Yaghoobi, M. (2015). Investigating the causes of medication errors and strategies to prevention of them from nurses and nursing student viewpoint. Global Journal of Health Science, 8(8), 54448. doi:10.5539/gjhs.v8n8p220 .

Khalil, H., Bell, B., Chambers, H., Sheikh, A., & Avery, A. J. (2017). Professional, structural

and organizational interventions in primary care for reducing medication errors. The Cochrane database of systematic reviews, 10(10), CD003942. https://doi.org/10.1002/14651858.CD003942.pub3

Mohanty, S. (2016). Awareness of medication error, medication management and prevention among staff nurses in IMS &Sum hospital, Odisha. Nitte University Journal of Health Science, 6(4), 18-22. Retrieved from http://library.capella.edu/login?qurl=https%3A%2F%2Fwww.proquest.com %2Fdocview%2F1888702130%3Faccountid%3D27965

Olsen, E. (2018). Influence from organisational factors on patient safety and safety behaviour among nurses and hospital staff. International Journal of Organizational Analysis (2005), 26(2), 382-395. doi:10.1108/IJOA-05-2017-1170

Wondmieneh, A., Alemu, W., Tadele, N., & Demis, A. (2020). Medication administration errors and contributing factors among nurses: A cross sectional study in tertiary hospitals, Addis Ababa, Ethiopia. BMC Nursing, 19(1), 4. doi:10.1186/s12912-020-0397-0.

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