Assessment 4: Stakeholder Presentation
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NURS-FPX 4010
Stakeholder Presentation
Hello everyone, I am XYZ. Today, I will present my plan to address medication errors at Mount Sinai Hospital. This presentation proposes an effective solution to improve patient safety and enhance care quality by implementing a medication reconciliation toolkit and a barcode system.
Effective healthcare management requires continuously trying new ways to solve existing problems. These issues require healthcare providers to show teamwork and strive for continuous development to respond to these issues (Chance et al., 2024). This assessment focuses on one serious medication error in the medical-surgical unit at Mount Sinai Hospital, which is common regardless of the unit. The objective is to develop interdisciplinary interventions grounded on evidence to unreasonably raise the bar for patient safety and quality of treatment. The barcode scanning system is combined with other parts of the strategy, including the medication reconciliation toolbox. This assessment improves overall health outcomes and decreases prescription errors globally by using change management techniques to resolve planners’ cooperation problems across departments (Chance et al., 2024). A proposal is a type that typically includes an execution strategy, anticipated resource utilization, and criteria.
Organizational or Patient Issue
In the medical surgical department at Mount Sinai Hospital, drug errors are alarmingly prevalent. These mistakes are catastrophic for patient safety and put patients at risk of injury, longer stays, and increased costs: a Barcode scanning system and a medicine reconciliation toolbox to reduce errors (Mulac, 2021). The reason is that a pharmaceutical mistake may result in poor patient outcomes, lower quality, and a generally poor hospital image. If the hospital takes action to solve this issue, the hospital will protect its patients, improve their health outcomes, and maintain its autonomy to provide top-notch care.
The target audience includes direct care health professionals such as doctors, nurses, and pharmacists, as well as hospital administrators and managers, e.g., department heads, medical directors, and chiefs, as well as members of quality improvement teams and committees. The target audience should care because fixing this issue will impact their productivity (Alandajani et al., 2022). Therefore, lowering the prescription error rate can enhance patient safety and lessen the possibility of being sued and fined financially. In addition, this type of work brings the interdisciplinary team together in a manner that facilitates care delivery coordination, improved patient outcomes, and the organization’s reputation for overall efficiency.
Potential Consequences of Not Addressing the Issue
There can be serious repercussions if the medical-surgical unit at Mount Sinai Hospital does not address the high rate of prescription mistakes. The patient runs the risk of harm from the therapies, which can lead to longer hospital admissions, higher medical bills, and possibly death (Rasool et al., 2020). The hospital fears that if patients risk suing over the breach and their complaints get into the wrong hands, they will lose even more of their reputation. The hospital would also lose money if fines were levied because of a constant barrage of drug errors. If this does not happen, the quality of care and patient safety will fall, and it will be hard for the hospital to continue functioning as an organization.
Relevance of an Interdisciplinary Team Approach
This necessitates forming an interdisciplinary team in treatment to eliminate the problem of medication errors in the medical-surgical unit of Mount Sinai Hospital. This is an approach that takes the best from the expertise of multiple (experts) and aids cooperation. All team members, from physicians to pharmacists to nurses to quality improvement experts, have different viewpoints regarding patient care (Savva et al., 2022). This partnership helps to review and improve the entire medicine distribution process from prescription to administration. Working in a group of experts from different fields can identify forthcoming threats and cover tactics that are hard for any one field to see. This suggests a more comprehensive treatment than possible in any field.
Medication errors are varied and can arise because there is no information, a breakdown in communication, or a misalignment from someone in an organization. Therefore, it is best to work with an interdisciplinary team. Because of the varying set of skills within the team, these factors can be handled from every angle. For instance, pharmacists can address medication reconciliation and safety concerns, freeing nurses to attend to drug delivery and reporting when needed (Savva et al., 2022). Doctors can participate in the Interprofessional rounds, which perform cross-validation and final checks before implementing the treatment plan. They help build a robust system based on proven error avoidance before they may hurt a patient, so getting doctors on board helps.
The argument is that regarding interdisciplinary work, documenting its benefits – improved accountability and quality – is key to achieving a 30% yearly reduction in drug errors. As such, everyone on each team appreciates the other’s expertise, increasing their communication and collaboration (Manias et al., 2021). It helps improve the quality of life for patients, too. In other words, morale and employee productivity increase because everyone goes after the same thing: safe patient care. Additionally, the plan is executed finally, duplicated chances for it to be implemented, and it will continue over and over again, achieving significant patient benefit.
Interdisciplinary Plan Summary
An interdisciplinary protocol researched and developed at Mount Sinai Hospital has found that medication reconciliation, a barcode drug administration system, and TeamSTEPPS can achieve a 30% year-to-year reduction in medical surgical units’ medication mistake rate. This is consistent with the hospital’s objective to improve quality of care and increase patient safety. Consequently, these goals should complement those (Bhati, 2023). This is documenting the steps that will be taken so that these tactics and technologies can become routine, medicine is safely administered, and possibly, the bad outcomes of a medication error are avoided. Ultimately, patient safety is improved.
Since the plan is based on empirical practices, parents will likely support it. A study of barcodes found a 74% reduction in drug errors (Owens et al., 2020). Stauffer et al. (2020) show that a structured medication reconciliation strategy reduced medication inconsistencies during care transitions by 77%. TeamSTEPPS is an improvement in team communication amongst healthcare workers, reducing overall errors and improving the interactions between healthcare workers (Agency for Healthcare Research and Quality, 2023). These techniques are strong in helping to avoid drug errors in healthcare settings.
The problem is complex enough to require a multidisciplinary team to implement. As part of the medication reconciliation routine, pharmacists will check medications and double-check that no medications are given to patients. According to Owens et al. (2020), nurses can verify the patient’s identity and medication data while providing treatment with barcode scanning technology, reducing the chances of giving the wrong medication and dosage. Doctors, nurses, and pharmacists will review patient cases and resolve medication-related concerns during interdisciplinary rounds.
Further efficacy of the interventions will be improved using TeamSTEPPS methodologies. This framework aims to communicate, collaborate, and make better decisions through regular huddles, debriefs, and briefs. After applying TeamSTEPPS, medical errors will be reduced, and teamwork will improve because members will be more aware of their surroundings, have more mutual support, and make better decisions (Shi et al., 2024). Incorporating TeamSTEPPS into everyday operations, holding huddles to review patient situations and medication-related issues, and actively seeking opportunities to practice and improve the principles will all contribute to a higher level of awareness.
Medication error rate improvement, staff compliance with the new change, and TeamSTEPPS efficacy are some indicators that will be utilized to quantify the plan’s success. This lets the multiparametric team assess the initiative’s efficacy and adjust strategy accordingly through the data and staff feedback (Shi et al., 2024). The plan includes clearly defined objectives and intervention strategies supported by research. With a strong commitment to continuous improvement through TeamSTEPPS aims to enhance drug administration and patient safety at Mount Sinai Hospital.
Implementation and Resource Management
Several critical implementation elements of the plan to decrease pharmaceutical errors at Mount Sinai Hospital have already been implemented. First, with minimal disruption, the new medicine reconciliation protocol and the barcode scanning instrument will enhance the existing structures. These new tools will be given to the team, which will then receive thorough training and will be perfected on these new tools. For example, a hospital using barcode medication administration with good implementation and training reduced medication errors by 70% in a year (Owens et al., 2020). When organizing these training sessions, the staff’s shifts need to be considered, and every preparation must follow the next.
A project management mechanism will be used and will be applied for the avoidance of repeated resource wastage at Mount Sinai Hospital. This is part of indicators of performance to achieve predetermined, near-term objectives. For example, previous research at other hospitals has shown that strict adherence to a project timeline and regular progress meetings to discuss issues, set priorities, and manage resources are crucial for completing a project. The medication reconciliation process and barcode scanning system compliance will be reviewed annually and evaluated semi-annually (Alghamdi et al., 2023). This strategy is created to decrease duplication problems and maximize utilization of resources such as time and cash.
Infrastructure and technologies in place should be regarded as assets on which a materials management strategy should be developed. The new barcode scanning system allows patients at Mount Sinai Hospital to use the Electronic Health Records (EHR) system more efficiently and cheaply. On the other hand, pharmaceutical dispensing facilities utilizing barcode systems coupled with EHRs produced cost savings and improved drug delivery (Jessurun et al., 2022). Responding to this request allows the hospital to control the total cost of future system improvements or maintenance, eliminating the cost of duplication of effort.
The strategy skirts beyond the cost defense to argue that the expense will be recouped with the promised Return on Investment (ROI) of improved patient safety and decreased error rates. These systems are anticipated to prevent pharmaceutical errors and reduce the costs associated with adverse drug events, compensation claims, and related therapies. The expenditures associated with prescription errors were reduced by $2 million in just three years (Saleem, 2022). The hospital can justify the upfront costs and demonstrate the investment’s long-term viability by presenting these and other financial benefits along with the rate of return.
Based on evidence criteria, Mount Sinai Hospital will evaluate the efficacy of the systems. The practice of comparing rates to measure organizational performance, including error rates, staff compliance levels, and patient outcomes, is included. For example, a comparable system has been used in hospitals to measure the number of reported drug errors before and after implementation (Hamad et al., 2022). Regular monitoring and assessment will be conducted to evaluate the effectiveness of these measures, ensuring the strategy progresses as planned and allocated resources for improving medication safety are utilized efficiently.
Evaluation
Assuming the initiative failed, positive outcomes would result in a 30% yearly decrease in prescription errors at Mount Sinai Hospital. Decreasing the number of reported Adverse Drug Events (ADEs), ensuring the staff utilizes the new barcode scanning system designed along with medication reconciliation tools, and obtaining positive staff feedback about how their impact is effective and useful. As a result, this would yield better patient safety, particularly in better patient outcomes and fewer medication-related adverse events (Tariq et al., 2024). As a bonus, the resources put into the system will have been well-used if these practices have been integrated into day-to-day operations and the new process has a high compliance rate.
Several established metrics will be used to evaluate the project’s performance:
Medication Error Reduction
Examine how errors were reduced when implementing pre- and post-revision protocols and the barcode system. For this, baseline data must be correlated to the error frequency (Tariq et al., 2024). A reduction of 30% or more in medication mistakes was deemed to demonstrate the effectiveness of the interventions.
Compliance Rates
Tariq et al. (2024) suggest monitoring when employees use barcode scanning technology and configured drug reconciliation methods. If the tools are helping in day-to-day operations, the compliance rate should be around 90%. These methods are applied regularly, and compliance is monitored through auditors and reports.
Staff Feedback
Surveys and interviews will be conducted to find out how the employees feel about the new systems. If the latter had been approved and effective, this would indicate staff embracing the medication reconciliation methods and barcode scanning technology (Tariq et al., 2024). Such feedback can explain whether the new instruments successfully enhance their work from a facility and protect patients.
Patient Safety Outcomes
Examine how procedures affect patient safety, focusing on the incidence rate of drug-related problems. The new system could improve patient safety if it decreased the number of adverse medication events and improved health outcomes (Tariq et al., 2024). One can report occurrences and follow up with patients and their records to achieve this.
After the improvements are made at Mount Sinai Hospital, the selected criteria will be measured to see the initiative’s effectiveness. For instance, suppose that new protocols and systems prove useful through a 30% decrease in drug errors. Advantageously, once the compliance rate was high, the staff used the new tools well (Tariq et al., 2024). Stakeholder comments indicate that the new practices are welcomed and will be a fine resource for staff. Patient safety improvements will prove that the modifications are improving patient care. These metrics will all demonstrate how much progress has been made toward achieving the project’s goals.
Conclusion
The interdisciplinary collaboration during the Hurricane Delta emergency highlighted both successes and challenges. Strengths were identified as flexibility, team cooperation, and emphasis on safety; weaknesses were poor communication, ineffective coordination, and lack of resources. Some are organized and communicate poorly, while others might be ambiguous or have conflicts of interest. Thus, reflective practices and leadership strategies such as transformational and situational leadership can be used to overcome such challenges and keep things clear and organized. Clear and uniform communication procedures, unambiguous roles, and systematic professional development lead to higher levels of cooperation. These measures help create better preparedness and timely response in future emergencies, improving patients and organizational performance.
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