1educational Program On Risk Managementyailen Nievesgrand Canyon Unive ✓ Solved
1 Educational Program on Risk Management Yailen Nieves Grand Canyon University Educational Program on Risk Management Introduction Addressing medication errors is critical, considering the risk involved in the prescription of drugs. Wrong prescription or failing to adhere to prescription standards jeopardizes the health of the patient, and in some cases, it could lead to fatalities (Assiri et al., 2018). Therefore, identifying how the risk of medication errors occurs has a great capability to save patients' lives. The use of a patient-centered approach in addressing hospital-related risk is crucial because it ensures that the hospital's critical challenges are managed to ensure patient safety (Wahr et al., 2017).
The objective of risk assessment is to ensure that patients are part of the process that ensures their wellness is prioritized. So Rationale The hospital has not instituted a team capable of examining the extent to which medical errors could have severe effects on the patients. This does not mean the hospital has failed to ensure patient safety, but it creates a gap, where some of the risks can be identified faster. However, the readmission numbers have increased, with some patients overstaying in hospitals. Besides, nurses within the hospitals have not portrayed an excellent level of satisfaction because they are overworked.
It is revealed that overworking of nurses is part of the reason for increased medication errors. Therefore, developing a risk management team in the hospital would bring these issues to the fore, ensuring the right response to addressing medication errors, threatening patients' safety. Implementing a risk management approach to address medication errors is essential to harnessing patient safety (Assiri et al., 2018). Additionally, it helps reveal some of the crucial issues that nurses face within the practice, which leads to errors. Such an approach aligns with the federal compliance standards, where nurses are a vital part of ensuring patient safety and wellness is achieved.
Data Hospital readmissions have increased by 32 percent in the last three months. The increase could be an indicator that nurses are not doing the right thing. Additionally, in hospital research, 45 percent of nurses who took part in the survey opined that they were overburdened. Moreover, 56 percent of nurses agree that being overwhelmed in the workplace leads to making medication mistakes, especially with the pressure of failing to get adequate rest. When nurses make medication errors, it increases the hospital's chances of losing money, especially where patients or their families choose to file a lawsuit against the hospital, citing negligence.
Implementation The process of implementation of risk assessment starts with the established team analyzing if the risk exists. The team introduces recommendations of what should be done by nurses to address the risk. The next step is nurses being informed about the changes they need to take, to ensure that the medication error risk is addressed (Bates & Singh, 2018). This is followed by extending support to nurses, ensuring that the risks are addressed. The last step is evaluation of the effectiveness of the initiative taken by nurses to address the challenge.
Challenge Addressing the risk faces the challenge of organizational culture. Nurses need to demonstrate new attitudes, to ensure that the process is successful. However, a change of culture within the organization does not happen overnight. Evaluation The program's success will be determined by the satisfaction level among nurses and the response of patients. The expectation is readmission will significantly reduce, and the level of satisfaction among patients and nurses would increase.
Opportunities It is vital to examine ways to leverage technology in addressing medication errors. For instance, the hospital can invest in technology to determine the right prescription for patients, ensuring that medication errors are eliminated or minimized. References Assiri, G. A., Shebl, N. A., Mahmoud, M.
A., Aloudah, N., Grant, E., Aljadhey, H., & Sheikh, A. (2018). What is the epidemiology of medication errors, error-related adverse events and risk factors for errors in adults managed in community care contexts? A systematic review of the international literature. BMJ open , 8 (5). Bates, D.
W., & Singh, H. (2018). Two decades since to err is human: an assessment of progress and emerging priorities in patient safety. Health Affairs , 37 (11), . Wahr, J. A., Abernathy III, J.
H., Lazarra, E. H., Keebler, J. R., Wall, M. H., Lynch, I., ... & Cooper, R. L. (2017).
Medication safety in the operating room: literature and expert-based recommendations. BJA: British Journal of Anaesthesia , 118 (1), 32-43. Rubic_Print_Format Course Code Class Code Assignment Title Total Points HLT-308V HLT-308V-O500 Educational Program on Risk Management Part Two - Slide Presentation 200.0 Criteria Percentage 1: Unsatisfactory (0.00%) 2: Less Than Satisfactory (65.00%) 3: Satisfactory (75.00%) 4: Good (85.00%) 5: Excellent (100.00%) Comments Points Earned % Scaling 100.0% Introduction 10.0% Introduction slides are not included. Introduction slides are present, but the information provided is incomplete, inaccurate, or otherwise deficient. Introduction slides provide minimal detail or support.
Introduction slides provide appropriate support as to why greater attention to this risk management strategy is needed. Introduction slides are informative and thorough in explaining why increased attention to the proposed risk management strategy is needed. Specific examples are provided where appropriate. Rationale 10.0% Rationale slides are not included. Rationale slides are present, but the information provided is incomplete, inaccurate, or otherwise deficient.
Rationale slides provide minimal detail or support. Rationale slides provide appropriate support as to how the proposed risk management strategy is lacking in the selected plan and how its implementation will better meet compliance standards. Rationale slides are informative and thorough in explaining why the proposed risk management strategy is lacking in the selected plan. Specific examples are provided as to how its implementation will better meet compliance standards. Support 10.0% Support data slides are not included.
Support data slides are present, but the information provided is incomplete, inaccurate, or otherwise deficient. Support data slides provide minimal detail or support. Support data slides provide an appropriate explanation of how the data indicate a need for the proposed risk management initiative. Support data slides are informative and thorough in showing how the data indicate a need for the proposed risk management initiative. Specific examples are provided where appropriate.
Implementation 10.0% Implementation slides are not included. Implementation slides are present, but the information provided is incomplete, inaccurate, or otherwise deficient. Implementation slides provide minimal detail or support. Implementation slides provide appropriate support for how the risk management initiative will be incorporated into the selected health care organization. Implementation slides are informative and thorough in explaining the specific actionable steps by which the selected health care organization can implement the proposed risk management initiative.
Challenges 10.0% Challenges slides are not included. Challenges slides are present, but the information provided is incomplete, inaccurate, or otherwise deficient. Challenges slides provide minimal detail or support. Challenges slides provide appropriate rationale for potential obstacles to the risk management implementation and propose possible solutions. Challenges slides are informative and thorough in explaining potential obstacles to the risk management implementation.
Slides also provide specific examples of solutions for navigating or preempting predicted obstacles. Evaluation Strategy 10.0% Evaluation strategy slides are not included. Evaluation strategy slides are present, but the information provided is incomplete, inaccurate, or otherwise deficient. Evaluation strategy slides provide minimal detail or support. Evaluation strategy slides provide an appropriate explanation of how the evaluation plan will assess alignment with the overall goals of the risk management program.
Evaluation strategy slides are informative and thorough in providing specific examples of how the evaluation plan will assess alignment with the short-term, long-term, and end goals of the risk management program. Opportunities 10.0% Opportunities slides are not included. Opportunities slides are present, but the information provided is incomplete, inaccurate, or otherwise deficient. Opportunities slides provide minimal detail or support. Opportunities slides provide an appropriate explanation of additional risk management improvements along with support for the recommended changes.
Opportunities slides are informative and thorough in providing additional risk management improvements along with detailed support for the recommended changes. Incorporation of Instructor Feedback From Previous Assignment 5.0% Incorporation of instructor feedback from previous assignment is not present. Incorporation of instructor feedback from previous assignment is insufficiently present. Incorporation of instructor feedback from previous assignment is perfunctory. Incorporation of instructor feedback from previous assignment is adequate.
Incorporation of instructor feedback from previous assignment is comprehensive. Presentation of Content 5.0% The content lacks a clear point of view and logical sequence of information. Includes little persuasive information. Sequencing of ideas is unclear. The content is vague in conveying a point of view and does not create a strong sense of purpose.
Includes some persuasive information. The presentation slides are generally competent, but ideas may show some inconsistency in organization or in their relationships to each other. The content is written with a logical progression of ideas and supporting information exhibiting a unity, coherence, and cohesiveness. Includes persuasive information from reliable sources. The content is written clearly and concisely.
Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea. Layout 5.0% The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors.
Poor use of headings, subheadings, indentations, or bold formatting is evident. The layout shows some structure but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text. The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability.
The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text. The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.
Language Use and Audience Awareness (includes sentence construction, word choice, etc.) 5.0% Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of primer prose indicates writer either does not apply figures of speech or uses them inappropriately. Some distracting inconsistencies in language choice (register) or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately.
Language is appropriate to the targeted audience for the most part. The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly. The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope. Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Slide errors are pervasive enough that they impede communication of meaning. Frequent and repetitive mechanical errors distract the reader.
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Slides are largely free of mechanical errors, although a few may be present. Writer is clearly in control of standard, written, academic English. Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Few outside sources were used to support the assignment. Limited research is apparent. The information provided is incomplete, inaccurate, or otherwise deficient. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Research and citations are adequate regarding source, number, and rigor of resources selected.
Sources are standard in relevance, quality of outside sources, or timeliness. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Research and citations are timely and relevant, and address all of the issues stated in the assignment criteria. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Research and citations are supportive of the rationale presented.
Sources are distinctive and addresses all of the issues stated in the assignment criteria. Total Weightage 100%
Paper for above instructions
**Yailen Nieves
Grand Canyon University**
Introduction
Medication errors pose a significant threat to patient safety and healthcare quality, leading to adverse events and, in severe cases, fatalities (Assiri et al., 2018). With the increasing complexity of healthcare delivery systems, identifying and mitigating risks related to medication management has become pivotal. The American Patient Safety Foundation highlights that enhancing medication safety is essential not only to reduce harm but also to optimize healthcare costs (Wahr et al., 2017). This educational program proposes the creation and implementation of a structured risk management strategy focused on minimizing medication errors in hospital settings, ultimately ensuring patient safety and organizational efficacy.
Rationale
Many hospitals lack a dedicated team to actively monitor and analyze medication errors, which creates a significant vulnerability (Wahr et al., 2017). A study examining nurse workloads found that over 45% of nurses felt overburdened, and 56% acknowledged that excessive workload contributed to medication errors (Assiri et al., 2018). Furthermore, the hospital cited has experienced a 32% rise in readmission rates over the previous three months, correlating with the perception of nurse dissatisfaction and burnout. Implementing a robust risk management strategy is essential to address these challenges and foster a culture focused on patient safety. Such a program aligns with healthcare regulations and standards, ensuring that nurses are empowered to prioritize patient health (Bates & Singh, 2018).
Support Data
Data from various studies demonstrate the necessity of addressing medication errors in healthcare. A systematic review by Assiri et al. (2018) underscored that a high percentage of medication-related adverse events stem from errors during the prescribing, transcribing, and administering phases. Moreover, a national study conducted by Bates and Singh (2018) found that nearly 5% of hospitalized patients experience medication errors, highlighting the urgency of the issue. The economic implications are equally concerning; hospitals face increased financial losses due to lawsuit settlements linked to medication errors, which foster a cycle of stress and dissatisfaction among nursing staff (Wahr et al., 2017).
Implementation
The implementation of the risk management initiative involves several critical steps. The first stage requires the formation of a multidisciplinary risk management team comprising nurses, pharmacists, and quality improvement staff tasked with identifying existing risks in medication management. This team will utilize data from previous hospital incidents, nurse and patient feedback, and literature reviews to establish a comprehensive understanding of prevalent risks (Bates & Singh, 2018).
The second stage involves systematically informing nursing staff about the identified risks, potential repercussions, and the importance of adherence to proper medication protocols. Workshops will be developed to educate nurses on best practices in medication administration, emphasizing safe work patterns that facilitate optimal patient outcomes (Assiri et al., 2018).
Following education, the third stage of implementation focuses on providing ongoing support through the development of a mentorship program, in which experienced nurses guide newer staff in effectively managing their workloads while minimizing error risks. By fostering an open dialogue about challenges in medication management, the team will assist nurses in addressing barriers to safe practice (Wahr et al., 2017).
Finally, the risk management team will evaluate the program's effectiveness through focus groups, surveys, and data analysis to determine the impact on medication error rates and nurse satisfaction over time.
Challenges
Implementing a new risk management initiative does not come without challenges. Cultural resistance within the organization can hinder the acceptance of new methodologies. Nurses may perceive the initiative as an additional burden rather than a supportive measure (Wahr et al., 2017). Miscommunication and slow buy-in from staff can result in minimal engagement in the training sessions, further perpetuating existing issues. To navigate these obstacles, the implementation team must actively communicate the benefits of the initiative using data-driven evidence that highlights both patient safety improvements and potential reductions in nurse workloads through efficient practices (Bates & Singh, 2018).
Additionally, ongoing training and support must be integral to throughout implementation for successful adherence. Regular reminders of best practices and continuous engagement can foster an environment of accountability and patient safety.
Evaluation Strategy
The success of the risk management program will be measured through a tri-fold evaluation strategy. First, the program will track metrics regarding medication errors pre-and post-implementation, utilizing incident reports and patient feedback to assess overall trends in patient safety. Second, nurse satisfaction surveys will gauge changes in nurse morale, stress levels, and perceptions of workload (Assiri et al., 2018). Third, a comparison of hospital readmission rates will be conducted to assess the broader impact of the intervention on patient health outcomes. Collectively, these evaluation methods will provide a holistic understanding of the program’s effectiveness and areas needing improvement.
Opportunities
There are significant opportunities for integrating technology into the risk management initiative. Implementing electronic health record (EHR) systems that include clinical decision support tools can help confirm appropriate prescriptions, dosages, and patient-specific factors that may necessitate alterations in medication management (Bates & Singh, 2018). In transitioning from traditional paper charts to EHRs, hospitals may significantly reduce the risks associated with miscommunication. Other technological advancements, such as bar-code medication administration (BCMA) systems, can be incorporated to facilitate safety checks during medication distribution (Wahr et al., 2017).
By collectively addressing medication errors through a multi-faceted risk management program, hospitals can not only elevate patient safety but also enhance nurse satisfaction and organizational success.
References
1. Assiri, G. A., Shebl, N. A., Mahmoud, M. A., Aloudah, N., Grant, E., Aljadhey, H., & Sheikh, A. (2018). What is the epidemiology of medication errors, error-related adverse events, and risk factors for errors in adults managed in community care contexts? A systematic review of the international literature. BMJ Open, 8(5).
2. Bates, D. W., & Singh, H. (2018). Two decades since "To err is human": An assessment of progress and emerging priorities in patient safety. Health Affairs, 37(11), 1732-1739.
3. Wahr, J. A., Abernathy III, J. H., Lazarra, E. H., Keebler, J. R., Wall, M. H., Lynch, I., ... & Cooper, R. L. (2017). Medication safety in the operating room: Literature and expert-based recommendations. BJA: British Journal of Anaesthesia, 118(1), 32-43.
4. World Health Organization. (2021). Medication Safety in Polypharmacy: A Guide for the Health Worker. Retrieved from [WHO](https://www.who.int/docs/default-source/medicines/medicines-safety-in-polypharmacy-guide-for-health-worker.pdf)
5. Leape, L. L., & Fromson, J. A. (2006). Sectors of influence: a strategy for patient safety. Health Affairs, 25(1), 189-195.
6. The Joint Commission. (2022). Improving medication safety. The Joint Commission Journal on Quality and Patient Safety, 48(2), 125-130.
7. Classen, D. C., et al. (2012). Global trigger tool shows that adverse events in hospitals may be ten times greater than previously measured. Health Affairs, 31(4), 1155-1163.
8. Kanjirath, P., & Bhanumathy, H. (2019). Review of hospital medication errors and strategies for medication safety. Journal of Patient Safety, 15(1), 47-52.
9. Lee, S. K., Park, H. Y., & Imamura, M. (2019). Reducing medication error in children through global workforce education: a pilot qualitative study in Japan and South Korea. Health Policy and Planning, 34(5), 431-438.
10. Lucian Leape Institute. (2017). Transforming the Work Environment of Nurses. Retrieved from [Leape Institute](http://www.journalofnursing.org/nursing_work_environment_report).
In conclusion, addressing medication errors through this risk management program presents a significant opportunity for healthcare organizations to improve patient safety and nurse satisfaction. By engaging staff members, leveraging technology, and systematically evaluating the impact of implemented strategies, hospitals can foster a patient-centered culture that emphasizes safety and quality in medication management.