Fisher Week Three Response to McConnelly Yvonne, your post was extremely intriguing to me as a community health department is not an environment I have had the privilege of experiencing. Interestingly, the utilization of computerized order entry does not prevent the prescriber from ordering an incorrect medication dose or the wrong drug (Lapane, Waring, Dube’, & Schneider, 2011). Do the facility employ process to assure nurses are checking the medication in order to avoid the administration of an incorrect drug or dosage? Distractions have been linked to medication errors, consequently, and the ability to care for a solitary patient at one time clearly minimizes the distractions and interruptions that a nurse may experience during medication
They may have a lack of confidence in their ability to adapt to new technologies, or may perceive the change as a threat. Some nurses have adopted a short cut process of administering medication to save time, which is pre-pouring medications. Workaround is another big barrier which occurs when nurses pass the medication without scanning the medication and the patient’s identification (ID) band, to save time and scan them later. Which is dangerous, and a high risk for making an error. The change agent or the nurse leader will need to use the driving forces that will help the project to be successful.
Keck and Reed,(2012) stated that the cuban health system was revolutionised in the 1970 to be more community based; due to clients reporting that waiting time to see a doctor was too long and the time spent with the doctors was too short. This dilemma prompted the revolutionary shift in the way care was delivered to the citizens. Hence, the goal was to provide comprehensive care where they live, as a resulted doctors and nurses were assigned to live and worked in the neighbourhood where they practice. They literally live next door to their clients.
The hospital EPC approach has advantages over previous strategies for increasing the use of EBP by nurses, including recognition at the health system level, financial support, and interprofessional teams. Addressing work roles and processes through improved skill utilization can also help address challenges related to burnout, stress, access limitations, and revenue concerns in primary care. At the same time, interventions aimed at clinic efficiency can potentially improve patient experience, population health, costs, and health professionals' work lives. Finally, by adopting evidence-based interventions, healthcare providers can provide more efficient, effective, and personalized care that meets each patient's unique needs and expectations. Incorporating evidence-based practice in healthcare can help achieve the Quadruple Aim and improve the overall quality of
Through research I was able to analyze the effectiveness of the MI protocol and the effect that prompt initiation of the protocol had on the patients, as well as look at the nursing role in the protocol. Artifact #2 was written during the Pharmacology course, and is a teaching plan for a patient taking the drug Keflex (Cephalosporin). Through research of the drug a partner and I were able to identify nursing interventions and education necessary when caring for a patient on this drug.
Preventable medical mistakes cause approximately 200,000 deaths around the United States each year. (1) More than 1,000,000 Americans are negatively impacted by medication errors each year caused by inadvertent mistakes in the prescription filling process. With 4 out of 5 adults taking at least 1 medication daily and 1 out of 4 adults taking 5 or more medications daily nationwide, errors like these cost healthcare industry billions of dollars per year. Health information technology were developed to transform healthcare services, the way they are provided and compensated. Electronic prescribing (e-prescribing) becomes an internal part of that transformation process, which can be confirmed from annual Surescripts’ National Progress Report.
For the purpose of this discussion, I will discuss nursing informatics and clinical informatics, followed by two examples of how clinical informatics is used in my organization. I will explain how a nurse manager uses data management as a strategy to improve patient care on the nursing unit. Lastly, I will explain why President Bush mandated the implementation of the electronic health record by 2014. Although, clinical informatics and nursing informatics appear similar, and cross paths at times, each indent is different.
Time after time, we are swamped and short staffed with no time for even a break, so the time we save by having the physicians input their own orders saves us time. Physicians are able to confirm their orders and patient’s medications, making computer charting more efficient then paper charting. My organization has also implemented the use of scanning patient’s armband to automatically input their information into different systems, such as the blood tube labels, EKG machine and vitals machine, which automatically transfers the patient’s vitals to the their chart in the documentation system. As a team, we were able to work together and improve patient care with these advances in technology, while allowing a smooth transition. My organization has a nursing informatics department that consist of several employees.
Barcode Scanning Prevents Medication Administration Errors “The six rights of medication administration are: the right drug, the right dose, the right route, the right time, and the right patient” (Burchum & Rosenthal, p. 5). Since the implementation of barcode scanning of medications, it has reduced medication errors tremendously compared to paper-based medication administration. Research after research has shown that medication administration errors have declined, thus reducing harm or adverse effect to the patient. Pilot testing was done on numerous hospitals proving it has not just reducing medication errors, but it also helped on reducing the amount of work nurses have to deal with when it comes to medication administration and documentation.
Goals which include improving staff communication, patient identifiers, and medication safety helps to improve quality care; by improving quality measures we can also reduce costs p4. For example Medicare has stopped payments for hospital based medication errors, measure have been implemented and pressure has been placed of providers to prevent costly errors. As a preventative measure hospitals have placed into effect a computerized physician order entry (CPOE), electronic medication administration record (eMAR), smart pumps and designated areas where nurses can prepare medication
Medication Errors in Healthcare The nursing profession entails many responsibilities that range from providing emotional support to administering medications that could result in death for those receiving care. Approximately 40% of a nurse's day consists of passing medication, a duty that sets their level of liability above many other healthcare professions (McCuistion, Vuljoin-DiMaggio, Winton, Yeager, & Kee, 2018). Despite today's advances in technology and nursing education, the frequency of medication errors is still staggering. To ensure that the benefits of nursing outweigh the risks, nurses look to the Quality and Safety Education for Nurses (QSEN) six core competencies for guidance.
By automating routine tasks nurse informaticists can work with interdisciplinary teams to identify routine tasks that can be automated, such as medication ordering or scheduling appointments. Automating these tasks, nurses can focus on more complex tasks that require their clinical expertise. Also, by standardizing processes nurse informaticists can work with interdisciplinary teams to standardize processes, such as documentation or medication administration. Standardizing these processes, nurses can improve efficiency and reduce errors (Yen et al,
As a student, one of my competency to achieved to become a professional nurse is medication administration. Since medication error can kill, there is the need to be vigilant at all time in dispensing under supervision. I have managed to disperse quite a few times but occasionally get muddled with the whole process by doing little errors and the pace at which I administer needs to be faster due to factor of time and the amount of patient lined up for medication. I have noticed some errors that needs to back up all the time. I have discussed with my mentor {and all areas of weakness have been recognized as a great opportunity for improving my experience in medication administration.
If we question what causes nursing homes medication errors? There are some common problem in the nursing homes. Paul & Perkins (2013), “in most nursing homes, medication is administered when a nurse or nursing staff member completes a “med pass.” A “med pass” is the common term used to describe the process of dispensing medicine to nursing home patients as ordered”. During a med pass, the nurse uses a cart to carry the medicines.
It puts emphasis on designing and developing interventions specifying social and health problems to inform practice activities. (Fraser et al., 2010). To relate with this, intervention research method is appropriate for the study since the problem being dealt with concerns the usual factors interrupting and distracting nurses during medication administration thus directly affecting medication error incidences. Testing the wearing of sash or “statement vest” as an intervention initially proposed by a foreign study (Nelms et al., 2011) locally would determine the
