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NURSING
Nursing: Interdisciplinary Plan Proposal to Reduce Medication Errors
Medication errors have been identified as one of the most significant issues causing high rates of adverse patient outcomes in healthcare. It has set the healthcare professionals on high alarms since certain subgroups of the population are at high risk of fatality due to this aggravating concern. This paper aims to synthesize an interdisciplinary proposal plan for curbing this issue where nurses can play a vital role.
Objective
Acknowledged by World Health Organization (WHO), Point-of-Care Quality Improvement (POCQI) model would be used for interdisciplinary collaboration involving nurses to reduce the rate of medication errors (Mondal et al., 2022). This objective has been proved to provide positive results since maximum utilization of available resources with less burden on one professional throughout the transition of care.
Questions and Predictions
The questions for implementing the proposed plan include:
How much time would be taken for its actual implementation?There is an expectation it would take six months, which could be a long time, before curbing the issue at the facility; however, by gaining knowledge and training through working with professionals via an interdisciplinary approach, it is predicted the reduction would be observed at a faster rate.
Would the team members be trained or qualified for the proposed task?It is recommended that experts from each department should be included in the team; however, taking an intern or newly hired staff workers would not be undervalued since novel inputs from fresh perspectives should be welcomed.
Should the team be small or large?The number of team members does not signify the amplification or effectiveness level of the plan; however, initially, it is expected the team members remain up to five so that collaboration remains tight.
Change Theory and Leadership Strategy
Lewins 3-step change theory is deemed useful for implementing change in the process of implementing the POCQI model. The change model includes three stages: unfreezing, moving, and refreezing, which have proved effective in healthcare settings several times (Coulter, 2021). The first stage would require disruption of the existing status quo and might infuse survival anxiety since a team formation process might also cause reluctance to corporate with each other....…for the resources needed for the training
--
Access charge
None of the charges do apply to the patients
None
Equipment/supplies
Prescriptions, audio-visual aid, drug list, evidence-based materials, training manuals, medical textbooks, monitoring sheets, etc.
$100
Access to patient/ departments
Access to patients and departments is mandatory, and no costs are associated as the plan would be carried out within the daily routine of each department, from outpatient to in-patient facilities.
None
The impact on reducing medication errors is expected to be positive since evidence has suggested effectiveness in implementing the POCQI model and a certified acknowledgment from WHO. In the chosen facility, where the interviewee explained medication errors are one of the primary issues, level II trauma errors, cardiac errors, pediatric errors, and adult intensive care errors could become unstoppable. These are some serious medical areas that need extra attention and where a minute mistake is intolerable for the profession. Negligence and careless implementation of the plan could magnify the adverse patient outcomes to an extent where returning would be impossible.
References
Coulter, D.T. (2021). Operationalizing Lewin’s 3-step change model in the outpatient setting: A Covid-19 case study [Doctorate theses, College of Health Professionals]. MUSC Theses and Dissertations. https://medica-musc.researchcommons.org/cgi/viewcontent.cgi?article=1563&context=theses
De Brun, A., O’Donovan, R. & McAuliffe, E. (2019). Interventions to develop collectivist leadership in healthcare settings: A systematic review. BMC Health Services Research, 19. https://doi.org/10.1186/s12913-019-3883-x
Modal, S., Banerjee, M., Mandal, M., Mallick, A., Das, N., Basu, B. & Ghosh, R. (2022). An initiative to reduce medication errors in neonatal care unit of tertiary care hospital, Kolkata, West Bengal: A quality improvement report. BMJ Open Quality, 11. http://dx.doi.org/10.1136/bmjoq-2021-001468
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