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DNP PROJECT
Final Project Plan
The proposed project seeks to address the high incidence of medication errors at the clinical site by implementing a mandatory medication safety education for clinical staff. The incidence of medication errors at the facility has risen significantly over the past year, resulting in preventable injury, death, and reputational issues. This text presents the final translation action plan to start off the implementation phase. It outlines the finalized project management tool, project scope and objectives, barriers to implementation, strategies for overcoming barriers, and the legal/ethical implications to implementation.
Project Scope and Objectives
The education program will take place within the clinical site, and will involve all nurses, physicians, and pharmacists. It will involve weekly training sessions covering five main thematic areas: the eight rights of medication administration, error management strategies, medication sensitivity, dose calculations, and international patient safety guidelines (Abukhader & Abukhader, 2020). The projects objective is to reduce the incidence of medication errors at the facility by 50 percent. The project team predicts that consequently, this will increase the patient satisfaction index by 30 percent.
Project Management Tool
The project team settled on the Gantt chart as the appropriate project management tool. The Gantt chart gives a clear presentation of project tasks and when they are scheduled to be completed. It offers, at-a-glance, guidance on project progress, thus allowing participants to plan their schedules (Milosevic, 2003). The project team felt that since the project involves all clinical staff in the facility, it may be beneficial to have a project management tool that is easy to interpret so that all participants understand the progress made in accomplishing set tasks and what may still be pending.
Possible Barriers to Implementation
One of the primary barriers to implementation would be resistance to change from participants. Tappen et al. (2017) posit that participants may be resistant for various reasons, including lack of confidence in the proposed change and concerns about liability. Participants in this project may resist change because it requires them to report medication errors, which raises liability concerns. Resistance would make stakeholders less willing to take part in the change and some may even attempt to sabotage it to ensure that it does not succeed.
The second possible barrier is scarcity of resources (Dang et al., 2021). Due to resource limitations, the education program may not cover all important themes in the area of medication safety. Further, scarce resources limit the program to in-class sessions and make other effective learning options such as benchmarking trips to other successful facilities impossible. At the same time, due to resource limitations, the...…project team will request the hospital leadership to allow the staff to use equipment such as computers and other hospital resources for the training if need be.
Legal and Ethical Implications to Implementation
Privacy is one of the fundamental ethical concerns in implementing the project. As part of project evaluation, the project team will review sampled patient records to determine the incidence of medication errors. The team has to ensure that patients privacy is protected throughout the project period. As part of ensuring that confidentiality/privacy requirements are followed, the project team will subject all the proposed evaluation procedures to an external quality assurance or audit before the same can be adopted (World Health Organization, 2013). This will ensure that all adopted procedures meet the requisite ethical standards (WHO, 2013).
The mandatory nature of the training could also be perceived as an ethical concern, particularly because it interferes with the autonomy of the staff to make their own choices and decisions. To restore autonomy, the project team will employ shared decision-making in the scheduling of lessons, and participants will be allowed give views and ideas regarding both implementation and evaluation.
Finally, a possible legal implication is that the hospital may need to take action against staff in cases where reported errors result in serious injury or a patients death. The project team…
References
Abukhader, I., & Abukhader, K. (2020). Effect of medication safety education program on intensive care nurses’ knowledge regarding medication errors. Journal of Biosciences and Medicines, 8(6), Doi: 10.4236/jbm.2020.86013
Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines(4th ed.). Sigma Theta Tau International.
Milosevic, D. Z. (2003). Project management toolbox: tools and techniques for the practising project manager. John Wiley & Sons.
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