Improvement Plan In-Service Presentation
Hi everyone! My name is ____, and I am here to present the safety improvement plan to be implemented at our healthcare institution.
Providing training sessions or other necessary information to new nurses is essential to a nurse’s duty in any healthcare institution. A recent incident of medication overdosage has been analyzed at Mass General Brigham (MGH). According to Nurse Practice Act (NPA) and American Nurses Association (ANA) guidelines, every nurse should possess leadership skills to teach new nurses about organizational policies, procedures, and the importance of specific safety measures like medication administration (Huynh & Haddad, 2021). White et al. (2019) stated that nurse burnout, incompetence in administering medication, and lack of decision-making power as potential nursing leaders are primary reasons for missed patient care and medication errors in practice (White et al., 2019). The presentation is intended to guide management, Registered Nurses (RNs), and other medical staff at MGH regarding the new safety improvement plan to prevent medication errors and promote a safety culture.
Purpose and Goals of In-Service Session
The purpose of this session is to promote a culture of safety at MGH. The session also intends to guide nurses and other staff at the institution to play their part in the proposed plan. It has been identified that ensuring the development of a safety culture enhances patient safety and the quality of care (Rodziewicz & Hipskind, 2020). Recent medication errors have caused a significant threat to patient safety at MGH, which is no longer permissible (Lahti et al., 2022). Therefore, all nurses, hospital management, and other medical staff are encouraged through this session to promote safety by following appropriate procedures and guidelines designed to improve practice in the proposed plan.
The goals of the in-service session have been identified as follows, which are achievable by the end of the session:
- By the end of the session, all nurses will be able to identify the patient safety requirements at MGH.
- By the end of this session, nurses will be able to comprehend and apply all protocols for patient medication administration at MGH.
- Nurses and management will have the same mindset about the need for safety and a new improvement plan at MGH by the end of the session.
- By the end of the session, nurses and management will understand all three actions and the purpose of the proposed safety plan.
- All stakeholders will understand their respective roles and responsibilities regarding the new safety improvement plan at the end of the session.
Need and Process to Improve Safety Outcomes
The recent medication error was an alarming situation at MGH, showing that the medication administration protocols were unclear to all nurses. The incident of morphine overdosage by Betty as RN was an irresponsible behavior demonstrated at the MGH workplace. Therefore, there is a high need for a safety improvement plan at the healthcare facility to eliminate medication-related threats to patient safety (Rodziewicz & Hipskind, 2020). Structural changes through technology and innovation are not the primary way of improving medication administration at healthcare institutions (Woods, 2019). The research essay also established that the medication administration process was more important than the structure. Therefore, a need to develop an appropriate process is created through the prevalence of medication errors at MGH.
The improvement in medication administration will be made by implementing three main changes. The first change process in this capacity is the development of a culture and mindset of safety. Through this development, RNs will be able to self-evaluate the decisions they make in their daily practice at MGH, along with the impact of these decisions on patient safety. The importance of developing a culture and mindset of safety among RNs, management, and other medical staff is essential, as Rodziewicz and Hipskind (2020) emphasized. Lahti et al. (2022) have supported the second change proposed at MGH in the safety improvement plan, which is implementing Electronic Health Records (EHR). The research stated that using EHR as effective record-keeping technology at hospitals can eliminate or reduce the likelihood of medication errors. The use of EHR in the process of medication administration will ensure that basic writing or reading mistakes are eliminated from the institution (Lahti et al., 2022).
The third process change to improve safety conditions at MGH is evaluating the process and developing a protocol for medication administration. It has been planned that the nurse will have to confirm the dosage and time for the patient with the medication administrator at the MGH before providing medication. The implementation of these medication administration processes needs to be strict to have its proper impact, according to Sessions et al. (2019). Hence, the provided process to improve safety at MGH is well supported with scholarly evidence.
Role and Importance of Audience
The board of directors is primarily responsible for implementing the proposed safety improvement plan at MGH. The individuals on the boards are the policymakers who are often the first authority to promote the culture of safety through the implementation of safety culture at MGH. The health and safety policy of the healthcare institution is devised by the boards, which determine the presence or absence of a health and safety culture. The responsibilities and importance of all other audiences have been mentioned as follows:
- Nurses are responsible for operating and testing the new procedures and EHR system at MGH. RNs, as the audience of this session, are important as their acceptance of the proposed changes is key to the successful implementation of the medication administration system (Zeneli et al., 2020).
- MGH management is the primary audience responsible for providing the plan essentials to the boards and getting the budget approved for EHR implementation essential for safe medication administration. The management must provide resources for implementing the safety improvement plan at MGH (Leape, 2021).
- Other medical staff include doctors and technicians who will be participating in the EHR pieces of training and implementation of EHR, respectively. Hence, all audience members have their respective responsibility for implementing safety improvements to reduce the likelihood of medication errors (Zeneli et al., 2020).
Buy-in for Audience
The successful implementation of the safety improvements project and all three respective process changes designed in it will improve patient safety at MGH. The buy-in for management and boards of directors can be achieved by the promise of an increase in the performance of MGH in care coordination, low medication errors, and high patient safety (Leape, 2021). The nurse buy-in can be created by addressing the risk of medical failure or license cancellation. It is prone that deaths resulting in preventable medication errors can result in the cancellation of a nurse’s license, according to NPA. The nurses will be more than willing to implement the safety improvement project to eliminate the risk of their involvement in medication errors (Leape, 2021). Hence, the stakes of all individuals are addressed through the proposed plan at MGH with relatively low workload and workplace difficulties.
Resources and Activities for Engagement
Two main activities have been considered necessary to support the new process at MGH for medication administration. These are EHR training sessions and seminars for the culture of safety (Elhawary et al., 2022). Both financial and human resources are required to perform activities that intend to achieve two different purposes. The EHR training session intends to enhance nurses’ skill development regarding technology use as part of this safety improvement project. On the contrary, the seminar has been considered to improve the understating of safety, its need, and procedures to be used for medication administration in MGH from this point onwards (Elhawary et al., 2022). The participants in these activities will be nurses and other medical staff. The human resources required for the seminar and training session include management, nurse leaders, and specialists recently using EHR. Thus, all resources for skills development and implementation of new process design are already available at MGH. The end of the training and safety seminars will be assured after the question-answer or brainstorming session.
Feedback and Future Improvement
Random questions will be asked about the session from nurses and other MGH medical staff members to review their understanding of the skills development and safety in processes. The evaluation will help in improving such in-service and training sessions at MGH. The audience for the training session will be evaluated through practical testing of EHR functions. The evaluation will allow the measure of success of the training sessions that will be considered in the next nurse training and skills practice session at MGH for future improvement.
Conclusion NURS FPX 4020 Assessment 3 Improvement Plan In Service Presentation
A safety culture is essential for any healthcare workplace that can eliminate the risk of medication errors. The implementation of EHR, standard medication administration protocol, and development of a safety culture at MGH have been identified as primary actions to be taken at MGH. All staff members have been found to have equal importance and responsibilities in the safety improvement plan’s implementation. It has been found that activities like EHR training and safety seminars can increase the skills of nurses and develop a safe mindset to eliminate the risk of medication errors through accountability and responsibility.
Elhawary, M. A., Rostom, H., Edwards, B., & Caro, A. (2022). Medication errors special interest group of the international society of pharmacovigilance and the trends in international collaboration for patient safety. Drug Safety, 45(2), 97–99. https://doi.org/10.1007/s40264-021-01145-0
Huynh, A. P., & Haddad, L. M. (2021). Nursing Practice Act. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK559012/#:~:text=The%20NPA%20exists%20to%20regulate
Lahti, C. L., Kivivuori, S.-M., Lehtonen, L., & Schepel, L. (2022). Implementing a new electronic health record system in a university hospital: The effect on reported medication errors. Healthcare, 10(6), 10-20. https://doi.org/10.3390/healthcare10061020
Leape, L. L. (2021). Now the hard part: Creating a culture of safety. Making Healthcare Safe, 401–438. https://doi.org/10.1007/978-3-030-71123-8_23
Rodziewicz, T., & Hipskind, J. (2020). Medical error prevention. NCBI Bookshelf; StatPearls Publishing. http://www.saludinfantil.org/Postgrado_Pediatria/Pediatria_Integral/papers/Medical%20Error%20Prevention%20-%20StatPearls%20-%20NCBI%20Bookshelf.pdf
Sessions, L. C., Nemeth, L. S., Catchpole, K., & Kelechi, T. J. (2019). Nurses’ perceptions of high‐alert medication administration safety: A qualitative descriptive study. Journal of Advanced Nursing, 75(12). https://doi.org/10.1111/jan.14173
White, E. M., Aiken, L. H., & McHugh, M. D. (2019). Registered nurse burnout, job dissatisfaction, and missed care in nursing homes. Journal of the American Geriatrics Society, 67(10), 2065–2071. https://doi.org/10.1111/jgs.16051
Woods, M. D. (2019). How to improve healthcare improvement—An essay by Mary Dixon-Woods. BMJ, 367. https://doi.org/10.1136/bmj.l5514
Zeneli, A., Altini, M., Bragagni, M., Gentili, N., Prati, S., Golinucci, M., Rustignoli, M., & Montalti, S. (2020). Mitigating strategies and nursing response for cancer care management during the covid-19 pandemic: An Italian experience. International Nursing Review, 67(4), 543–553. https://doi.org/10.1111/inr.12625