NURS FPX 4010 Assessment 3 Interdisciplinary Plan Proposal

Name

Capella University

NURS-FPX 4010 Leading in Intrprof Practice

Prof. Name

Date

Interdisciplinary Plan Proposal

Understanding Medication Errors (MEs) is vital for ensuring patient safety and preventing avoidable harm during healthcare delivery. This proposal aims to address the pressing issue of MEs at Vila Health Clinic (VHC), particularly within the medication governing procedure in the hospital. The goal is to reduce the incidence of MEs by implementing an evidence-based interdisciplinary plan (Mieiro et al., 2019). It will enhance patient safety, improve organizational outcomes, and reduce the cost of healthcare. The aim is to create a safer and more efficient healthcare environment through collaborative efforts and strategic resource allocation. The plan will ensure optimal medication management for all patients.

Objective

The goal of our evidence-based interdisciplinary plan is to introduce a bundled strategy to minimize MEs at VHC. This objective is aimed at reducing the occurrence of MEs among patients by implementing Barcode Medication Administration (BCMA) systems in hospital settings (Mondul & Kong, 2023). Accomplishing this goal will have a positive impact on patient outcomes at VHC. It will lead to increased patient satisfaction due to fewer MEs and reduced healthcare costs associated with treating MEs. It will be an overall improvement in the patient experience (Williams et al., 2021).

Questions and Predictions

How will the integration of BCMA systems impact the efficiency of medication processes at VHC?

Implementing BCMA systems is expected to require additional time for staff training and system integration initially. However, over time, it is predicted to streamline medication administration processes, leading to improved efficiency significantly and reduced MEs (Ho & Burger, 2020).

What potential barriers or challenges can arise during the adoption of BCMA systems at VHC, and how can they be addressed?

Potential barriers include resistance from staff due to unfamiliarity with new technology, logistical challenges during system integration, and financial constraints for implementation. These challenges can be addressed through comprehensive staff training, effective change management strategies, and securing adequate resources for implementation (Veen et al., 2020).

How will the interdisciplinary collaboration between healthcare professionals be fostered to ensure the success of the MEs reduction plan at VHC?

Interdisciplinary collaboration will be fostered through regular communication, team meetings, and joint training sessions involving physicians, nurses, pharmacists, and administrators. Establishing clear roles and responsibilities and promoting a culture of shared accountability will be key to ensuring effective collaboration and the success of the plan (Love, 2022).

In order to determine the effectiveness of our objective to implement BCMA and reduce MEs at VHC, we will use quantitative measures. It will involve quantitative tracking of the reduction in MEs over time and ensuring that medication administration protocols are being followed correctly. Survey sessions will be conducted with an interdisciplinary team to compare adherence to established protocols before and after the implementation of BCMA. It will allow us to see if the system helps more in following the rules (Mohanna et al., 2021).

Change Theories and Leadership Strategies

Utilizing Lewin’s Change Management Model can be pivotal in winning buy-in from an interdisciplinary team for implementing BCMA and reducing MEs at Vila Health Clinic (VHC). By following Lewin’s three-step process of unfreezing, changing, and refreezing, the team can effectively manage the transition toward improved medication safety (Saramunee, 2021). Initially, unfreezing involves creating awareness among interdisciplinary team members about the need for change by highlighting the prevalence and impact of MEs. Next, the changing phase entails implementing BCMA and associated protocols to address the identified issues. Finally, refreezing strengthens the new practices and ensures their consolidation into the organization to affirm long-term improvements (Hausdorf, 2022). This model showcases significant improvements in patient outcomes following evidence-based practices. By embracing Lewin’s model, the interdisciplinary team at VHC can navigate the change process systematically, leading to tangible enhancements in medication safety and patient care (Saramunee, 2021).

Transformational leadership is highly effective in empowering interdisciplinary teams and promoting collaboration to implement the BCMA project plan aimed at reducing MEs at Vila Health Clinic (VHC). These leaders prompt and propel the team by presenting a convincing imagination, urging innovation, and supporting individual growth. For instance, a study by Cocian et al. (2023), found that transformational leadership behaviors were linked to increased team effectiveness, improved patient safety attitudes, and decreased MEs. By fostering a shared vision and encouraging nurses and physicians to adopt innovative approaches, transformational leaders create an environment conducive to excellence. It is essential to successfully implement a project plan to reduce MEs that enhance both organizational efficiency and patient outcomes (Asif et al., 2020). Research by Mulac (2022), indicates that applying Lewin’s model offers substantial benefits for interdisciplinary teams in implementing BCMA in ICU settings. This structured approach creates teamwork, facilitates adaptation to new technology, and enhances patient safety in the ICU.

Team Collaboration Strategy

Effective collaboration among interdisciplinary teams is crucial for achieving the objective of implementing BCMA and reducing MEs at Vila Health Clinic (VHC). Firstly, Comprehensive training programs will be developed to ensure all staff members understand the proper use and benefits of the BCMA system. This strategy includes hands-on workshops, online modules, and ongoing support sessions to familiarize healthcare professionals with the new technology. Additionally, educational resources will be provided to reinforce best practices in medication administration and error prevention (Sillero & Buil, 2021). Secondly, an interdisciplinary approach will be adopted, fostering collaboration among nurses, physicians, pharmacists, and IT specialists. Regular team meetings will be scheduled to discuss challenges, share insights, and streamline processes related to BCMA implementation. By leveraging the diverse expertise of each team member, potential barriers can be identified and addressed collaboratively, leading to more effective solutions (Bendowska & Baum, 2023).

Moreover, a continuous monitoring and evaluation strategy will be established to check the potency of the BCMA system and recognize areas for betterment. This strategy involves implementing feedback loops, conducting regular audits, and analyzing data to track ME rates and compliance with protocols. In educational sessions, nurses are encouraged to report any ME immediately. It will help to avoid any further health complications in case of any ME Necessary adjustments can be made to optimize the BCMA system’s functionality by actively monitoring performance indicators (Schmid et al., 2022). A research by Ocaña et al. (2023), indicates that interdisciplinary training initiatives focusing on medication safety can foster teamwork and mitigate MEs in healthcare environments. By implementing these collaboration strategies, VHC can harness their combined skills to address MEs effectively. This collective effort will ensure sustained success in reducing MEs at VHC. A study by Mieiro et al. (2019), shows that utilizing these collaboration strategies enhances interdisciplinary communication in emergency rooms. It helps in reducing the number of MEs in emergency settings.

Required Organizational Resources

Several organizational resources are essential to effectively implement and maintain the proposal to reduce MEs at VHC. It includes staffing such as medication safety experts, nurses, physicians, and support staff dedicated to monitoring medication administration processes. Additionally, necessary resources like medication administration technology and supplies such as barcode scanners and medication verification tools are crucial. While some resources can already be available, additional costs can arise for staff training, equipment maintenance, and replenishing supplies if the proposal is enacted (Garcia et al., 2019). A rough estimate for the financial budget required for the proposal could be around $150,000, covering staff time, resource utilization, acquisition expenses, and operational costs. Failure to implement and succeed in reducing MEs can result in significant financial burdens for VHC. Increased ME rates can prolong patient hospital stays, necessitate additional treatments, and incur additional healthcare expenses (Elliott et al., 2021). It would adversely affect the organization’s financial stability and reputation, potentially leading to legal liabilities. Thus, investing in measures to reduce MEs is vital for improving patient outcomes and safeguarding the financial well-being and reputation of the organization. For example, the Mayo Clinic effectively decreased MEs by investing in staff training, enhancing medication safety protocols, and conducting regular audits (Shanafelt et al., 2019).

Conclusion

In conclusion, implementing BCMA systems presents a crucial opportunity for VHC to improve patient safety by reducing MEs. Through interdisciplinary collaboration, effective leadership, and robust monitoring, VHC can optimize the effectiveness of the BCMA system. Adequate resource allocation is essential for success. These efforts will improve patient outcomes and protect VHC’s reputation and financial stability.

References

Asif, M., Jameel, A., Hussain, A., Hwang, J., & Sahito, N. (2020). Linking transformational leadership with nurse-assessed adverse patient outcomes and the quality of care: Assessing the role of job satisfaction and structural empowerment. International Journal of Environmental Research and Public Health, 16(13), 2381. https://doi.org/10.3390/ijerph16132381

Bendowska, A., & Baum, E. (2023). The significance of cooperation in interdisciplinary health care teams as perceived by Polish medical students. International Journal of Environmental Research and Public Health, 20(2), 954. https://doi.org/10.3390/ijerph20020954

Cocian, L. F. E., Morales, A. S., & Schneider, I. J. C. (2023). Internet of things as support to reduce hospital errors related to medication administration. Research, Society and Development, 12(3), e6312340425–e6312340425. https://doi.org/10.33448/rsd-v12i3.40425

Elliott, R. A., Camacho, E., Jankovic, D., Sculpher, M. J., & Faria, R. (2021). Economic analysis of the prevalence and clinical and economic burden of medication error in England. BMJ Quality & Safety, 30(2), 96–105. https://doi.org/10.1136/bmjqs-2019-010206

Garcia, C., Abreu, L., Ramos, J., Castro, C., Smiderle, F., Santos, J., & Bezerra, I. (2019). Influence of burnout on patient safety: Systematic review and meta-analysis. Medicina, 55(9), 553. https://doi.org/10.3390/medicina55090553

Hausdorf, P. (2022). Assessing change readiness in a hospital setting: Implementing new medication administration technology. In SAGE Publications: SAGE Business Cases Originals eBooks. SAGE Publishing. https://doi.org/10.4135/9781529796643

Ho, J., & Burger, D. (2020). Improving medication safety practice at a community hospital: A focus on bar code medication administration scanning and pain reassessment. BMJ Open Quality, 9(3), e000987. https://doi.org/10.1136/bmjoq-2020-000987

Love, J. S. (2022). Reducing near miss medication events using an evidence-based approach. Journal of Nursing Care Quality, 37(4), 327–333. https://doi.org/10.1097/ncq.0000000000000630

NURS FPX 4010 Assessment 3 Interdisciplinary Plan Proposal

Mieiro, D. B., Oliveira, É. B. C. de, Fonseca, R. E. P. da, Mininel, V. A., Mascarenhas, S. H. Z., & Machado, R. C. (2019). Strategies to minimize medication errors in emergency units: An integrative review. Revista Brasileira de Enfermagem, 72(1), 307–314. https://doi.org/10.1590/0034-7167-2017-0658

Mohanna, Z., Kusljic, S., & Jarden, R. (2021). Investigation of interventions to reduce nurses’ medication errors in adult intensive care units: A systematic review. Australian Critical Care, 35(4), 466–479. https://doi.org/10.1016/j.aucc.2021.05.012

Mondul, A., & Kong, M. (2023). Medication error. Springer EBooks, 151–164. https://doi.org/10.1007/978-3-031-35933-0_11

Mulac, A. (2022). Medication errors in hospitals: Exploring medication safety through incident reports and observation of practice. Duo.uio.no. http://hdl.handle.net/10852/93260

Ocaña, M. J. R., Morales, C. T., Pichardo, J. D. R., & Hernández, M. A. (2023). Barriers and facilitators of communication in the medication reconciliation process during hospital discharge: Primary healthcare professionals’ perspectives. Healthcare, 11(10), 1495. https://doi.org/10.3390/healthcare11101495

Saramunee, K. (2021). Applying action research in pharmacy practice. Research in Social and Administrative Pharmacy, 18(1), 2164–2169. https://doi.org/10.1016/j.sapharm.2021.05.012

Schmid, S., Schlosser, S., Gülow, K., Pavel, V., Müller, M., & Kratzer, A. (2022). Interprofessional collaboration between ICU physicians, staff nurses, and hospital pharmacists optimizes antimicrobial treatment and improves quality of care and economic outcome. Antibiotics, 11(3), 381. https://doi.org/10.3390/antibiotics11030381

Shanafelt, T., Trockel, M., Ripp, J., Murphy, M. L., Sandborg, C., & Bohman, B. (2019). Building a program on well-being. Academic Medicine, 94(2), 156–161. https://doi.org/10.1097/acm.0000000000002415

NURS FPX 4010 Assessment 3 Interdisciplinary Plan Proposal

Sillero, A. S., & Buil, N. (2021). Enhancing interprofessional collaboration in perioperative setting from the qualitative perspectives of physicians and nurses. International Journal of Environmental Research and Public Health, 18(20), 10775. https://doi.org/10.3390/ijerph182010775

Veen, W., Taxis, K., Wouters, H., Vermeulen, H., Bates, D. W., Bemt, P. M. L. A., Duyvendak, M., Oude Luttikhuis, K., Ros, J. J. W., Vasbinder, E. C., Atrafi, M., Brasse, B., & Mangelaars, I. (2020). Factors associated with workarounds in barcode‐assisted medication administration in hospitals. Journal of Clinical Nursing, 29(13-14), 2239–2250. https://doi.org/10.1111/jocn.15217

Williams, R., Aldakhil, R., Blandford, A., & Jani, Y. (2021). Interdisciplinary systematic review: Does alignment between system and design shape adoption and use of barcode medication administration technology? BMJ Open, 11(7), e044419. https://doi.org/10.1136/bmjopen-2020-044419