NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing
Capella University
NURS4040 Managing Health Information and Technology
Prof. Name
Date
Technology in Healthcare
The role of technology in healthcare has shaped our views about patient care, healthcare management, innovation, and quality of care. The main goal of technological advancements is to maintain and enhance current practices, minimize the workload of healthcare providers, and improve the quality of care by decreasing human errors.
Electronic Medication Administration (EMAR) with Bar-code medication administration (BCMA) is one of the healthcare technology which is beneficial for improving healthcare quality. I have chosen this technology because of its relation to my primary responsibility as a nurse – administering medications. EMAR with barcoding is useful in my organization as it will help me and my colleagues for effective management of medications, reduction of workload, and improvement in our meditation practices.
NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing
Nurses are primarily responsible for medication administration on which they spent about 40% of their shift time (Wondmieneh et al., 2020). Thus, it is essential to have impactful technological advancements so that effective care is provided and nurses are relieved of their burden as well. Data from a study reveals that around 35% of incidences are near-miss for medication errors while 65% are actual errors reported in the year 2016. The introduction of EMAR with BCMA was identified to be the best intervention for medication safety (Naidu & Alicia, 2019).
The databases I used to identify the sources for this annotated bibliography are Google Scholar, PubMed Central, BioMed Central, and CINAHL Library. The search terms which I utilized on these databases are; “What is EMAR?”, “What is BCMA?”, “Impact of technology of medication practices”, “safe medication administration technology”, “Impact of EMAR and BCMA on patients’ safety”, “Quality care through technology”, “Interdisciplinary team and medication technologies”, and “importance for healthcare professionals”.
Annotated Bibliography
Naidu, M., & Alicia, Y. L. (2019). Impact of bar-code medication administration and electronic medication administration record system in clinical practice for an effective medication administration process. Health, 11(05), 511–526. https://doi.org/10.4236/health.2019.115044
This annotated literature review by authors focused on finding outcomes of using BCMA and EMAR, clinical practices, and hospital policies that may impact nurses for administering medications. The authors concluded that to improve medication practices and reduce medication errors, the use of electronic medication administration and barcoding technology is recommended in various literature. This article describes the impacts of EMAR and BCMA on
Patients’ Safety and Quality Care
According to the article, EMARs are effective if used along with BCMA which helps in reducing medication errors (misunderstood orders, delayed administration, or wrong administration). The implementation of the BCMA system reduces these errors, consequently reducing costs associated with these errors which ultimately helps in improving patients’ safety. Improved efficiency of medication administration and better patient outcomes results in effective healthcare practices. This benefits an organization as a whole to grow in this advancing healthcare world because of the quality healthcare that they provide.
Nursing Practices and Interdisciplinary Team
This article is relevant for nursing practices as it helps nurses to enhance their knowledge, improve their practices and provide quality care to patients. Moreover, it is relevant for the interdisciplinary team because to bring an effective change in the organization team members need to work together and fulfill their assigned duties which will help the organization embrace the change and gain a reputation. Leaders should play an effective leadership role for this purpose.
This resource is useful for healthcare practitioners as it provides a comprehensive review of literature that states the positives and challenges of these technologies as well as provides strategies to overcome the challenges.
Macias, M., Bernabeu-Andreu, F., Arribas, I., Navarro, F., & Baldominos, G. (2018). Impact of a barcode medication admi
Read MoreNHS FPX 4000 Assessment 4 Analyzing a Current Health Care Problem or Issue
NHS-FPX 4000 Developing a Health Care Perspective
Prof. Name:
Date
Analyzing a Current Health Care Problem or Issue
Patient safety is vital in the healthcare sector, ensuring the well-being of individuals by preventing errors, minimizing risks, and promoting a culture of continuous improvement in healthcare practices. Medication errors are one such issue that compromises patient safety. This paper aims to provide a comprehensive overview of medication errors, encompassing their definition, prevalence, causative factors, solutions to address the issue, and ethical implications of those solutions. By delving into the intricacies of medication errors, this paper aims to empower healthcare professionals and policymakers to implement effective interventions that safeguard patient well-being.
Elements of the Problem
Medication errors significantly threaten patient safety, encompassing mistakes during prescribing, dispensing, and administering. Such errors can result in adverse health outcomes and life-threatening complications for the patients. According to a study by Tabatabaee et al. (2022), medication errors are considered the third leading cause of mortality in the United States. In the U.S., it is estimated that medication errors influence approximately 1.5 million people yearly, with a treatment cost of $3.5 billion. Globally, this economic impact exceeds $42 billion annually (Shitu et al., 2020).
According to the World Health Organization, medication errors are resulting in single mortality every day in the United States. Thus, the organization emphasizes the need to address the issue using efficient methods to ensure patients remain safe during their healthcare journeys (Naseralallah et al., 2023). Several factors, such as inadequate communication between healthcare providers, obscured prescriptions, look-alike and sound-alike drugs, interruptions during medication management, and lack of trained staff, are leading causes of preventable medication errors. Other systemic issues, for instance, unavailability of standardized protocols, technological insufficiencies, and excessive workload, may aggravate such errors. Therefore, there is a significant need to address the issue and identify effective solutions.
The scholarly resources presented above are credible and relevant to the topic of this assessment – medication errors. These resources fulfill the CRAAP (currency, relevance, authority, accuracy, and purpose) criteria, an evaluative method for recognizing credible resources. Moreover, these resources provide explicit information about medication errors, their prevalence, and their impact on patients. Such information is essential for healthcare professionals to take adequate measures to eradicate the problem and maintain patient safety.
Analyze
The specific incident that this assessment focuses on is the incorrect administration of an antibiotic to the wrong patient. This event was observed during clinical orientation, where a nurse administered a Piperacillin and Tazobactam antibiotic combination to an allergic patient. The patient immediately survived an anaphylaxis reaction, ultimately resulting in an increased length of hospital stay. This issue is important to a baccalaureate-prepared nurse because medication administration is vital to nurses’ job descriptions. A nurse must be adequately trained and competent to prevent errors and improve patient safety through proper medication handling and management.
Definition and Causes of the Problem
Medication errors are those stoppable incidents that could result in patient injury due to inaccurate medication management by healthcare professionals or patients (Shitu et al., 2020). The above mentioned incident results from several risk factors, such as nurses’ lack of concentration while administering medication. This lack of concentration can be because of unnecessary interruptions in clinical areas. A study reveals that 91% of nurses perform medication errors due to distractions during medication administration (Raja et al., 2019). Another cause of such an error is the need to follow the rights of medication administration: the right patient, the right drug, the right time, the right dose, and the right route. The Five Rights of Medication Administration framework provides standardized guidelines for nurses to follow when administering medications to ensure patient safety and correct administration of drugs (Hanson & Haddad, 2022).
Who is Involved? The Groups Impacted
The patient is the one who is affected by this specific incident the most. The error became harmful as the patient was allergic to PipTazo. The incorrect administration resulted in alle
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Healthcare system errors lower the quality of healthcare services. They are associated with poor patient outcomes and high treatment costs. In addition, healthcare system errors have a negative financial implications on a healthcare facility (Waldenu.edu, n.d.). These errors are likely to attract penalties and reduce reimbursements for facilities that use value-based reimbursement programs. Various etiological factors have been implicated in healthcare system errors. They include the lack of open communication, the inadequacy of policies, optimized staff ratios, technical problems, and the lack of appropriate health technology (Ahmed et al., 2019; Waldenu.edu, n.d.). Data demonstrate that healthcare system errors account for approximately 98,000 mortalities annually in the USA (Waldenu.edu, n.d.).
Various issues constitute healthcare system errors. They include medication errors, misdiagnosis, surgical injuries, wrong transfusions, pressure ulcers, and wrong placement of medical devices (Ahmed et al., 2019; Pelzang & Hutchinson, 2018). As a nurse, I play a key role in reducing the incidence of healthcare system errors. To accomplish this, I should work in concert with interdisciplinary team members to uphold care coordination. I will improve the performance of key benchmark metrics and nursing-sensitive indicators by reducing the incidences of healthcare system errors. During my clinical practice, I witnessed a case of medication error. My colleague requested me to double-check the medication before she could administer them. Subsequently, this enabled me to pinpoint the wrong patient’s identity. Administration to the wrong patient would increase the risk of hypersensitivity reactions, toxicities, and adverse drug events.
Identifying Academic Peer-Reviewed Journal Articles
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Applying Research skills
Medication errors can be described as a failure in the medication management process. It can be due to improper prescription, administration, or inaccurate medication records that can potentially damage the patient, resulting in poor health outcomes (Mosisa et al., 2022). The growing incidences of medication errors have developed my interest into this topic. As a healthcare provider, I must prioritize initiatives to prevent these errors in my nursing practice.
In the professional context, I have observed various medication errors in my organization where healthcare providers administered incorrect medication, misread prescriptions, and neglected possible drug interactions, leading to severe patient complications. Thus, it is essential to tackle the underlying causes and put strong protections in place to reduce medication errors and ensure patient safety.
Peer-reviewed Journal Articles Relevant to Medication Errors
Many peer-reviewed journal articles are available on different databases that address medication errors and the potential strategies to minimize them. The selected articles for annotated bibliography are gathered from various databases, including the Capella University Library and outside resources like BioMed Central, Science Direct, Google Scholar, CINAHL, and PubMed.
To increase the search efficiency of desired articles, I used appropriate keywords like “medication errors”, “medication safety”, and “medication administration”. The selected papers for annotated bibliography are recently published and relevant to the topic of interest as they present the information and knowledge with the most recent developments for reducing medication errors in healthcare settings.
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15th April
Lynette
Lakeland Medical Clinic
Hello. I hope this finds you well. I write this letter in response to the call for me to lead the change project at Lakeland Medical Clinic. With the evolving professional world, executives have changed their team management skills within firms. Collaborative leadership has proven to be a powerful approach with numerous advantages over traditional methods (Modha, 2021). Collaboration provides a company critical capability to adapt to diverse markets, customers, talents, and ideas through inclusion. The letter outlines the qualities of my role model leader, the leadership qualities I possess, and my recommendations on the leadership model to adopt to address current issues facing our organization.
Preferred Leader for the Project
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Safety Improvement Plan Toolkit: Eliminating Medical Errors Paper
Patient safety and healthcare service quality are inseparable elements. More importantly, efforts to ensure safe healthcare processes, reduce health hazards, and empower employees to enhance effective services are gaining popularity in healthcare contexts. The growing concern about patient safety emanates from the urge to eliminate process errors, patient injuries, and medical/economic burdens associated with medication errors. This safety improvement plan toolkit targets to expound on workplace safety parameters and provide insights about leadership obligations, potential strategies, and efforts to harness safe healthcare processes.
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Policy Proposal
Overall, between 2015 and 2016, Mercy Medical Center’s Specialty Operations and Maternity & Deliveries departments reduced the number of accidents. However, the orthopedic surgery and obesity programs departments of the hospital saw a considerable rise in the frequency of falls in 2016. Both the standards of the medical center and the well-being of the patients are gravely at risk from these accidents. This article shows why Mercy Medical Center needs to adjust its policies in order to achieve the suggested standards for reducing patient falls.
The proposed change is developing and implementing fall prevention programs throughout Mercy Medical Center to help alleviate fall rates for the orthopedic surgery and Obesity Divisions. This is because the health facility serves a lot of patients from Shakopee; hence reducing injury risks inside the orthopedic surgery and Obesity Divisions is vital. Also proposed is an increase in employee personnel to aid in lowering accident incidence and improving client results.
Need For Policy And Practice Guidelines
Mercy Medical Center needs to prioritize accidents or fall prevention in its Orthopedic Surgery and Obesity Departments. Miscommunication and understaffing are among the major factors contributing to frequent falls at the medical facility’s Orthopedics and Bariatric Services. Admittedly, preventing patient falls in healthcare facilities is a challenge shared by many health organizations across the country.
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The LGBTQ community is of the vulnerable populations in healthcare. These individuals, especially teens, are prone to discrimination, violence (psychological and psychological), and bullying. They are thus prone to mental health issues such as depression and anxiety, while others suffer social exclusion. These effects often limit teens from expressing themselves and often face significant harassment, and can even end up in injuries, like the teen in one of the presented case studies.
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Poor communication and teamwork are colossal problems in the healthcare sector. They adversely impact the patient care process and diminish the level of patient care and effectiveness of interventions. To address these challenges, we need to design a prospective multidisciplinary plan proposal that enables us to determine the issue and search for an appropriate solution to these issues. These difficulties ultimately increase the likelihood of medication errors and generate serious issues in patient safety. This paper will present a thorough multidisciplinary plan proposal highlighting the probable solutions and tactics to establish excellent healthcare for the patient’s wellness.
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Root cause analysis (RCA) is a tool used to investigate and understand the underlying causes of patient safety incidents such as medication errors (Ahmed et al. 2019). It helps in problem identification so that health practitioners can introduce changes that improve care quality and patient experience. Medication errors is a typical incident that requires an RCA that will ultimately produce various recommendations to reduce medication errors and improve patient safety.
The application of RCA to medication errors within a clinical care setting is especially important considering the alarming numbers of increased length of stay, hospital injuries and death that adverse events have caused in American hospitals (Gates et al. 2019). For instance, according to Mazer and Nabhan (2019), at least 200,000 deaths are attributable to medication errors yearly, indicating that there are various root cause factors that play a role in those events, and that are worth exploring.
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Create and deliver a slide presentation (8-12 slides; 3-5 minutes maximum presentation) on the analysis of a selected health care problem that includes evidence-based recommendations. Your submission needs to include a narrated webcam recording, using your PowerPoint slides and speaker notes, which serve as a transcript.
Health care leaders scan for emerging and existing issues, prioritize problems, collect and analyze data, propose evidence-based solutions, and engage diverse teams in the process. Once a problem has been sufficiently analyzed, the health care leader must identify stakeholders who will participate in the final decision making for a proposed evidence-based solution.
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How Technology, Care Coordination And Community Resources Will Be Applied
Technology plays an essential role in enhancing healthcare. Technology has come with new ways to tame the immune system in the battle against cancer that will be curable. Therefore, technology can create cancer vaccines that prevent an individual from getting cancer and detect cancer early when it is curable. Technology has additionally come with CAR-T cell treatment (June et al., 2018). It comprises taking immune T-cells from the patient and genetically designing them to focus on a particular cancer antigen. CAR-T is changing the therapy worldview for cancer growth by focusing on explicit therapies to cancer cells. This is a tremendous invention in the fight against cancer in the future.
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Wei et al. (2021) indicate that collaboration among healthcare providers has increased patient outcomes such as adverse drug reactions, decreased mortality and morbidity, and improved medication dosage. One of the main issues impacting healthcare provision among patients is poor communication.
Poor communication among nurses and physicians increased patient dissatisfaction and adverse patient outcomes. Studies indicate that hypertension puts patients at a high risk of developing cardiovascular disease.
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Introduction
Health care operations is a complex topic, encompassing many aspects including (but not limited to) service locations, personnel, policy, leadership, finance, strategy, and quality. While the industry is generally viewed as a service industry, its systems are faced with complex operational challenges including supply chain, strategy, quality and project management, and service delivery.
Given the changing landscape from a health reform and financial perspective, health care organizations must focus on improving their operations and improving efficiencies to remain competitive. A component of the health care delivery process is the procurement, stocking, and dispensing of supplies. Within this process, opportunities exist to add value, reduce waste, and create standardization throughout the organizat
Read MoreHA-FPX4108 Assessment 1: Vila Health: Pacemaker Inventory Create a 7-10 slide PowerPoint presentation that explains basic inventory management concepts and analyzes the current state of an organization’s inventory of pacemakers.
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Read MoreCapella BHA-FPX4020 Assessment 5: Health Care Leadership Self-Assessment Template Example Refer to the ACHE Healthcare Executive Competencies Assessment Tool to select the applicable competencies.
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