Capella University
NURS-FPX 4010-Leading People, Processes, and Organizations in Interprofessional Practice
Dr. Gina Percoco
November 23, 2023
Interdisciplinary Plan Proposal
Hi everyone, I thank you for your participation in this session. I will discuss an interdisciplinary collaboration plan for eliminating wrong medication administration. Notably, changing patients’ demands require healthcare providers to adjust their practices and deliver evidence-based and patient-centered care. Medication administration errors are among the primary concerns within the critical care unit. Specifically, wrong drug administration causes readmissions, prolonged hospitalization, and additional costs that undermine organizational reputation and competitiveness. For this reason, the hospital needs transformational leaders to inspire team and promote collective accountability and responsibility toward reducing medication errors. The interdisciplinary practices make everyone aware of frequency, causes, effects, and evidence-based solutions for wrong drugs administration.
Objectives and Predictions
• To describe the frequency, causes, and implications of wrong medication administration on patients, healthcare teams, and the organization.
• To emphasize the role of interdisciplinary collaboration in enhancing quality and safety of patient care.
• To initiate training and education on wrong medication errors and measures for preventing adverse outcomes associated with the errors.
The objectives highlight the need for individual and collective efforts necessary to identify and intercept risks associated with wrong medication administration. The aim is to make the care team familiar with beliefs, values, and attitudes that make them responsive to patients’ demands (Clausen et al., 2019). One prediction is that everyone will participate in training and education programs, which allow them to ask questions and share experiences about issues in the clinical environment. A second prediction is that different healthcare professionals will appreciate and willingly participate in interdisciplinary collaboration (Reeves et al., 2017). The decision allows them to share knowledge, skills, and experiences on medication errors and tailored interventions to maximize patient satisfaction. Thirdly, everyone will contribute in interactive sessions on frequency and causes of medication errors across the care continuum.
GET EXPERT HELP NURS-FPX4010
Change Theories and Leadership Interventions
The PDSA framework guides the leader and followers to design specific steps for addressing the problem. The model allows stakeholders to develop a training curriculum on medication errors and interventions necessary to reduce frequency across the care continuum. The theory framework also allows the team to test the plan, adjust, and scale it according to the organization’s strategic priorities (McNicholas et al., 2019). The goal is to allow everyone to share ideas on gaps in the clinical environment and alternatives available to achieve the intended outcomes.
Firstly, the leader will initiate a discussion on the proposed change, purpose, and the need for collaborative efforts (Asif et al., 2019). Secondly, the team will access details of wrong medication administration, including frequencies and the consequences on patients, healthcare professionals, and the organization. Case studies and medication safety checklists will strengthen awareness about the issue. Buy-in is necessary to make everyone committed to achieving a common goal.
Collaboration Strategy
The team has nurses, physicians, nurse manager, clinical assistants, pharmacists, and a nurse educator. The identified members directly influence quality and safety of patient care since they understand frontline responsibilities and roles in eliminating medication errors (Manias, 2018). The group can share unique ideas and experiences on the causes and interventions necessary to prevent wrong medication administration. The nurse manager and educator will initiate conversations and moderate the training and education sessions to cover all aspects of the collaborative framework for reducing medication errors.
Resources
The nurse educator is important to guide the team through various topics and role-play on medication errors prevention. Resources for the safety training and education include case scenarios, medication safety checklists, and pocket guides. The goal is to ensure everyone acquires knowledge and skills on the best practices for identifying and intercepting risks associated with wrong medication administration.
Table 1
Resources
Resource Description Cost ($)
Case study on wrong medication administration The Vanderbilt University Medical Center’s case about a nurse administering wrong high-risk medications guides the audience on the causes and implications of medication administration errors. 100
Medication administration safety checklists Checklists provide instructions that guide the care team to deliver the right medications to the right patient. 200
Pocket guides Highlights procedures and standards for maintaining safe medication administration. 200
Consultant nurse educator Initiate interactive sessions on medication errors and interventions necessary to maintain a safe clinical environment. 2,000
TOTAL 2,500
References
Asif, M., Jameel, A., Hussain, A., Hwang, J., & Sahito, N. (2019). 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), 1-13. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6651060/pdf/ijerph-16-02381.pdf
Clausen, C., Emed, J., Frunchak, V., Purden, M., & Sol Bruno, F. (2019). Toward resilient nurse leaders: The leadership-in-action program in nursing (LEAP-IN). Nursing Leadership, 32(3), 40-56. https://pubmed.ncbi.nlm.nih.gov/31714206/
Manias, E. (2018). Effects of interdisciplinary collaboration in hospitals on medication errors: An integrative review. Expert Opinion on Drug Safety, 17(3), 259-275. https://pubmed.ncbi.nlm.nih.gov/29303376/
McNicholas, C., Lennox, L., Woodcock, T., Bell, D., & Reed, J. E. (2019). Evolving quality improvement support strategies to improve plan–do–study–act cycle fidelity: A retrospective mixed-methods study. BMJ Quality & Safety, 28(5), 356–365. https://pubmed.ncbi.nlm.nih.gov/30886118/
Reeves, S., Pelone, F., Harrison, R., Goldman, J., & Zwarenstein, M. (2017). Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews, 6(6), 1-47. https://pubmed.ncbi.nlm.nih.gov/28639262/
Asif, M., Jameel, A., Hussain, A., Hwang, J., & Sahito, N. (2019). 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), 1-13. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6651060/pdf/ijerph-16-02381.pdf
Clausen, C., Emed, J., Frunchak, V., Purden, M., & Sol Bruno, F. (2019). Toward resilient nurse leaders: The leadership-in-action program in nursing (LEAP-IN). Nursing Leadership, 32(3), 40-56. https://pubmed.ncbi.nlm.nih.gov/31714206/
Manias, E. (2018). Effects of interdisciplinary collaboration in hospitals on medication errors: An integrative review. Expert Opinion on Drug Safety, 17(3), 259-275. https://pubmed.ncbi.nlm.nih.gov/29303376/
McNicholas, C., Lennox, L., Woodcock, T., Bell, D., & Reed, J. E. (2019). Evolving quality improvement support strategies to improve plan–do–study–act cycle fidelity: A retrospective mixed-methods study. BMJ Quality & Safety, 28(5), 356–365. https://pubmed.ncbi.nlm.nih.gov/30886118/
Reeves, S., Pelone, F., Harrison, R., Goldman, J., & Zwarenstein, M. (2017). Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews, 6(6), 1-47. https://pubmed.ncbi.nlm.nih.gov/28639262/