Nurs FPX 4020 Assessment 4 Improvement Plan Tool Kit

Assessment 4: Improvement Plan Tool Kit
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Capella University
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Course Name
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FEB 23, 2024
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Improvement Plan Toolkit: Enhancing Medication
Safety m
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In healthcare settings, the dissemination of crucial information among stakeholders is
essential for implementing safety improvement plans. This toolkit, focusing on
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Medication Administration Errors (MAEs), aims to equip nurses and nurse leaders with
comprehensive knowledge sourced from authentic, credible, and evidence-based
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resources for successful outcomes.

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Resource Toolkit – Implementation and Sustainability

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This toolkit is structured into four easily understandable sections:

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Risk Factors of MAEs
Assunção-Costa et al. (2022) conducted an observational study to identify factors

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associated with medication administration errors. They highlighted interruptions,

excessive workload, and errors in administration routes as significant contributors.
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Addressing these factors can guide the implementation of safety improvement plans in
hospitals.
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Rostami et al. (2019) explored medication omission errors in English NHS Hospital
Inpatients, emphasizing factors such as high numbers of prescribed medications
leading to missed doses. Strategies to identify high-risk populations and implement
safety improvement plans were recommended.
Wondmieneh et al. (2020) identified factors contributing to medication administration

errors among nurses in tertiary hospitals in Addis Ababa, Ethiopia. These included a
lack of training and experience, an absence of standardized guidelines, and disruptions
during administration and night shifts. Recommendations included continuous
educational training and creating a supportive environment for nurses.
Role of Nurses and Managers in Medication Safety
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Abdulmutalib and Safwat (2020) outlined nursing strategies for reducing medication
errors, emphasizing the nurse's crucial role in identifying factors to prevent mistakes
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and suggesting interventions by nurse managers.
Lappalainen et al. (2019) explored the relationship between a nurse manager’s
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transformational leadership style and medication safety, suggesting that adopting a
transformational leadership style positively influences nurses' perceptions of medication
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safety, fostering a trustworthy and supportive environment.
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Nurmeksela et al. (2021) correlated nurse managers' work activities, nurses' job
satisfaction, patient satisfaction, and medication errors, highlighting the impact of the
nurse-to-manager ratio on job satisfaction among nurses and proposing strategies for
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nurse managers to improve patient safety.

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Medication Error Reporting

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Afaya et al. (2021) identified barriers to reporting medication administration errors,

recommending creating an enabling environment with minimal punishments and
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educating nurses on reporting systems.

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Mutair et al. (2021) reviewed effective strategies to prevent medication errors and
enhance reporting systems, emphasizing the importance of a safe reporting system,
confidentiality, and managerial support.
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Unal and Seren İntepeler (2019) observed a significant increase in medication error
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reporting after implementing a medical error reporting system, highlighting the

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importance of an online reporting system in promoting a culture of patient safety among
healthcare professionals.
Evidence-based Solutions
Larson and Lo (2019) recommended the implementation of computerized provider order

entry and bar-coded medication administration systems to prevent medication errors
and enhance medication safety by identifying errors before administration.
Manias et al. (2020) proposed interventions like provider education, medication

reconciliation, medication management systems development, and interprofessional
collaboration to reduce medication errors, ensuring a comprehensive approach to
medication management.
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Salar et al. (2020) suggested strategies such as training healthcare professionals,
improving nurses' ability to read medication orders, informing professionals about legal
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obligations, and accrediting nurses for medication practices to prevent medication errors
in hospitals.
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Conclusion
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This improvement plan toolkit provides credible and relevant resources for stakeholders
to implement positive reforms in medication safety. Emphasizing training healthcare
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professionals, establishing standard guidelines, adopting technological advancements,
and fostering interprofessional collaboration enhances the quality of care and prioritizes
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patient safety.
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References:
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Abdulmutalib, I., & Safwat, A. (2020). Nursing strategies for reducing medication errors.
Egyptian Journal of Nursing and Health Sciences, 1(1), 26–41.
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Afaya, A., Konlan, K. D., & Kim Do, H. (2021). Improving patient safety through
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identifying barriers to reporting medication administration errors among nurses: An

integrative review. BMC Health Services Research, 21(1).
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Assunção-Costa, L., et al. (2022). Observational study on medication administration

errors at a University Hospital in Brazil: Incidence, nature, and associated factors.
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Journal of Pharmaceutical Policy and Practice, 15(1).

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Lappalainen, M., et al. (2019). The relationship between nurse manager’s
transformational leadership style and medication safety. Scandinavian Journal of Caring
Sciences, 34(2), 357–369.
Larson, K., & Lo, C. (2019). Potential cost savings and reduction of medication errors
due to implementation of computerized provider order entry and bar-coded medication
administration in the Fraser Health Authority. Univ Br C Med J, 10, 45-46.
Manias, E., et al. (2020). Interventions to reduce medication errors in adult medical and
surgical settings: A systematic review. Therapeutic Advances in Drug Safety, 11,
Mutair, A. A., et al. (2021). The effective strategies to avoid medication errors and
improve reporting systems. Medicines, 8(9).
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Nurmeksela, A., et al. (2021). Relationships between nurse managers’ work activities,
nurses’ job satisfaction, patient satisfaction, and medication errors at the unit level: A
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correlational study. BMC Health Services Research, 21(1).
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Rostami, P., et al. (2019). Prevalence, nature and risk factors for medication
administration omissions in English NHS Hospital Inpatients: A retrospective multicentre
study using medication safety thermometer data. BMJ Open, 9(6).
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Salar, A., et al. (2020). Preventing the medication errors in hospitals: A qualitative study.
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International Journal of Africa Nursing Sciences, 13,
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Unal, A., & Seren İntepeler, S. (2019). Medical error reporting software program
development and its impact on pediatric units’ reporting medical errors. Pakistan
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Journal of Medical Sciences, 36(2).

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Wondmieneh, A., et al. (2020). Medication administration errors and contributing factors
among nurses: A cross-sectional study in tertiary hospitals, Addis Ababa, Ethiopia. BMC
Nursing, 19(1).
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Assessment 4: Improvement Plan Tool Kit

resources for successful outcomes.

Resource Toolkit – Implementation and Sustainability

This toolkit is structured into four easily understandable sections:

Risk Factors of MAEs

Assunção-Costa et al. (2022) conducted an observational study to identify factors

associated with medication administration errors. They highlighted interruptions,

Wondmieneh et al. (2020) identified factors contributing to medication administration

Role of Nurses and Managers in Medication Safety

Lappalainen et al. (2019) explored the relationship between a nurse manager’s

nurse managers to improve patient safety.

Medication Error Reporting

Afaya et al. (2021) identified barriers to reporting medication administration errors,

educating nurses on reporting systems.

reporting after implementing a medical error reporting system, highlighting the

Larson and Lo (2019) recommended the implementation of computerized provider order

Manias et al. (2020) proposed interventions like provider education, medication

identifying barriers to reporting medication administration errors among nurses: An

Assunção-Costa, L., et al. (2022). Observational study on medication administration

Journal of Pharmaceutical Policy and Practice, 15(1).

Journal of Medical Sciences, 36(2).

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