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Assessment 3: Improvement Plan In-Service Presentation

Student Name

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Capella University

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Course Name

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Prof Name
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FEB 24, 2024
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Improvement Plan In-Service Presentation

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Hello, I am __, and the focus of today's presentation is an improvement plan designed
to enhance patient safety by reducing errors during the medication administration stage
of patient care. First, let us explore the goals and objectives of this presentation.

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Purposes and Goals of In-Service Session

The objectives for today’s presentation are:

● Discuss medication administration errors, their prevalence, and the associated

consequences.
● Identifying the need for improving medication administration safety outcomes.
● Recommending processes to enhance safety outcomes related to medication
administration.

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● Discussing the audience's role in the safety improvement plan.
● Creating resources and activities to encourage skill development and

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understanding of the processes.

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Medication Administration Errors

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Medication administration errors encompass the administration of the wrong drug or

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incorrect drug dose, using the improper route, at the inappropriate time, or to an
incorrect patient. Research indicates that approximately 40% of nurses’ floor time is
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dedicated to medicine administration, contributing to the risk of errors (Obua, 2019).
Subsequently, we will delve into the necessity of a safety improvement plan addressing
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medication administration errors.

Needs to Improve Medication Administration Safety Outcomes

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In hospitals, the reported rate of medication error-related adverse events is around 6.5
per 100 admissions (Carver & Hipskind, 2019). Over half of these errors occur during
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the administration stage, a critical step in the ultimate interception barrier. A systematic
review found a 25.2% prevalence of error rates related to administration in hospitalized
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patients. Additionally, a UK medication incident report linked incidents resulting in

severe harm or patient deaths to the administration stage of medication (Azar et al.,
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2023).
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Improvement Plan In-service Presentation

Medication errors in hospitals incur significant costs and adversely impact patients, their
families, healthcare personnel, healthcare institutions, and the community. These errors
can jeopardize patients’ lives, leading to longer hospital stays and increased treatment
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regimens, incurring additional costs for both the hospital and the patient. Recognized as
a public health issue, these errors underscore the imperative for a safety improvement
plan.

Processes to Improve Safety Outcomes Related to Medication Administration

The safety improvement plan centers on three key strategies:

​ Incident Reporting and Blame-Free Culture: Emphasizing error reporting as a

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fundamental prevention principle, modifying the healthcare system and culture to
encourage reporting for system development rather than individual punishment.

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​ Collaboration Among Healthcare Professionals: Promoting effective collaboration
among multidisciplinary teams to provide a safe work environment, reducing

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patient safety issues, and enhancing the quality of care.
​ Health Information Technology: Leveraging computerized order input systems to

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reduce adverse drug occurrences, and providing nurses with skills to use

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technological tools for seamless medication administration.

Role of Audience
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The success of any strategy depends on the active participation and adherence of the
audience. Healthcare organizations involve healthcare staff, leaders, IT personnel, the
finance team, and the quality improvement committee. Each audience collaborates to
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create a strategic plan, and their active involvement is crucial for success.

Resources and Activities Employed

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Establishing resources and activities is crucial for engaging healthcare professionals,

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providing practical knowledge, and stimulating skill development. In this session, we will
create a visually engaging checklist and conduct a simulation exercise based on an
actual drug administration error. Interactive workshops can be organized in the future to
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empower healthcare staff and contribute to a safer healthcare environment.

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Conclusion

Medication administration errors have severe consequences, necessitating strategic

improvement plans based on evidence-based best practices. In-service sessions play a
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vital role in enhancing skills and knowledge, and various exercises can stimulate skill
development related to safety improvement programs.

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References

Azar, C., Raffoul, P., Rizk, R., Boutros, C., Saleh, N., & Maison, P. (2023). Prevalence of
medication administration errors in hospitalized adults: A systematic review and
meta‐analysis up to 2017 to explore sources of heterogeneity. Fundamental & Clinical
Pharmacology. https://doi.org/10.1111/fcp.12873

Carver, N., & Hipskind, J. E. (2019). Medical error... StatPearls. Treasure Island (FL):
StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK430763

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Obua, U. (2019). Strategies for Reducing Medication Errors in an Outpatient Internal

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Medicine Clinic – ProQuest.
https://www.proquest.com/openview/1933b2fc7c5bf1d708e99a9e150fe328/1?pq-origsit

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e=gscholar&cbl=18750&diss=y

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