Prof Name Course Name Sept 06 2023 Student Name Capella University Assessment 2 Root Cause Analysis and Safety Improvement Plan MSNwritingservices com Do you need Help to complete your Capella Uni BSN FlexPath Class in 1 Billing Email Us Contact MSNwritingservices com Website MSNwritingservices com For Free BSN Sample MSNwritingservices com free Sample Improving Patient Safety through Root Cause Analysis MSNwritingservices com Root Cause Analysis RCA is a vital tool for identifying factors contributing to patient safety risks in healthcare settings This investigation focuses on challenges related to medication administration and adverse incidents emphasizing the importance of patient safety measures Specifically medication errors particularly those occurring during administration pose a significant threat to patient safety in the USA This analysis aims to uncover the root causes of drug administration errors in the diabetic ward and propose evidence based strategies and organizational interventions to enhance patient safety A detailed examination of Mr Wallace s case in the diabetes ward reveals several root causes of medication administration errors These include inadequate training deviations from established guidelines insufficient experience interruptions communication inefficiencies and human factors Research underscores the need for continuous training and effective communication among healthcare professionals to minimize medication errors Evidence Based Approaches to Safety Enhancement Insights from Root Cause Analysis Addressing medication administration errors requires the implementation of evidence based strategies Recommended approaches include Do you need Help to complete your Capella Uni BSN FlexPath Class in 1 Billing Email Us Contact MSNwritingservices com Website MSNwritingservices com For Free BSN Sample MSNwritingservices com free Sample Continuous nurse training Implementation of Barcode Medication Administration BCMA systems Utilization of Smart infusion pumps with Dose Error Reduction Systems DERS and Clinical Decision Support Systems CDSS Promoting a safety culture with open communication and non punitive reporting procedures In Conclusion Initiatives for Safety Enhancement Optimizing Organizational Resources Effective utilization of organizational resources is essential for achieving the desired impact This includes investing in staff training deploying advanced technological solutions and involving multidisciplinary teams and professional associations to promote standardization and best practices thereby reducing adverse events Safety improvement initiatives integrate insights from root cause analysis with various strategies to prevent errors and adverse events Key components include creating a blame free culture improving communication channels and implementing technological solutions like BCMA and CDSS The Lean Six Sigma Plus methodology can also be used to standardize processes and reduce waste MSNwritingservices com Systematic root cause analysis is crucial for preventing medication errors in acute care settings By adopting evidence based methods and leveraging organizational resources including collaboration with professional associations healthcare institutions can significantly improve safety and reduce medication errors Do you need Help to complete your Capella Uni BSN FlexPath Class in 1 Billing Email Us Contact MSNwritingservices com Website MSNwritingservices com For Free BSN Sample MSNwritingservices com free Sample References Carver N Hipskind J E 2019 Medical Error StatPearls Publishing McDermott O et al 2022 Lean Six Sigma in healthcare A systematic literature review on motivations and benefits Processes 10 10 Melton K R et al 2019 Smart pumps improve medication safety but increase alert burden in neonatal care BMC Medical Informatics and Decision Making 19 1 Samsiah A et al 2020 Knowledge perceived barriers and facilitators of medication error reporting a quantitative survey in Malaysian primary care clinics International Journal of Clinical Pharmacy 42 4 FitzHenry F et al 2020 Prevalence and risk factors for opioid induced constipation in an older national Veteran cohort Pain Research and Management 2020 MSNwritingservices com Schroers G et al 2020 Nurses perceived causes of medication administration errors A qualitative systematic review The Joint Commission Journal on Quality and Patient Safety 47 1 Yoon S Sohng K 2021 Factors causing medication errors in an electronic reporting system Nursing Open Visvalingam P A A et al 2023 A systematic review of knowledge attitude practice and the associated factors of medication error among registered nurses IJFMR International Journal for Multidisciplinary Research 5 4 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 4 Ulrich B et al 2022 National Nurse Work Environments October 2021 A Status Report Critical Care Nurse 42 5 Do you need Help to complete your Capella Uni BSN FlexPath Class in 1 Billing Email Us Contact MSNwritingservices com Website MSNwritingservices com For Free BSN Sample MSNwritingservices com free Sample