Assessment 2 Root Cause Analysis and Safety Improvement Plan Student Name Capella University Course Name Prof Name May 7 2024 Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free MSN Sample BSNWritingservices com free Sample Root Cause Analysis and Safety Improvement Plan Root Cause Analysis RCA serves as an effective method for identifying factors contributing to patient risks The healthcare organization in question has observed a significant prevalence of medication administration issues and adverse events highlighting the critical importance of patient safety RCA plays a crucial role in mitigating preventable adverse events enhancing patient safety measures and fostering learning and quality improvements within healthcare settings Notably medication errors particularly in administration rank as the eighth leading cause of Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free MSN Sample BSNWritingservices com free Sample death in the USA Numerous studies highlight medication administration errors MAEs as prominent contributors to patient risks in acute care settings leading to prolonged hospital stays Samsiah et al 2020 This review specifically delves into the root causes of medication administration errors in the diabetic ward focusing on evidence based safety improvement strategies and organizational interventions to bolster patient safety Analysis of the Root Cause Mr Wallace s experience in the diabetes ward reflects various root causes of medication administration errors Factors discussed in Assessment 1 include inadequate training deviation from medication administration guidelines insufficient work experience interruptions during administration communication weaknesses lack of knowledge and human factors contributing to errors impacting patient safety Ulrich et al 2022 Schroers et al 2020 Wondmieneh et al 2020 Studies reveal a positive relationship between nursing staff experience and the quality of patient care underscoring the significance of ongoing training Ulrich et al 2022 Communication gaps among healthcare professionals including nurses clinicians and peers often result in medication administration errors Samsiah et al 2020 Qualitative assessments highlight a pervasive lack of medication knowledge among nurses underscoring the need for targeted interventions Schroers et al 2020 Deviation from guidelines and the absence of appropriate protocols significantly increase the risk of medication errors Wondmieneh et al 2020 Minimizing interruptions during administration processes is crucial and human factors such as work stress prescription errors and lack of experience contribute substantially to MAEs Brigitta and Dhamanti 2020 Application of Evidence Based Strategies To address obstacles contributing to safety issues associated with medication administration errors evidence based strategies are critical Nurse training and education play a pivotal role in reducing errors with a focus on the five rights of medication administration Yoon and Sohng 2021 Implementing Barcode Medication Administration BCMA systems significantly reduces the likelihood of administrative mistakes Fitzhenry et al 2020 Smart infusion pumps with Dose Error Reduction Systems DERS and Clinical Decision Support CDS Systems contribute to error reduction during medication administration Melton et al 2019 Cultivating a safety culture open communication and non punitive reporting practices are essential for addressing errors and enhancing patient safety Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free MSN Sample BSNWritingservices com free Sample Evidence Based Safety Improvement Plans Safety improvement plans aim to reduce errors leading to adverse events through the systematic integration of root cause analysis and various solution strategies Establishing a blame free culture emphasizes addressing the causes of errors rather than attributing blame facilitating timely interventions and preventing morbidities Carver and Hipskind 2019 Effective communication and collaboration between healthcare professionals positively impact the quality of patient care Visvalingam et al 2023 Root Cause Analysis and Safety Improvement Plan Implementing technological tools such as BCMA and CDS streamlines medication administration ensuring accurate records The Lean Six Sigma Plus methodology focusing on process standardization and waste reduction proves valuable in hospitals for minimizing errors McDermott et al 2022 Organizational Resources Optimal utilization of existing and potential organizational resources is essential for maximum impact Hospitals should invest in staff training technologically advanced tools and patient care protocols Financial resources can support staff training and the incorporation of technological tools Involving multidisciplinary teams and professional organizations enhances standardization and best practices ultimately reducing adverse events Conclusion Medication errors in acute care settings require systematic root cause analysis to prevent future occurrences Evidence based approaches such as the LSS methodology provide comprehensive solutions Leveraging partnerships with Nursing Associations and MSOS maximizes the impact of safety improvement plans Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free MSN Sample BSNWritingservices com free Sample References Carver N Hipskind J E 2019 Medical Error StatPearls Publishing FitzHenry F et al 2020 Prevalence and risk factors for opioid induced constipation in an older national Veteran cohort Pain Research and Management 2020 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 Schroers G et al 2020 Nurses