Select one of the three incidents among patient identification error, a medication error, and a HIPAA/privacy violation
TEMPLATE-TOTAL WORD COUNT 1500
[Summarize the key elements of the incident that occurred. Discuss your goals in addressing the issue. Discuss 2–3 items that will be your focus. Delete all statements within brackets, such as this paragraph, and replace with your discussion. Please leave the Headings (below) in the paper.]
[Discuss what culture is and why it is a critical organizational priority for safety and quality. Discuss what you know about the existing organizational culture (based on the knowledge you have about the selected issue). Discuss what some of the evidence-based strategies you are considering to cultivate a culture of safety.]
IHI Triple Aim
[What is the IHI Triple Aim? Discuss how the IHI Triple Aim applies to this specific incident. Describe what IHI Triple Aim elements you will incorporate into your organizational improvement strategy.]
Evidence-Based Leadership and Collaboration Strategies
[Discuss the following: Which key departments need to be directly involved with the corrective action process? What is your rationale for selecting these departments? Which specific senior leader, front-line staff member, and a clinical expert will you include in your action plan and hold accountable for implementation? What are the implications of not engaging with all departments toward making safety and quality top of mind? How might you involve other departments in addressing the specific issue and the cultural issue? Which specific leaders within the organization could assist you in addressing this issue and in making patient safety and quality top of mind throughout the organization? Examples for you to consider include the chief nursing officer, the chief medical officer, the patient safety officer, et cetera. What role do you expect these leaders to play in addressing the specific issue and the issue of culture? What best practices would you employ to enlist their aid in the improvement effort?]
Leadership Action Plan
[Recommend three evidence-based actions that would help to establish a safety and quality culture. Propose three evidence-based best practices you would recommend to address the issue on an organizational level.]
Opportunities to Enlist Governing Board
[Discuss the role the governing board has in terms of quality and safety in the organization. Describe how you would enlist the governing board's aid in your improvement initiative. Discuss any additional information you could provide to the governing board to increase their involvement in the organization’s safety and quality improvement efforts.]
[Summarize your analysis of the incident and your leadership action plan.]
Amedication error is a preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care proffessional,patient or consumer.
FACTORS CONTRIBUTING TO MEDICATION ERRORS
HUMAN RELATED FACTORS
|Over-worked||In a hurry|
|Under-trained||Health litracy level|
|Competence||Donot understand the drug use|
|Distracted||Trust providers to not make mistakes|
SYSTEM RELATED FACTORS
MEDICATION RELATED ERRORS
TYPES OF MEDICATION ERRORS
It occurs as a result of
It is a discrepancy between a prescription and the medicine that the pharmacy delivers to the patient or distributes to the ward on the basis of this prescription,including the dispencing of a medicine with inferior pharmaceutical or informational quality. It also includes,
It is an another type of medicine error in which there is a failure to give a medication dose before the next one is scheduled.
It is defined as a discrepancy between the drug therapy received by the patient and the drug therapy intended by the prescriber.Administration errors account for 26% to 32% of total medication errors.It involed
It occurs during the process of indenting, which includes wrong medicine,wrong strength,wrong dose,wrong route and wrong freequency.
Stratergies to prevent the medication errors
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