HLT362V Medication Administration Errors Quality Improvement Proposal Paper

User Generated

EA2016

Mathematics

HLT362V

Grand Canyon University

Description

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply "The Road to Evidence-Based Practice" process, illustrated in Chapter 4 of your textbook, to create your proposal.

Include the following:

  1. Provide an overview the problem and the setting in which the problem or issue occurs.
  2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
  3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
  4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
  5. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
  6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Unformatted Attachment Preview

Course Code HLT-362V Class Code HLT-362V-O501 Criteria Content Percentage 70.0% Problem or Issue in Practice or Organization 5.0% Problem or Issue in Practice or Organization Significance of Quality Improvement in Practice or Organization 10.0% Demonstration of Support From Previous Research 15.0% Steps Necessary to Implement Quality Improvement Initiative 15.0% Evaluation of Quality Improvement 15.0% Identification of Variables, Hypothesis Test, and Statistical Test 10.0% Organization and Effectiveness 20.0% Thesis Development and Purpose 7.0% Argument Logic and Construction 8.0% Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Format 10.0% Paper Format (use of appropriate style for the major and assignment) 5.0% Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Total Weightage 100% Quality Improvement Proposal Unsatisfactory (0.00%) Overview of the problem and the setting in which the problem or issue occurs is not described. Explanation of why the quality improvement initiative is needed is omitted. The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is omitted. Three peer-reviewed sources published within the last 5 years are omitted. The steps necessary to implement the quality improvement initiative are omitted. An explanation for how the quality improvement initiative will be measured is omitted. The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are omitted. Paper lacks any discernible overall purpose or organizing claim. Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Template is not used appropriately, or documentation format is rarely followed correctly. Sources are not documented. 150.0 Less than Satisfactory (65.00%) Overview of the problem and the setting in which the problem or issue occurs is partially described. More information is needed to fully understand the problem and the scope of the organization or practice. Explanation of why the quality improvement initiative is needed is partially presented. More information is needed to understand why the quality improvement is relevant to the problem or setting. The expected outcome is unclear. The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is incomplete. Overall, the research results do not demonstrate support for the initiative or projected outcomes. Fewer than three peer-reviewed sources published within the last 5 years were used. The steps necessary to implement the quality improvement initiative are incomplete. It is unclear how the steps presented will lead to implementation. More information is needed. An explanation for how the quality improvement initiative will be measured is partially presented. It is unclear how the evaluation will measure improvement; or it is unclear how the evaluation relates to the quality improvement initiative. The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are partially presented; one is omitted. The proposed elements are not relevant to proving the quality improvement succeeded. Thesis is insufficiently developed or vague. Purpose is not clear. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Satisfactory (75.00%) Overview of the problem and the setting in which the problem or issue occurs is summarized. Some information is needed to fully understand the problem or the scope of the organization or practice. Explanation of why the quality improvement initiative is needed is summarized. Some information is needed to understand why the quality improvement is relevant to the problem or setting. The expected outcome is generally presented. The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is generally presented. The research results generally demonstrate support for the initiative and projected outcomes. Three peer-reviewed sources published within the last 5 years were used. The steps necessary to implement the quality improvement initiative are summarized. Some steps are vague. More evidence or rationale is needed for support. A general explanation for how the quality improvement initiative will be measured is summarized. The evaluation is generally appropriate to the quality improvement initiative. The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are summarized. There are inaccuracies. Thesis is apparent and appropriate to purpose. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Appropriate template is used. Formatting is correct, although some minor errors may be present. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Good (85.00%) Overview of the problem and the setting in which the problem or issue occurs is described. Some detail is need for clarity. Explanation of why the quality improvement initiative is needed is discussed. It appears that the quality improvement initiative would help address the problem within the described setting. The expected outcome is described. Some information or rationale is needed for support or clarity. The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is presented. The research results demonstrate support for the initiative and projected outcomes. The three peer-reviewed sources meet all assignment criteria. The steps necessary to implement the quality improvement initiative are discussed. Some evidence or rationale is needed for support or clarity. An explanation for how the quality improvement initiative will be measured is presented. The evaluation is appropriate to the quality improvement initiative. The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are presented. Overall, the proposed elements are relevant to proving the quality improvement succeeded. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Appropriate template is fully used. There are virtually no errors in formatting style. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Excellent (100.00%) Overview of the problem and the setting in which the problem or issue occurs is described in detail. Explanation of why the quality improvement initiative is need is clearly discussed. The quality improvement initiative would help address the problem within the described setting presented. The expected outcome is thoroughly described. Overall, the explanation is clear and well supported. The use of research to demonstrate support for the quality improvement initiative and its projected outcomes is clearly presented. The research results strongly demonstrate support for the initiative and projected outcomes. The three peer-reviewed sources meet all assignment criteria and provide critical support for the initiative. The steps necessary to implement the quality improvement initiative are thoroughly discussed. The implantation steps are well supported with evidence and rationale. An explanation for how the quality improvement initiative will be measured is presented in detail. The evaluation is appropriate to the quality improvement initiative. Evaluation proposed is well supported. The variables, hypothesis, and statistical tests needed to prove the quality improvement succeeded are presented and accurate. The proposed elements will prove whether the quality improvement succeeded. Comments Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. Writer is clearly in command of standard, written, academic English. All format elements are correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Points Earned
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Explanation & Answer

Attached.

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Quality Improvement Proposal – Outline
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II.

Overview of the Problem and the Setting
Rationales for the Quality Improvement Initiative

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Research Evidence to Support the Proposed Quality Improvement Initiative

IV.

Implementation Steps for the Proposed Quality Improvement Initiative Evaluation

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Measures for the Outcomes of the Quality Improvement Initiative


Running head: QUALITY IMPROVEMENT PROPOSAL

Proposal for Quality Improvement Initiative for Medication Administration Errors
Name
Institution

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QUALITY IMPROVEMENT PROPOSAL

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Proposal for Quality Improvement Initiative for Medication Administration Errors
Overview of the Problem and the Setting
Medication administration errors (MAEs) are one of the significant sources of safety and
quality issues that occur at medium-sized hospitals during several aspects of the processes for the
delivery of the continuum of care. While physicians, nurses, and pharmacists endeavor to limit
the likelihood of these errors during prescribing of assessment information, the issuance of
prescription, dispensing, and administration of the medicines used by patients, most patients are
still exposed to them during hospitalization. The enormous impact of the dangers or threats that
arise from the MAEs is responsible for the emphasis by accrediting and licensing institutions on
its prevention by hospitals before issuance of accreditation. Therefore, the implementation of a
quality improvement initiative by Levi Hospitals for acute and emergency care units would not
increase its potential to achieve accreditation status of Joint Commission International but
motivate its healthcare workforce to collaborate and cooperate more during the delivery
processes for patient-centered care.
Rationales for the Quality Improvement Initiative
Quality improvement programs are designed to include processes and systems that detect
deviations for approved best-practices for the delivery of the various components of the
continuum care needed by patients including hospitalized and out-patient ones to restore their
health and wellbeing. In the case of medication errors, these quality improvement initiatives are
used to identify existing and recurring problems during the prescribing aspect of patient
examination, the input of the information into the automated or manual systems, and the
dispensing of medicines to in- and out-patients. Also, this initiative is required to detect the near

QUALITY IMPROVEMENT PROPOSAL

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miss errors that occurred but prevented from reaching the patient, which eliminates the potential
complications that could compromise patient safety (Wang et al., 2015). However, MAEs
remained the most critical aspect of medical errors that evidenced-based quality improvement
programs have the most significant positive impacts because of its role in the identification of the
sources of the problems and determination of the interventions to eliminate the threats that get to
hospitalized patients.
Specifically, quality improvement initiatives consist of monitoring and auditing processes
for the factors that increase the potential occurrence of errors such as poor written
communication by physicians and nurses. In this regard, Haw, Stubbs, and Dickens (2014) wrote
that common error-provoking situations occur during prescriptions, documentation, and
transcription, which enhances the adverse impacts of the problems associated with pharmacy
dispensing errors, and inventory management. They further added the challenges of dealing with
safety issues that are related to medication administration errors that could be addressed through
the implementation of quality improvement initiatives is the use of evidence-based practices for
dealing with the anticipated workload, and interruptions during drug administration. An example
of a quality improvement program that can eliminate MAEs in the acute and emergency care
units of medium-sized is the integration of barcode verification technology with the electronic
medication administration infrastructure. Hence, the design and implementation of a quality
improvement initiative is essential for this hospital because of its role and effectiveness in the
elimination of all the factors that could result in the occurrence of MAE at the facility
Research Evidence to Support t...


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