Harvard Medical School Current Healthcare Problem Essay

Harvard Medical School Current Healthcare Problem Essay Harvard Medical School Current Healthcare Problem Essay I don’t understand this Writing question and need help to study. ( Great English is a must!! No grammar errors!) (Paraphrase the paper attached) (Nothing more needs to be done, only paraphrase the document) (You only have to paraphrase the answers, NOT the question itself) (The document is attached,APA Format) (The number of words should stay close to the original file) File Name : Paraphrase medication Error ——————————– Task: The document is fully retrieved from external sources due to that it has a high plagiarism percentage. Your purpose is to reprhase each question in order to reduce the plagiarism to under 6% ( make it passable through Turnitin). Other information: DO NOT USE ANY PARAPHRASING SOFTWARES. I already tried them and they fail doing their job. The plagiarism still remains high and the final version is incoherent. Please focus on maintaining the coherency of the document attached. Format: APA Format No plagiarism is accepted No Grammar errors ( refunds will be asked for incoherent/ full of grammar errors papers) *** The work will be checked for plagiarism through Turnitin by the professor. It is essential for everything to be free of plagiarism otherwise sanctions will be imposed*** ——– Thank you for your support paraphrase_medication_error.docx ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Running head: ANALYZE A CURRENT HEALTH CARE PROBLEM OR ISSUE Analyze a Current Health Care Problem or Issue Stephanie Elder Capella University Developing a Health Care Perspective January 27, 2020 1 ANALYZE A CURRENT HEALTH CARE PROBLEM OR ISSUE Analyze a Current Health Care Problem or Issue 2 ANALYZE A CURRENT HEALTH CARE PROBLEM OR ISSUE 3 As it is generally known, medication errors are a serious issue in the healthcare field and one of the most common medical errors that threaten patient safety and can lead to serious harm or even death. This assessment will review and discuss the medication errors that occur when patients are subjected to potential harm or injury whilst under the supervision of medical professionals. A medication error is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in control of the health care professional, patient or consumer. Prevention of medication errors can happen at every stage of the medication preparation and distribution process and is pertinent to maintain a safe healthcare system (Cloete, 2015). There are many policies currently implemented in health care facilities that reduce the risk of medication errors, perhaps, additional steps need to be introduced. Elements of the Problem/Issue Research explains that medication errors remain to be one of the most common causes that compromises patient safety and results in a large financial burden to the health service. Approximately one third of the errors that harm patients occur during the nurse administration phase. Medication error contributing factors that relate specifically to nurses, include patient acuity and nursing workload, the distractions and interruptions during medication administration and failure of nurses to adhere to policies or guidelines. (Cloete, 2015). Patient acuity and nursing workload result in nurse fatigue and are more likely to focus poorly on work-related activities and potentially make more errors (Cloete, 2015). High-acuity patients often present challenging medical conditions, and they often have significant and unpredictable needs. In practice, this means stable patients with more predictable outcomes receive less frequent or less intensive nursing care. For example, if a nurse has a high-acuity patient assignment then it is more likely that the nurse will have a medication error due to more ANALYZE A CURRENT HEALTH CARE PROBLEM OR ISSUE 4 frequent demands by the patients, thus putting the patients’ safety in jeopardy. This in turn ties into nursing workload defined as the ratio of nurses compared with the number of patients hospitalized. Interruptions and distractions that occurred during medication administration, these factors often lead to delays and sometimes errors (Bucknall, T, Fossum, M, Hutchinson, 2019). An example of an interruption or distraction includes patient call bells, fall alarms or people entering or speaking in the medication preparation room. Nurses use a double-checking process called the “rights of medication administration” and it is a very effective verification method when utilized properly. Limiting distractions and interruptions can help decrease medication errors and create a safer environment for patients. Failure to follow policy or guidelines are one of the more common personal contributors to medication errors. Reasons given for deviations from policy were mostly to save time (Cloete, 2015). An example of not following policies or guidelines involve neglecting to check a patients’ identification band in comparison to the patients’ medication chart to ensure it’s correct. Although time constraints and convenience play a role in the medication administration task but nurses must ensure they are utilizing the steps that are in place to keep patients safe. Harvard Medical School Current Healthcare Problem Essay Analysis As a staff nurse on a progressive care unit, it is important for me to be aware of medication errors, which affect patient safety. I personally do occasionally find it difficult to administer medications at the appropriate times due to patient acuity, interruptions and workload. Having five patients with high acuity and increased medical demands does make it difficult to administer medications on time. Proper staffing ratios pose an issue when it comes to medication administration on my unit which then leads to medication errors. Some medication ANALYZE A CURRENT HEALTH CARE PROBLEM OR ISSUE 5 errors are documented electronically on the EMAR (electronic medication administration record) and some are reported to the physician and nursing manager. Context for Medication Error Issues Nurses administering medication can provide a safeguard against medication errors made at previous stages of the process by querying the type or amount of medication. The cognitive burden associated with administering medications in complex systems is frequently overlooked when reviewing medication errors. The likelihood of errors has been found to be three times higher when staff work 12.5 or more hours in a shift, and nurses are two and half times more likely to suffer burnout when regularly working shifts of ten hours or longer (Cloete, 2014). At an individual level, there is more pressure and demands put on nursing staff when it comes to patient assignments on a unit. With the combination of patient acuity and workload, this makes patients vulnerable to medication errors which in turn patient safety suffers. At a system level, facilities and organizations fail to provide proper support to nursing staff such as being understaffed, not taking into account patient acuity when admitting patients and having the facility budget be more of a priority than patient safety. Working short staffed while still accepting high acuity patients puts a lot of stress on nursing staff, delays patient medication treatment and puts critical patients at risk. Populations Affected by Medication Error Issues All populations are affected by medication errors, inpatient, observation patients, surgical patients, intensive care patients, monitored patients, emergency patients, are all at risk of medication errors. Patients with long term conditions are likely to know a great deal about their usual medication therefore patients are potentially and often the final defense against errors ANALYZE A CURRENT HEALTH CARE PROBLEM OR ISSUE 6 relating to their medication. In a Swiss study, the majority of oncology patients were confident that they could watch for errors and notify staff (Garfield, Jheeta, Husson, 2016). Considering Options Decreasing medication errors in the hospital setting can be achieved by implementing a culture of safety that includes patient engagement when it comes to medications and rectifying nurse-to-patient ratios. The need to involve patients in medication activities as part of a safety check could be deemed helpful and should be standard as a part of “patient centered care”. Patient involvement may improve therapeutic medication administration, create time efficiencies and improve discharge planning. Creating an environment where patients feel empowered and comfortable is vital in supporting them to be involved in their own medication administration and that participation can improve medication-related outcomes (Bucknall, T, Fossum, M, Hutchinson, 2019). Although, not all patients are cognitively aware enough to participate in their own medication administration, this could be resolved by close observation and good communication between interdisciplinary members. Nurses’ at the bedside is essential to their ability to ensure patient safety. They are a constant fixture at the bedside and regularly connect physicians, pharmacists, families to the patients’ medical condition/status. Assigning increasing numbers of patients compromises the nurses’ ability to provide safe care. Harvard Medical School Current Healthcare Problem Essay The nurse-to-patient ratio is only one aspect of the relationship between nursing workload and patient safety. Burnout among clinicians has consistently been liked to patient safety risks and some studies show higher numbers of patients per nurse is correlated with increased risk of burnout. As a result of high workloads and the acute nature of patients’ conditions are more likely to potentially make more errors (Cloete, ANALYZE A CURRENT HEALTH CARE PROBLEM OR ISSUE 7 2014). Determining adequate nurse staffing is a complex process that varies on a daily basis but it requires close cooperation between management and nursing. This method needs improved and could be solved by better communication and closer coordination between managers and staff nurses. Instead of having managers and supervisors to determine staffing, perhaps staff nurses should be involved more daily because they have better insight on the type of patients admitted to the unit. Solution A major concern for patient safety in hospitals is accurate administration of medications to improve the medication administration process, nurses, patients and managerial staff must work and communicate together. For example, an overdue medication for a patient can be prevented by understanding the reason it was late and what contributing factors are involved. It could be resolved by increasing nursing staff on the unit or perhaps the nurse got distracted and forgot, having informed and involved the patient could have corrected this issue. Implementation To reduce the risk of medication errors, education is vital. Educating the patient throughout their medication administration process and keeping them involved on their own care. Actually, implementing the “patient-centered care” model is important in regards to patient safety and reducing medication errors. It isn’t only beneficial to the patient but for the nurse as well, including the patient is just another “final check” in the five rights of medication administration. Informing patients about charted medications was recognized as an important nursing role, pharmacological information about medications and when a patient required a medication review, or a clinical situation arose that could have an impact on medication administration (Bucknall, T, Fossum, M, Hutchinson, 2019). These policies are in effect to ANALYZE A CURRENT HEALTH CARE PROBLEM OR ISSUE 8 prevent these errors, they are effective when utilized properly, right patient, right medication, right dose, right route and right time. Using the two patient identifiers to correctly identify the patient along with talking to them about their medication routine and medication list will help correct these errors. Patient acuity and workload is a harder target to hit in the fact that there’s never enough staff. In order to reach the goal of safe nurse-to-patient ratio, more nurses need to be available. Managers and supervisors should take more accountability when it comes to their units’ staffing ratios. When there is a shortage then managers and supervisors should be required to fill in. Patient safety should be everyone’s number one priority rather than whether a manager or supervisor feels like being a part of the staffing numbers for the unit.Harvard Medical School Current Healthcare Problem Essay Research shows that a supportive practice environment including improved teamwork between doctors and nurses and pharmacists and fostering the continuity of patient care enhances nurses’ capacity to intercept errors, which reduces medication errors (Bucknall, T, Fossum, M, Hutchinson, 2019). Preventing burnout and helping relieve the workload of nurses will help decrease these medication errors by helping to maintain the focus of staff nurses. This in turn would minimize distractions and interruptions by having more hands-on deck and having more participants when it comes to keeping patients safe and free from errors. Conclusion Medication errors include focusing on patient safety and preventing the risk of harm to patients by utilizing the patient-centered care model. Health care facilities must understand the contributing factors that potentiate medication errors. Potential solutions include patient involvement in their own medication administration and better patient-to-nurse ratios or decreased workload. It is important that health-care facilities review policies and procedures ANALYZE A CURRENT HEALTH CARE PROBLEM OR ISSUE based on nursing and ethical standards with nursing staff and managerial staff. Keeping employees on the same page, displaying teamwork and enforcing nursing standards will help prevent or decrease medication errors therefore, increasing patient safety and patient outcomes. 9 ANALYZE A CURRENT HEALTH CARE PROBLEM OR ISSUE 10 References Bucknall, T, Fossum, M, Hutchinson, AM, et al. Nurses’ decision?making, practices and perceptions of patient involvement in medication administration in an acute hospital setting. J Adv Nurs. 2019; 75: 1316– 1327. Retrieved from https://doiorg.library.capella.edu/10.1111/jan.13963 Cloete, L. (2015). Reducing medication errors in nursing practice. Cancer Nursing Practice (2014+), 14(1), 29. Retrieved from doi:http://dx.doi.org.library.capella.edu/10.7748/cnp.14.1.29.e1148 Garfield, S., Jheeta, S., Husson, F., Lloyd, J., Taylor, A., Boucher, C., . . . Franklin, B. D. (2016). The role of hospital inpatients in supporting medication safety: A qualitative study. PLoS One, 11(4) Retrieved from doi:http://dx.doi.org.library.capella.edu/10.1371/journal.pone.0153721 … Purchase answer to see full attachment Student has agreed that all tutoring, explanations, and answers provided by the tutor will be used to help in the learning process and in accordance with Studypool’s honor code & terms of service . Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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