Route-cause Analysis and Safety Improvement

Route-cause Analysis and Safety Improvement

Improving Quality of Care and Patient Safety

Route-cause Analysis and Safety Improvement

November, 2020

Route-cause Analysis and Safety Improvement

The patient safety concerns have been addressed in healthy areas in extensive coverage, including health provisionpractice, medical practitioner’s knowledge, and the administration sector. To understand the underlying problems associated with the health sector applying the route because approach can be applied. In the health care setting, there are severalproblems related to safety implementation and ensuring that the nurse provides the best safety measures and plans for the patient. This paper explores and analyzes the medical errors and evidence-based strategies to fully understand the route-causes of medical provision and determine the safety improvement plans.

Analysis of Medication Administration in an Organization

Medical errors are seen on many occasions in the health provision facilities due to many factors resulting in serious problems when they are dwelt with from the root. Studies have shown that care providers cannot be provided in line with the giver’s preference or reliance on the traditional model(Spruce, 2015). Studies show that many organizations have not realized the importance of Evidence-based practice in their health provision(Spruce, 2015). The EBP provides the best care that aligns with the patient’s preferences and clinician experiences. Further, research shows that clinicians are never sure whether they are providing a cost effective or quality care that guarantees a better outcome to the patient. Hearth care facilities have been operation as single facilities providing the same care to patients but having definite ideologies and management. A recent study shows that value-driven care has been realized in some organizations that started working along with each other for a common goal: care provision(Spruce, 2015). However, another form of the coalition formed by many organization s is acquisitions, mergers, and alliances.

            Research shows that perioperativeprofessionals are liable for the care provision rendered to the patients(Spruce, 2015). Many of the perioperative professionals does not transform the researchers in medicine their corresponding practices. Many nurses are not aware of the evidence practices required in the perioperative operation that may have been missed out. Also, nurses have failed to explain the perioperative practices that are expected for the patient; a patient needs to understand the instruction in the perioperative practices so that they can be engaged in the care. A nurse should not give irrational reasoning to the operating room nurses but should offer rational reasoning to a scenario. For instance, a perioperative nurse can ask the nurse the problem relate to uncovering the hair; an irrational answer could be because of our policy (Spruce, 2015). However, a research-based answer should be referred to certain research; for instance, bacteria could harbor in the hair and shed bacteria on the patients, hence exposing them to risk. The patient may also heat into the facility with an arm injury that needs to be dressed, but they find it difficult to raise their arm. Most patients may be told that it would be difficult to treat them since they did not follow the health facilities regulations.

Many organizations fail to provide quality care because they lack the best strategies for information and educate the patients about the care expected for them (Kim et al., 2018). The US Congress on the National Strategy for Quality Improvement in Healthcare provided that eliminating disparities, water reduction, harm reduction, and transformation of the nursing care are core elements for patient-centered care. Medication errors are also associated with technology’s dynamic nature; some of the nurses do not have sufficient knowledge in handling new systems for keeping data, diagnosis, and the poor interface between the computer and the medical practitioner. A study showed that many organizations do not have the best Patient and Family Engagement (PFE) strategies. According to Kim et al. (2018), many studies have evaluated the nature of patient safety, but they are yet to explore medication safety. PFE is effective if manage merging the improvement of medication safety in issues affecting children and adults.

Application of Evidence-Based Strategies

            Engaging in medication reconciliation and using a good engagement strategy helps solve communication issues with the patients and the family. Further, Kim et al. (2018) state that, “One study reported significantly decreased errors in the intervention group compared with the control group” (p.201). Developing the best framework for engagement assessment is essential in EB medicine practice. Most importantly, nurses should engage in the best strategies for the patient; for instance, they can create room for discussion with their parents and caregivers. The heterogeneity of medical safety outcomes n interventions makes it difficult to discern overall effectiveness in medical practices. PFE is essential since they are interested in medication reconciliation that included using computer kiosks clinic, in check-in, pharmacy technicians counseling, office visits, and enabling the use of the medication list.

A perioperative nurse or other uses includes EB strategies in their practices tend to engage the patients in their treatment in a patient-centered manner. A strategy to apply the E-B strategies in practice includes using research studies in making a specific action; in this manner, errors are minimized. Some medical institutions encourage using research-based practices, but some nurses lack the knowledge to understand some of their requirements.

Improvement Plan with Evidence-Based and Best-Practice Strategies

Actions and Policies

A safety improvement plan will include understanding and keeping updates on the organization’s policies and the related patient’s safety; this helps weigh the problems with the patient and the scenario. A nurse can gather relevant information such as relevant policies, ethical guidelines, and severity. Also, the nurse can establish whether they are the appropriate people to lead the investigation of a specific matter.

Goals Description

A description of goals will be enhanced by analyzing the root causes and contributory factors; these include social factors, communication factors, task factors, patient factors, and staff factors. Further, the goal smart s will be evaluated by specific, measurable, achievable, realistic, and time-bound) actions as a development action plan.  The specific goals are those that deal with a unique matter related to the medication. A measurable goal is that which can be quantified; achievable goals would be actionable and be sued for performance improvement; Realistic- are the relevant goals, and time-bound are those that avoid procrastination.

Existing Organizational Resources

            For a successful plan, the nurse can play a significant role in implementing the health facility’s safety improvement plans by avoiding negative influences from the external factors (Haxby&Shuldham, 2018).Some of the external factors include policies by authorities, management and administration, and health providers. Ever-changing policies in the health facilities can maximize the chance of medication errors. Health facilities should avoid conflicting places with national and international bodies such as The National Advisory Group on the Safety of Patients in England (NAGSPE).

Conclusion

Notably, several aspects contribute to medical errors in health institutions and include changes in policies, communication factors, education level, and collaboration. Performing the route because analysis offers a deeper understanding of the issues that include system check-up failure and heather provision services within the health facilities. Nursing care establishes a beer PFE that aligns with medication reconciliation. Further, health facilities need to encourage education on nurses’ research-based strategies instead of making no patient-centered decisions.