NURS FPX 4020 Assessment 2 Root-Cause Analysis and Safety Improvement Plan

Application of Evidence-Based Strategies

After the incident, the hospital management and authorities took serious action and admitted their mistakes of being so unprofessional and unethical. They stated that they missed the standard procedure for administering medication, and they are deeply regretting the loss. The authorities also claim that they imposed better strategies and guidelines after the accident and tightened their process to mitigate the chances of human error in the near future. 

 

Some best practices were considered to address the safety issues or sentinel events regarding medication administration, such as the implication of barcode systems and medication preparation for one patient at a time. Because of workload and understaffing, the nurses were so busy preparing different medication bags in the nurse station that to forget to double-check the medication administration. Planning for medication administration to avoid malpractices is necessary; otherwise, the hospitals would encounter safety issues (Tariq & Scherbak, 2021). 

 

The implication of the Barcode Medication Administration System (BCMA) will also help nurses to provide the right prescribed medicine t the right patient despite their busy schedules (Zheng et al., 2020). The Barcode system will analyze the detailing of the medication, such as expiry date, patient information, medication information, and most importantly, the selection of the right medication bag. Smart infusions, single-use medication packages, and pumps for intravenous administration (IV) are some strategies to enhance patient safety issues related to medication administration. Implementing these strategies will reduce human error despite being exhausted, busy, or unfocused. These systems will take care of patients and help the organizations save themselves from such


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