Medication Errors Reduction. Reduction of Medicatioon Errors

Medication Errors Reduction. Reduction of Medicatioon Errors

This week, you will submit summaries of quantitative and qualitative studies. The purpose of this
assignment is to become familiar with published research, research designs, and methodologies.
For the assignment, you will select one quantitative research study and one qualitative study
related to the field of nursing and write a summary of each study. Each summary must be
accurate, succinct, and clear. These articles should be somewhat related to your PICOT
questions which is the following. please pick one but if it is too hard pick something close to
medication errors reduction
1) For nurse administering medication, (P) will implementing a “ Quiet zone” (I) as compared to
no intervention (C) reduce interruptions and distractions, decrease medication errors and
improve medication safety (O) during the 9am medication pass time (T)?.
2)For nurses who works in emergency department administering high-risk medications such as

insulin or heparin (P), will practicing double-checking (I) , as compared to giving those
medications without double-checking (C), reduced medication errors (O) while patients are in the
E.D (T)?”.
3)In patient over 65 years old (P), will practicing medication conciliation by asking the patient to
bring a bag of all their medication including herbal and over the counter drugs (I), as compared to
usual care by just asking questions ( C ) reduce medications errors (O) while patient are
hospitalized (T)?
Ensure the following questions are addressed in each summary:
1. What type of research is it (quantitative, qualitative, and design)?
2. What was the research question(s) or hypothesis?
3. What is the sample, the sample size, and sample attributes?
4. What was the setting of the study?
5. What were the researcher’s findings? (Identify one.)
You must submit the research study articles along with your summaries.
Each summary should be between 150–250 words.
Use current APA format to style your paper and to cite your sources.
For the Quantitative and Qualitative Abstract Assignment (due week 4) you should:

Select a topic in nursing or medicine
Select one original research article that is quantitative and one which is qualitative. NOTE: The
articles should not be a mixed-method, review article, a meta-analysis, a Meta-synthesis or a
systematic review.
Summarize the articles
Both abstracts should be combined into one single Word document.
For a manuscript to be considered an original research article, the following conditions need to
be met:
It should be written by the researchers who actually conducted the study.
It should include the hypothesis or research question, the purpose of the study, and the details of
the research methods.
The research findings should be reported.
These findings should be interpreted and possible implications discussed.
Your paper should include:
A title page
Body
Reference page listing your sources

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Cost-Benefit Analysis in Healthcare

Cost-Benefit Analysis in Healthcare

Preparation

Scenario

Suppose an issue has emerged in your organization that presents significant risks to the stakeholders involved. Your supervisor has asked you to conduct a CBA, make a recommendation, and present it to the board of directors. You are expected to consider the numbers within the context of the organizational mission, strategic direction, patient safety, risk-management issues, regulatory requirements, patient and stakeholder satisfaction, and the dynamics within the health care industry.

Select a relevant issue within your workplace (or one from the Suggested Resources) for which a CBA may be conducted. The CBA should include one of the following course-related topics:

  • Patient safety.
  • Risk management.
  • Regulatory standards.
  • Patient and stakeholder satisfaction.

Instructions

Step One: Identify Costs

Apply the process from Writing a Cost-Benefit Analysis article (from the Required Resources) to identify costs:

  1. Make a list of all monetary costs that will be incurred upon implementation and throughout the life of the project. These include start-up fees, licenses, production materials, payroll expenses, user acceptance processes, training, and travel expenses, among others.
  2. Make a list of all non-monetary costs that are likely to be absorbed. These include time, low production of other tasks, imperfect processes, potential risks, market saturation or penetration uncertainties, and influences on one’s reputation.
  3. Assign monetary values to the costs identified in steps one and two. To ensure equality across time, monetary values are stated in present value terms. If realistic cost values cannot be readily evaluated, consult with market trends and industry surveys for comparable implementation costs in similar businesses.
  4. Add all anticipated costs together to get a total costs value (Plowman, 2014).

Step Two: Identify Benefits

Continuing with the CBA, proceed with the identification and quantification of benefits, per Writing a Cost-Benefit Analysis article.

  1. Make a list of all monetary benefits that will be experienced upon implementation and thereafter. These benefits include direct profits from products or services, increased contributions from investors, decreased production costs due to improved and standardized processes, and increased production capabilities, among others.
  2. Make a list of all non-monetary benefits that one is likely to experience. These include decreased production times, increased reliability and durability, greater customer base, greater market saturation, greater customer satisfaction, and improved company or project reputation, among others.
  3. Assign monetary values to the benefits identified in steps one and two. Be sure to state these monetary values in present value terms as well.
  4. Add all anticipated benefits together to get a total benefits value (Plowman, 2014).

Cost-Benefit Analysis

Enter the cost and benefit data you developed for the CBA in your preparation steps into the Cost-Benefit Analysis Template, linked in the Required Resources.

Then, write an analysis in which you do the following:

  • Describe the organizational, program, or departmental issue for which you have created the CBA.
  • Evaluate the cost versus benefit according to the general guidelines outlined by Plowman’s 2014 article, which you read in the preparation for this assessment.
  • Make a recommendation as to whether the benefits are sufficient to outweigh the costs of the proceeding.
  • Describe the systems-based context for your recommendations, integrating the CBA within the organization as a whole.
  • Describe how the issue relates to the organization’s vision, mission, and strategic direction.
  • Provide a rationale that explains how your recommendations are appropriate for your organization’s capacity and strategy.

Your analysis should use proper APA style and formatting and include the following sections. Each section, except the title page, should include the appropriate section heading.

  1. Title page: Use APA formatting and include the following:
    • Assessment number (Assessment 3).
    • Your name.
    • The date.
    • The course number
    • Your instructor’s name.
  2. Abstract: Include a one-paragraph summary of analysis content. This is not an introduction to the topic, but a summary of the entire analysis. Make sure to double-space.
  3. Issue description.
  4. CBA evaluation.

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Balanced Score Card in Healthcare Organization

Balanced Score Card in Healthcare Organization

Preparation Select

Select a health care organization that has readily available data for the four categories from Kaplan and Norton’s 1996 model. Those categories are:

  • Financial performance measures.
  • Internal business processes.
  • Learning and growth.
  • Customer satisfaction.

You may wish to select your employer; however, please do not disclose proprietary data without prior written consent from your employer. You may wish to review the websites of large global organizations to research case study articles on best practices for organizations.

Instructions

PowerPoint Slides

To complete this assessment, you will develop a PowerPoint presentation with 10–12 slides that describes how you would apply a balanced scorecard to your selected organization. Include the following in your PowerPoint presentation:

  • A brief description of the organization you selected.
  • Your balanced scorecard analysis of the organization, including how vision and strategy connect to the four balanced scorecard elements.
  • Four recommendations for the organization.
  • At least one APA-formatted in-text citation and accompanying, congruent APA-formatted reference.

Audio Recording

  • A two-minute introduction.
  • The four elements of a balanced scorecard for the organization.
  • Four area recommendations for the organization.
  • A two-minute conclusion.

Include the notes or script of your audio recording. You may choose to include this in the form of the completed Notes section of the PowerPoint presentation slides, as a script you may have used when you created your recording, or in the form of a detailed outline. This will serve to clarify any insufficient or unclear audio.

Note: If your notes are not included in the PowerPoint presentation itself, attach them in a separate document along with the other presentation elements.

Additional Requirements

  • Written communication: Written communication should be free from errors that detract from the overall message.
  • APA formatting: Resources and citations should be formatted according to APA style and formatting guidelines.
  • Number of resources: At least one APA-formatted in-text citation and accompanying, congruent APA-formatted reference.
  • Length: The PowerPoint presentation should contain 10–12 slides.
  • Duration of audio recording: Maximum of 10 minutes.
  • Font and font size:
    • Headline type should be 24–28 points.
    • Bullet or body type should be 14–18 points for readability.
    • Avoid decorative type; use Arial or Times.

 

Definition of the Balanced Scorecard

The Balanced Scorecard Institute: The balanced scorecard is a strategic planning and management system that is used extensively in business and industry, government, and nonprofit organizations worldwide to align business activities to the vision and strategy of the organization, improve internal and external communications, and monitor organization performance against strategic goals. The balanced scorecard performance measurement framework considers non-financial performance measures in addition to financial metrics to provide a more balanced view of organizational performance.

Using the Scorecard in the Health Care Industry Within the health care industry, the scorecard must reflect a framework that incorporates patient safety, regulatory compliance, and a variety of other operational factors (Gunduz & Simsek, 2007). The contemporary version of the balanced scorecard transforms the organizational strategic plan into a dynamic document that provides a snapshot of performance measurement across the organization. Recall from earlier units that performance measurement is a condition of participation for some government and privately sponsored reimbursement sources.

 The Four Perspectives

The balanced scorecard indicates that organizations should be examined from four perspectives: learning and growth, business processes, customer satisfaction, and financial performance (Kaplan & Norton, 1992). Additionally, each perspective requires metrics for which data can be collected and analyzed (Balanced Scorecard Institute, n.d.). The analysis takes place within the context of the organizational strategic direction. When used to its full potential: The balanced scorecard is a management system (not only a measurement system) that enables organizations to clarify their vision and strategy and translate them into action. It provides feedback around both the internal business processes and external outcomes in order to continuously improve strategic performance and results. When fully deployed, the balanced scorecard transforms strategic planning from an academic exercise into the nerve center of an enterprise. (Balanced Scorecard Institute, n.d.) Once the balanced scorecard is applied to an organization, it is important that managers effectively communicate results and take appropriate action. Applying the balanced scorecard results to key risk management areas is equally important when using the scorecard to minimize risk and develop a quality improvement strategy.

 

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Organizational Leadership in Healthcare

Organizational Leadership in Healthcare

You have been asked by organizational leadership to develop a PowerPoint presentation for
department managers on building leadership and trust in collaborative teams. Use the notes
section of each slide to expand your talking points and reference your resources.
This assessment examines two critical components for interprofessional team success:
leadership and trust. Develop a PowerPoint presentation in which you:
* Identify at least three leadership behaviors that build trust within a team.
* Identify at least three leadership behaviors that undermine trust within a team.
* Explain the consequences of a team that does not trust its leader in terms of patient safety.
* Describe strategies team members can use to build trust among one another in terms of skill,
knowledge, and responsibility.
* Describe principles of effective interprofessional team leadership. In other words, what skills
and qualities should a good team leader possess? Is there a difference between being a good
leader and being an effective leader?

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Formal Medical Case Report

Formal Medical Case Report

General Instructions:

IMPORTANT: READ THE COMMON PROBLEMS AND THE SAMPLE PAGES AS WELL, IT IS CRITICAL FOR THE GRADE.

Health professionals often find themselves writing case reports, in various forms, that rely on careful observation of a patient’s struggle with an illness or other disorder. The case report is a kind of story, one that differs from more literary stories in that the tale it tells appeals not to our emotions, but to our scientific curiosity. It is intended to help those who read it to make diagnoses. It tells the reader what symptoms to look for, and how a disease usually presents itself (which is particularly useful when the disease is new or rare). The clinician does not know, on first seeing a patient, what point the illness has reached in its natural course. The case report helps in this situation by giving a thorough description of the whole course of an illness, and does so by relating an actual instance of the condition as suffered by a real person.

Because you are not yet in the field, you may think that you have no patients about whom to write a case report. You do, however, know a great deal about a variety of diseases and temporary or permanent disabilities, even if they are only the common ones, like a childhood illness, or one of the diseases that frequently appear among the elderly. Any of these topics can—if not too simple—provide the basis for the case report I am asking you to write. So, too, might your knowledge of a more unusual physiological or psychological problem.

For this assignment, write a formal case report, using as a model the case report that I gave you, and using as your subject an actual person. Your next assignment, after this one, will also be a case report, but more “creative” (and will further require that you find a new person to write about). For now, we will be more detached. Your audience is different from the last essay; this time, you should think of the audience as people with a medical education, and you should imagine that you are an expert on the condition you are describing. You will therefore not need much explanation of technical matters, but will probably have some, carefully adjusted for the audience. You should include both the specific course of the condition as suffered by your patient, and a discussion of the condition in general. Support your discussion with at least one source written for a professional audience (you can of course include more than one). You will likely include most of the following:

The patient’s age, gender, ethnicity, economic background, and other such basics.

Careful descriptions of the patient’s health condition. These descriptions must be based on your own observation of the patient, or your discussion with people who know—or knew—the patient. You can write about someone who is deceased; you can also write about an infant, or a person with an illness so advanced that he or she can no longer communicate. In these cases, you will rely on conversations with friends or family of the patient.

Your description of the patient’s health condition should also be highly detailed. You will likely discuss the onset of the problem and its course, as thoroughly and specifically as possible. Remember that one purpose of a case report is to tell those who read it how the disease presents itself through its whole progression. Consider possible triggers to the condition, the severity of episodes, the usual duration, the extent to which physiological and emotional responses change throughout the course of the problem, responses to treatment or palliatives, and much else.

          Do not use yourself as the subject. This is your chance to do real medicine, and take an actual case history. You will miss that chance if other people are excluded.

                  Do not use a real name. Refer to the subject as “the patient.”

                  You must get your subject’s permission to write about him or her. Attach to the paper a signed consent form from the subject, or the equivalent. There is no official form, so just make up a simple one of your ow

 

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Concepts of System Thinking in Healthcare

Concepts of System Thinking in Healthcare

This week’s assignment will help acquaint you with the concept of systems thinking through
some general questions.
1. Explain and discuss the concept of systems thinking.

2. Explain and give an example of the difference between silo thinking and systems thinking
3. Provide one example of where you could apply systems thinking that would positively affect
your current work environment.
Required Format:
Title Page APA Format
Introduction
Concept of Systems Thinking (Level 1 APA Heading)
Difference Between Systems Thinking and Silo Thinking (Level 1 APA Heading)

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Program Evalution Final Report- Hospice

Program Evalution Final Report- Hospice

TOPIC:  EVALUATION OF HOSPICE CARE AND SERVICES

Instructions:

Designing the Program Evaluation Plan: This evaluation should be a minimum of 25 pages, including charts, pictures, or graphs. Citations are to be credited, and APA format should be followed.

This design should be created within the framework of program evaluation. This would include working with some agency to gather information, analyze the data, and develop a professional tool that could be implemented. Each evaluation will be different and will require additional research methods that may not necessarily be presented in this course. Remember, this exercise is intended to be “real” and “useable.” Choose an area that you are interested in, and then go to work. Your Program Evaluation Plan should consist of a combination of but may not include all the following sections* depending on the type of evaluation:

  • Table of Contents page
  • Executive Summary
  • Introduction
  • Program Description
  • Evaluation Focus
  • Impact Theory
  • Program Theory
  • Stakeholders
  • Methodology
  • Procedures
  • Techniques/Tools
  • Results/Findings
  • Summary and Recommendations
  • Appendices
  • Literary Review
  • Citations

*These can be combined within sections but must be identifiable.

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Measures of Disease Morbidity and Mortality

Measures of Disease Morbidity and Mortality

1. You were recently hired as an epidemiologist at a county office. List and explain three
measures that you would use to calculate a specific disease situation. In your view, why is it
difficult to get accurate information about disease status in a population?
2. A study starts with 4,875 health people. Over the next 2 years, 75 develop the disease. What
is the incidence rate of disease over the study period? Show all work.
3. In a survey of 1,150 women who gave birth in Maine in 2000, a total of 468 reported taking a
multivitamin at least 4 times a week during the month before becoming pregnant. Calculate the
prevalence of frequent multivitamin use in this group.

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Medical Application Critical Appraisal

Medical Application Critical Appraisal

PART 2: Answer the Medical App Critical Appraisal questions thoughtfully and comprehensively.
Use the criteria headings on this outline as the headings on your properly APA- formatted paper.
NAME: What is the name of the app?
AUTHOR: Who created, developed, or maintains the app? Explain.
ENDORSEMENT: Is the app licensed by the Food and Drug Administration, other government

agency, or endorsed by an academic institution or medical professional organization? Explain.
OPERATION: Which platform (mobile or web-based) is suitable for the app and why?
AESTHETICS: Is the information displayed in a way that is easy to navigate? Is it easy to use?
Can you use it without instructions? Explain.
PURPOSE: What is the intended purpose or use of the app?
CLINICAL DECISION MAKING: What influence does the app have on clinical decision making?
Explain.
SAFETY: Is there potential for patient harm? Explain.
PRIVACY/SECURITY: Does the app have privacy statement or setting? Is there a clear privacy
policy stating information will be encrypted and not shared with third parties? Does the app share
information on social networks? Are users notified in the event of a breach of privacy and health
information? Explain.
USER: For whom is the app intended (providers, patients, or others)? Explain.
DISTRIBUTION: Is it designed for local use or wider distribution? Explain.
CREDIBILITY: How credible are the sources of information? How do you know? Explain.
RELEVANCE: How current is the information in the app? When was the last update? Is the
content consistent with evidence-based literature or best practices/standards of care? Explain.
PART 3: Provide one example of an appropriate patient or clinical scenario for this app. The
example should include the following details:
Patient Age-population (Pediatric, Adult, Geriatric)
Clinical Setting (Hospital, Private Practice, Extended Living Facility)
History of Present Illness and Diagnosis or Condition

Provide a detailed description of the app in your example. When will the app be implemented (at
the Point-of-care or elsewhere)? Who will use the app? What potential impact will it have on the
scenario? Incorporate the critical appraisal information from Part 2. Provide one evidence-based
scholarly article as a reference to support clinical decision making.
This assignment will be graded on the quality of the information, inclusion of one evidence-based
scholarly resource, use of citations, use of Standard English grammar, and organization based
on the required components (see the paper headings and content details in Part 1).
The length of the paper is to be between 1,000 and 1,500 words, excluding title page and
reference list.
Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a
MS Word document because it will end in “.docx.”
APA format is required in this assignment, explicitly for in-text citations and the reference list.
Use 12-point Times New Roman font with 1-inch margins and double spacing. See the APA
manual for details regarding proper citation. See resources under Course Resources,
“Guidelines for Writing Professional Papers” for further clarification.
* Scholarly Sources: Only scholarly sources are acceptable for citation and reference in this
course. These include peer-reviewed publications, government reports, or sources written by a
professional or scholar in the field. The textbooks and lessons are NOT considered to be outside
scholarly sources. For the threaded discussions and reflection posts, reputable internet sources
such as websites by government agencies (URL ends in .gov) and respected organizations
(often ends in .org) can be counted as scholarly sources. The best outside scholarly source to
use is a peer-reviewed nursing journal.  You are encouraged to use the Chamberlain library and

search one of the available databases for a peer-reviewed journal article.  The following
sources should not be used: Wikipedia, Wikis, or blogs.  These websites are not
considered scholarly as anyone can add to these. Please be aware that .com websites can vary
in scholarship and quality.  For example, the American Heart Association is a .com site with
scholarship and quality.  It is the responsibility of the student to determine the scholarship and
quality of any .com site.  Ask your instructor before using any site if you are unsure. Points will be
deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside
scholarly sources must be published with the last 5 years.  Instructor permission must be
obtained BEFORE the assignment is due if using a source that is older than 5 years.

 

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Impact of Covid-19 on Nurses Working in Long Term Care Facility

Impact of Covid-19 on Nurses Working in Long Term Care Facility

Problem identification and Need Assessments
TOPIC: The impact of Covid-19 on Nurses working in Long Term Care Facility
1. Problem identification and needs assessment.
Identified the problem/performed the needs assessment, identify 5-6 keywords that will be use to
start the literature review related to a potential intervention.
2. Perform a literature review (using the keywords identified above) to develop the evidencebased practice intervention (based on the identified problem/needs assessment).
3. Explore the Health Promotion Model by Nola Pender and House’s Social Support Theory as
theoretical frameworks.
4. Put together a proposed evidence-based practice intervention (as clear as a recipe!). Do not
forget to include the outcomes (including tools to be used) plan to measure!
Please use APA and include References

 

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