Patient Safety Improvement Plan: Addressing Medication Errors in a Healthcare Setting

by | Jun 8, 2024 | Nursing

Demonstrate your understanding of and ability to analyze a root cause of a specific safety concern in a health care setting. You will create a plan to improve the safety of patients related to the safety quality issue presented in your Assessment Supplement PDF in Assessment 1. Based on the results of your analysis, using the literature and professional best practices as well as the existing resources at your chosen health care setting, provide a rationale for your plan.
Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
• Analyze the root cause of a specific patient safety issue in an organization.
• Apply evidence-based and best-practice strategies to address the safety issue.
• Create a feasible, evidence-based safety improvement plan to address a specific patient safety issue.
• Identify organizational resources that could be leveraged to improve your plan.
• Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.

 

Sample solution

Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.


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God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.

 

References

Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies, 4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.

Sample Answer

Sample Answer

 

Patient Safety Improvement Plan: Addressing Medication Errors in a Healthcare Setting

Root Cause Analysis:

The root cause of medication errors in healthcare settings often stems from communication breakdowns during transitions of care. This can occur when patients are transferred between different departments, shift changes, or discharged to home. Lack of standardized processes, inadequate handoff procedures, and insufficient communication among healthcare providers contribute to the occurrence of medication errors.

Evidence-Based Strategies:

1. Standardized Handoff Protocols: Implement standardized protocols for medication reconciliation and handoffs during care transitions to ensure accurate and complete transfer of medication information.
2. Technology Solutions: Utilize electronic health records (EHRs) with medication reconciliation tools to streamline communication and reduce errors related to medication management.
3. Interprofessional Collaboration: Foster a culture of teamwork and collaboration among healthcare providers to enhance communication and promote shared responsibility for medication safety.
4. Patient Education: Empower patients to actively participate in their medication management by providing clear instructions, education materials, and follow-up support.

Safety Improvement Plan:

1. Establish a Medication Safety Committee: Form a committee comprising healthcare professionals from various disciplines to oversee the implementation of strategies to reduce medication errors.
2. Education and Training Programs: Provide ongoing education and training sessions for staff on medication safety practices, effective communication, and the importance of accurate documentation.
3. Regular Audits and Feedback: Conduct regular audits of medication processes, identify areas for improvement, and provide feedback to staff to continuously enhance medication safety practices.
4. Patient Engagement Initiatives: Develop patient-friendly resources and tools to educate patients on their medications, potential side effects, and the importance of adherence.

Organizational Resources:

1. Electronic Health Record System: Leverage the existing EHR system to enhance medication reconciliation processes and facilitate communication among healthcare providers.
2. Quality Improvement Department: Collaborate with the quality improvement department to monitor medication error rates, track trends, and implement targeted interventions for improvement.
3. Pharmacy Services: Engage pharmacy services to provide expertise in medication management, conduct medication reviews, and offer recommendations for optimizing medication regimens.

In conclusion, addressing medication errors in healthcare settings requires a multifaceted approach that focuses on improving communication, standardizing processes, and engaging both healthcare providers and patients in the medication management process. By implementing evidence-based strategies and leveraging organizational resources effectively, healthcare facilities can significantly enhance patient safety outcomes related to medication use.

 

 

 

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