• Combine your Quality Improvement Project Part 1 through Part 3 and finalize the Quality Improvement Project. 
  • Compose a conclusion for your Quality Improvement Project. The final project is to be 8 – 12 pages in length and formatted per current APA, excluding the title, abstract and references page.
  • Incorporate a minimum of 12 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. See attachment


Quality improvement project




Quality improvement project

Medication errors

In United States medical error is a serious health care problem that can lead to death. According to the National Coordinating Council for Medication Error Reporting and Prevention, medication errors refers to any preventable event that may cause inappropriate use of medication and can result in harmful effects on the patients(Elden & Ismail, 2016). Medication errors can occur either during prescription, documentation in the computer, preparation and administration of the medication. Nurses being the front liners in medication administration they are at a high risk of committing medication errors. They therefore need to have accurate pharmacological knowledge, good decision making and critical thinking skills (Chu, 2016). Globally, medication errors occur on daily basis yet health professionals are still skeptical about reporting such occurrences. Reporting the medical errors helps in determining the cause and type of error. Therefore when there is inconsistency in reporting, it is difficult to determine the cause of the error thus affecting the ability to provide viable solutions.

Currently, medication errors is the third leading cause of death in United States. About 250,000 people die annually due to medication errors. Additionally it can lead to increased length of hospital stay, additional medical interventions and increased costs. To the nurse, it is emotionally traumatizing when they commit a medical error (Rodziewicz, Houseman & Hipskind, 2021). It undermines their self-esteem and makes them feel guilty and fearful to administer safe care to the patient. The nurse may lack confidence in function and feel like they are going to lose the patients trust. This can lead to psychological distress and some nurses may even opt to leave the practice.

Medication errors have significant effects on the safety of the patient. It poses health problems that threatens the life of the patient (Elden & Ismail, 2016). Therefore it is important to identify those errors, learn about them and provide viable solutions that prevent its occurrence. Effective management of errors can be achieved through effective reporting and application of tailored preventive measures (Rodziewicz, Houseman & Hipskind, 2021). This in turn improves the patients’ safety. In health care, medication errors should be viewed as a challenge to patients’ safety that needs to be overcome. All health workers must work towards providing safer care to the patients and their families. They can improve patient outcomes while reducing harm through reduction of medical errors.

Medication errors can be reduced following three steps; first identify the


SWOT analysis on medical error

Over the past few decades the healthcare system has remarkably improved especially with incorporation of technology and scientific innovations into modern medicine. However despite the significant changes into the system, medical errors is still a preventable cause of morbidity and mortality. Foreseeable harm to patients can be corrected by gaining knowledge and understanding on the past errors. For every healthcare facility patient safety is very important in improving the quality of care delivered and patient satisfaction (Misbah & Mahboob, 2017). Patient satisfaction creates a competitive advantage for the organization. That is why it is important for hospitals to conduct a SWOT analysis to determine where they stand in this issue. This analysis helps to identify the strengths, weaknesses, opportunities and threats to the facility.

Strengths refers to the factors that are within the organization that are important for its success. It helps the facility achieve a competitive advantage. One of the strengths of the hospital is the good reputation (Dent, 2015). In the region, the facility is known for delivering high quality care to the patients. Apart from that it also has a strong leadership and management. The facility has competent staff, their nurses are highly qualified and well versed with delivery of quality care. The human resources are important assets that gives the organization competitive advantage. Apart from that the facility also uses high technology in delivery of care.it uses telehealth to offer services to patients at home, additionally most of their documentations are done in the computer. The use of technology increases efficiency and minimizes workload.

Weaknesses refers to those factors that prevents the success of an organization. One of the weakness in the facility was poor internal communication (Dent, 2015). For every healthcare system to succeed communication between the health care providers and patients is very important. Poor communication jeopardizes patient’s safety and increases incidences of medical errors. If not addressed, this weakness can derail the quality improvement project.

Unlike strengths, Opportunities are external factors that are essential in achieving the goals of the quality improvement project. Some of the opportunities include, one collaboration with other external agencies to reduce medical errors (Dent, 2015). The facility can collaborate with pharmacies to ensure that their staff are well informed of new medications in the market. Apart from that the external agencies can help organization in educating their staff on how to use surgical equipment’s and prevent medical errors. This ensures that there is continuous update of knowledge which makes the nurses stay competent throughout practice. Apart from that committees that specifically targets medical error prevention can be de


Quality improvement project action plan

In United States, medical error is the third leading cause of death after heart disease and cancer. This is a complex problem in medicine. For a long time it has become difficult to uncover the cause many errors because most of them either goes undetected or unreported (Polnariev, 2014). Research shows that for every single medical error there are 100 or more that go unnoticed. The only solution to this problem is by developing a system that encourages voluntary reporting of errors. This information helps the health care system develop viable solutions that prevent recurrent of similar event additionally it is important in determining the effectiveness of those solutions in preventing medical errors. Every health organization should focus on establishing a system that aims at promoting a culture of safety. The Medication Error Prioritization System (MEPS) is a system that can be used by the organization to classify and prioritize medical errors. This helps the facility detect and manage them to prevent future occurrences.

In health care several stakeholders are involved in the safety management of the patients. These stakeholders are interested in financing, implementation and the results of a project.in implementation of the Medication Error Prioritization System (MEPS) is one of the most important systems in reducing the incidences of medical error. There are four main stakeholders that will be involved in this quality improvement project. First are the consumers of care, this includes the patients and their families (Cho et al., 2020). Second, are the care providers who are mainly the health care team including nurses, clinicians, pharmacists and physicians. Third is the government it involves the legislatives and accrediting agencies and finally the researchers (Cho et al., 2020). Researcher’s main role is to collect analyze reports on medical errors and come up with viable solutions. Their information is valuable and useful in decision making process.

The main resources needed to implement the quality improvement are human resources, financial resources and computers. Human resources refers to the medical staff and technicians, The Medication Error Prioritization System (MEPS) requires contribution of the people to function accurately. It depends on reports from staff who in turn feeds the information to their computers. MEP is an online system this therefore means that for it to operate well it requires computers in all the departments. The health professionals also needs to be trained on how to operate the system to ensure effectiveness. The organization will therefore spend money on computer installation and educating its staff. The most important thing in the organization is having good leadership. Leaders mediate between the management and the clinical staff and they also mobilize other staff. Since implem