Question

1. Provide a list of guidelines you would use to develop the quality falls program and the medication safety performance improvement project in your organization.

2. What challenges would you face in the development of these programs?

3. Evaluate two competencies you must have to successfully develop these programs.

4. What will you do if a quality improvement project is needed and there is not enough money in the budget at the time or if the project will add costs that exceed the operating budget?

Answer 1

1, Team members play a major role in fall prevention program and medication safety practices..Mapping of processes and early training will help for communication and accountability that help in different areas to take special attention..
- education for all staffs regarding falls prevention, especially night shift and weekend staff..
-Develop mechanism for the emergency department about risk factors of falls and medication error to the admitting department.
-Team unit (staff members) can provide direct patient care by demonstrating fall risk assessment,planning care for fall prevention,medication documentation and 8rights of medication administration..
-Strategies can be used to communicate each other in ongoing project.
-special attention for older patient,chronic disease and mentally ill patients.
-Special attention for medication with similar names or similar packaging,medication allergic reaction
- Physician handwriting and order through phone should be clear and it should be documented and rechecked with any superiors if there is any doubt..
2,patient safety is a major priority for hospitals and health care delivery systems,but improving these standards is challenging..many projects focused on patient safety by preventing falls and medication error..but culture and care different within the system and it was challenging..safety in healthcare received substantial attention.organization facing difficulty to develop these programs for improving safety,it need culture change,process change and process measurement..Benefits from growing realization towards technology advances optimized in healthcare providers focus with perspective..culture change will promote and identify improvement of care in medication delivery..process should be focused on standardized and variation reduced for quality improvement and reduce error rates..
3, system based practice and practice -based learning and improvement is the two competencies should be followed to deliver high quality medical care-patient care,medical knowledge,practice-based learning and improvement,Interpersonnal and communication,system-based practice..These are the most challenging practice to improve patient safety..Advocate for quality patient care and optimal patient care system, identify system error and implement potential system solution,work effectively and coordinate patient care..physician understanding in patient care and practice within the system to promote patient outcomes,safety and quality..