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

Root-Cause Analysis and Safety Improvement Plan 

This assessment highlights the issue of patient identification crimes prevailing in Arnold Palmer Hospital. Arnold Palmer Hospital dedicates itself to serving children, specifically offering pediatric healthcare services. In this sanitarium, the arising case-identification crimes have impacted the health of numerous children. This paper will examine a root-cause analysis of misapplied cases and crimes in patient identification. Likewise, the safety enhancement plan will be developed to address the growing issue.

Analysis of the Root Cause 

In Arnold Palmer Hospital for Children, one fine day, two pediatric cases named Julia and Jenny came for vaccination. Their identification irons were inaptly shifted, and Julia entered the vaccinations intended for Jenny and vice versa. The vaccination nanny discovered the error when Julia’s medical history didn’t match the information in the electronic health records (EHR). The nanny felt that the case’s identity didn’t match the information in the electronic health records, begging a further examination. Julia negatively impacted other cases when she entered vaccines that were infelicitous for her medical condition, leading to antipathetic responses as side goods. Also, Jenny was at risk of constricting conditions because she had missed her vaccinations, which jeopardized her health. In addition, this incident created concern and extremity for the families involved, which canceled confidence in the health care system.

The standard protocol for patient identification during vaccination demanded to be followed. The nanny didn’t corroborate the case’s identity by cross-checking identification items and EHR data to execute the further vaccination procedure duly. Likewise, there needed to be more communication between the executive staff responsible for assigning patient identification irons and the nursing staff responsible for administering the vaccinations (Romano et al., 2021). Also, the sanitarium’s vaccination department’s high workload and fast-paced nature must have contributed to the oversight and redounded in this event. Incipiently, the EHR system failed to raise an alert for a mismatch in patient identification, pressing an implicit excrescence within the technology and taking farther upgrades and point installation (Riplinger et al., 2020). Hence, the root-cause analysis indicates the procedural breakdowns, communication gap, moral and environmental crimes, and the need for an upgraded EHR system with better-aligned features.

Application of Evidence-Based Strategies 

Case identification crimes impact patient safety and bear enforcing substantiation-grounded strategies to ensure patient safety by delivering correct care treatments to the right cases. These strategies include using a barcoding system to rightly identify cases for drug administration and other curatives, similar to surgeries. The barcode system allows healthcare professionals to assign a case a specific barcode as an identifier in the form of a wristband and deliver care treatments grounded on the barcode distributed (Barakat & Franklin, 2020).

One illustration of this system is Barcode Medication Administration, in which the barcode of a case’s wristband is matched with a barcode on the drug to administer the correct drug to the right case without making an error in patient identification (Owens et al., 2020). Literature states that about 236 patient identification crimes passed when cases lost cuff identifiers (Rahmawati et al., 2020). This needed a robust identification system for cases, similar to biometric systems like iris biometric systems, where iris scanning for each case is conducted to store as a template. This scrutinized template matches the case for routine care treatment deliveries (Anne et al., 2020).

The NURS FPX 4020 Assessment 2 focuses on Root Cause Analysis and Safety Improvement Plans. 

Other strategies include the development and perpetration of standardized protocols for relating the case, including the use of a roster for verification. Using these rosters during the patient meetings will reduce the incorrect identification incidents of the case, especially before managing drugs or vacancies (Ripler et al., 2020). In addition, health professionals should establish regular communication channels, similar to a hood or exposure, to bandy the case identification protocol and to remove any concern or challenges. In addition, health professionals should be trained on the significance of the case’s identity and ways to reduce mortal crimes that harm the case (Vaimordi et al., 2020). By using these strategies certified by literature and studies, the case’s identification error can be effectively reduced, the case’s safety can be increased, and the case’s experience can be organized.

Improvement Plan with Evidence-Based and Best-Practice Strategies 

The safety enhancement plan can effectively break cases’ misidentification and posterior counteraccusations of disabled case safety. The scheme will include perpetration of increased barcoding technology, development of standardized protocols, and development of rosters for the case’s identification and training for health care professionals. The sanitarium administration will incorporate an advanced barcoding system that extends beyond medicine administration to encompass the case’s identity. The health care system can ensure strong verification by expanding barcoding ways for the case’s identification and reducing the wrong identity threat (Romano et al., 2021).

The leadership of the health care system will play a part in developing and enforcing standardized protocols and rosters to identify the case, emphasizing vacation reviews as an important step. Combined with the roster, these processes produce a methodical approach to the case’s identification and reduce the possibility of crimes. Eventually, the plan will include enforcing the training of mortal factors running for health services, where leaders will emphasize the significance of fastening on the case’s identity.

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

Educating workers about general mortal crimes that lead to patient identity crimes will equip them with strategies to help these miscalculations and enhance the safety culture (Romano et al., 2021). The asked results of this safety correction scheme are to reduce patient identity crimes, enhance patient safety, ameliorate satisfaction for both cases and their families, and increase mindfulness and understanding of patient identity among cases.

The timeline for the proposed enhancement plan will be about one time. During the first two months, the health association will assess areas for current case identification procedures and advancements. In months 3–4, executive staff will land and apply an advanced barcoding system for patient identification. This will be followed by the development and dispersion of standardized protocols, as well as the inauguration of training for healthcare staff and the executive labor force over the coming two months to promote patient safety through correct case identification. Incidentally, the coming four months will include monitoring and assessing the efficiency of enforced changes and plans as demanded, grounded on feedback and issues (Vaismoradi et al., 2020).

Existing Organizational Resources 

Using the organizational coffers, similar to EHR systems, can efficiently ameliorate the precisely curated safety enhancement plan. We can approach the IT professionals to estimate the underdeveloped features of the current EHR, which could potentially warn healthcare professionals in the event of misidentification. Also, the administration and leadership platoon within the sanitarium can unite with quality enhancement brigades to cover and assess the effectiveness of enforced strategies. The ongoing feedback from the QI platoon can contribute to nonstop enhancement in reducing identification crimes and enhancing patient safety (Alomari et al., 2020). piecemeal from using the presently available coffers, the healthcare association may need fresh coffers for the training department, similar to leaflets for education and advisers to conduct technical training programs on patient identification and safety enterprises.

Also, healthcare administration will bear seller support for integrating the barcoding system. The purchase and flawless integration of the technology and training sessions will bear fiscal coffers (Riplinger et al., 2020). Given the central part of technology within the safety enhancement plan, uniting with the IT department is a high precedent, as it directly impacts the successful perpetration of the barcoding system. Other precedents include QI platoon involvement and training and development coffers for icing healthcare professionals are complete in patient safety through acceptable knowledge of suggested protocols (Alomari et al., 2020).

Conclusion 

The root-cause analysis was performed for two cases to address the case identification crimes for children within Arnold Palmer Hospital. The root causes were a lack of protocols for enhanced patient safety and identification of cases, communication breakdowns, hamstrung technology, and mortal error. This needed the operation of substantiation-grounded practices, which were used to draft a safety enhancement plan. This plan includes integrating a barcoding system, training staff, and administering protocols for better case identification. Strategic use of readily available coffers is pivotal to enhance the effectiveness of safety enhancement plans. The needed coffers include fiscal and external coffers similar to merchandisers and advisers to apply the proposed plan for enhancing patient safety and reducing identification crimes during patient hassles.

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

Rahmawati, T. W., Sari, D. R., Ratri, D. R., and Hasyim, M. (2020) conducted a study. Case identification in wards What influences nurses’ compliance? Journal Medicoeticolegal Dan Manajemen Rumah Sakit, 9(2). https://doi.org/10.18196/jmmr.92121