Leadership and Management Implementation Plan and Paper

It’s not simply the particular giving of the medications that fare up all the time. It is checking the medical record with the hand written prescriptions, grouping the varied medications and also the instrumentation for giving them, and ensuring all the patients safety measure are covered.

When we think about what a leader and manager is, most of us will use the same meaning. But in actual fact this is incorrect. We have to look at these two terms differently. What is a manager? A manager is someone who is responsible for directing and controlling the work and staff of a business, or of a department within the organization. So what is a leader? A leader is someone whom people follow, somebody who guides or directs others. Looking at both terms they both are very different. The question is always asked is a manager can be a leader and leader a manager. The true answer is managers are not always leaders, while leaders can be

Ensure accurate maintenance and communication of medications: Making sure that there is appropriate and accurate documentation about the medicines that the patients were taking, and comparing them with the new medications. Also giving the patients the information needed to safely take their medications when they go home. The purpose of this goal is to ensure a better outcome for the patients’ health, and reduce errors when providing medications (The Joint Commission, 2012).

Patients recognize discharge as a distinct episode in their care but, it also can skew their perceptions of the entire hospitalization. Educating, empowering and engaging the patient with pertinent information and support tools can make a vast difference in the success of their post-discharge care. The MDW is a low-cost tool designed to increase the patient’s knowledge and understanding about their medications upon discharge. Most hospitals have printed medication instructions in order to fulfill the “Meaningful Use Requirements,” that was initiated with the Medicare and Medicaid EHR Incentive Program. But, there is not standardization on how and when to use the MDW in the discharge process. The goal is to have better communication about medications. We are proposing that the MDW be incorporated into discharge teaching for all inpatients. This will require hospitals to reassess their current discharge processes and then, redesign the process to improve on what they have. The existing process will be redesigned to simplify and standardize the process throughout the organization. There will not be a need for additional personnel. The roles of

In the Institute of Medicine (IOM) report in 2006, Preventing Medication Error, more than 1/3 of the 1.5 million adverse drug events that were recorded in the United States each year occurred in an outpatient setting. Likewise, in 2008 IOM released a report that laid emphases on the need for setting universal standards within prescribing and dispensing practices. Multiple studies reported that an increased prevalence of patient adherence to taking prescribed medications can be compromised by their inability to comprehend or understand the directions for taking the medication (Wolf et al., 2016). The inability to understand and interpret prescription drug labels were recognized as the leading cause of a large proportion of outpatient medication error and adverse events, as patients may possibly accidentally misuse a prescribed

Medication reconciliation is defined as a “formal process of obtaining a complete and accurate list of each patient’s current home medications – including name, dosage, frequency, and route – comparing the physician’s admission, transfer, and discharge orders to the list.” (Meguerditchian N, Krotneva, Reidel, Huang, & Tamblyn, 2013). There have been several studies performed across the world to try to comprise a system that will successfully accomplish medication reconciliation. Some of these studies have been successful and others have failed to find a solution. There have been studies that have utilized a pharmacy technician in the emergency department to facilitate the input of patient’s medication reconciliation prior to admission. Other studies have relied on the pharmacist to obtain the information. Most studies involved the primary nurse providing care to the patient to obtain the medication reconciliation information. There have been several forms of documentation tried on trial bases. These forms of documentation range from a paper medication administration record (MAR) to an electronic medication administration record (EMAR) that utilizes today’s technology.

In the process of investigating the research topic, many relevant and current research articles were discovered. Cumulative Index to Nursing and Allied Health Literature (CINAHL) was the database in which 4 out of the 5 articles were discovered. The keywords used were medication administration and electronic medication administration record entered in separate searches. Limitations applied to each search were the publication dates between 2010 and 2014 and full text. Both searches combined yielded a total of 42 articles and relevance was determined by reading first the title and then the abstract. For 1 out of 5 articles the database OvidSP was used. The key words electronic medication administration was used and applied limitations were a publication date between 2010 and 2014 and original articles. The search yielded 134 results and relevance was determined by reading the title and then the abstract. All of the discussed articles are current and published between the years 2010 and 2014 and

Some of the benefits of paper-less prescribing are reduced paper cost, you can handle higher volume with less employees, easily restore documents in case of a disaster. The process of paper-less prescribing is fairly simple, the prescribing doctor fills out the prescription which is then sent to the pharmacy. Once the pharmacy gets it the pharmacy technician fills the prescription, the pharmacist checks it to make sure it is correct, and the patient can then pick it

These programs can be successful when applied but without a physician being required to participate they can be unuseful as it leads to lack of accurate information for public health records. Doctors and pharmacist should both have a legal obligation to check a drug monitoring database and participate further in drug monitoring programs. Doctors and pharmacies should also be investigated for prescribing large quantity of prescription medication resulting in legal action if perhaps they are found guilty of overprescribing. With legislators onboard to curb the misuse of prescription medication this problem can finally be

This paper is a critical analysis of the article “Spirituality as a Predictive Factor for Signing an Organ Donor Card”. The research was preformed by Anat Peles Bortz, RN, PhD, Tamar Ashkenazi, RN,PhD, and Semyon Melnikov, RN, PhD. The research was accepted for publication in 2014. The research was presented at the 25th International Nursing Research Congress Symposium in 2014 in Hong Kong. The research appears in Sigma Theta Tau International, Journal of Nursing Scholarship 2015. The research looked at two groups of people in Israel, those who signed an organ donor card

The Action Plan for Medication Safety was a study that accessed patient’s knowledge on their medications. Patients taking more then 5 medications were chosen to participate. The study began by giving each patient a fake medication plan to test if they understood the plan or not. After being accessed and properly educated, the patients were then given their own plan and a filled pillbox to handle and properly take their medications. The study concluded that the patients were more adherent to their medications because they understood the medication plan and the importance of taking their medication at the appropriate time

When patients are seen in the clinic, I make every effort to review orders, labs, notes, and spend time with reconciling their medications, and clinical reminders. Medication compliance is a big issue seen in this clinic. For example, all veterans are asked to bring in all medication bottles to their visit. As a kidney failure patient, there are always a fluctuation in the patient’s lab values, which may result in change in their medications. Labs are drawn quite often due to the nature of one’s diagnosis. One thing that I found is, medications are adjusted due to lab results, it is noted a month or so after the veteran never increased the medication as directed. Couple of the veterans indicated they didn’t realize the dosages was different,

My understanding and recall of medications needs to improve to match the environment I am working in. Although it is important to be alert for changes in best practice and recommended treatment protocols, having full knowledge of all medications regularly prescribed to the patient population would reduce the time needed to verify orders, build care plans, and carry out med passes. Since pharmacology is a concurrent course, it is not expected that I would have

Leadership is something that we are all born with because we are all born. Therefore, who is a leader and who is not depends on who really wants to be a leader and who does not. Leadership is a skill and so it can be learned. As anything that is learned it demands practice and practice to be the best. It would not be something that will happen in a matter of a day. There are multiple elements that make a leader. Collaboration is a key element for successful teamwork. Therefore, a leader must always be in the look for ways to foster collaboration. Creating trust within the team, support face-to-face collaboration, transfer responsibilities when making decisions, and ultimately teach other how to be leaders. All of this is not done if it is not done from the bottom of your own heart.

In the new shifting of healthcare strategy from providers and hospitals to place patient in the center of cares, SPs play an important role in the success of population health management. The foundation of population health management is measuring population data to define risk categories and according care plans for each risk segment. Collecting, aggregating data, and assuring confidentiality of data are steps require for large and small population management. SPs provide tremendous amount of data that can help to manage a population that demand high-level of controls. Patients using specialty medications always require high-touch services to help them understand about their disease; therefore, data needs to be thoroughly visible. For example,