PROJECT REPORT HIMANSHU
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This project report summarizes a quantitative analysis of nursing practices related to medication management at XYZ Hospital in Ludhiana, India. The author observed medication administration practices on the hospital's 4th floor over 50 patient cases. The observation found an 18.75% non-compliance rate with best practices, mostly due to staff negligence. Overall, the analysis showed that nursing staff were well-oriented in medication practices, adhering to patients' medication management plans 81.25% of the time. The report recommends continued focus on reducing errors by strictly following medication administration safety guidelines and policies.
PROJECT REPORT HIMANSHU
- 1. PROJECT REPORT A QUANTITATIVE ANALYSIS OF NURSING PRACTICES ON MEDICATION MANAGEMENT AT XYZ HOSPITAL, LUDHIANA SHERPUR CHOWK. Submitted by Himanshu jain
- 2. INTRODUCTION Medication management is one of the major responsibilities of a nurse leader/manager in any health care setting particularly in hospitals (Health Information and Quality Authority (HIQA)2009). It is a complex process which involves different phases including prescribing, transcribing, ordering, dispensing, supplying, administering and storing. Evidence suggests that at each phase of the cycle, error do occur adversely influencing patient’s safety, which is a priority in today’s nursing practice. Additionally, Concluded that adverse drug events are common in hospitals, and hospitals residents are vulnerable to such events due to a high incidence of polypharmacy and changed pharmacokinetics and pharmacodynamics. The latter issues refer to age related changes in the functions and composition of the human body, which require adjustments of medication selection and dosage for elderly individuals. According to medication errors are one of the most common types of medical errors that occur in healthcare institutions They further state that morbidity from medication errors results in high financial costs for health care institutions and adversely affects the patients quality of life.Medication errors have also been identified as the most common single preventable cause of adverse events (National Medicines Information). In practice, nurses have been trained to practice the five rights of medication administration, namely, the right medication, right dose, right route, right time and right patient but evident suggests that although the five rights ,provide a useful checking ritual, they focus on the individual nurse’s performance during the final stage of medication administration and1hat do not reflect the responsibility and accountability associated with medication administration or multidisciplinary approaches to medication management.Therefore it was proposed that additional strategies should be implemented to prevent and reduce medication error In this chapter, the
- 3. writer will focus on the aim and objectives of the change project and the rationale for carrying out the change. Aim and objectives The aim of this project was to implement best practice in medication management in hospitals and the objectives were to reduce medication errors/adverse drug events through analysis and adherence to medication administration safety guidelines(nine rights of medication administration); to promote the safety of the residents and comply with professional and national standards on medication management. METHODOLOGY In quantitative analysis taking sample size of 50 patients in sps hospital Ludhiana, to study the nursing practices on medication management. Tool to analyse the nursing practices on medication management is observation. Observations himanshu observation.xlsx AVERAGE NO. OF NON- COMPLIANCE IN 4TH FLOOR-18.75% AVERAGE NO. OF COMPLIANCE IN 4TH FLOOR-81.25% non-compliance-18.75% compliance-81.25% 0% 20% 40% 60% 80% 100% non-compliance-18.75% compliance-81.25% Series1
- 4. RESULTS In this study we have observed that patients admitted to this hospital are given medication according to their medication management plan. Staff of hospital are very well oriented about their medication practices.The non-compliance of 18.75% which i have found due to staff negligency towards their work. CONCLUSION The personal costs ofmedication errors for patients may include suffering, the need for additional treatment, loss of income, and death. Family members also experience emotional trauma as a result of seeing a loved one suffer. In addition to the financial costs involved in medication errors, there are substantial costs to the reputation of the health care professionand its members. Every time a medication error occurs, whether it is reported by word of mouth, the public loses confidence in the quality of health care that is provided. RECOMMENDATIONS Managing medication is a vast area that is governed by legislation and best practice. It is required that ‘the registered provider shall ensure that the designated centre has appropriate and suitable practices and written operational policies relating to the ordering, prescribing, storing and administration of medicines to residents and ‘the person in charge shall ensure that staff are familiar with such policies and procedures. Additionally, the registered provider is expected to
- 5. ‘ensure that there are suitable arrangements and appropriate procedures and written policies in accordance with current regulations, guidelines and legislation for the handling and disposal of unused or out of date medicines and the person in charge should ‘ensure that staff are familiar with such procedures and policies .Similarly, state that nurses exercising their professional accountability in the best interests of patients must be sure to apply the five rights of medication administration i.e.right medication, patient/service-user, dosage, form, time. On the contrary, argued that quality in medication administration is not simply a matter of adhering to these five rights. This view was supported by Elliot and Liu (2010) who state that although seven rights (the five rights plus right response and documentation) have been proposed, errors still occur. Therefore, they went further to propose the nine rights Figure 1
- 6. REFERENCES An Bord Altranais (2007) Guidanceto Nurses and Midwives on Medication Management.Dublin: ABA. Agyemang, R. E. O., & While, A. (2010). Medication errors: Types, causes and impact onnursing practice. British Journal of Nursing, 19(6): 380–385. Armstrong, M. (2006). A handbookof human resource managementpractice. (10th, edn). London: Kogan. Ashcroft, D. M., Quinlan, P., & Blenkinsopp, A. (2005). Prospective study of the incidence,nature and causes of dispensing errors in community pharmacies. Pharmacoepidemiology and drug safety, 14(5): 327-32. Ashurst, A. (1992). Using a monitored dosage system. British Journal of Nursing,1(8):379-382. Aspden P., Wolcott J., Bootman J.L. & Cronenwett L.R.(2006). Preventing Medication Errors. Washington: National Academy Press. Barber, N. D., Alldred, D. P., Raynor, D. K., Dickinson, R., Garfield, S., Jesson, B., Lim, R. (2009). Care homes’ use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. Quality and Safety in Health Care, 18(5): 341-346. Barker, K.N., Flynn, E.A., Pepper, G.A., Bates, D.W. & Mikeal, R.L.(2002) Medication errors observed in 36 health care facilities. Archive of Internal
- 7. Medicine, 162(16): 1897–1903.Barr, J. & Dowding, L. (2008). Leadership in healthcare. London: Sage.59 Battilana, J., Gilmartin, M., Sengul, M., Pache, A. & Alexander, J.A. (2010) Leadership competencies for implementing planned change.leadership Quarterly, 21(3), 422-438. Belela, A. S. C., Peterlini, M. A. S., & Pedreira, M. L. G. (2011). Medication errors reported in a pediatric intensive care unit for oncologic patients. Cancer Nursing, 34(5): 393-400.