Name
Capella university
NURS FPX 9100 Assessment 4 Virtual Check-in 1
Prof. Name
October, 2024
Virtual Check–In and Project Approval
In October 2024, I had my first virtual follow-up with my instructor, Dr. Smith, and the preceptor, John Carter. We discussed the topic that was approved for my quality improvement project: Enhancing the Medication Reconciliation Process, MRPE. This project aims at putting evidence into practice to enhance the accuracy and completeness of medication histories at the time of care transitions. This would decrease medication errors through a systematic reconciliation process (Manias et al., 2020). I suggested that the checklist for staff should be standardized at the time of admission and discharge for the patients, and John said it was an important initiative at the project location site. Later on, the guidance on how to refine the project’s timeline and the inclusion of the PDSA cycle were provided to me by Dr. Smith. The check-in took about 12 minutes allowing time for questions and feedback.
We also discussed during check-in potential challenges with staff adoption of the new checklist, particularly those working in high-paced environments with possible time constraints that might prevent them from doing a good reconciliation. Dr. Smith gave suggestions for staff engagement which included training sessions and creating a feedback loop to get input on the usability of the checklist (Keizer et al., 2022). John said to ensure that the checklist does not disrupt existing workflows. We agreed on specific milestones that we would have set so that we would be able to track our progress and collect data to assess the overall impact of the project on reducing medication errors. The check-in was productive, and I feel quite confident moving forward with the next steps.
Project Charter Development
I have been steadily making progress on Part II of the Project Charter of the Medication Reconciliation Process Enhancement project (Irons et al., 2022). As the topic was chosen quite early, completing Part I was a little easy since it relied more on foundational planning and prior discussion. It is going to be a bit more complex in Part II since I’m working with some critical stakeholders including my preceptor and a pharmacy team lead making sure that these charter goals align with the priorities of the department. My focus has been the improvement of the scope of the project through role definition for specific responsibilities and key steps for successful implementation. This process has not been without back-and-forth, but it has given me a better understanding of the organization structure and the best approach to change management.
One of the biggest challenges was ensuring that the charter incorporates realistic timelines and resource allocation toward meeting our desired outcomes. I have found that ongoing communication with the stakeholders is essential for clarifying expectations and addressing any potential concerns. I have also received excellent feedback from my preceptor, who has been outstanding in ensuring that the charter not only focuses on patient safety but also considers the workload and its integration with workflow (McFadden et al., 2024). With these challenges, however, each version of the charter strengthens the foundation of the project, and I am eager to further perfect it for final approval.
NURS FPX 9100 Assessment 4 References
Irons, M. W., Auta, A., Portlock, J. C., & Manfrin, A. (2022). Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. Home Health Care Services Quarterly, 41(2), 91–123. https://www.tandfonline.com/doi/full/10.1080/01621424.2021.2007196
Keizer, J., Bente, B. E., Al Naiemi, N., Gemert, L. J., & Beerlage, N. (2022). Improving the development and implementation of audit and feedback systems to support health care workers in limiting antimicrobial resistance in the hospital: a scoping review. Journal of Medical Internet Research, 24(3), e33531.https://www.jmir.org/2022/3/e33531
Manias, E., Kusljic, S., & Wu, A. (2020). Interventions to reduce medication errors in adult medical and surgical settings: A systematic review. Therapeutic Advances in Drug Safety, 11(1), 1–29. https://journals.sagepub.com/doi/10.1177/2042098620968309
McFadden, P., Davies, H., Manthorpe, J., MacLochlainn, J., McGrory, S., Naylor, R., Mallett, J., Kirby, K., Currie, D., Schroder, H., Nicholl, P., Mullineux, J., & McColgan, M. (2024). Safe staffing and workload management in social work: a scoping review of legislation, policy and practice. The British Journal of Social Work. https://academic.oup.com/bjsw/article/54/5/2006/7613002
