NURS FPX 6016 Assessment 1 Adverse Event or Near-Miss Analysis
Criteria
The eriterla which will be used to avaluate the actiona or technologles will be the reduction In the number of madicatlon arrora and
adverse avanta which have occurred. The reduction In the freguency of the events will pose eriterla for evaluation of the affectivaness
and safaty of the Ql actlona and technologles (Gates at al, 2021).
Quality Improvement Initiative
The proposed quallty Improvamant Initlative to prevent adverse events Includes the use of an EHR system. The Introduction of the EHR
system will halp healtheare providera to countercheck the medicatlona which thay prescribe. It will halp to countercheck the
concantration of the drug which are prescribed. Through Ita updated systam, the EHR system will check for Interactiona that the drug
will have, and If it Is contraindicated In the patient’s respective patlant’s conditions.
The EHR systam will also have an Inbullt alarm or waming systam which will ansure that If any adverse event la about to occur or Ia
expected to happen, the EHR system will Initlate a sarles of alarm or waming systama that will warn the healtheare providers about the
advarse avant. As a result, It will help to prevent advarse eventa or near-miss avanta from happening (Valdotas at al,, 2019).
The EHR systam comes egulpped with a monltoring system that monltors the health of the patlent throughout the tharapy seasion.
Thia allows for the affective prevention of medication emors, advarse avents, or near-miss events which may occur. The monltoring
system keepa the healtheare providers In the loop of the patient’s condition and ansures no harm la Inflicted on the patlent’s health
(Carayon at al, 2021).
The healtheare syatem should also encourage healtheara providars to work In collaboration and communicata with team membars to
pravant adverse eventa. Thay should be palred In teams to encourage counterchecking of each sap starting from preseription and
dlapansing, to administration. All sapa should be counterchecked to prevent arrora and to ensure that the corract medication la balng
prescribed, dlapansad, and adminlstered (Irajpour et al, 2019).
Haaltheare providers should also be ancouraged to leam about the Interaction between druga, thelr pharmacological pathways, thalr
advarse evanta, and the patlent population which should not be administered these medicationa. Along with thla, aducation,
avallablity, and accessibllity of the antidotes to the medicationa such be avallable In the emargancy room (ER). All of the necesaary
Ifesaving drugs, machlnary, and eguipmant should be avallable In the ER to provide the patient wtth Instant care to prevent the
dagradation of health (Hanson & Haddad, 2022).
Conflicting Data
Confficting data ragarding the use and Implamantation of EHR systema In pravaning madication errors ls that some glitches In the
system prevent the effactive recognition of medieation errors, adverse events, or near-miss events. Thia hampers the abllity of the EHR
system to provide safe and guality care sometimes. The EHR system also haa privacy protection Issues Iinkad to patlant Information
that contribute to the unsafe use of electronie health services (Basil at al,, 2022). Another conflicting data la that the healtheare
providars are not willing to learn about the tachnological ald to Increase the affectiveness of the therapy and to prevent medication
arrors.
Conclusion
Adverse aventa and near-mlsa avanta occur due to the lack of attantion from healtheare providers. These events are preventable and
can esally be pravanted from happening If healtheara providers are educated about the Importance of double-checking and the
Introduction of an EHR system.
References
Basll, N. N., Ambe, S., Ekhator, G., & Fonkem, E. (2022). Health recorda database and Inherent securlty concerna: A reviaw of the
Iterature. Curaus, 14(10), e30168. httpa/dol.org/10.7759/cureua.30168
Carayon, P, Du, S., Brown, R., Cartmlll, R., Johnson, M., & Wetternack, T. B. (2017). EHR-related medication arrors In two ICUs. Joumal of
Healtheare Risk Managament: The Joumal of The American Soclety for Healthoare Rlak Management, 36(3), 6-15.
httpa://dol.org/10.1002/jhrm.21259
