Strategies to Promote a Culture of Excellence in the Workplace

Strategies to Promote a Culture of Excellence in the Workplace

Email

From: J.K.

To: The Nursing Staff

Cc: The Administration

 Subject: FAQs on Bedside Bar Code Medication Retrieval System

Hello team,

I hope this email finds you well.

As you know, the administration has proposed a new barcode system for nurses at the bedside to retrieve medication. This bedside barcode medication retrieval system aims to decrease medication errors. I understand many of us have a number of questions related to this new system.

Find attached below a comprehensive Facts and Questions (FAQ) document to answer key questions regarding the new system.

Also, since that last meeting was interrupted and some of the nurses left before the implementation plan was discussed, a new meeting will be scheduled on 24^th March 2023 at the main boardroom.

Sincerely,

J.K.

Practice Excellence Committee Member

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Attached FAQs Document

Bedside Barcode Medication Retrieval System FAQs

Why do we need this change?

Implementing the Bedside Barcode Medication Retrieval System aligns with our organization’s commitment to continuously improve patient safety. Our Barcode Medication Retrieval system is like the Barcode Medication Administration (BCMA) automated system, which simply uses barcode scanning during medication administration (Zheng et al., 2021). The new Barcode Medication Retrieval system is a part of the organization’s efforts to digitize all its patient care processes. The new medication retrieval system aims to reduce medication errors which have been an issue reported by our nurses. This change means that nurses will only process and dispense medications when at the intended patient’s bed, reducing confusion over patients and medication. Besides, BCMA implementation in controlled medication administration significantly reduces medication errors, hence improving patient safety (Zheng et al., 2021). To show why the change is needed and the importance of the Bedside Barcode Medication Retrieval System, consider a scenario where two patients with similar names are admitted to the same hospital wing taking the same or related medication for almost related conditions. These cases would easily confuse the nurse, and they end up administering the wrong medication or even the right medication to the wrong patient. In this regard, the new system will only allow the medications to be dispensed if the patient’s barcode is attached to the patient and their bed is scanned. BCMA scanning at the bedside also reduces adverse drug events by up to 95 percent and supports continuous patient assessments (Ho & Burger, 2020). Implementing these new medication administration changes shows how we prioritize patient safety and the delivery of quality, safe, and affordable care that meets the needs of the patient and their family.

What we currently use works well; why change now?

The current medication retrieval system works well. However, as an organization focused on efficiency, patient safety, and ensuring our clients have the best care experiences, we continuously upgrade the systems that help us achieve these care goals. This means continuously updating our systems to the current technologies. The Bedside Barcode Medication Retrieval System is more advanced than the current system. The shift from previous medication retrieval to the bedside barcode-aided medication retrieval system eliminates the need for nurses to travel back and forth from a central dispensing area and makes it easy to dispense medications only at the point of care. For example, these movements may cause distractions and can result in nurses confusing patients and medications. Such distractions lead to errors during medication administration (Manias et al., 2021). The systems will have unique barcodes for each patient, bed number, and information on the medications, including medication name, type, dose, dosage time, and reasons for prescription, thereby reducing the risk of interruptions and distractions. Additionally, upgrading our medication systems will improve our operational efficiency and safety regarding medication processes and shield the patient and the organization from costs and suffering related to medication errors. Notably, bedside BCMA technologies can reduce medication errors by 74 percent, with a significant impact on costs of care and related liability costs (Larson, 2018). Major savings from avoided ADEs are estimated to be over USD 239,725 per year in a single facility (Ho & Burger, 2020). The new system also promotes a culture of excellence as our organization aligns itself with adopting evidence-based practices in improving patient safety and quality care.

Honestly, as a nurse, how will this new piece of equipment help me better perform my professional role?

The new barcode technology will not only improve the efficiency of medication administration but also the safety of the process by ensuring that medications are only dispensed at the specific patient’s bedside. This will also ensure the nurses engage with the patients directly and provide further information the patients may have. Remarkably, using health information technologies such as BCMA technologies improves the time spent in direct care as well as other value-adding activities (Moore et al., 2020). Reducing medication errors and engaging with patients improves their safety and experiences with the care delivered. Pruitt et al. (2023) also found that the implementation of BCMA significantly improves measures of effectiveness and nurse and patient satisfaction. As per its design, the system is based on evidence from previous successes of related systems. Therefore, it promotes a culture of excellence by empowering all nurses to efficiently and safely administer medications to patients at the point of care.

References

Ho, J., & Burger, D. (2020). Improving medication safety practice at a community hospital: a focus on bar code medication administration scanning and pain reassessment. BMJ Open Quality, 9(3), e000987. https://doi.org/10.1136/BMJOQ-2020-000987

Larson, K. C. (2018). Cost analysis and Potential Reduction of Medication Errors Due to Implementation of CPOE & BCMA in the Fraser Health Authority. UBC Medical Journal, 10(2). https://ojs.library.ubc.ca/index.php/ubcmj/article/view/190301

Manias, E., Street, M., Lowe, G., Low, J. K., Gray, K., & Botti, M. (2021). Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit. BMC Health Services Research, 21(1), 1–13. https://doi.org/10.1186/S12913-021-07033-8/TABLES/6

Moore, E. C., Tolley, C. L., Bates, D. W., & Slight, S. P. (2020). A systematic review of the impact of health information technology on nurses’ time. Journal of the American Medical Informatics Association, 27(5), 798–807. https://doi.org/10.1093/JAMIA/OCZ231

Pruitt, Z. M., Kazi, S., Weir, C., Taft, T., Busog, D. N., Ratwani, R., & Hettinger, A. Z. (2023). A Systematic Review of Quantitative Methods for Evaluating Electronic Medication Administration Record and Bar-Coded Medication Administration Usability. Applied Clinical Informatics, 14(1), 185–198. https://doi.org/10.1055/S-0043-1761435/ID/JR202208R0213-33/BIB

Zheng, W. Y., Lichtner, V., Van Dort, B. A., & Baysari, M. T. (2021). The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: A systematic review. Research in Social and Administrative Pharmacy, 17(5), 832–841. https://doi.org/10.1016/

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Assignment Content

Competency
Describe a culture of excellence in nursing.

Student Success Criteria
View the grading rubric for this deliverable by selecting the “This item is graded with a rubric” link, which is located in the Details & Information pane.

Scenario
You currently serve as a nursing member of a Practice Excellence Committee. The administration has proposed a new barcode system for nurses at the bedside to retrieve medication. The purpose of the new system is to decrease medication errors by providing nurses with an opportunity to retrieve medications at the bedside where clients and family members can ask questions and receive immediate feedback. At the beginning of the shift, each nurse will check out a medication box based on assigned clients. Once medications are verified, scanned, and removed nurses can send text messages from the barcode scanner to the pharmacy should questions or concerns arise.

Strategies to Promote a Culture of Excellence in the Workplace

In the current medication retrieval system, the nurse must take a computer with client medication information to a central dispensing area and wait in line at the electronic medication dispensary for medications then return to the client’s bedside for administration. Hospital leaders are excited since the new beside bar code medication retrieval system is in response to a needs assessment of client and employee satisfaction survey data trended over three years and work by a consulting firm which identified the need after as six-month observation period for employee behaviors related to medication administration.

Today is the launch of the new system. You presented the new, proposed innovation at a medical employee staff meeting attended by nurses, pharmacists, physicians, nurse practitioners, physician assistants, physical therapists, and respiratory therapists. Attendees received information including a data summary supporting the change, a summary of the proposed change with equipment demonstration, and a proposed implementation plan including timeline and employee expectations for adoption.

During the implementation portion of the presentation, a few employees voiced concerns and disrupted the meeting. You lost focus and felt defeated after the presentation; you thought the entire interprofessional team would be excited about the innovative medication administration system. Unfortunately, many nurses left the meeting before the entire implementation plan had been discussed, expressing emotional outbursts and outward negativity toward the proposed innovative change.

To facilitate this change and address concerns, you scheduled another meeting one month later in a town hall format, and only nursing staff were invited to attend. Before this meeting, you plan to create a Facts and Questions (FAQ) document based on three priority areas of concern you noted from the first meeting. You plan to disperse the FAQ document in an email to invited nursing staff one week before the town hall as a way to “break the ice.”

Instructions
Create a professional email with an attached FAQ document, which provides a detailed and succinct response to each question below and promotes a culture of excellence.

Why do we need this change?
Include a relevant example as a supporting rationale with support from credible resources.
Demonstrate how your response promotes a culture of excellence.
What we currently use works well, why change now?
Include a relevant example as supporting rationale with support from credible resources.
Demonstrate how your response promotes a culture of excellence.
Honestly, as a nurse, how will this new piece of equipment help me better perform my professional role?
Include a relevant example as supporting rationale with support from credible resources.
Demonstrate how your response promotes a culture of excellence.
Resources
For additional information on managing conflict between nurses, please visit Conflict Management: Managing Conflict Between Nurses.
For additional assistance in understanding what people bring to conflict, please read Workplace Conflict Resolution Essentials for Dummies (Chapter 2).
For additional assistance on writing effective emails, please visit Email Essentials: How to Write Effective Emails and Build Great Relationships One Message at a Time (Chapter 6).
For additional assistance on email etiquette, please visit What is email etiquette? What should I do or not do in an email?
For additional assistance on how to identify credible resources, please visit How do I know if a source is credible?