See attachments for assignment instructions and resources. 

Due date for this assignment 01/06/23

For this assessment, you will develop a 3-5 page paper that examines a safety quality issue pertaining to medication administration in a health care setting. You will analyze the issue and examine potential evidence-based and best-practice solutions from the literature as well as the role of nurses and other stakeholders in addressing the issue.

Health care organizations and professionals strive to create safe environments for patients; however, due to the complexity of the health care system, maintaining safety can be a challenge. Since nurses comprise the largest group of health care professionals, a great deal of responsibility falls in the hands of practicing nurses. Quality improvement (QI) measures and safety improvement plans are effective interventions to reduce medical errors and sentinel events such as medication errors, falls, infections, and deaths. A 2000 Institute of Medicine (IOM) report indicated that almost one million people are harmed annually in the United States, (Kohn et al., 2000) and 210,000–440,000 die as a result of medical errors (Allen, 2013).

The role of the baccalaureate nurse includes identifying and explaining specific patient risk factors, incorporating evidence-based solutions to improving patient safety and coordinating care. A solid foundation of knowledge and understanding of safety organizations such as Quality and Safety Education for Nurses (QSEN), the Institute of Medicine (IOM), and The Joint Commission and its National Patient Safety Goals (NPSGs) program is vital to practicing nurses with regard to providing and promoting safe and effective patient care.

You are encouraged to complete the Identifying Safety Risks and Solutions activity. This activity offers an opportunity to review a case study and practice identifying safety risks and possible solutions. We have found that learners who complete course activities and review resources are more successful with first submissions. Completing course activities is also a way to demonstrate course engagement.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 1: Analyze the elements of a successful quality improvement initiative.

. Explain evidence-based and best-practice solutions to improve patient safety focusing on medication administration and reducing costs.

· Competency 2: Analyze factors that lead to patient safety risks.

. Explain factors leading to a specific patient-safety risk focusing on medication administration.

· Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs.

. Explain how nurses can help coordinate care to increase patient safety with medication administration and reduce costs.

. Identify stakeholders with whom nurses would need to coordinate to drive


Collaboration and Leadership

· Cho, S. M., & Choi, J. (2018). 

Patient safety culture associated with patient safety competencies among registered nurses.
Journal of Nursing Scholarship, 50(5), 549–557.

. This article discusses the importance of creating a unit-specific patient safety culture that is tailored to the competencies of the unit’s RNs in patient safety practice.

· SonÄŸur, C., Özer, O., Gün, C., & Top, M. (2018). 

Patient safety culture, evidence-based practice and performance in nursing.
Systemic Practice and Action Research
31(4), 359–374.

. Evidence-based practice is a problem-solving approach in which the best available and useful evidence is used by integrating research evidence, clinical expertise, and patient values and preferences to improve health outcomes, service quality, patient safety and clinical effectiveness, and employee performance.

· Stalter, A. M., & Mota, A. (2017). 

Recommendations for promoting quality and safety in health care systems.
The Journal of Continuing Education in Nursing, 48(7), 295–297.

. This article provides recommendation to promote quality and safety education with a focus on systems thinking awareness among direct care nurses. A key point is error prevention, which requires a shared effort among all nurses.

· Manno, M. S. (2016). 

The role transition characteristics of new registered nurses: A study of work environment influences and individual traits. (Publication No. 10037467) [Doctoral dissertation, Capella University].

. This research study may be helpful in identifying traits and qualities of new registered nurses that are helpful in coordinating and leading quality and safety measures re