NR392 Quality Improvement in Nursing Project Milestone 1 Directions: Prior to completing this template, carefully review Course Project Milestone 1 Guidelines paying particular attention to how to n

******* Milestone 1Directions: ***** ** ********** **** ******** ********* review ****** ******* ********* * ********** ****** ********** ********* to *** to **** *** ******** *** *** ****** ************ ***** ****** *** ******** to **** ******** **** **** ******* ******** on **** ******** *** **** again This assignment ** *** by Sunday *** ** **** 1 by ***** ** ******** ******** ***************************************** CriteriaYour ******** ***** *** Milestone 1 ****** *** ******* ******** in **** **** ******* ******* **************** ***** is ******* ** *** *** ** **** ******* ** *** treatment process that ***** ** ** has *** ********* to **** ** harm to *** ******** (NIHgov) Medication ***** has **** * ******* ******* ** *** ********** ******** Mistakes ********* *********** *** ***** *** **** ****** ****** **** *********** ********* ***** ** ********** ******* failing ** perform *** ** the 6 ****** ** medication ************** *** **** ** medication ***** ***** *********** ***** ********* *** ********** ***** could sometimes generate **** *** ********** *** ********* *** ************ monitoring of ***** levels educating ******* ********* *** administration *** ****** are ******* *** **** ************* these ********** ******** ** *** ******* therefore is *** responsibility ** ** **** ****** ***** ****** ********** ***************** ***** are ******* ********* ***** the ***** *** ** ******* **** *** ***** **** ** ***** made ******* **** *** *** ******* to ******** the mistakes ** the doctor ** ********** *** example ************* a ******* and ****** *** medications inappropriately and sometime pharmacy ******* ** ********* problems **** ***** *********** ** certain medications ***** to *** patient Nurses **** ****** ******* **** ******** ***** *** ** *** ***** care ******* they *** usually *** **** administering ***** medications directly ** *** ******** and ** **** ***** ********** errors * *** issue ** nursingDetails ** *** Issue45 pointsAccording to *** ** *** **** estimated ** *** Institute ** ******** **** medication errors cause * of *** *********** and 1 ** *** ********* ****** ******** **** medication ***** ****** a *** ** people *** **** *********** *** *** mistake ********** *** nurses *** are suppose ** ** performing the **** check prior ** ************** ********** ****** canand has had a **** ***** of effects ** ******** The ******* ** ********** ***** ****** from nothing ********* ** the ********* as ******* as ***** of the ******* **** ****** **** have **** *********** *********** **** ********** ** ********** ****** there *** ***** ******* errors ***** **** by ******* ** *** care team Is ** denying fact **** acute care ********** **** ***** ***** ***** to ******* ********** ****** from ********* **** ** the electronic ********** record ***** is ****** ** *** ******** ******** ******** wrist **** ****** giving medications ****** *** ****** ****** certain *********** ******** reviewing ****** and ******** Coumadin on * ***** basis *** As ****** ** *** ******* to ****** *** ******* ********** ******* and patient’s diagnosis and **** understand *** ******* medications *** ********** *** ******** ****** administering *** ******************* *** nurses **** ** ** ** and ********* *** *********** ** a ********** ******* *** * situation where * ******* INR was ** *** ******* *** ***** ** ******** the INR goal *** *** ******* *** 2-3The pharmacist **** a ******* and orders *** ** ******** *** fails to *********** *** 5mg ****** ** * total ** *** The ***** failed to ******** the ***** administer *** 8mg *** *** **** *** was ** ******** *** ******** made an ***** *** nurse administering *** mediation *** **** *********** as **** *** *** ********* the labs *** questioning *** order **** ******* **** to ********* *** **** **** ******** ** have ******* ******** *** ** place ** ** very ********* for ****** ** ****** the 6 ****** ** ********** administration and review **** results before giving *** *************** facility *** *** forward * series ** ******** ** *** and ******** *** ****** mediation ***** **** ****** ** **** ****** to *** patient’s ********** ****** *** their ********* ******** This enables ** **** the ********** the ******* ** on ******* ** **** *** home list the ******* brought in *** *** ******** ** ** **** any ****** It ********** *** ******* ** ****** ***** *** ***** prescription ** *** ******** The ******** *********** *** *** ** home *********** ** ask ***** ***** **** ** take ***** *********** **** **** after ********* *** ******* to their **** list The **** ********* ** **** is ** *** ******* is ****** a ********** that is in not ** *** pharmacy ********* **** *** ******** *** ** ****** *** ********** ***** it **** * ******* and the ****** **** **** ** ** ** *** ********** ****** *** ********** it to *** patient ** ******** ***** ********* Two nurses **** ** verify ******* ***** ** ************** ** well ** ******* **** *** *********** **** *** *** scanned *** reported ** the ******* ** *** *** ** *** ***** ** **** nurse **** * to score 98% scanning rate ** ***** All medications ******* *** ** be ******** ** *** ******** ****** ** ***** be pulled out of *** pyxis ** ************ to ******************* the ****** ** **** ** *** ******* ** *** ******* * ****** ******* *** *** patient *** ******* ********** administering 60units ** ***** ****** insulin ******* ** **** ****** ******* to * ******* needs ** ** ******** right **** or ** ***** be *********** ** *** *********** life * **** ********* ** colleagues ** **** ** ******* about ***** ************** regimen on ********* *** ******** *** ****** ** they **** doubts ** *** ****** occur I **** ********* the ***** ** ****** ** in * timely ****** and *** **** ** Creating a *** punitive *********** *** ***** ***** ********* ***** ** report *** issue ******* **** ** **** ******************** ***** ********** ******** *** ***** care setting that * work ** * have **** so **** ********* ****** ******** **** ********* ****** ** *** **** **** * ******** ********* ** actual ********** ***** ***** ********** *** *** ***** any **** ** *** ******* *** months *** * *** * patient **** was misdiagnosed ** *** Radiologist *** ****** * ***** **** ** *** pelvis *** ******* *** ******* on **************** ****** ******* her INR *** ** She was ******* **** of ******* ***** ***** *** ******** *** ***** ***** *** subjected ** ****** ***** ** the daily ****** *** ******** **** as *** ** ** 10mg *** ******* **** *** ** ***** *** *** between *** *** ** *** ******** to the patient *** the ***** * days ***** *** ********* On *** *** day **** * doctor **** that ********** ** questioned the MRI results ***** ** *** images ** ******** *** Radilogist *** ****** and he was ***** ********* that *** ******* was misdiagnosed ** *** ******* *** ******* such **** ****** ** ***** ******** for ** ******** ****** *** ******* *** her ****** were ******** ** *** ******** *** patient ******** made it **** clear she *** ****** legal actions ******* *** ******** *** ******* *** **** **** up to ** ********** ** **** ********* *** medication error ***** **** *** *********** *** *********** *** ************ the ******* * ******* **** particular ******** ******** highlighted the fact that ********** ***** still ***** ** ***** care ******** **** with several measures *** ** ***** ** ******* ****** **** ***************** *** ****** who ********** **** ***** *** *** ********** ****** ** **** ****** were **** *********** *** *********** *** ********** *** ****** *** administer *** medicationREFERENCES:https://learnana-nursingknowledgeorg/products/Preventing-High-Alert-Medication-Errors-in-Hospital-Patients ********* ******* 2016https://wwwncbinlmnihgov/pubmed/24981217 Retrieved October **********

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