HCM 520 Colorado State University Healthcare Errors Discussion

HCM520: WEEK 8 Presentation & Discussion

Week 8 Portfolio Project: Quality and Risk PowerPoint Presentation

Quality and Risk Assessment Power Point Presentation

As healthcare leaders, it is important to combine your knowledge of management and quality to understand and improve the organization (Spath, 2022). For your final Portfolio Project, you will do a presentation that encompasses some of the key concepts covered in this course.

You will start by watching the following video: Chasing Zero: Winning the War on Healthcare Harm

https://youtu.be/MtSbgUuXdaw

Reference:

TMIT1. (2012, Aug 3). Chasing Zero: Winning the War on Healthcare Harm [Video]. YouTube.

Your goal is to address the areas of risk and quality improvement related to health/medical errors, as well as to safeguard future patients from having their safety compromised like what occurred in the video.

Instructions:

Your quality and risk assessment of the video must include:

  • Choose three (3) different medical error scenarios (or cases) discussed in the video
  • Discuss the 3 medical errors and root causes of errors. Be sure to include the following:
    • Nature of error (error and root cause)
    • Patient outcome
  • Identify the risk and discuss the risk management plans for each error scenario.
  • Determine the difference between system and process breakdowns that lead to medical errors
  • Discuss statistical tools that could be used to improve safety
  • Discuss how the following could impact patient safety:
    • Staff handoff
    • Staff fatigue
    • Staff incompetence
  • How does technology improve patient safety?
  • How does simulation improve quality?
  • What are your main take-a-way points from the video?

Submission Requirements:

Your Power Point Presentation should meet the following requirements:

  • Be 12-15 slides in length, not including the title or reference slides.
  • Be formatted for a formal presentation including headings per slide, major points per slide, and presentation notes or embedded audio to supplement each slide provided as if you were doing the actual presentation.
  • Cite at least eight scholarly references. Four of these references must be from outside sources, and four may be from course readings, lectures, and textbooks. Include citations to support the statements made and for each of the references listed on your reference slide(s).
  • Be submitted as a PowerPoint. Do not submit the presentation as a PDF file.

Week 8: Discussion Post ~ 300-500 words.

Reference: Taqiq, R.A., Vashisht, R., Sinha, A., & Scherbak, Y. (2022). Medication dispensing errors and prevention. National Library of Medicine.

Technology Systems and Medication Errors

It has been reported that 7,000 to 9,000 Americans die yearly as a result of medication errors (Tariq et al., 2022). Additionally, hundreds of others experience other medication complications that went unreported (Tariq et al., 2022). Over the years, technology has played a huge role in preventing medication errors.

This week you will explore a technological system (i.e. COPE, barcode medication administration, automatic dispensing) and discuss its impact on medication errors. You will first find an article that focuses on a medication error where technology was implemented to improve the disbursement process. Then, answer the following:

  • Provide background on the organization
  • Discuss the medication error and all the key players (Patient, Management, Employee, etc.)
  • How did this issue impact patient safety? What was the patient outcome?
  • What type of technology was used to improve patient safety?
  • Explain how the process has changed since the implementation of the technology.

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