Evidence Based Change Proposal

After discussion with your preceptor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based change proposal. Explain how your proposal will directly and indirectly impact each of the aspects. INCLUDE REFERENCES APA. 150 WORDS OR MORECapstone Project Topic Selection And Approvalapstone Project Topic Selection and Approval; Improving Barcode Scanning Compliance in the Emergency DepartmentIdentification of the problem which is the focus of the change proposalDrug administration errors present a significant cause of prolonged admissions, deaths, and disabilities among emergency department patients (Freund et al., 2015; Misasi & Keebler, 2019).

Delivery of medicine to the wrong patient, indication, timing, and dosage compromise the anticipated care and quality of life-quality experiences. Gaps in the workforce exemplified by understaffing, poor workflow systems, and negligence among providers are linked to the increasing incidence and severity of drug-administration errors and their adversities (Freund et al., 2015; Misasi & Keebler, 2019). The problem, which accounts for approximately 7,000 annual deaths globally, could be reduced by integrating electronic and automated care delivery systems (Freund et al., 2015; Misasi & Keebler, 2019).

Don't use plagiarized sources. Get Your Custom Essay on
Evidence Based Change Proposal
From $8/Page
Order Essay

Barcode scanners exhibit a crucial technological aspect whose use in the emergency department that experiences many patient populations with different demands could reduce the probability of medication errors (Dunn & Anderson, 2019). However, there are challenges in using the technology since care providers do not embrace its use optimally, and the low compliance accounts for the persistent rise in drug administration errors. The development of an evidence-based protocol that would enhance the adherence to barcode scanners in the emergency department is likely to bring short and long-term benefits to patients’ safety and quality.Setting or context in which the problem can be observed  Emergency departments receives high numbers of patients with different medical conditions, which could disrupt care providers’ attention and competency.

Confusion due to patients’ diverse needs accounts for the high numbers of medication administration errors and their adversities. The emergency department faces 4-14% of medical errors since each critical patient receives an average of 2.5 drugs per episode of care (Di Simone et al., 2018). The increased prevalence of chronic conditions further increases the number of medications that the nurses and healthcare staff are expected to know (Di Simone et al., 2018). The emergency department’s unique nature linked to critical care defines the need for automated systems that enhance all patients’ safety regardless of their volumes or demands.

A high-level description of the problem medication error is depicted as a preventable event that may cause harm to a patient during drug administration under a healthcare provider (Shitu et al., 2020). In the United States, a minimum of 1.5 million people are injured annually due to errors, and a cost of $3.5 billion is incurred yearly (Shitu et al., 2020). The global cost of the problem is $42 billion, with the emergency department contributing significantly to the problem (Shitu et al., 2020). The heavy workload, multiple specialties, diverse illnesses, and medications contribute to the emergency department’s high error vulnerability (Wisor, 2016).

The department’s diverse providers require coordinated approaches facilitated by automated systems to reduce gaps in care delivery. Effects of the problem Drug medication errors compromise patients’ safety and quality through low life spans, morbidity, and high medical costs (Di Simone et al., 2019; Shitu et al., 2020). Care providers battle with legal and ethical implications related to the poor drug administrations in scenarios that negligence is confirmed. Healthcare organizations lose their reputation due to medication errors in value-based care; hence the problem causes multi-disciplinary problems whose effects are universal among providers, organizations, patients, and their families. The absence of evidence-based interventions aligns with the poor use of electronic systems like barcode scanners, which offer accurate information and drug administration guidelines.

The emergency department’s errors alter the care delivery process due to delays in the care area that handle numerous critical care patients. The significance of the topic and its implications in nursing practice is a foundational element in care delivery since nurses act as forefront workers spending most of their time with patients. Medication administration errors compromise the ethical code for nurses, and their values of compassion, love, care, and empathy are crippled when patients face adversities under their care (Shitu et al., 2020). The topic creates a platform for exploring the best interventions focusing on individuals and systems that would be appropriate for holistic health promotion through error prevention.

The nursing practice could enhance its practice and health outcomes by adhering optimally to the barcode scanner and automated systems that significantly reduce errors. The proposed solution and how it will affect nursing practice increased adherence to barcode scanners through higher funding, training, and adequate technical support is a promising approach for reducing or eliminating medication errors in the emergency department. The barcode scanner automatically identifies drugs meant for specific patients and offers electronic charts for cross-checking and monitoring response to the medication (Berdot et al., 2019; Wisor, 2016). The scanners inform the nurses and diverse healthcare providers about the intended drug and dosage for specific patients suffering from target medical issues reducing the probability of confusion prone to the emergency department (Berdot et al., 2019; Wisor, 2016).

Therefore, implementing evidence-based strategies that optimize these systems’ use will be beneficial to patients, providers, and faculties due to the elimination of deaths, hospitalizations, and legal and ethical penalties.ReferencesBerdot, S., Korb-Savoldelli, V., Jaccoulet, E., Zaugg, V., Prognon, P., Lê, L. M. M., & Sabatier, B. (2019). A centralized automated-dispensing system in a French teaching hospital: return on investment and quality improvement. International Journal for Quality in Health Care, 31(3), 219-224.

https://doi.org/10.1093/intqhc/mzy152Di Simone, E., Giannetta, N., Auddino, F., Cicotto, A., Grilli, D., & Di Muzio, M. (2018). Medication errors in the emergency department: Knowledge, attitude, behavior, and training needs of nurses. Indian journal of critical care medicine: peer-reviewed, official publication of Indian Society of Critical Care Medicine, 22(5), 346. DOI:10.4103/ijccm.IJCCM_63_18Dunn, L., & Anderson, J. (2019). Barcode medication administration implementation in the operating room. American Journal of Health-System Pharmacy, 76(10), 636-637. https://doi.org/10.1093/ajhp/zxz039Freund, Y., Rousseau, A., Berard, L., Goulet, H., Ray, P., Bloom, B., … & Riou, B. (2015). Cross-checking reduces adverse events resulting from medical errors in the emergency department: study protocol of the CHARMED cluster-randomized study. BMC emergency medicine, 15(1), 21.

https://doi.org/10.1186/s12873-015-0046-1Misasi, P., & Keebler, J. R. (2019). Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors. Therapeutic advances in drug safety, 10, 2042098618821916. https://doi.org/10.1177/2042098618821916Shitu, Z., Aung, M. M. T., & Kamauzaman, T. H. T. (2020). Prevalence and characteristics of medication errors at an emergency department of a teaching hospital in Malaysia. BMC Health Services Research, 20(1), 1-7. https://doi.org/10.1186/s12913-020-4921-4Spain, D., Crilly, J., Pierce, J., Steele, M., Scuffham, P., & Keijzers, G. (2015). Can a barcode scanner for blood collection improve patient identification integrity in the emergency department? A prospective before‐and‐after study. Emergency Medicine Australasia, 27(1), 47-54. https://doi.org/10.1111/1742-6723.12334Wisor, C. (2016). Increasing compliance with bar code medication administration in the emergency room. Increasing Compliance of Bar Code Medication Administration in the Emergency Room (shu.edu)

Order NOW For A 10% Discount!
Pages (550 words)
Approximate price: -

Why Choose Us

Quality Papers

Top Writers4me provides the best top-grade academic writing services in compliance with our customers’ instructions. Have your paper written by a certified professional online college homework help writer to produce only high-quality essays with zero plagiarism.

Professional Academic Writers

You can now choose from a pool of online college homework help writers. Choose your writer and have them write the best content for you.Top Writers4me has, over the years, secured a team of the most reliable, experienced, and qualified writers. You can, therefore, trust that your assignment is in good hands.

Affordable Prices

We know that students have very limited budgets. And for that, we always strive to provide only the best, most affordable online college homework help services to our customers. Our goal is to provide top-quality assignment help services to all customers at the lowest, most affordable prices.

On-Time delivery

At Topwriters4me.com, we pay strict attention to deadlines. We recommend you to check out clients’ reviews for assurance that we will complete your assignments within the set deadlines. You can, therefore, trust that your paper will be done within and before the set deadline. Until now, we have not missed a single deadline.

100% Originality

Our Topwriters4me.com homework helper experts write only 100% original and plagiarism-free content for all of our clients. We also have a Quality Assurance Department team that goes through all work submitted by our writers multiple times. You can, therefore, rest assured that any signs of plagiarized or unoriginal content will be rejected before it reaches your portal.

Customer Support 24/7

Topwriters4me.com expert writers are always available 24/7 for customers who need assistance with using our website. You don’t have to check your watch the next time you want to have your assignment written. Our customer support is always available round the clock and ready to listen to your queries. Feel free to contact us via the Chat window or support email: support@topwriters4me.com.

Try it now!

Calculate the price of your order

We'll send you the first draft for approval by at
Total price:

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

For years now, Topwriters4me.com has stood as a leader in providing its customers with the best online college homework help service in the industry. And all you have to do is provide us with the details of your order. Leave everything else to us. We’ve always got you covered.


Essay Writing Services

Since we launched, Topwriters4me.com deserved the best online “college homework help status” thanks to our essay ordering, writing, and delivery process. We deliver nothing but excellence in our results. Our essay writing services include impeccable grammar, zero-plagiarism, proper structure, and conformance to guidelines.


Admission and Business Papers

Our top-quality online college homework help services guarantee that you will be accepted into your desired university. You just need to fill out your admission and business papers, and our team of online homework help workers will handle the rest. We will help you achieve and secure the best positions in your admissions forms.


Editing and Proofreading

At Topwriters4me.com, we have a skilled writing and editing team that’s dedicated to creating, editing, and restructuring for all types of papers. Our online college homework help editing and proofreading team will check, paraphrase, and correct any grammar mistakes on your paper before submitting the final document to you.


Technical Papers

At Topwriters4me.com, we pride ourselves in having writers in almost all fields, even the most technical ones. You never have to worry about your paper being too technical for our certified online college homework help writers to handle. Mycoursewriter's team of writers can handle even the most complex writers. We will match your paper to the most competent writer that we believe will handle your paper the best way possible.