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Diabetes Management Policy Proposal
Miatta Teasley
Capella University
NHS-FPX6004 Health Care Law and Policy
Professor Georgena Wiley
May 19, 2022
Click to edit Master title style
Click to edit Master title style
Hello and welcome to today's presentation on drug error
regulatory policy proposals. This presentation is intended to
provide you, your stakeholders, with all pertinent information
regarding the need for an institutional policy to reduce
medication errors in medical centers. We will also go over the
scope of the recommendations, strategies for addressing
medication errors, and stakeholder involvement in putting these
strategies into action.
Policy Proposal
Diabetes Management
2
Click to edit Master title style
Click to edit Master title style
This proposal revolves around creating and implementing
strategies that will help Med’s caregivers be able to improve on
patient care regarding diabetes.
Presentation Outline
Policy on Managing Medication Errors
Need for a Policy
Scope of Policy
Strategies to Resolve Mediation Errors
Role of the Hospital Staff
Positive impact on Working Conditions
Issues in the Application of Strategies
Alterative Perspectives on Mitigating Medication Errors
Stakeholder Participation
3
Click to edit Master title style
Click to edit Master title style
The presentation highlights key functions in any policy
implementation process. The steps this presentation takes
appear in the order as indicated here. We will start y looking at
Policy on Managing Medication Errors then
Need for a Policy followed by
Strategies to Resolve Mediation Errors. Then the
Role of the Hospital Staff and the
Positive impact on Working Conditions. Also, we will look at
Issues in the Application of Strategies and the
Alterative Perspectives on Mitigating Medication Errors and
finally,
Stakeholder Participation
Policy on Managing Medication Errors
4
Health practitioners should create and advance engaging
policies
Many Healthcare departments require modernization
Healthcare policies should be adjusted to meet defined
benchmarks
Key stakeholders are vital for successful implementation of
proposed policies
Click to edit Master title style
Click to edit Master title style
When advocating for organizational regulation changes about
federal, state, or local health care guidelines or rules and
regulations, healthcare practitioners should be able to create and
advance an engaging and logical policy and guideline
parameters that will provide a segment, a group, or an entire
institution to correct and shed light on issues of accomplishment
and execute developments in the quality and safety of medical
management.
Despite being recognized as one of the greatest health insurance
carriers for people over 65, several departments need to be
modernized. The most pressing of these has been controlling
dialysis measures and therapy adherence. Dialysis measures,
inpatient mortality, and intervention adherence are linked to
higher healthcare costs, poor treatment outcomes, and decreased
efficiency. This paper explains why policy and practice
standards must be adjusted to meet the defined benchmarks in
controlling dialysis measurements and therapy adherence.
The proposed policy and practice guidelines changes, the
impact of factors on practice guidelines application, and the
need to include key stakeholders to guarantee successful
implementation.
Need for a Policy
5
There exits unreliability in dialysis measures at Med.
Med is operating at 82% dialysis recommendations
There is need for more resources in patient care
A policy to reduce medication mistake is needed.
Click to edit Master title style
Click to edit Master title style
There exists a number of unreliability in dialysis measures at
Med. The two stand out on the dashboard for carrying out the
planned actions and procedures, with a 77 percent compliance
rate for obtaining blood cultures before delivering antibiotics
and a 58 percent conformity value for dispensing vasopressors
to patients who need them. According to Medicare.Gov (n.d.),
the country-level for achieving dialysis recommendations is 72
percent, while the state of Minnesota is 60 percent, meaning
that Med is operating at an inclusive rate of 82%. Bigger quota
is needed to guarantee that inhabitants of healthcare institutions
have a better quality of life.
Inpatient mortality, intervention adherence, and dialysis
measurements need more resources and care interventions,
lowering the efficiency of health care services provided. Given
the costs that such incidents may impose on patients and health
care providers, an organizational policy to address the gap in
medication mistake reduction is required.
Scope of the policy
6
The policy covers:
Nursing employees,
Medical staff,
Emergency and allied care practitioners,
Pharmacy professionals
Click to edit Master title style
Click to edit Master title style
The policy covers nursing employees, medical staff, emergency
and allied care practitioners, and pharmacy professionals.
Everyone involved is responsible for managing dialysis
measures and ensuring intervention compliance. This is because
they are directly involved with the patents with regards to
administration of medications and other procedures as
recommended.
Strategies to Resolve Mediation Errors
7
Med is perennially understaffed
Med lacks defined policy for care
Dialysis interventions are given incorrectly
Qualified and skilled staff should be employed
Develop a plan for recommended dialysis interventions
Learning from the mistakes will improve are actions
Failure mode and effects analysis will help analyze
pharmaceutical errors
Click to edit Master title style
Click to edit Master title style
The institution is dealing with two major concerns. The
Department's principal problem is that it is perennially
understaffed. On a monthly average patient number, the
Department was understaffed by 1.34 nurse workload
departments. According to the compliance team, the institution
has not followed the Department's mandatory standard. There
are various factors to consider when it comes to employing
qualified and skilled staff, such as financial burden and
logistics (Rizzolo, Novick & Cervantes, 2020).
Another issue is that Med does not have a defined policy or
practice norms for any of the care at any institution level, which
could lead to dialysis interventions not being given correctly.
The institution for critical care medicine, according to a
memorandum, has created the final standards for practice in
treating adult diabetes. There are no policies to govern how
medical personnel employ these resources in their approach.
Procedures should be defined and reinforced to protect the
ordering required for tests (Rizzolo, Novick & Cervantes,
2020).
On the other hand, learning from these blunders will help to
limit their recurrence and improve care actions. Every reported
error is an opportunity to create a countermeasure that will aid
in avoiding or mitigating the repercussions of the same mistake
in the future (Weant et al., 2014).
A healthcare system that exposes patients to medical blunders
must be scrutinized. Failure mode and effects analysis is a
technique for analyzing instances involving pharmaceutical
errors. The medical facility can use this type of analysis to
commission the development of a multidisciplinary committee
to assess processes prone to errors.
To improve health care outcomes, the institution must develop a
plan within the presently tracked recommended dialysis
interventions that will deliver the greatest results for
administering vasopressors and performing blood cultures. This
recommendation is made with the patients and ethical care in
mind.
Role of the hospital staff
8
Managing dialysis measures
Ensuring intervention compliance
Click to edit Master title style
Click to edit Master title style
The nurses and pharmacists have a critical role in ensuring that
correct dialysis is done. They need to make suggestions for
patient care.
Positive impact on Working Conditions
9
Development of new suggestions for patient care
Creating and conducting training
Compliance with all critical interventions
Development of automated protocols
Precise workflow
Dialysis testing is ordered and completed on time
Click to edit Master title style
Click to edit Master title style
Creating a training program is crucial for introducing nurses
and doctors to the best practices for dealing with the problem.
From the aspect of the patient's safety, the plan will also
emphasize on the significance of compliance with all critical
interventions (Erickson & Winkelmayer, 2018).
The development of automated protocols may aid in ensuring
rapid responses to the tests required when performing dialysis
on patients. Ordering doctors, nurses, laboratory personnel, and
the Department of Technology and Information should be
included. Each unit is responsible for ensuring that dialysis
testing is ordered and completed on time.
Issues in the Application of Strategies
10
Environmental elements
Incidents of compliance and intervention concerns
Inaccuracies in verbal communication
Several proximate causes and risk factors
Click to edit Master title style
Click to edit Master title style
Environmental elements play part in the etiopathogenesis of
diabetes. Stress, dirt, absence of physical exercise, polluted
water, an unhealthy diet, insufficiency of vitamin D, subjection
to enteroviruses, and immune cell destruction are all
environmental contributors (Raman, 2016).
These environmental factors can impact how practice
recommendations are implemented, hypertension intervention,
and inpatient mortality. Incidents of compliance and
intervention concerns are routinely reported verbally, regardless
of how frequently they occur. As a result, faults may go
unnoticed. Inaccuracies in verbal communication may result in
data documentation problems. According to Claudia et al., the
prospect of improving patient safety is limited when mistakes
are discussed verbally (Elden & Ismail, 2016).
Diabetes and obesity are frequently associated with
hypertension. These disorders are grouped as metabolic
syndrome. Persons having metabolic syndrome are at a higher
risk of going down with cardiovascular infection.
Diabetes and hypertension share several proximate causes and
risk factors. A person who has one ailment is more likely to
develop the other. Similarly, a person who has both illnesses
may find that one worsens the other (Medical News Today,
2022).
Alterative Perspectives on Mitigating Medication Errors
11
Regular training of healthcare practitioners
Creating simulated environments
Develop a safety culture within the organization
Click to edit Master title style
Click to edit Master title style
Healthcare practitioners must be regularly trained on new
medications, procedures, and policies for the recommended
practice guidelines to be effectively implemented. Aside from
that, creating simulated environments will provide caregivers
confidence in their abilities to deliver drugs. It is critical to
develop a safety culture within the organization, allowing
caregivers to disclose errors without fear of repercussions or
compulsion.
Stakeholder Participation
12
Key administrative staff can assist
Senior administrative individuals can foster a safety culture
Participation of Med's administration and care providers
improves transparency
Med's administration and care providers will implement planned
ideas.
Click to edit Master title style
Click to edit Master title style
Key administrative staff like the director of nursing, the chief
executive officer, or chief operating officer can assist. These
experts can create a quality committee to share their expertise
and oversee the successful implementation of the proposed
measures. By establishing role accountability and regularly
expressing the organization's quality improvement norms, senior
administrative individuals can foster a safety culture among the
healthcare staff (Parand et al., 2014).
The participation of Med's administration and care providers
will lead to more transparency in strategy implementation. It
will bring in varied knowledge, provide a forum for debate and
discussion, and ensure that all parties concerned have a say in
the decisions made by these strategies. As a result, teamwork
between Med's administration and care providers will ensure
that the planned ideas are implemented successfully.
References
13
Elden, N. M. K., & Ismail, A. (2016). The importance of
medication errors reporting in improving the quality of clinical
care services. Global Journal of Health Science, 8(8), 243–251.
Retrieved from
https://ncbi.nlm.nih.gov/pmc/articles/PMC5016354/
Erickson, K. F., & Winkelmayer, W. C. (2018). Evaluating the
evidence behind policy mandates in US dialysis care. Journal of
the American Society of Nephrology, 29(12), 2777-2779.
Kate Jones (2021). The 4 M's of Diabetes Management.
Retrieved from
https://carilionclinicliving.com/article/conditions/4-
ms-diabetes-management
Medical News Today (2022). The link between diabetes and
hypertension. Retrieved from
https://www.medicalnewstoday.com/articles/317220#outlook
Parand, A., Dopson, S., Renz, A., & Vincent, C. (2014). The
role of hospital managers in quality and patient safety: A
systematic review. BMJ Open, 4(9). Retrieved from
https://ncbi.nlm.nih.gov/pmc/articles/PMC4158193/
Click to edit Master title style
Click to edit Master title style
References
14
Raman, P. G. (2016). Environmental factors in causation of
diabetes mellitus. In Environmental Health Risk-Hazardous
Factors to Living Species. IntechOpen.
Rizzolo, K., Novick, T. K., & Cervantes, L. (2020). Dialysis
care for undocumented immigrants with kidney failure in the
COVID-19 era: public health implications and policy
recommendations. American Journal of Kidney Diseases, 76(2),
255-257.
Tan, E., Polello, J., & Woodard, L. J. (2014). An evaluation of
the current type 2 diabetes guidelines: where they converge and
diverge. Clinical Diabetes, 32(3), 133-139.
Weant, K. A., Bailey, A. M., & Baker, S. N. (2014). Strategies
for reducing medication errors in the emergency department.
Open access emergency medicine: OAEM, 6, 45.
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Diabetes Management Policy ProposalMiatta TeasleyCapella U.docx

  • 1. Diabetes Management Policy Proposal Miatta Teasley Capella University NHS-FPX6004 Health Care Law and Policy Professor Georgena Wiley May 19, 2022 Click to edit Master title style
  • 2. Click to edit Master title style Hello and welcome to today's presentation on drug error regulatory policy proposals. This presentation is intended to provide you, your stakeholders, with all pertinent information regarding the need for an institutional policy to reduce medication errors in medical centers. We will also go over the scope of the recommendations, strategies for addressing medication errors, and stakeholder involvement in putting these strategies into action. Policy Proposal Diabetes Management 2
  • 3. Click to edit Master title style Click to edit Master title style
  • 4. This proposal revolves around creating and implementing strategies that will help Med’s caregivers be able to improve on patient care regarding diabetes. Presentation Outline Policy on Managing Medication Errors Need for a Policy Scope of Policy Strategies to Resolve Mediation Errors Role of the Hospital Staff Positive impact on Working Conditions Issues in the Application of Strategies Alterative Perspectives on Mitigating Medication Errors Stakeholder Participation 3 Click to edit Master title style
  • 5. Click to edit Master title style The presentation highlights key functions in any policy implementation process. The steps this presentation takes appear in the order as indicated here. We will start y looking at Policy on Managing Medication Errors then Need for a Policy followed by Strategies to Resolve Mediation Errors. Then the
  • 6. Role of the Hospital Staff and the Positive impact on Working Conditions. Also, we will look at Issues in the Application of Strategies and the Alterative Perspectives on Mitigating Medication Errors and finally, Stakeholder Participation Policy on Managing Medication Errors 4 Health practitioners should create and advance engaging policies Many Healthcare departments require modernization Healthcare policies should be adjusted to meet defined benchmarks Key stakeholders are vital for successful implementation of proposed policies Click to edit Master title style
  • 7. Click to edit Master title style When advocating for organizational regulation changes about federal, state, or local health care guidelines or rules and regulations, healthcare practitioners should be able to create and advance an engaging and logical policy and guideline parameters that will provide a segment, a group, or an entire institution to correct and shed light on issues of accomplishment and execute developments in the quality and safety of medical management. Despite being recognized as one of the greatest health insurance carriers for people over 65, several departments need to be modernized. The most pressing of these has been controlling dialysis measures and therapy adherence. Dialysis measures, inpatient mortality, and intervention adherence are linked to higher healthcare costs, poor treatment outcomes, and decreased efficiency. This paper explains why policy and practice
  • 8. standards must be adjusted to meet the defined benchmarks in controlling dialysis measurements and therapy adherence. The proposed policy and practice guidelines changes, the impact of factors on practice guidelines application, and the need to include key stakeholders to guarantee successful implementation. Need for a Policy 5 There exits unreliability in dialysis measures at Med. Med is operating at 82% dialysis recommendations There is need for more resources in patient care A policy to reduce medication mistake is needed. Click to edit Master title style
  • 9. Click to edit Master title style There exists a number of unreliability in dialysis measures at Med. The two stand out on the dashboard for carrying out the planned actions and procedures, with a 77 percent compliance rate for obtaining blood cultures before delivering antibiotics and a 58 percent conformity value for dispensing vasopressors to patients who need them. According to Medicare.Gov (n.d.), the country-level for achieving dialysis recommendations is 72 percent, while the state of Minnesota is 60 percent, meaning that Med is operating at an inclusive rate of 82%. Bigger quota is needed to guarantee that inhabitants of healthcare institutions have a better quality of life. Inpatient mortality, intervention adherence, and dialysis measurements need more resources and care interventions, lowering the efficiency of health care services provided. Given the costs that such incidents may impose on patients and health care providers, an organizational policy to address the gap in medication mistake reduction is required.
  • 10. Scope of the policy 6 The policy covers: Nursing employees, Medical staff, Emergency and allied care practitioners, Pharmacy professionals Click to edit Master title style Click to edit Master title style
  • 11. The policy covers nursing employees, medical staff, emergency and allied care practitioners, and pharmacy professionals. Everyone involved is responsible for managing dialysis measures and ensuring intervention compliance. This is because they are directly involved with the patents with regards to administration of medications and other procedures as recommended. Strategies to Resolve Mediation Errors 7 Med is perennially understaffed Med lacks defined policy for care Dialysis interventions are given incorrectly Qualified and skilled staff should be employed Develop a plan for recommended dialysis interventions Learning from the mistakes will improve are actions Failure mode and effects analysis will help analyze pharmaceutical errors
  • 12. Click to edit Master title style Click to edit Master title style The institution is dealing with two major concerns. The
  • 13. Department's principal problem is that it is perennially understaffed. On a monthly average patient number, the Department was understaffed by 1.34 nurse workload departments. According to the compliance team, the institution has not followed the Department's mandatory standard. There are various factors to consider when it comes to employing qualified and skilled staff, such as financial burden and logistics (Rizzolo, Novick & Cervantes, 2020). Another issue is that Med does not have a defined policy or practice norms for any of the care at any institution level, which could lead to dialysis interventions not being given correctly. The institution for critical care medicine, according to a memorandum, has created the final standards for practice in treating adult diabetes. There are no policies to govern how medical personnel employ these resources in their approach. Procedures should be defined and reinforced to protect the ordering required for tests (Rizzolo, Novick & Cervantes, 2020). On the other hand, learning from these blunders will help to limit their recurrence and improve care actions. Every reported error is an opportunity to create a countermeasure that will aid in avoiding or mitigating the repercussions of the same mistake in the future (Weant et al., 2014). A healthcare system that exposes patients to medical blunders must be scrutinized. Failure mode and effects analysis is a technique for analyzing instances involving pharmaceutical errors. The medical facility can use this type of analysis to commission the development of a multidisciplinary committee to assess processes prone to errors. To improve health care outcomes, the institution must develop a plan within the presently tracked recommended dialysis interventions that will deliver the greatest results for administering vasopressors and performing blood cultures. This recommendation is made with the patients and ethical care in mind.
  • 14. Role of the hospital staff 8 Managing dialysis measures Ensuring intervention compliance Click to edit Master title style Click to edit Master title style
  • 15. The nurses and pharmacists have a critical role in ensuring that correct dialysis is done. They need to make suggestions for patient care. Positive impact on Working Conditions 9 Development of new suggestions for patient care Creating and conducting training Compliance with all critical interventions Development of automated protocols Precise workflow Dialysis testing is ordered and completed on time Click to edit Master title style
  • 16. Click to edit Master title style Creating a training program is crucial for introducing nurses and doctors to the best practices for dealing with the problem. From the aspect of the patient's safety, the plan will also emphasize on the significance of compliance with all critical interventions (Erickson & Winkelmayer, 2018). The development of automated protocols may aid in ensuring rapid responses to the tests required when performing dialysis on patients. Ordering doctors, nurses, laboratory personnel, and the Department of Technology and Information should be included. Each unit is responsible for ensuring that dialysis
  • 17. testing is ordered and completed on time. Issues in the Application of Strategies 10 Environmental elements Incidents of compliance and intervention concerns Inaccuracies in verbal communication Several proximate causes and risk factors Click to edit Master title style Click to edit Master title style
  • 18. Environmental elements play part in the etiopathogenesis of diabetes. Stress, dirt, absence of physical exercise, polluted water, an unhealthy diet, insufficiency of vitamin D, subjection to enteroviruses, and immune cell destruction are all environmental contributors (Raman, 2016). These environmental factors can impact how practice recommendations are implemented, hypertension intervention, and inpatient mortality. Incidents of compliance and intervention concerns are routinely reported verbally, regardless of how frequently they occur. As a result, faults may go unnoticed. Inaccuracies in verbal communication may result in data documentation problems. According to Claudia et al., the prospect of improving patient safety is limited when mistakes are discussed verbally (Elden & Ismail, 2016). Diabetes and obesity are frequently associated with hypertension. These disorders are grouped as metabolic syndrome. Persons having metabolic syndrome are at a higher risk of going down with cardiovascular infection. Diabetes and hypertension share several proximate causes and risk factors. A person who has one ailment is more likely to develop the other. Similarly, a person who has both illnesses may find that one worsens the other (Medical News Today, 2022).
  • 19. Alterative Perspectives on Mitigating Medication Errors 11 Regular training of healthcare practitioners Creating simulated environments Develop a safety culture within the organization Click to edit Master title style Click to edit Master title style
  • 20. Healthcare practitioners must be regularly trained on new medications, procedures, and policies for the recommended practice guidelines to be effectively implemented. Aside from that, creating simulated environments will provide caregivers confidence in their abilities to deliver drugs. It is critical to develop a safety culture within the organization, allowing caregivers to disclose errors without fear of repercussions or compulsion. Stakeholder Participation 12 Key administrative staff can assist Senior administrative individuals can foster a safety culture Participation of Med's administration and care providers improves transparency Med's administration and care providers will implement planned ideas.
  • 21. Click to edit Master title style Click to edit Master title style Key administrative staff like the director of nursing, the chief executive officer, or chief operating officer can assist. These
  • 22. experts can create a quality committee to share their expertise and oversee the successful implementation of the proposed measures. By establishing role accountability and regularly expressing the organization's quality improvement norms, senior administrative individuals can foster a safety culture among the healthcare staff (Parand et al., 2014). The participation of Med's administration and care providers will lead to more transparency in strategy implementation. It will bring in varied knowledge, provide a forum for debate and discussion, and ensure that all parties concerned have a say in the decisions made by these strategies. As a result, teamwork between Med's administration and care providers will ensure that the planned ideas are implemented successfully. References 13 Elden, N. M. K., & Ismail, A. (2016). The importance of medication errors reporting in improving the quality of clinical care services. Global Journal of Health Science, 8(8), 243–251. Retrieved from https://ncbi.nlm.nih.gov/pmc/articles/PMC5016354/ Erickson, K. F., & Winkelmayer, W. C. (2018). Evaluating the evidence behind policy mandates in US dialysis care. Journal of the American Society of Nephrology, 29(12), 2777-2779. Kate Jones (2021). The 4 M's of Diabetes Management. Retrieved from https://carilionclinicliving.com/article/conditions/4- ms-diabetes-management Medical News Today (2022). The link between diabetes and hypertension. Retrieved from https://www.medicalnewstoday.com/articles/317220#outlook Parand, A., Dopson, S., Renz, A., & Vincent, C. (2014). The role of hospital managers in quality and patient safety: A systematic review. BMJ Open, 4(9). Retrieved from
  • 23. https://ncbi.nlm.nih.gov/pmc/articles/PMC4158193/ Click to edit Master title style Click to edit Master title style
  • 24. References 14 Raman, P. G. (2016). Environmental factors in causation of diabetes mellitus. In Environmental Health Risk-Hazardous Factors to Living Species. IntechOpen. Rizzolo, K., Novick, T. K., & Cervantes, L. (2020). Dialysis care for undocumented immigrants with kidney failure in the COVID-19 era: public health implications and policy recommendations. American Journal of Kidney Diseases, 76(2), 255-257. Tan, E., Polello, J., & Woodard, L. J. (2014). An evaluation of the current type 2 diabetes guidelines: where they converge and diverge. Clinical Diabetes, 32(3), 133-139. Weant, K. A., Bailey, A. M., & Baker, S. N. (2014). Strategies for reducing medication errors in the emergency department. Open access emergency medicine: OAEM, 6, 45. Click to edit Master title style
  • 25. Click to edit Master title style image9.bmp image1.bmp image2.bmp image3.bmp image4.bmp image5.bmp image6.bmp image7.bmp image8.bmp image10.bmp