IHP 430 Milestone One Guidelines And Rubric Begin By Identif

Ihp 430 Milestone One Guidelines And Rubricbegin By Identifying An Org

IHP 430 Milestone One Guidelines and Rubric Begin by identifying an organizational problem within your own workplace healthcare setting or a hypothetical healthcare organization. If you choose a problem in your workplace, be sure to utilize data from that healthcare organization; if you have created a hypothetical healthcare organization, you may use a public domain database with instructor permission. As this is a scholarly initiative, this assignment must adhere to all APA requirements and formatting, and include peer-reviewed and evidence-based sources to support any and all claims. As you develop this first part of the assignment, consider the following prompts to formulate your paper. I.

What Is the Organizational Problem? A. Provide a contextual basis for the organizational problem that you have chosen. How does this problem fail to meet quality or other regulatory requirements? B.

Articulate organizational challenges posed by the problem (e.g., interdepartmental conflicts, communication failure, budgeting issues). II. Evidence-Based Support A. Provide data that supports the existence of the problem. You may utilize public sources to find data related to your selected problem.

B. How has this problem been addressed in the past? What information management systems or patient care technologies have been utilized when addressing this problem? Be sure to use peer-reviewed literature to support your answer. C.

Discuss relevant accreditation standards, safety standards, compliance standards, and quality initiatives. How do these standards promote a culture of safety within the department? Be sure to cite the appropriate standards within your answer. Guidelines for Submission: This paper should be one to two pages in length, not including the cover page or reference page. Use APA format for the reference list and all internal citations.

Paper For Above instruction

In the contemporary healthcare environment, organizational problems significantly impact the quality, safety, and efficiency of patient care. For this paper, I have identified medication reconciliation failures in a hospital setting as the focal organizational problem. Medication reconciliation—the process of ensuring that patients’ medication lists are accurate and consistent across transitions of care—is critical for patient safety. Failures in this process often lead to adverse drug events, increased readmission rates, and violations of regulatory standards such as those set by The Joint Commission.

The contextual basis for this problem stems from communication breakdowns during patient handoffs, inadequate staff training, and ambiguous protocols within the hospital. These challenges not only compromise patient safety but also hinder regulatory compliance, particularly with mandates that emphasize accurate medication management to prevent errors. Organizational challenges include interdepartmental conflicts between nursing, pharmacy, and medical staff, as well as inefficiencies stemming from miscommunication and limited use of integrated electronic health record (EHR) systems designed for medication reconciliation.

Empirical data underscore the significance of this problem. A study published in the Journal of Patient Safety reported that approximately 59% of medication discrepancies identified during hospital admission were clinically significant and could have resulted in harm (Vazquez et al., 2018). Additionally, the Institute for Healthcare Improvement reports that medication reconciliation errors contribute to nearly 20% of adverse events post-discharge (IHI, 2020). These statistics highlight the urgent need to improve processes and systems aimed at medication accuracy.

Historically, hospitals have attempted to address this issue through manual interventions, such as patient interviews and pharmacist-led reviews, supplemented with paper-based documentation. However, these practices were often time-consuming and error-prone. Over the past decade, the integration of electronic health records (EHRs) and specialized medication reconciliation modules has shown promise. Peer-reviewed research indicates that systems like computerized physician order entry (CPOE) integrated with clinical decision support can significantly reduce discrepancies (Schneeweiss et al., 2019). Implementing barcode medication administration systems also enhances accuracy and accountability. Despite these technological advances, challenges remain in staff adherence and workflow integration, emphasizing the need for ongoing training and system optimization.

Regulatory and accreditation standards such as The Joint Commission’s National Patient Safety Goals (NPSGs) explicitly emphasize the importance of accurate medication reconciliation. Standards SCP.01.01.01 and FSMC.02.01.01 promote practices that foster a culture of safety by requiring healthcare organizations to implement effective medication reconciliation processes. Additionally, compliance with the Centers for Medicare & Medicaid Services (CMS) Condition of Participation standards ensures hospitals maintain high safety standards (CMS, 2022). These standards encourage continuous quality improvement and safety culture by incentivizing organizations to utilize technology, staff training, and multidisciplinary collaboration. Implementing these standards not only ensures regulatory adherence but also cultivates an environment focused on minimizing errors, thereby enhancing overall patient safety.

References

• Institute for Healthcare Improvement (IHI). (2020). Medication reconciliation to prevent adverse drug events. IHI.org.
• Centers for Medicare & Medicaid Services (CMS). (2022). Conditions of Participation for Hospitals. CMS.gov.
• Schneeweiss, S., et al. (2019). Electronic health record systems and medication reconciliation: Impact on safety outcomes. Journal of Clinical Medicine, 8(5), 678.
• Vazquez, J., et al. (2018). Impact of medication reconciliation processes on patient safety: A systematic review. Journal of Patient Safety, 14(4), 259-266.
• The Joint Commission. (2020). National Patient Safety Goals. TJC.org.