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Case Study IDPT620

This case study focuses on enhancing patient care by optimizing systems and providing training to reduce medication errors and complications. The approach includes performance analysis, interventions, and evaluation plans within a six-month timeframe.

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Case Study IDPT620

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  1. Case StudyIDPT620 Presented by: Jeff Zoller, Lindsey Kegler, & Barbara Kelly

  2. Introduction • Team Introduction • -Jeff Zoller • -Lindsey Kegler • -Barbara Kelly

  3. Introduction Problem Statement: Who benefits from solving this problem: • Administrators • Unit Directors & Department Heads • Nurses & Nurse Supervisors • Patients • Pyfer General Hospital has identified two low performing units who have partially implemented the mobile tracking system. These two units have experienced higher than normal patient complications and fatalities as a result of medication errors.

  4. Methodology • Organizational & Environmental Analysis • Gap Analysis • Cause Analysis • Selected intervention to measure effectiveness

  5. Performance Analysis Results

  6. Recommended Interventions • Documentation Standards Intervention • Information Systems Intervention

  7. Recommended Interventions • Documentation Standards Intervention • Information Systems Intervention • Competencies/Competency Testing, Performance Support Tools / Job Aids Interventions

  8. Recommended Interventions • Documentation Standards Intervention • Information Systems Intervention • Competencies/Competency Testing, Performance Support Tools / Job Aids Interventions • Employee Development and Performance Management

  9. Recommended Interventions • Documentation Standards Intervention • Information Systems Intervention • Competencies/Competency Testing, Performance Support Tools / Job Aids Interventions • Employee Development and Performance Management • Emotional Intelligence, Mentoring, and Coaching Interventions

  10. Evaluation Plan Within six months: • 100% of patient information is in the new system • Audits indicate proper usage and documentation in the mobile system • All paper documents are archived within 6 months

  11. Evaluation Plan Within six months: • 100% of patient information is in the new system • Audits indicate proper usage and documentation in the mobile system • All paper documents are archived within 6 months • 100% of medication administered as prescribed • All errors reported within 5 minutes

  12. Evaluation Plan Within six months: • 100% of patient information is in the new system • Audits indicate proper usage and documentation in the mobile system • All paper documents are archived within 6 months • 100% of medication administered as prescribed • All errors reported within 5 minutes • Staff turnover of the hospital reducedto no more than 20%

  13. Change Management Plan • IT and Educational Specialist directly involved • Merging of all documents into new systems • Educational Specialists available to all staff • Formal training throughout all units • Super Users on floor for peer support • Develop a Communication Plan

  14. References • Van Tiem, D. M., Moseley, J. L., & Dessinger, J. C. (2012). Fundamentals of performance improvement: Optimizing results through people, process, and organizations. San Francisco: Wiley

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