After discussion with your preceptor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for
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.
Healthcare Strategic Plan Initiative
Grand Canyon University
5/15/2022
Healthcare Strategic Plan Initiative
Adverse Drug Events in elderly
Older people have repeatedly reported cases of adverse drug events. These problems have been presented in offices, extended care facilities, and hospitals. They are caused by diuretics, anti-inflammatory drugs, antithrombotic medications, and antidiabetic medications (Pretorius et al., 2013). These events can be prevented through discontinuation of medications, prescription of new medications sparingly, reduction in the number of prescribers, and reconciliation of medications frequently. The plan below describes an initiative to reduce adverse drug events in the elderly.
Goal
Reduce the number of hospital admissions as a result of adverse drug events within the next 12 months
Below is a breakdown of the steps required to ensure our goal is met
|
Initiative |
Steps |
Budget |
Time Frame |
|
Clinical decision support systems |
Confirm the medication history of the patient Identify medication for deprescribing Decide with clients (Earl et al., 2020). Synthesize and give recommendations |
$400 |
Six months |
|
Interventions |
Education improvement · Describe the risks of some medications · Provide educational brochures to clients |
$200 |
6 Months |
|
Medication reviews by pharmacists |
Practice in primary care settings · Add clinical pharmacists to do medication reviews |
$2000 |
12 months |
|
Medication reviews by clinicians |
Practice in primary care settings · Add clinicians to do medication reviews |
$2000 |
12 months |
Organizational culture
The organization is composed of staff and administration that do not neccessarily like trying new interventions to improve patient care. The organization believes in the use of evidence-based practices to handle medical practices which is correct Potential challenges regarding this initiative will include financial problems, the permission to implement the initiatives, and the willingness of the mentioned resources to participate in the initiative.
References
Earl, T., Katapodis, N., & Schneiderman, S. (2020). Reducing Adverse Drug Events in Older Adults. Ncbi.nlm.nih.gov. Retrieved 14 May 2022, from https://www.ncbi.nlm.nih.gov/books/NBK555524/ .
Pretorius, R., Gataric, G., Swedlund, S., & Miller, J. (2013). Reducing the Risk of Adverse Drug Events in Older Adults. Aafp.org. Retrieved 14 May 2022, from https://www.aafp.org/afp/2013/0301/p331.html#:~:text=Adverse%20drug%20events%20occur%20in,%2C%20heart%20failure%2C%20and%20delirium .
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