Develop a presentation, augmented by 12-15 slides, for administrative leaders and stakeholders that outlines your plan to develop or enhance a culture of quality and safety within your organization or practice setting.

• Develop a presentation, augmented by 12-15 slides, for administrative leaders and stakeholders that outlines your plan to develop or enhance a culture of quality and safety within your organization or practice setting WITH DETAILED SPEAKER NOTE
  Introduction
• As a nurse leader, you will be expected to communicate effectively with leaders and stakeholders at all levels in an organization in a variety of ways, depending on your purpose and your audience. Being able to deliver effective presentations is one important skill you will likely be called upon to use often.
  This assessment provides an opportunity to hone your presentation skills and enlist the support of stakeholder groups who will be key to achieving desired changes in the organization and developing or enhancing a culture of quality and safety.
  This assessment is based on the work you have completed in the previous three assessments.
  Preparation
  The report you completed in the previous assessment has convinced the executive leadership team of the benefits to the organization of taking the next step toward changes aimed at improving outcomes and cultivating a culture of quality and safety. You have been asked to follow up your report with a presentation to administrative leaders and stakeholders that outlines your plan to develop or enhance the organization’s culture of quality and safety. A number of key stakeholders will be unable to attend your presentation for a variety of reasons, so you have decided to provide those individuals with a video recording of the presentation.
  You have the option of using Kaltura Media or another technology of your choice to record your presentation.
  If you decide to use Kaltura, you are encouraged to:

  Install and test your recording hardware (if you have not already done so), using the installation instructions provided by the manufacturer.
  Practice using your recording hardware to ensure adequate audio and video quality.
  Refer to the Using Kaltura tutorial for directions on recording and uploading your video in the courseroom.
  Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services to request accommodations.
  Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Supportpage.
  As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
  How might you engage stakeholders to help develop, implement, and sustain a vision to actually change and improve patient outcomes?
  What arguments might be most effective in obtaining agreement and support?
  What recommendations would you make to implement a proposed plan for change?
  Requirements
  Developing the Presentation
  Summarize the key aspects of a plan to develop or enhance a culture of safety.
  Identify existing organizational functions, processes, and behaviors affecting quality and safety.
  Identify current outcome measures related to quality and safety.
  Explain the steps needed to achieve improved outcomes.
  Create a future vision of your organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role in developing that potential.
  Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services to request accommodations.
  Communication and Supporting Evidence
  Argue persuasively to obtain agreement with, and support for, a plan to develop or enhance a culture of safety.
  Support your main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
  Additional Requirements
  Your slide deck should consist of 12–15 slides, including a title slide and a references slide. 

  List your sources on the references slide at the end of your presentation.
  Use of a small font is permitted to fit all 8 references on a single slide.

  Competency 1: Analyze quality and safety outcomes from an administrative and systems perspective. 

  Summarize the key aspects of a plan to develop or enhance a culture of safety.

  Competency 2: Determine how outcome measures promote quality and safety processes within an organization. 

  Identify current outcome measures related to quality and safety.

  Competency 3: Determine how specific organizational functions, policies, processes, procedures, norms, and behaviors can be used to build reliability and high-performing organizations. 

  Identify existing organizational functions, processes, and behaviors affecting quality and safety.

  Competency 4: Synthesize the various aspects of the nurse leader’s role in developing, promoting, and sustaining a culture of quality and safety. 

  Explain the steps needed to achieve improved outcomes.
  Create a future vision of an organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role developing that potential.

  Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards. 

  Argue persuasively to obtain agreement with, and support from, administrative leaders and stakeholders in an organization for a plan to develop or enhance a culture of safety.
  Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

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Planning for
Change—A
Leader’s Vision

Capella University

Kathy Forsyth

July, 2020

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Medication
Research
2018 and
2019

• Yearly

errors

• Injury to patients per year

• Death of patients per year

• Use of correct bar code scanning

• Interventions
• Improved bar code scanning

• Triple Check

• WIFI for

research

• Look alike sound alike reporting

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Outcome Measures,
Issues, and Opportunities

• Medication errors

• adverse events

• Near misses

• Cost

• Harm

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HOW NURSING OUTCOMES
DICTATE PATIENT CARE

UPWARD TREND OF BURNOUT,
CAREGIVER FATIGUE, HIGH

PATIENT RATIOS

RESOLUTION- FIXES

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• Quality Interagency Coordination Task Force

• Increase self reporting

• Research cause of error

• Nurse Knowledge

• Technology

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High Reliability
Organizations

Triple Aim Framework Quality Interagency
Coordination task force

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Incorporat
ed

Interventio
ns

Technology

• Bar code scanning

• Early recognition of look and sound-alike meds

• Complexity of medication administration

• Nurse Knowledge

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Tall Man
lettering

Color
coding

Educatio
n

Root
cause

research

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Lower rates
of medication

errors

Meeting QI
metrics

Change in
leadership
strategies

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Nurses Role
to Facilitate
Change

• Initiative quality improvement at
patient level

• Incorporating safer nursing
practice

• Increasing awareness and
knowledge

• Report ADEs

• Safer nurse ratios

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KEY ROLE IN CHANGE LEWINS’ UNFREEZE,
MOVE, AND REFREEZE

ROGERS’ INNOVATION
DIFFUSION THEORY

SKILLS

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Questions, comments, or suggestions
are appreciated.

Proprietary

• Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi medical journal, 38(12),
1173–1180. https://doi.org/10.15537/smj.2017.12.20631

• American Hospital Association. (2015). Care and payment models to achieve the Triple Aim. Retrieved from
https://www.aha.org/ahahret-guides/2016-01-26-care-and-payment-models-achieve-triple-aim-0#:~:text=Hospitals%20and
%20health%20care%20systems,designing%20new%20care%20delivery%20systems

• Armstrong, G., Dietrich, M., Norman, L., Barnsteiner, J. & Mion, L. (2017). Nurses’ perceived skills and attitudes about updated
safety concepts. Journal of Nursing Care Quality, 32 (3), 226–233. doi: 10.1097/NCQ.0000000000000226.

• Aronson, J. K. (2013). Medication errors: Definitions and classification. British Journal of Clinical Pharmacology, 67(6), 599-604.
doi:10.1111/j. 1365-2125.2009.03415.x

• Bodenheimer, T and Sinsky, C. (2014). From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider. The Annals
of Family Medicine, 12 (6) 573-576; DOI: https://doi.org/10.1370/afm.1713

• Buljac-Samardzic, M., Dekker-van Doorn, C., & Maynard, M. T. (2018). Teamwork and teamwork training in health care: An
integration and a path forward. Group & Organization Management, 43(3), 351-356. doi:10.1177/1059601118774669

• Cloete, L. (2015). Reducing medication errors in nursing practice. Cancer Nursing Practice (2014+), 14(1), 29.
DOI:10.7748/cnp.14.1.29.e1148

• Nambiar, B. C., Das, A. K., & Chakravarty, A. (2016). Medication error: An unfortunate reality. Medical Journal Armed Forces India,
72(3), 297-298. doi: 10.1016/j.mjafi.2015.04.011

• Patient Safety Network (PSA). (2019). Medication errors and adverse drug events. Retrieved from
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

• Rodziewicz L., Hipskind J. (2020). Medical error prevention. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK499956/

• Udod, S., & Wagner, J. (2018). Common Change Theories and Application to Different Nursing Situations. Leadership and
Influencing Change in Nursing.

• Slide 1
• Medication Research 2018 and 2019
• Outcome Measures, Issues, and Opportunities

Nursing Connection

Reducing Medication Errors

Quality Improvement

• Incorporated Interventions

Initiatives to Incorporate

Future Vision

• Nurses Role to Facilitate Change

Leadership Role

Conclusion

References