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Root Cause Analysis and Safety Improvement Plan

Factors leading to specific patient-safety risk

The most crucial procedure in all medical facilities is the administration of medicine. The doctors, nurses, and other medical practitioners coordinate to enhance patients’ care, safety, and experience (Nijkamp &Foran, 2021). Proper and structured administration of medication is considered a method of improving the care, safety, and understanding of patients. Different hospitals and healthcare facilities have adopted the following essential strategies considered economically viable for the patients. These strategies help eliminate any errors that might put the patients’ safety at risk.

  • Nurses monitoring: For a successful enhancement of the safety, care, and experience of the patients within any health facility, a structured mandatory regular nurse monitoring should be done to act as a follow-up procedure on their role in administering medicine.
  • Patient identification:To determine the extent of care a patient needs, it is proper to identify their degree of care based on their medical status and condition (Ko, 2021). The patient identification strategy ensures that all the risks of medical negligence are eliminated and that proper medical attention is directed to where it is due without any preferences.
  • Technology identification for implementation:An automatic identification of the appropriate technologies to be used for the care and safety of an individual patient is a necessary procedure for the general success of medical administration. The process eliminates possible minor errors to ensure that the patients are safe and their experience during medicine administration (Ko, 2021).
  • Highly experienced team engagement:The medical facilities need to protect the available patient’s data and medicine administration history. Further, the arrangement of highly competent medical practitioners like nurses eliminates any possible errors and ensures patients’ safety during the intense care required by the patients.
  • Equal distribution of generic medicine:The final procedure to enhance the patient’s safety and care is to equally distribute and make the medication available to all the patients under the supervision of a specific medical facility. This reduces the medical cost and creates equity in access to the medicine by all the patients.

Further to the above patients’ safety risk prevention strategic procedures, medical administration must be done to the correct patient and in the right dose quantities. The preliminary procedures involving name, age, weight, personal identification registration must be done (Ko, 2021). The nurses assess the patient’s possible body reaction towards a probable drug administration to ensure that the patient remains safe and secure. Proper checks on the drug consistency, expiry date, name, and content are assessed by the doctors before any authorization to be given to the patients. In every medical administration procedure outlined in any healthcare facility, a lot of care is considered to ensure that no considerations exist.

Best practice solution for patient safety improvement

These practices aim at improving the safety of patients in different medical facilities. They act as the standard against which the medical personnel’s behavior and conduct are based while exercising their medical administration accuracy. The practice broadly addresses the accuracy of medical administration, prevention of surgical procedure errors, and preventive measures of infections within the health facilities (Ko, 2021). On top of the patient-safety improvement practices adopted by most medical facilities is improving the patient identification procedure. A two-step standard patient identification procedure is adopted to ensure that every doctor and nurse within the facility attends to the right individual patient. At the initial stage of the process, assignment the patient’s identification numbers at the point of admission with age, date of birth, gender, contact information, and residence. The responsible medical personnel is then given the patient for care and treatment. Preventing any possible confusion involves numerous tests on the patient to ensure that the blood components are recorded accurately. The health history of the patient is well checked amongst other medical investigations. It gives a broad picture and would help inform the extent and the appropriate approach to medication for an individual.

Secondly, improved safety of medication is very critical. The facility is responsible for establishing a section within its organs to ensure that all the medical labels are verified, the medicine expiry dates are cross-checked, and unlabeled medication discarded. Further, the patients’ safety procedures are enhanced to eliminate the anticoagulant-related complications (Nijkamp &Foran, 2021). A record of medicines of a particular patient is maintained and updated with time.

Nurses coordinate to ensure patient’s safety

A well-developed informatics strategy has played a vital role in the coordination among nursing personnel to deliver patient care. The strategic informatics approach develops a well-structured information and communication flow among different ranking medical personnel(Salimova et al., 2021). The strategy involves nurses in their service, including chief nursing officers, researchers, educators, duty superintendents, and software engineers. The communication channel must be structured accordingly to ensure a standard medical administration amongst the nursing personnel in a facility. This ensures that every individual plays a part in administering medicine to patients in a proper way. It also eliminates any errors and laxity that might exist in the system.

Key stakeholders in medical administration

Enhancement of a good, safe, and effective medication administration requires the input of different players. The key players that support the nurses in their administration of medicine include:-

  • Adequate medical practitioners like the doctor and the laboratory technologists.
  • The governing council supports the nurses to promote proper medication administration. The council provides the resources to support the processes involved in speedy medical administration.
  • The medical facility leadership also plays a crucial role in making the resources available to enhance the safety of the patients. The leadership gives the nurses the proper structures for implementing the patients’ care, safety, and experience (Salimova et al., 2021).
  • The research personnel also play a vital role as the stakeholders in medication administration. They try to find the best approach to making the process safe and economical for all patients.
  • Support organizations responsible for establishing standard medical procedures to be adopted by most healthcare facilities.
  • The doctors who offer proper medical advice ensure that appropriate medicine is administered to the patients.

The above-listed personnel will assist the nurses in implementing a working strategy in administering medication to patients. Their support and cooperation will make the process easier and more efficient. It will assist in creating a more robust system of health facilities.


The design of the strategies aimed to ensure that the patients admitted to a particulate healthcare facility is safe and secure from any complications resulting from a wrong medication or improper administration of medicine. It is crucial in building a safe health facility for patients. Implementing good and organized medical administration methods creates confidence in the patients and the wider population. The patients are made to ensure their safety because of the robust medical administration procedures established.


Ko, I. (2021). A Study on the Securement of Safety through Proper Regulation in Medical Practices – Focusing on measures to secure medical safety through proper regulation in medical Practices -. Legal Theory & Practice Review9(3), 135-154.

Nijkamp, N., &Foran, P. (2021). The effects of staffing practices on safety and quality of perioperative nursing care – an integrative review. Journal Of Perioperative Nursing34(1).

Salimova, M., Khudoykulova, G., &Mamiraliyev, N. (2021). Improving The Organization Of Nursing Care In Treatment And Prevention Facilities For Patients With Covid-19. The American Journal Of Medical Sciences And Pharmaceutical Research03(01), 91-96.


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