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Change management makes everyone familiar with the steps intended to optimize care outcomes. The transformational leader is the right option for the care team to acknowledge the need for interdisciplinary efforts for identifying and intercepting risks. The transformational leader portrays people-centered practices appropriate for encouraging behaviors, attitudes, and values appropriate for double-checking. Focus on shared decision-making, interpersonal relations, and clarity of roles allows the transformational leader to create and sustain a safe clinical environment.
The Plan-Do-Study-Act (PDSA) is among the viable change models that allows leaders to deliver a consistent message to the team (McNicholas et al., 2019). The framework inspires actions required to introduce double-checks and make the solution a standard consideration when administering medications. The leader provides nurturing and attention to risk factors associated with wrong medication administration within the organization. A focus on process and information sharing motivates members of the care team to participate in planning, testing, observing outcomes, and adjusting clinical practices to achieve the intended outcomes.
Collaborative practices are primary considerations that make everyone dedicated to adhering to the rights of safe medication administration. The approach allows healthcare professionals to embrace team-based values, behaviors, and attitudes appropriate for responding to patient demands. One strategy for encouraging collaborative efforts is having a leader who elicits trust and mutual interests across the care continuum (Sigmon, 2020). The leader encourages collective buy-in, where everyone appreciates the relevance of double-checks in optimizing medication administration procedures. Excellent communication is another priority that enhance transparency, openness, and shared decision-making relevant for identifying and intercepting risks (Sigmon, 2020). Effective interpersonal relations guarantees staff commitment to verifying and ascertaining accuracy and safety of medication administration procedures.
Required organization resources include finances, technical items, and human-related components relevant for producing the intended outcomes. The resources largely include those that will allow the care team to acquire essential knowledge and skills in double-checking medications. The resources appear in the table below:
| Item | Description | Cost ($) |
| Notes on double-checking procedures | The notes available in form of pocket guides enable members of the care team to familiarize with double-checking as a standard practice for enhancing medication administration safety. | 300 |
| Nurse educator | The nurse educator will oversee the training and education sessions to ensure that the audience understands and acknowledges the relevance of double-checking across the care continuum | 1,500 |
| Role-play instructions | The team to participate in role-plays designed to equip individuals with knowledge and skills on effective double-checking | 200 |
| Video simulations | Make the sessions exciting and impactful by using video simulations to allow the audience to visualize double-checking procedures and implications on the safety and quality of medication administration. | 200 |
| Case study | Share a case study about a medication error that happened at Vanderbilt University Medical Center. A nurse administered paralytic vecuronium instead of the sedative Versed leading to the patient’s death. | 150 |
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