course material

1. Implementation Plan paper
Implementation Plan paperImplementation Plan paperPermalink: https://
/implementation-plan-paper/Implementation Plan paperThe chosen evidenced-based
practice proposal will be conducted at a 111-bed psychiatric institution. The rate of
medication errors in the population will be evaluated before the implementation of
electronic health records and 6 months after its implementation Implementation Plan
paper. The goal of this proposal is to ascertain whether or not electronic health records
decrease medication errors, thereby improving outcomes. For this to occur, a change in the
current workflow has to be implemented. The institution is currently on paper charting,
therefore a change process will be required to illicit the desired effect.For change to be
successful, strategic planning is of utmost importance. The implementation team should be
identified; the goals, budget and time-frame should also be clearly communicated (Agency
for Healthcare Research and Quality, 2014). The project member should clearly outline the
team members, the tasks, the background literature, the needs assessment and time-frame
for the proposal. A communication plan, risk management plan and change management
plan are necessary components to guide a successful change. In order to execute a
successful change, the implementation team should support and guide the implementation
throughout the pilot (Agency for Healthcare Research and Quality, 2014). The project
manager should outline milestones to ensure deliverables are met in accordance to the
goals, time-frame and scope of the project. Regular meeting should be conducted at
scheduled intervals to ensure the project is functioning as expected, or to implement
mitigation strategies. A Model for Change by Rosswurm and Larrabee (1999), is the model
of choice to guide the proposal. The steps required for this change is highlighted in the table
below: Implementation Plan paperEvidenced Based Plan Implementation ProjectPICOT
In patients admitted to a psychiatric institution that converted from paper charting
to electronic health records (P) , does the implementation of electronic health records (I)
compared to paper charting ( C) decrease medication errors (O) within 6 months of its
implementation (T).Evidence Based Model to Guide Implementation A Model for Change by
Rosswurm and Larrabee (1999) is a model based on theoretical literature related as it
relates to evidence‐based practice, research utilization, standardized language, and change
theory. This model guides practitioners through the change process through steps 6 steps:
assess, link, synthesize, design, implement/evaluate and integrate/maintain (Rosswurn &
Larrabee, 1999). These steps will be implemented in the chosen proposal to guide change
and evaluate outcomes.Project Stakeholders · The project stakeholders will be clearly

2. identified. The project manager, project sponsor and all team members (active and
supportive) will be highlighted.· All necessary human and physical resources will be
gathered (including approvals and budget). Implementation Plan paperMilestone One
(Checkpoint)- Assess · Assess the need for change (needs assessment: the
inefficiencies of paper-charting to the desired effect of a computerized system. Also, the
high rate of medication errors, to the desired effect of a low/ no rate of medication
errors)· Review of quality reports regarding medication error events· Assess
knowledge of the implementation team in relations to the PICOT, goals, evidenced based
knowledge and skills.Milestone Two (Checkpoint)-Link · Link problems with
interventions and outcomes; Link medication errors to the intervention of electronic health
records implementation.· Conduct background research.Milestone Three (Checkpoint)-
Synthesize · Synthesize literature to support stance.· Define the purpose of the
project.· Define the key quality indicators to determine if the project is
successful· Communicate information and address concerns with implementation
team. Milestone Four (Checkpoint)-Design · Formulate plan for the implementation
of the electronic system with hospital administration. Identify the vendor and project
sponsors responsible for the computerized system implementation project. Get
communication of the time-frame in which system should be implemented in order to
formulate a timeframe for the post implementation evaluation.· Delegate to relevant
team member/s to gather current data as it relates to medication errors in the hospital.
Implementation Plan paper· Formulate plan on evaluating outcomes after the
implementation of the electronic system.· Design a communication and risk
management plan.· Create a poster to disseminate of initiation of project
information.Milestone Five (Checkpoint)-Implement/Evaluate · Implementation
of electronic health records.· Make adjustments to poster as necessary.· Launch the
pilot study.· Evaluate medication error rates monthly post implementation.· Review
progress of project during meetings, using the previously defined key quality indicators as
guidance.· Compare medication error findings to the pre electronic health records
implementation phase.· Analyze findings· Celebrate project’s success Milestone Six
(Checkpoint)- Integrate &Maintain · Formulate a report of the medication error data
before electronic health records implementation and 6 months after its
implementation· Close the project- review lesson learned and make recommendations.
Implementation Plan paper References Agency for Healthcare Research and Quality, . (2014,
October). How Do We Implement Best Practices in Our Organization? (continued). In AHRQ.
Retrieved from https://www.ahrq.gov/patient-
safety/settings/hospital/resource/pressureulcer/tool/pu4a.html Rosswurm, M., &
Larrabee, J. (1999). A Model for Change to Evidence-Based Practice. The Journal of Nursing
Scholarships, 31(4), 317-322.
doi:file:///C:/Users/vpw63478/Downloads/A_Model_for_Change_to_Evidence_Based_Pra.p
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