Influence of Drug Round Tabards and Leadership in Healthcare Settings

This presentation assesses the influence of drug round tabards (red aprons) on reducing medication administration errors in healthcare settings. It explores the role of leadership and management in planning and implementing this change initiative, referencing Kotter's change model for successful organizational transitions. The presentation highlights the importance of visible reminders, education, and transformational leadership in improving medication safety. It emphasizes the need for nurses to focus on various sources of disruption and the development of nurses' capabilities in medication safety. The research suggests that the introduction of drug round tabards led to a significant reduction in disruptions and errors. The presentation also discusses the importance of neurovascular assessment and the need to detect compromised limbs post-surgery.

MANAGEMENT
CHANGE &
IMPLEMENTATION
NAME OF THE STUDENT
NAME OF THE
UNIVERSITY
ENROLLMENT ID

BACKGROUND
The use of drug round tabards (red apron) is
a mediation that has been widely executed
to decrease the disruptions and blunders
done by the clinical, administrative nurses
(Verweij et al. 2014).

OBJECTIVE
The goal of the presentation is to assess
the influence of drug round tabards and
the role of leadership and management in
the planning and enactment of the drug
round tabards.

OUTLINE
 Medication administrative errors are natural in a
healthcare facility which usually occurs due to
several factors such as heavy workload on nurses,
time of the duty shift, the experience of the nurses,
and system deficiencies (Palese et al. 2019).
 The nurse managers and leaders can create
strategies to reduce medication administration
errors by introducing various visible reminders such
as do-not-disturb tabards and signs to remind
others of no disruptions during administrative
treatment rounds (Palese et al. 2019).

OUTLINE
 During the implementation of a sudden kind of change, it
would not be easy to do that change quickly. According to
Kotter, there are specific problems which are simple and can
be solved promptly; however, there are particular problems
which involve core processes and require thorough analysis.
 According to Kotter, most of the change efforts fail because
managers did not analyze the issues thoroughly and did not
plan an effective strategy. Kotter’s change model was
implemented into the red apron initiative. Kotter’ss model
provides the reasons why organizational change processes
fail.
 He proposes specific steps for the successful implementation
of change in an organization, by ensuring that if eight
reasons for failure are minimized, then successful transition
will follow.

CONCLUSION
It was noticed that after the introduction of
the drug round tabards or the red aprons,
there was a significant reduction in the
number of disruptions and all the blunders
which was occurring through the nursing
staffs. Wearing different coloured tabards or
aprons with a specific message written,
which would directly report to the nursing
staff instead of the patients, may have a less
adverse effect on patients.

RECOMMENDATION
Educating people, making them understand
when not to disturb the nurse and when it is
appropriate to interrupt the nurse for asking
general questions or for asking for any
demand, is a necessity. Nurses should also
focus on concerns rising from machinery,
employees, and the administrative
atmosphere and not only on the disruptions
arising from patients and their caregivers
(Vaismoradi et al. 2016).

RECOMMENDATION
Transformational leadership focuses on the duty
of nurse practitioners and mentors in the
improvement of medication safety education to
enhance the students' abilities, and the patient's
knowledge for the formation of caring values,
and development of students' ingenuity, and
inspiring moral actions. This will make nursing
graduates with the capabilities essential to be
thorough about medications welfare and the
avoidance of blunders(Vaismoradi et al. 2016).

REFERENCES
Palese, A., Ferro, M., Pascolo, M., Dante, A. and Vecchiato, S.,
2019. “I Am Administering Medication—Please Do Not
Interrupt Me”: Red Tabards Preventing Interruptions as
Perceived by Surgical Patients. Journal of patient
safety, 15(1), pp.30-36.
Vaismoradi, M., Griffiths, P., Turunen, H. and Jordan, S., 2016.
Transformational leadership in nursing and medication safety
education: a discussion paper. Journal of nursing
management, 24(7), pp.970-980.
Verweij, L., Smeulers, M., Maaskant, J.M. and Vermeulen, H.,
2014. Quiet please! Drug round tabards: are they effective
and accepted? A mixed method study. Journal of Nursing
Scholarship, 46(5), pp.340-348.