a. In recent years has been a lot of focus by hospital managers to improve health care facilities since medication errors in hospitals are a serious threat to patient safety. Several studies (Carroll, 2003; Dennison, 2007; DeYoung, Vanderkooi, & Barletta, 2009) indicated that the rates of fatalities associated with medication errors in the United States were greater than 7000 deaths annually, and affected three to five percent of in-hospital patients. The ramifications of medication errors affect all healthcare organizations, resulting in consumer mistrust, increased healthcare costs, and patient injury or death (Carroll, 2003). Medication errors can occur at any stage of the dispensing and administration process but only an estimated five percent are noted in nursing documentation, suggesting that many errors that have not led to serious results are unreported (Wilkins & Shields, 2008).
II. Change Theory.
a. Many health care organizations have used Kurt Lewin’s theory to understand human behavior as it relates to change and patterns of resistance to change. Also referred to as Lewin’s Force Field Analysis, the model encompasses three distinct phases known as unfreezing, changing and refreezing (Bozak, 2003).
b. There are three stage theory of change is commonly referred to as Unfreeze, Change, Freeze (or Refreeze). This first stage of change involves the preparation of the organization to accept that change is necessary. This usually entails the break down the existing status quo before you can build up a new way of operating. This first step in every change process is often the most difficult and stressful. Change in the beginning always result in tough and people are unwilling since it throws them off their usual ro...
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... smooth implementation. Often, employees are forced to change practice without having the opportunity to give input, which has eroded their trust of the organization over time. By using Lewin’s theory, I am confident that it can help reduce stakeholder resistance and fear of change through the development of a well thought plan and active participation in the change process.
• Bozak, M., (2003). Using Lewin’s force field analysis in implementing a nursing information system. Computers, Informatics, Nursing, 21(2), pp.80-85.
• Carroll P. (2003). Medication errors: The bigger picture. R N, 66(1), 52-58
• DeYoung, J., Vanderkooi, M., & Barletta, J. (2009). Effect of bar-code-assisted medication administration on medication error rates in an adult medical intensive care unit. American Journal of Health-System Pharmacy, 66(12), 1110-1115. doi:10.2146/ajhp080355
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