Financial aspect

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 After discussion with your preceptor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based change proposal. Explain how your proposal will directly and indirectly impact each of the aspects. 

Healthcare Strategic Plan Initiative

Grand Canyon University


Healthcare Strategic Plan Initiative

Adverse Drug Events in elderly

Older people have repeatedly reported cases of adverse drug events. These problems have been presented in offices, extended care facilities, and hospitals. They are caused by diuretics, anti-inflammatory drugs, antithrombotic medications, and antidiabetic medications (Pretorius et al., 2013). These events can be prevented through discontinuation of medications, prescription of new medications sparingly, reduction in the number of prescribers, and reconciliation of medications frequently. The plan below describes an initiative to reduce adverse drug events in the elderly.


Reduce the number of hospital admissions as a result of adverse drug events within the next 12 months

Below is a breakdown of the steps required to ensure our goal is met




Time Frame

Clinical decision support systems

Confirm the medication history of the patient

Identify medication for deprescribing

Decide with clients (Earl et al., 2020).

Synthesize and give recommendations


Six months


Education improvement

· Describe the risks of some medications

· Provide educational brochures to clients


6 Months

Medication reviews by pharmacists

Practice in primary care settings

· Add clinical pharmacists to do medication reviews


12 months

Medication reviews by clinicians

Practice in primary care settings

· Add clinicians to do medication reviews


12 months

Organizational culture

The organization is composed of staff and administration that do not neccessarily like trying new interventions to improve patient care. The organization believes in the use of evidence-based practices to handle medical practices which is correct Potential challenges regarding this initiative will include financial problems, the permission to implement the initiatives, and the willingness of the mentioned resources to participate in the initiative.


Earl, T., Katapodis, N., & Schneiderman, S. (2020). Reducing Adverse Drug Events in Older Adults. Retrieved 14 May 2022, from

Pretorius, R., Gataric, G., Swedlund, S., & Miller, J. (2013). Reducing the Risk of Adverse Drug Events in Older Adults. Retrieved 14 May 2022, from,%2C%20heart%20failure%2C%20and%20delirium

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