Medical errors in decision making that result in harm or death are tragic and costly to the families affected. There are also negative impacts to the medical providers and the associated institutions (Wu, 2000). Patient safety is a cornerstone of higher-quality health care and nurses serve as a communication link in all settings which is critical in surveillance and coordination to reduce adverse outcomes (Mitchell, 2008).…
Institute of Medicine National Academy Press ' To Err is Human: Building a Safer Health System (2000),…
Mulloy, D. F., & Hughes, R. G. (2008). Patient safety & quality: an evidence-based handbook for nurses. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved from http://www.nlm.nih.gov/books/NBK2678/…
As noted in the rationale for Joint Commissions’ UP.01.01.01.01- UP.01.03.01, Universal Protocols are implemented most successfully in hospitals with a culture that promotes teamwork and where all individuals feel empowered to protect patient safety. Universal Protocols are critical for Nightingale Hospital because wrong surgical procedures result in sentinel events (an unexpected occurrence involving death or serious physical or psychological injury). Sentinel events are tracked through The Joint Commission sentinel event database. Increased sentinel events would reveal poor quality of care and lack of awareness for patient safety that Nightingale hospital provides to its patients.…
Hughes, R. G. (2008). Tools and strategies for quality improvement and patient safety. In R. G. Hughes (Ed.), Patient safety and quality: An evidence-based handbook for nurses. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK2682/…
Although brief, the article explains why patient safety is a key factor in health care. The article goes on to explain that patients can contribute to strengthening safety and delivery of high quality care.…
In 1999, the Institute of Medicine (IOM) released a report, "To Err is Human: Building a Safer Health System," in which, according to the report, between 44,000 and 98,000 deaths may result each year from medical errors in hospitals alone. And more than 7,000 deaths that occurred each year were related to medications. In response to the IOM's report, all parts of the U.S. health system put error reduction strategies into high gear by re-evaluating and strengthening checks and balances to prevent errors. In 2001, U.S. Department of Health and Human Services (HHS) announced a Patient Safety Task Force to coordinate a joint effort to improve data collection on patient safety. The lead agencies are the FDA, the Centers for Disease Control and Prevention, the Centers for Medicare and Medicaid Services, and the…
Discuss three patient safety issues that are present in the scenario. 1) Sara signed off medications on the MAR but she did not actually witness the patient taking the prescribed medications. 2) Sara left the medications unattended at the bedside. This is a careless practice. She should have carried them back to the nurse’s station and reattempted to administer the meds after the patient finished bathing.…
Continuously improving the quality of healthcare services depends on the creation of safety cultures by utilizing risk management techniques and tools, thus engendering an environment which is relatively safe for patients and healthcare staff. Tools, such as clinical performance measures and information technology are utilized to collect data in order to conduct effective studies. Data are analyzed with the utilization of statistics.…
The Joint Commission has a list of national patient safety goals were set in place to guide improvements in safety of patients and to help highlight any problem areas within the healthcare systems regarding patient’s safety (The Joint Commission, 2013). The goals created for patient’s safety are listed and described through evidence based solutions in order to assess each goal. The Joint Commission focuses on several topics, all of include an importance in patient safety and their quality of care (The Joint Commission, 2013).…
Department of Community and Family Medicine, Duke University Medical Center. (2005). Patient Safety - Quality Improvement. Retrieved March 2, 2010, from Duke University Medical Center: http://patientsafetyed.duhs.duke.edu/module_a/introduction/stakeholders.html…
Write a paper outlining the most valuable learnings in the 16 courses. You may be surprised at some basic knowledge that IHI focuses on. At times your learning will be about knowledge that is not yet firmly established in our industry. Please also identify any course you did not think was worth the time.…
It is estimated that 1 in 10 patients will experience a nosocomial infection (Biddle, 2009). With this staggering fact, patient safety and infection prevention is at the forefront of healthcare. Many changes have occurred in this area since the 1840s. This is when Semmelweis, a Viennese obstetrician, made the observation, that women giving birth in an institutional setting 20% of them died of a febrile illness, whereas only about 1% in the home setting. He suggested that somehow a toxin was being spread from patient to patient on the hands of the care providers. This led him to demanding that physicians and nurses involved in obstetrical delivery wash their hands between patients (Biddle, 2009). Patient safety goals as described by American Association of College of Nurses, is to minimize risk to patients and providers as well, through an effective system of care or individual performance (Graduate level Quality and Safety Education for Nurses competencies knowledge, skills, & and attitudes, 2012). With the changes to the Centers for Medicaid and Medicare changing reimbursement policies, it is no wonder why we are going to even greater lengths to educate and implement new procedures to prevent hospital acquired infections. The purpose of this paper is to describe the issues of infection control in the surgical area and efforts that are being made to prevent surgical site infections.…
“This report identified flaws in the health care system and reported at least 44,000 to 98,000 people die in hospitals each year as a result of medical errors that could have been prevented (Institute of Medicine (IOM), 1999).” As a result of this publication, an evidence based research movement was initiated to improve patient safety.…
In this paper, the topics of meaningful use, the National Patient Safety Goals, mobile technologies, current technologies, and different ways to analyze healthcare data are talked about. Furthermore, the National Patient Safety Goals are broken down and a few are explained more in depth with regards to processes of analyzing and tracking data. The analyzing and tracking of data is necessary in order to ensure that healthcare professionals, healthcare organizations, and healthcare consumers are all a part of the course of treatment. It is also important to ensure the quality of healthcare is met on all sides of the field.…