Patient safety has received much recognition after the Institute of Medicine’s publication of “To err is to human: building a safer health system” , patient safety includes the avoidance, prevention and amelioration of adverse events emanating from health care delivery procedures and it comprises of systems of patient care, error reporting, and starting new systems aimed at reducing risk of errors in patient care as well as care functions which nursing has sole responsibility (Berland et al., 2012). The common media for the transmission of HCAIs are the hands of healthcare professionals, from patient to patient and within the care environment (Allegranzi & Pittet 2009). Patient safety is the ‘’patient’s freedom from unnecessary real or potential
II. Implementing system such as SBAR (Situation, Background, Assessment, Recommendation) can simplify and expedite reports while providing a focus on the necessary information that needs to be conveyed.) II. Main Point 1: Providing pertinent, clear information during report to avoid errors. a. Hand-off is the real-time process of passing patient-specific information from one caregiver to another, or from one team of caregivers to another for the purpose of ensuring the continuity and safety of a patient 's care (The Joint Commission,
On another hand studies clarified which factors impact the quality of nursing care from the Patient’s opinion , e.g. environment factors, patient awareness, nurse–patient relationship and personality/behavior . ( Williams 2004 ). also , wasted nursing care had important impact on nurse-reported counter events such as hospital acquired infections, patients taking error medications or dosage , and more accident of patient falls causing injury. The quality of care on the basis of nursing care insufficiency was also explored and indicated that a important relationship presented between quality care and patient safety ratings .
Guaranteeing Accuracy of Records at time of Discharge The purpose of this paper is to identify a problem and a solution utilizing a change model. The steps required to facilitate the change are outlined along with an explanation of how the new process is in alignment with the hospital's mission and with professional standards. Problem Identification and Solution Recently, there have been complaints from case managers, and extended care facilities (ECF), that patients discharged are leaving the hospital without the required information to ensure care continuity. As a result, it is imperative that case managers review all the information prepared by the unit secretaries for accuracy before the patient leaving the facility. The case management
Abnormal psychology (12th ed.). Boston: Allyn and Bacon. Gallant, Mary P. The influence of social support on chronic illness self-management: A review and directions for research. Health Educaion and Behavior 30:170-195, 2003. 5Russell, D. W., & Cutrona, C. E. (1991).
Many health care agencies expect loyalty to the organization in which you are employed and questioning the policies on patient and staff safety could endanger one’s employment. For example, a hospital managing committee may try to conceal the facts a patient name Jane died from a penicillin reaction. When this case is reviewed and evidence shows that patient Jane has a medical history of allergic reaction to penicillin. The patient informed medical personnel of her allergy to penicillin. This case shows how medical errors can occur.
Likewise in healthcare, oncoming staff generally does initiate not patient care delivery until a hand off process occurs. “Communication failures are increasingly being implicated as important latent factors influencing patient safety in hospitals.”(Sutcliffe, 2004, p. 187) Parker (1996) reports, “the nurses handing over had direct knowledge of the patient and were able to convey idiosyncratic and personal knowledge of the patient. This is a crucial element in professional nursing practice. The nurse can report on clinical judgments and can be held accountable for the judgments made” (Parker, 1996, p. 25) Critical evaluation of nursing actions can be evaluated and considered to be either continued or discontinued based on the rationales for the action and the patient outcome. In 2005, the Australian Council for Safety and Quality in Healthcare published a literature review of clinical handover and patient safety.
Clinical care needs highlights parents’ experiences in relation to the medical care they received during the miscarriage. This theme describes parents’ experiences of the hospital facilities both for mothers and fathers, the importance of being separate from other pregnant women and babies. Mothers and fathers also highlighted the need for clear information regarding their pregnancy, the medical care they received and the cause of the miscarriage. The second global theme is relational and social experiences of miscarriage. This theme describes parents’ experiences of compassionate care, bonding and connecting with their baby and support during and after a second trimester miscarriage.