Patient Safety Research Paper

Thus safety is the foundation upon which all other aspects of quality care are built [6]  Patient Safety A definition for patient safety has emerged from the health care quality move that is equally abstract, with different approaches to the more specific essential components. Patient safety was defined by the IOM as “the prevention of damage, to patients.” Emphasis is placed on the system of care delivery that prevents mistake; learns from the mistake that do occur; and is built on a culture of safety that involves health care professionals, organizations, and patients. The definition of prevention of damage: “freedom from accidental or preventable injuries produced by medical care.

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

Exploring clients who survived life-threatening conditions provide a more complete assessment of quality in maternal health care [8-10]. The maternal near-miss concept suggested to be routinely used in national programs as a tool for evaluating the quality of maternal health care [11]. In addition, the near-miss indicators are indicators of outcome and provide an overall evaluation of the performance of the health service or health system in reducing severe maternal short-term outcomes [12]. In order to produce a more complete and even more tangible evaluation of quality of care, a set of process indicators were adapted and developed based on the criterion-based clinical audit concept which considers a feasible and beneficial mode of auditing the quality of maternal health care [13].

The Healthcare Effectiveness Data and Information Set (HEDIS) and The Joint Commission grew out of a movement, which recognized the need to identify and measure quality health care in the United States. The origins of HEDIS and the Joint Commission may be traced to the establishment of “a minimum standards for hospital care” adopted by the American College of Surgeons as a part of the Hospitalization Standardization Program. The ACS directly linked quality medical care with a quality patient record. The concept of quality measurement came to light when statistician Walter A. Shewhart identifies good processes equal a good product.

To improve on patients’ satisfaction, radiographers have to imbibe the right ethical attitude in their conduct while discharging duties.[13] Augustine Obi Okar(2015) found that there is a need for improved ethical/professional conduct of radiographers and general service delivery in the radiology departments of the hospitals to enhance patient satisfaction.[14] Ogbonnia Godfrey Ochonma et al (2016) suggested customer relations are sources of dissatisfaction. Providers of health care services and radiographers in particular need special orientation in customer relations to foster good patient satisfaction strategies.[15] Whitney L. Jackson (2012) in his article revealed that James Lipcamon, out-patient imaging services manager for East Cooper Medical Center in Mt. Pleasant, SC, “patient satisfaction is a big deal for today’s radiologists, both in the hospital and private imaging center setting. For any patient coming into a hospital setting or an imaging center, they already expect our competency. That’s not what they’re mainly concerned about; they’re looking for the warm fuzzies,” he said.

Continuous relationships with the care team, individualising of care and providing care that anticipates the patient’s needs all achieve best care delivery. (Wagner et al 2001). However the course of any chronic disease is determined by personal attributes, social influences and the professional treatment delivered. Yet, nurses and healthcare professional can try to maintain steady control of any chronic disease by accurate management. The TM model can be used along with other nursing models of care for effective

Nurses have to face with patients, families, physicians, and other professionals who are a

Medication errors are “the most common single preventable cause of adverse events in medical practice” [1]. According to the Institute Of Medicine report (IOM, 1999 ), as high as 98,000 patients die in hospitals each year as a result of preventable medical errors [2] which makes medical errors the second leading cause of death in US. . The report further estimates that, medical errors cost the nation approximately $37.6 Billion each year; about $17 billion of those costs are associated with preventable errors. Medication incidents are commonplace in healthcare [1, 2, 3, 4, 5]. In Australian study, out of over 14,000 admission records reviewed, 16.6% of admissions were associated with an "adverse event",[6].

Importance of it According to a patient safety report fact sheet published by World Health Organization in 2012 it is estimated that worldwide 1 in every 300 patients experiences harm while getting health care, and in the developed countries, the number of patients harmed during hospitalization is estimated to be one in ten patients (Region, 2012). In order to minimize the probability of harming the patient it is essential to monitor the quality of the medical care that is provided to them while focusing towards the goal of improving the quality of caregiver by measuring it against an already established benchmark. Benchmarking in health care is defined as the continual and collaborative discipline of measuring and comparing the results of

Patient teaching is the most significant nursing intervention in the healthcare setting. Effective patient teaching is very important because it helps the patient to prevent or minimize complication and ensure quality outcomes. I believe, it important including patient teaching as routine nursing care because it increases quality patient care the healthcare setting. Another important thing I have noticed in the intra-operative room was maintaining the sterile field and managing the risk factors in the operative environment. Everyone who enters an OR wear personal protective equipment (mask, non-powdered gloves, gown and head covering) because in the OR patients are at risk for impaired skin tissue integrity, infection, anxiety, altered body temperature, and dehydration.

Accountable Care Organizations: The Affordable Care Act (ACA) sanctions the practice of Accountable Care Organizations (ACOs) to bring the advancement in health care space by enhancing the care quality, emphasizing patient’s safety and reduce health care costs in Medicare. This program was begun on January 1, 2012. Its target is not to create any demonstration project, instead it aims to produce an entity which can directly contract with Medicare. The Centers for Medicare and Medicaid Services (CMS) explain ACO as an association of health service providers, i.e. hospitals, physicians, insurers, and others allied with patient care reform that will work together to undertake accountability for the quality of patient care, and how money is spent

Its primary mission was simple yet highly challenging: prevent malaria from spreading across the nation. However, 45 years later the U.S. Congress, as part of the Preventive Health Amendments of 1992, has recognized CDC 's leadership role in prevention by formally changing its name to the Centers for Disease Control and Prevention. (http://www.cdc.gov/about/history/index.html) Clearly, the U.S. government recognized the essential need and benefits for prevention in healthcare. The focus of the CDC in now targeted on five strategic areas: supporting state and local health departments, improving global health, implementing measures to decrease leading causes of death, strengthening surveillance and epidemiology, and reforming health policies.

Charfi Medical is implementing a compliance program to prevent fraud, waste, and abuse. This compliance plan has a mission of providing quality patient care. The compliance plan’s objectives are to provide a proactive program that ensures full compliance with all applicable policies, procedures, laws and regulations especially HIPAA. The HIPAA Privacy Rule creates a base of Federal protection for personal health information, cautiously established to avoid creating unnecessary barriers to the delivery of quality health care. Compliance plan objectives: Implementing a medical compliance plan limit our liability by reducing innocent billing mistakes and exposure to fraud and abuse allegations, which helps avoid governmental audits.

Established in 2002 by the Joint Commission to address the issue of safety in healthcare were various patient safety goals which dealt with many safety problems the accredited organization might face including medication and communication errors. The Joint Commission has also established National Patient Safety Goals for accredited organizations to follow in order to encourage patient safety by reevaluating the sentinel events data collected every year and revising the goals by omitting achieved goals and creating new ones. Hospitals evaluated by the Joint Commission must demonstrate compliance with the NPSGs as part of the accreditation process (Ellis & Hartley,

The Institute of Medicine (IOM) published a report in 2000 that estimated there were around 100,000 deaths each year in American hospitals from medical errors. IOM results were mostly based on errors of comission. In ICUs, the errors of omission are much larger as compared to the errors of commission. The number of patients dying becomes even higher if these errors are included. The follow-up report by IOM in 2001, provided a direction towards the need for making the basic changes in the health care delivery.