It is unfortunate that the consequence of Julie Thao’s decision to work overtime to help the hospital actually did the opposite by affecting her health and caused a fatal medical error. I completely agree with your 3 weapons against healthcare harm: leadership, safe practice, and technology. As Advanced Practice Nurses, I strongly believe we must to be accountable, responsible, and approachable in order to be an effective healthcare role model and leader. Our priority should always be patient safety as we assess, diagnose, and implement interventions. APNs should conduct continuous research for self-knowledge, to educate staff members, and to educate the patients. Like you had mentioned, patient education is important so they are aware
In the leadership in care delivery course, we were assigned to a hospital to perform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples on how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, handoff reporting, and a reflection of the clinical experience.
Patient safety experts have demonstrated that “patient safety increases when teamwork and collaboration skills are taught and empowered; when teamwork and collaboration are not present, medical errors will result” (Creasia & Friberg, 201, p. 348). As a nurse, it is imperative to collaborate with other interdisciplinary members in health care and also strive to research and implement evidence-based practices. Evidence-based practice is necessary to “ensure the highest quality of cost-effective care and the best patient outcomes” (Fineout-Overholt, 2011, para. 16). With a collaborative and innovative attitude on safe health care practices, an increase in patient safety and effectiveness of care will
Patients who are admitted into the hospital confide in the health care professionals to do the right thing on time all of the time. Accreditation of health care organizations signifies compliance with a set of standards, reassuring the public that quality and patient safety is being met. In the United States, accreditation is voluntary and must be approved by the Centers for Medicare and Medicaid, CMS, for the health care organization to receive payment from Medicare or Medicaid (Myers, 2012).
Lewis, Stephens, and Ciak (2016) confirmed that the Quality and Safety Education for Nurses (QSEN) initiative was developed to determine competencies for nursing students based upon Institute of Medicine (IOM) recommendations with the main goal of QSEN is to establish a cultural change toward quality and safety. According to QSEN (2014), addresses the challenge of preparing future nurses with the knowledge, skills, and attitudes (KSAs) are essential components of improving the quality and safety of the healthcare systems. Furthermore, the QSEN six competencies for nursing that targets the KSA to guarantee future graduates to develop competencies in patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement,
Nurses’ primary goals are to promote patient safety and give the best quality of care to the patients. They also play a vital role in preventing and reducing medical errors in their work place. Nurses must be fully aware of the new recommendations and guidelines to follow in the healthcare setting. The Joint Commission established the National Patient Safety Goals (NPSGs) in 2002 (The Joint Commission, 2015). The goal of this program is to assist the health care providers with issues and concerns regarding patient safety and to help solve them. Hospital National Patient Safety Goals include: a) identify patients correctly, b) improve staff communication, c) use medicines safely, d) use alarms safely, e) prevent infection, d) identify patient safety risks, and, e) prevent mistakes in surgery (National Patient Safety Goals, 2016).
Rcn.org.uk, (2015). Definition and aims - RCN. [online] Available at: https://www.rcn.org.uk/development/practice/patient_safety/definition_and_aims [Accessed 24 Oct. 2015].
The baccalaureate prepared nurse role is crucial in ensuring the successful implementation of quality management in healthcare. The major role of healthcare professionals such as nurses, doctors, and physicians is the delivery of high-quality patient care and safety. However, studies show that some factors that contribute to the low-quality patient care and safety include medical errors, adverse drug events, and negligence of health care providers. The baccalaureate prepared nurse has the responsibility of improving patient outcomes by taking part in quality management processes in the healthcare.
Unfortunately, at this moment, there is little improvement regarding the quality of patient care since the To Err Is Human report was published in 1999, by the Institute of Medicine (IOM, 1999). Presently, health care provider education should focus more on the demands on quality and safety. The beginning of Quality and Safety Education in Nursing (QSEN) was created to integrate quality and safety competencies in nursing education. For this reason, nursing schools should reinforce and focus on the competencies of QSEN, within the curricula of the baccalaureate programs.
There is much overlap when discussing quality and safety in nursing, but it is important to realize that both have their own skills and knowledge essential to the competency. Quality is measuring the rendering of a specific process or action and comparing the data to benchmarks. If the standards are not met then quality improvements are implemented in the hopes of meeting those standards. Were safety is the proactive action of preventing mistakes from occurring, such as knowing a patient is at risk for following and taking precautions such as assisting the patient during ambulation’s. Safety is looking at the environment around you for potential areas of hazard and using critical thinking to make changes for the better of you, co-workers, and patients (Sherwood,
In the review of the literature regarding National Patient Safety Goals and the reduction of healthcare associated infections by the implementation of evidence-based practice, one article addressed the education of patients and family to prevent catheter-related bloodstream infections (Dela Cruz et al., 2012). MD Anderson Cancer Center Infusion Therapy Team places 600 central venous catheters (CVC) and PICC’s and 100 implanted ports each month at their facility (Dela Cruz et al., 2012). Volume like this has lead to an extensive formal education program to assist the patient and family with care and maintenance of their CVC to reduce the number of catheter-related bloodstream infections (Dela Cruz et al., 2012). The education program consists
This appeal to the ethos, combined with her friendly tone, creates an effective argument. The author's ethos is strong because of the reputation she brings to her writing and her use of pathos and also logos to appeal to her target audience. In the article, Standardized Nursing Language, Marjorie A. Rutherford clearly defined the standardized language is a "common language, readily understood by all nurses, to describe care" (2008). The overall strength of this article is to make nurses knowledgeable to the different kind of terminology for the intervention and care for the patient. To support her arguments and convince the readers, the author utilized the rhetorical strategies through her prestige. She clearly explained and elaborated the purpose of the standardized nursing
Continuous Quality Improvement (CQI) is a strategic approach to providing the best healthcare possible. It is a preventative strategy that uses constant innovation to improve work processes and systems by reducing time-consuming, low-value activities. Time that was once spent on rework and crisis management is now spent on planning, coordination and control. As a nurse manager, one of my duties is to map out a sustainable plan that is efficient and effective enough to help my organization face the issues of performance and quality of care (Ballard, 2010). By implementing CQI, I will form a team that can help me to identify problems and challenges towards achieving effective and result oriented healthcare. This quality improvement team will be responsible for implementing, documenting, monitoring and evaluating the improvement plan. Responsibilities are then assigned to the members of this team. Then I will delineate scope of care and service, and one method of doing this is to identify the organizations key governance, managerial, clinical, and support functions. All departments and services should be made to contribute to this delineation of key functions. Using the scope of care and services as a basis, the ones that are important for ongoing monitoring shall be selected by those who are experts in the areas under consideration. Indicators which can be used to monitor care and services are identified and monitored by knowledgeable staff in the particular area. Threshold will be established for each indicator to determine when
It has been over a decade that the need for improvement in healthcare outcomes, safety, and care have been identified. While gains have been made, there is still opportunity for improvement. Education of healthcare professionals in quality improvement is identified as important to this effort. While efforts are being made to add education in quality improvement into trainee nurse programs, less evidence is identified for education of practicing nurses. While limited evidence of training in QI is identified in the literature, critical elements of design that allow reproducibility and spread are absent. A theory and evidence-based training program for frontline nurses in QI is proposed. Elements of the design based on theory and best evidence
Nursing sensitive measures are processes and outcomes. They aim to identify and measure the contribution that nursing care has on patient outcomes. Nursing sensitive outcomes are those that are relevant, based on nurses’ scope of practice and for which there is evidence linking nursing inputs and interventions to the outcomes. (Doran, 2003, p. viii) Quality healthcare has been an ever evolving process. Beginning with Florence Nightingale, who evaluated the quality of nursing care based on patient outcomes. The National Database of Nursing Quality Indicators (NDNQI) was established by ANA so they can evaluate patient outcomes. They continually collect and build on data obtained to further develop nursing knowledge, and have developed models