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Patient safety in the hospital setting
Patient safety key words
Patient safety key words
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In the context of healthcare, safety may be understood generally preventing patient harm. This is further confirmed by the fact that “patient safety focuses on designing systems to remove factors known to cause errors or adverse events” (LoBiondo-Wood & Haber, 2017, p. 432). On the basis of this definition or conceptualization of (patient) safety, it is possible to recognize a number of issues that may threaten or undermine patient safety. One particular issue that needs attention is hospital-acquired infections, which in many cases occur because medical staff fail to properly disinfect themselves or the equipment they use on patients. Another example that underlines the importance of patient safety is prescription error, which in many cases is further aggravated by the professional’s failure to disclose the error completely or in a timely manner. I am aware that error is inherent to the human condition, but I also believe that risk may be minimized through study, discipline, and commitment. This is what I have always strived to accomplish as a …show more content…
People tend to associate quality with achieving a desired health outcome. The following may be seen as a practical definition of quality: “Quality in healthcare [is] doing the right thing for the right patient, at the right time, in the right way to achieve the best possible results” (Yuan & Chung, 2016, p. 1635). There is no question that all health professionals need to prioritize quality. Also, it is necessary to recognize that quality transcends curing an injury or disease. quality is related to healing, which involves the physical, but also the psychological, emotional, and spiritual dimensions of the individual. Quality is also related to scientific research and technological innovation, which leads to new medications, surgical procedures, and even standards of practice. Health professionals need to remain up-to-date so that they can guarantee high-quality
National Institute for Health and Care Excellence (NICE) developed the area of their concern for quality improvement in relation to t prevention and treatment of various kinds of health conditions or services. Therefore, in the course of this innovation, team members will make sure patients are safe and not harm by the change that aims to help them; care is effective, practising with the best available evidence based practice, is person centred; making patients first concerned when making clinical decision; avoiding unnecessary delays and provide care in timely manner (Health Foundation, 2013).
The interpretation of quality health care varies with each person. Some place emphasis on the ability to access various treatments without interference. Others value the feature of being able to simply select one’s provider. Quality health care, according to the Institute of Medicine (2001), can be defined as care that is “safe, effective, patient-centered, timely, efficient and equitable” (p. 3). Furthermore, it should account for, in detail, a patient’s medical history, and improve overall patient well-being.
Introduction The Patient Safety Plan is a program that provides a systematic, coordinated and continuous methodology to the upkeep and upgrading of safety through the founding of mechanisms that support effective responses to definite incidences in an organization work environment. It is also the incorporation of patient safety main concern into new strategy in an organizational functions and services which would lead to continuous positive decrease of risk in the work environment. Patient safety plan is used as a guide to approach optimum safety objectives which involves different departments and disciplines in creating plans, processes and devices that contain the patient care safety activities in a hospital setting (Main Line Health Inc,
Vital improvement for patient safety has triggered an enormous amount of positive change in the healthcare system. There were “1.6 million adverse events each year that led to 180,000 deaths” (Liang & Mackey, 2011). In a review, avoidable errors led to $19.5 billion dollars in healthcare expenses (Liang & Mackey, 2011). The National Patient Safety Agency analyzed 425 deaths from acute care hospitals and found “15% of the deaths were related to unrecognized patient deterioration” (Higgins, Maries-Tillot, Quinton, & Richmond, 2008). This finding led to the Institute for Health Care Improvement’s promotion for the use of an early warning scoring system to assist with identifying deteriorating patients (Albert & Huesman, 2011).
Working at the hospital for a little over a year now I have seen a few instances that are a "near miss", some a failure, and as of today a complete failure in patient safety but is being overlooked in some ways. Being the most recent and fresh in my mind this incident included a known drug addict, and an order that read "pt. may go outside with family". During shift report I asked the night shift RN why a known drug addict has outdoor privileges, when it is hard enough to get anyone the order to go outside. The RN giving report agreed with me, but since the ordering physician wasn 't available we could not challenge the order overnight. As my shift continued I go into the patients room to check on them and the bed was empty the wheelchair was gone and the bathroom was empty. I asked my Clinical assistant and she said that she was never told the patient was leaving (strike 1: patients need to tell staff when they leave the unit). After 30 minutes I looked in the room and the patient was still gone, after an hour the patient returned with a family member (strike 2: patients are allowed 15 minutes off the floor). I quickly went into the room and asked the patient that if they would like to leave the unit they need to notify staff before they leave and patients need to come back to
Patient safety one of the driving forces of healthcare. Patient safety is defined as, “ the absence of preventable harm to a patient during the process of healthcare or as the prevention of errors and adverse events caused by the provision of healthcare rather than the patient’s underlying disease process. (Kangasniemi, Vaismoradi, Jasper, &Turunen, 2013)”. It was just as important in the past as it is day. Our healthcare field continues to strive to make improvement toward safer care for patients across the country.
Quality and quality improvement are important to any healthcare organization because these principles allows organizations to fulfill their missions more effectively. Defining what quality is may differ depending on whom is asking the question, as differing participates may have differing ideas about what quality means and why it is important. Being that quality is what unites patients and healthcare organizations, we can see the importance of quality and the need for strong policies and practices that improve patient care and their experience while receiving that care. Giannini (2015) states that this dualistic approach to quality utilizes separate measurements, conformance quality that measures patient outcomes against a set standard and Dinh et al. (2014) found that by employing a quality improvement system lowered trauma patient mortality by statically significant amount.
In the healthcare system, quality is a major driving compartment for patient outcomes. The quality of care reflects the outcomes in a patient’s care. According to Feeley, Fly, Walters and Burke (2010), “quality equ...
Quality improvement (QI) involves the regular and constant actions that enable measurable improvement in health care. QI results in enhanced health services, organizational efficiency, quality and safe care to patients, and desired health outcomes for individuals and patient populations (U. S. Department of Health and Human Service, 2011). A successful quality improvement program is patient-centered, a collaboration of teams, and uses data in systems. QI helps to develop a culture of excellence in nursing, identify and prioritize areas of improvement, promote communication and collaboration, collect and analyze data, and encourage continuous evaluation of systems and processes (American Academy
Patient safety must be the first priority in the health care system, and it is widely accepta-ble that unnecessary harm to a patient must be controlled.Two million babies and mother die due to preventable medical errors annually worldwide due to pregnancy related complications and there is worldwide increase in nosocomial infections, which is almost equal to 5-10% of total admissions occurring in the hospitals. (WHO Patient Safety Research, 2009). Total 1.4 million patients are victims of hospital-acquired infection. (WHO Patient Safety Research, 2009). Unsafe infection practice leads to 1.3 million death word wide and loss of 26 millions of life while ad-verse drug events are increasing in health care and 10% of total admitted patients are facing ad-verse drug events. (WHO Patient Safety Re...
In healthcare systems today, nurses play a valuable part in quality improvement. Healthcare system and the approach for taking care of patients continue to change every day. As healthcare continues to transform, so does the need for quality improvement. This is partially due to the increasing number of acutely ill patients that nurses and healthcare staff are responsible for taking care of (Hood, 2014, p. 490). According to Hood (2014), quality is defined as “a degree of excellence in which something possessed. For the patient this includes safe, timely, efficient, equitable, effective patient centered care” (p. 490). For nurses and other healthcare staff “nurse-patient ratios, adequate time to spend with patients, availability of supplies,
The World Health Organization outlines 6 areas of quality that help shape our definition of what makes quality care. Those areas are; (1) Effective: using evidence bases practice to improve health outcomes based on needs of individuals and communities. (2) Efficient: healthcare that maximizes resources and minimizes waste. (3) Accessible: timely care that is provided in a setting where the skills and resources are appropriate for the medical need and is geographically reasonable. (4) Acceptable/Patient-Centered: healthcare that considers individual needs, preferences, and culture. (5) Equitable: healthcare quality that does not vary because of race, gender, ethnicity, geographical location, or socioeconomically status. (6) Safe: healthcare that minimizes harm and risks to patients. (Bengoa, 2006)
improving the quality of care, it is important to begin by defining quality. Quality is purposed by
Understanding quality measurement is essential in improving quality. Teams need to be able to understand whether the changes being made are actually leading to improved care and improved outcomes. For data to have an impact on an improvement initiative, providers and staff must understand it, trust it, and use it. Health care organization must understand the measurement of quality provided by the Institute of Medicine (patient outcomes, patient satisfaction, compliance, efficiency, safe, timely, patient centered, and equitable. An organization cannot improve its performance if it does not know how it is performing. Measuring quality improvements is essential as it reflects the quality of care given by the providers and that by comparing performance
The purpose of his article was to find a better way to prevent healthcare-associated infections (HCAI) and explain what could be done to make healthcare facilities safer. The main problem that Cole presented was a combination of crowded hospitals that are understaffed with bed management problems and inadequate isolation facilities, which should not be happening in this day and age (Cole, 2011). He explained the “safety culture properties” (Cole, 2011) that are associated with preventing infection in healthcare; these include justness, leadership, teamwork, evidence based practice, communication, patient centeredness, and learning. If a healthcare facility is not honest about their work and does not work together, the patient is much more likely to get injured or sick while in the