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Patient safety key words
Patient safety key words
Patient safety key words
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National Patient Safety Goals in the Hospital Setting
The purpose of this paper is to discuss the National Patient Safety Goals (NPSGs) put out by The Joint Commission that went into effect January 1, 2014. The goal I chose to focus on is the first goal, improve the accuracy of patient identification. The element of performance within that goal I am going to concentrate on is to use at least two patient identifiers when administering medications (Joint Commission, 2013). The importance of this goal cannot be understated. Correctly identifying a patient prior to administering a medication is imperative to patient safety.
Description
The Joint Commission (2013) NPSG 1 is to improve the accuracy of patient identification by using at least two patient identifiers when providing care, treatment, and services. The rationale behind this NPSG is to stop wrong patient errors that occur in all stages of diagnosis and treatment. We have moved into an era of patient safety and reaching this goal is imperative to promoting and maintaining this era. One of the most basic fundamentals we learn in nursing school is the six rights of medication administration. One of those rights is the right patient. This goal basically is part of something we as nurses should be doing each and every time we administer a medication. According to The Joint Commission (2013) acceptable patient identifiers include the individual’s name, an assigned identification number, telephone number, or other person-specific identifier. The patient’s room number or physical location cannot be used since these can and do change during the course of a patients hospital stay.
Clinical Examples
During my clinical rotation I have seen nurses correctly using adhering to...
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...p when they feel their safety is compromised is imperative. Patients need to have the proper knowledge and understanding why we are asking them each and every time. Incorporating teaching when they are first admitted to the hospital and posting signs in plain view in rooms about the expectations would be a great way to help attain the NPSG 1.
In conclusion, I feel that attaining the NPSG 1 is very important to me in my future practice as a nurse. I strive to be the best at whatever I do and being a safe and efficient nurse is at the top of my list of priorities. I’ve seen examples of how nurses do this wrong and how they do it right, and I plan to model my behaviors after those that do it correct. My goal is to not develop a lackadaisical attitude regarding patient identification and to cultivate a passion for engaging my patients in their care and safety.
Identifying patients correctly when providing Care: Nurses are supposed to have two resident Identifiers when trying to care for a patient for the first time and after that, one identifier is acceptable. Identifiers such as Room number or location are not acceptable. To ensure this is carried out correctly nurses must ask for two identifiers in situations such as specimen collection, when providing treatments or when collecting blood for clinical testing (containers must be labeled in front of the patient). The Purpose of this guideline is to ensure that the patients are been properly identified and that they are receiving the right treatments and medications (The Joint Commission, 2012).
Nurses are key components in health care. Their role in today’s healthcare system goes beyond bedside care, making them the last line of defense to prevent negative patient outcomes (Sherwood & Zomorodi, 2014). As part of the interdisciplinary team, nurses have the responsibility to provide the safest care while maintaining quality. In order to meet this two healthcare system demands, the Quality and Safety Education for Nurses (QSEN) project defined six competencies to be used as a framework for future and current nurses (Sherwood & Zomorodi, 2014). These competencies cover all areas of nursing practice: patient-centered care, teamwork and collaboration, evidence-based practice, quality
This technology assist the nurse in confirming patients identify by confirming the patients’ dose, time and form of medication (Helmons, Wargel, & Daniels, 2009). Having an EHR also comes with a program that allows the medical staff to scan medications so medication errors can be prevented. According to Helmons, Wargel, and Daniels (2009) they conducted an observational study in two medical –surgical units one in the medical intensive care (ICU) and one in the surgical ICU. The researchers watched 386 nurses within the two hospitals use bar code scanning before they administrated patients’ medications. The results of the research found a 58 % decrease in medication errors between the two hospitals because of the EHR containing a bar code assisted medication administration
Furthermore, there should be enough trust between the nurses and physicians where they can easily put aside their egos and ask for a second opinion when they have any doubts concerning a patient's safety. This was clearly exemplified when the nursing staff attending to Lewis Blackman failed to contact the physician when various side effects arose; instead they tailored the signs to fit the expected side effects. Even after Blackman’s health was deteriorating, the nurses remained in their “tribes” and never once broke out of it to ask for help. The entire hospital was built on strong culture of remaining in their tribes instead of having goals oriented towards patients care and safety.
The nursing profession is a profession where people put their trust in you to provide care that is not only effective, ethical, and moral, but safe. Not all health situations are simple or by the book. Not all hospitals have the same nurse-patient ratios, equipment, supplies, or support available, but all nurses have “the professional obligation to raise concerns regarding any patient assignment that puts patients or themselves at risk for harm” (ANA, 2009). When arriving at work for a shift, nurses must ensure that the assignment is safe for not only the patients, but also for themselves. There are times when this is not the situation. In these cases, the nurse has the right to invoke Safe Harbor, because according the ANA, nurses also “have the professional right to accept, reject or object in writing to any patient assignment that puts patient or themselves at serious risk for harm” (ANA, 2009).
The Quality and Safety Education for Nurses (QSEN’s) goal is to prepare future nurses with the knowledge, skills, and attitudes (KSAs) that are needed to continuously improve the quality and safety of the healthcare systems within which they work. QSEN focuses on six main competencies; patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. As we have learned in earlier classes these competencies and their KSAs offer a base to help us and other nurses as we continue our education and become RNs. As we will learn in this class these KSAs go hand in hand with health assessment.
Responsibility and accountability become important when medical staff gives or doses patients with medication. The chance for making a medication error presents itself at all times. Those passing medications must follow established policies and procedures developed and laid forth by t...
They must be able to appreciate the value of standardization in nursing practice as well as the limitations of the human mind in memorizing and coming up with effective solutions all the time. The practitioner must also play their role in the prevention of errors within the facility while valuing the role of the patient, families and colleagues in as far as monitoring and cross checking is concerned. In addition, they must be able to appreciate the significance of the national safety campaigns and their positive impacts upon implementation in practice.
Medication errors are the leading cause of morbidity and preventable death in hospitals (Adams). In fact, approximately 1.5 million Americans are injured each year as a result of medication errors in hospitals (Foote). Not only are medication errors harmful to patients but medication errors are very expensive for hospitals. Medication errors cost America’s health care system 3.5 billion dollars per year (Foote).Errors in medication administration occurs when one of the five rights of medication administration is omitted. The five rights are: a) the right dose, b) the right medication, c) the right patient, d) the right route of administration, and e) the right time of delivery (Adams). Medication administration is an essential part of the nursing profession, taking up to forty percent of a nurse’s time in providing nursing care (Fowler). Consequently, nurses are commonly held accountable for medication errors. To improve the safety of a vital aspect of nursing care, bar code scanning was introduced to reduce errors in medication administration. Although bar code scanning has its advantageous aspects, there are also disadvantageous qualities.
The overall goal for the Quality and Safety Education for Nurses (QSEN) plan is to meet the challenge of educating and preparing future nurses to have the knowledge, skills and attitudes that are essential to frequently progress the quality and safety of the healthcare systems in the continuous improvement of safe practice (QSEN, 2014).Safety reduces the possibility of injury to patients and nurses. It is achieved through system efficiency and individual work performance. Organizations determine which technologies have an effective protocol with efficient practices to support quality and safety care. Guidelines are followed to reduce potential risks of harm to nurses or others. Appropriate policies
Patients Safety is the most crucial about healthcare sector around the world. It is defined as ‘the prevention of patients harm’ (Kohn et al. 2000). Even thou patient safety is shared among organization members, Nurses play a key role, as they are liable for direct and continuous patients care. Nurses should be capable of recognizing the risk of patients and address it to the other multi disciplinary on time.
Safety is focused on reducing the chance of harm to staff and patients. The 2016 National Patient Safety Goals for Hospitals includes criteria such as using two forms of identification when caring for a patient to ensure the right patient is being treated, proper hand washing techniques to prevent nosocomial infections and reporting critical information promptly (Joint Commission, 2015). It is important that nurses follow standards and protocols intending to patients to decrease adverse
Keeping patients safe is essential in today’s health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled ” To err is human, building a safer health system”(Wakefield & Iliffe,2002).This report found that approx-imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency coordination task force with the help of government agencies. These government agencies are responsible for making health pol-icies regarding patient safety to which every HCO must follow (Schulman & Kim, 2000).
The first nurse to introduce quality improvement was Florence Nightingale, who through gathering data on the positive effects of keeping adequate hygiene, nutrition and proper ventilation on the mortality rate during the Crimean War (Hood, 2014, p. 490-491). The initiatives towards improvement of quality lead to formation the Joint Commission on Accreditation of Hospitals (JCAH), which is now known as The Joint Commission (2007). The Joint Commission is non-profit organization which gives accreditation to hospitals for recognizing their efforts to deliver quality health care with an added advantage of being eligible for the Medicare reimbursement program. Moreover, the Joint Commission also rolled out the Hospital Patient Safety Goals (2013) to prevent patient safety errors. Nursing professionals are essential for health care organizations to achieve and maintain the patient-safety goals as their work directly impacts the quality and safety of the patients. For instance, using two patient identifiers during medication administration to avert errors. Nurses have the distinct skills and responsibility towards patient safety and hence the need for Quality and Safety Education for Nurses (QSEN) is the rational step towards quality improvement. Through the years, the QSEN has developed in Phases to ascertain the areas of competency requirements for nurses to deliver safe, efficient and excellent health care
According to the Code: Professional Standards of Practice and Behaviour for Nurses and Midwives, hereafter referred to as the Codes (Nursing & Midwifery Council [NMC], 2015) states that patient confidentiality will be maintained, this will be adhered to throughout this assignment (Nursing and Midwifery Council, NMC, 2015). “As a nurse or midwife, you owe a duty of confidentiality to all those who are receiving care. This includes making sure that they are informed about their care and that information about them is shared appropriately” (NMC, P6, 2015). To maintain confidentiality in this assignment a pseudonym