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Selection of a Patient Safety Strategy Frederick James Varker Thomas Edison State College Selection of a Patient Safety Strategy Introduction Health care systems must embrace and incorporate new technologies to improve patient safety, cost effectiveness, and to be current with new standards of patient care. This paper will discuss the selection of a patient safety strategy by the Langley Mason Health system. Current National Patient Hospital Safety Goals identified by the Joint Commission include both computerized physician order entry (CPOE) and implementation of smart IV pump technology to reduce medication errors. Health care systems need to explore all costs associated with implementing new patient safety strategies should be …show more content…
There should be a project review committee to serve as an additional set of checks and balance to weigh out the pros and cons of both sides. This committee should follow the Systems Development Life Cycle (SDLC) process in implementing these systems. The SDLC process is used in systems engineering, information systems and software engineering for planning, creating, testing, and deploying an information system. (Wagner et al., 2013, p. 211) A comprehensive cost vs benefit analysis and proposed vendor analysis must take place. Both CPOE and the Smart IV program aim to reduce errors. Risk management should be consulted and staff training should be focused on preventing prior identified errors. This may allow both programs some additional time without incurring major expense while reducing errors and costs. A comprehensive technology package that includes CPOE, electronic medication administration records, automated pharmacy systems, bar coding, and computerized discharge instructions, and Smart IV pumps should be explored as this may be the most cost effective approach. Critical error areas must be identified early and addressed. Adequate time and resources must be allocated to properly train all staff. Staff feedback should be solicited and addressed by management and IT staff to improve staff acceptance of these new programs and …show more content…
Acute care and high risk areas such as oncology, ICU and ED could trial several pumps, supplied on a trial basis at no cost to the system. Once a preferred vendor has been chosen, that Smart IV pump vendor should be willing to provide the LMH with staff education, biomedical and IT support, and have inventory on hand to meet LMH needs on demand. New Smart IV pumps could be rolled out incrementally to identified high risk area over 2-3 years, limiting capital expenses, thus allowing for a comprehensive medication management process to be implemented
The pros of the CPOE system included that the prescribing of wrong medications was reduced, there were fewer errors with the patient’s basic information, orders for lab work, blood work, and medications were standardized; and mistakes in the ordering...
Orlando Regional Healthcare, Education & Development. (2004). Patient Safety: Preventing Medical Errors. Retrieved on March 2014 from world wide web at http://www.orlandohealth.com/pdf%20folder/patient%20safety.pdf
I also plan on taking a course after graduating from the nursing program specific to IV therapy because I feel this is a skill that takes practice and not having the hands-on experience through the nursing program at Niagara College is unfortunate. The IV therapy course is offered at Niagara College for a six-week period. I feel by taking this course I will become more comfortable with IV’s and will meet the expectations of the CNO when providing care to patients as a future nurse. I will also use the CNO standards of medication when administering an IV solution because it is a medication and the 10 rights need to be applied (CNO,
Pinkerton, C. (2009). New technology enhances expertise of vascular access team. Canadian Nurse, 105(2), 21-22.
Kimmel, K. C., & Sensmeier, J. (2002). A Technological Approach to Enhancing Patient Safety. Retrieved from https://blackboard.ohio.edu/bbcswebdav/pid-3906938-dt-content-rid-20290664_1/courses/NRSE_4510_1021_SEM_SPRG_2013-14/EHR_1%281%29.pdf
The team implementing the new system were required to do both functional and systematic requirements thus affecting the implementation of the new system
Essential IV information management and application of patient care technology is an essential that I consider most important to my practice. My nursing skill and technology is challenged every day while working. The new technology, change in procedures, and new equipment are essential to working in the Cardiac Catheterization Lab. One must adapt and change daily in order to keep up and stay educated. New physicians join and we must learn their technique styles and equipment needs while still maintaining exceptional patient care.
The National Patient Safety Goals are a key when it comes to patient safety. Implementing safety goals helps reduce the number of medication errors, improves communication between members of the healthcare team and reduces the number of infections patients acquire while under the hospital’s care. In addition, The Joint Commission reviews and publishes these goals each year. Depending on the occurrence of sentinel events, the goals are re-evaluated or revised accordingly. It is important that The Joint Commission reinforce the practice of patient safety goals in that they help improve patient care.
The Joint Commission was founded in 1951 with the goal to provided safer and better care to all. Since that day it has become acknowledged as the leader in developing the highest standards for quality and safety in the delivery of health care, and evaluating organization performance (The Joint Commission(a) [TJC], 2014). The Joint Commission continues to investigate ways to better patient care. In 2003 the first set of National Patient Safety Goals (NPSGs) went into effect. This list of goals was designed by a group of nurses, physicians, pharmacists, risk managers, clinical engineers, and other professionals with hands-on experience in addressing patient safety issues in a wide variety of healthcare settings (TJC(b), 2014). The NPSGs were created to address specific areas of concern in patient safety in all health care settings.
Patient safety is a major issue in health care, especially in the public sector. Studies show that as many as 10 patients get harmed daily as they receive care in stroke rehabilitation wards in hospitals in the United States alone. Patient safety refers to mechanisms for preventing patients from getting harmed as they receive health care services in hospitals. The issue of patient safety is usually associated with factors such as medication errors, wrong-site surgery, health care-acquired infections, falls, diagnostic errors, and readmissions. Patient safety can be improved through strategies such as improving communication within hospitals, increasing patient involvement, reporting adverse events, developing protocols and guidelines, proper management of human resources, educating health-care providers on the need for patient protection, and commitment of the leadership to the task. This paper talks about patient safety and how it can be improved in stroke rehabilitation wards of both public and private hospitals.
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
Retrieved from: Ashford University Library Boaden, R., & Joyce, P. (2006). Developing the electronic health record: What about patient safety? Health Services Management Research, 19 (2), 94-104. Retrieved from http://search.proquest.com/docview/236465771?accountid=32521.
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).
Roy L Simpson (2005, January). Patient and nurse safety: How information technology makes a difference. Nursing Administration Quarterly, 29(1), 97-101. Retrieved April 22, 2007, from Health Module database. (Document ID: 815491751).
Safety is a primary concern in the health care environment, but there are still many preventable errors that occur. In fact, a study from ProPublica in 2013 found that between 210,000 and 440,000 patients each year suffer preventable harm in the hospital (Allen, 2013). Safety in the healthcare environment is not only keeping the patient safe, but also the employee. If a nurse does not follow procedure, they could bring harm to themselves, the patient, or both. Although it seems like such a simple topic with a simple solution, there are several components to what safety really entails. Health care professionals must always be cautious to prevent any mishaps to their patients, especially when using machines or lifting objects, as it has a higher