II. Question: Describe how you have supported safe and effective best-practice? Answer: As a part of a high-reliably organization, I am committed to 200% accountability and safety as the number one goal. Over the past year as an Informaticist, I have consistently advocated for patient safety and safe workflows. As an example, a new staff endocrinologist made a request to update the Insulin Basal Bolus Correction order set that was not evidence-based. I met with the endocrinologist to review the current practice guidelines per America Diabetes and Endocrinology Associations. During our discussion. the endocrinologist did not realize that there was the ability within the order set to make the desired changes to individualize the care and orders
The Healthcare field is becoming more aware of how important it is to change the way that organizational culture is becoming in order to help improve patient safety. Even though patient safety plays a very important part of our health care system which helps explain the importance quality of health care. However, when trying to keep patients safe, it can be a demanding challenge because of human errors and mistakes that are made. According to World Health Organization, patient safety is the absence of preventable harm to a patient while in the process of health care (who.int/patientsafety). Being in the position of a clinical content manager, the first step in reporting problems is to make sure that when reporting a problem, it need to be done at the earliest stage to show the importance to the company. The approach that I would take as a Clinical content manager is to identify the problem, have regular shift meetings to address any issues, flag any errors that occurred, have regular safety meeting, give feedback to staff on any errors that were found, try to figure out the best solution not only for the patients, but staff also, and although being a team leader, I would give the staff the opportunity to address any concerns that they may have.
Given the complexity of healthcare system today, effective and efficient collaboration and communication among team members is critical to ensure patient safety. Daniel & Rosentein (2008) reported that during a typical patient’s hospital stay, a patient may interact with 50 different employees that may include doctors, nurses, laboratory technicians, etc. They also reported that when healthcare professional are not communicating and collaborating effectively, patient safety is at risk for several reasons: break in communication flow, misinterpretation of information, incorrect telephone orders and overlooked orders.
In my experience as student nurse during clinical placements and as a PCA, I engaged, selected and prioritized patient safety. I can clearly communicate the evidence base (strength and type) for the patient safety practice topic(s) and the conditions or setting to which it applies. I am aware that being engaged in adopting patient safety initiatives when I understand the evidence base of the practice, in contrast to administrators saying, “We must do this because it is an external regulatory requirement.” However busy the my work may be, I clearly know the importance of the evidence-based rationale for doing fall-risk assessment and I understand that fall-risk assessment is an external regulatory agency expectation because the strength of the evidence supports this patient safety practice.
One of the primary goals of patient care has been safety for a long time. How patient safety is regulated has changed throughout history. Between 1917 and 1918, the American College of Surgeons developed The Minimum Standards for Hospitals which was a one page document that lead to The Joint Commission (TJC, 2014). Founded in 1951 with accreditation beginning January 1953, TJC is currently the oldest and largest organizations setting standards for patient safety (TJC, 2014). The American College of Surgeons required ethics for physicians in 1951 (TJC, 2014). Today TJC and other credentialing organizations require all staff, clinical or not, to participant in patient safety goals. Regardless of the organization you work for, patient safety will
Finally, we must address accountability. We know hospitals, and long-term facilities can be a hectic work place and often face challenges of staffing issues and so forth. Nonetheless, we must be consistent. Godlock, Christiansen, and Feider (2016), recommends the use of a safety team in facility; some responsibilities may include identifying prevention strategies, education and teaching, spot checks, as well as patient chart reviews all of which promotes compliance and
Timing is everything when it comes to patient health outcomes. The purpose of this study is to provide a comprehensive review of the critical value reporting process critical results to the appropriate staff members according to the guidelines described in the National Patient Safety Goals (NPSG) of the Joint Commission Accreditation on Healthcare Organizations (JACHO). The Joint Commission has listed the following NPSG for 2015: identify patients correctly, improve staff communication, use alarm safely, prevent infection, identify patient safety risks, and prevent mistakes in surgery (The Joint Commission, 2015). A pathologist first introduced critical values by the name of Lundberg over 30 years ago. A critical value was viewed as an indication that the patient was in graved danger unless interventions were done to address the decline in health status (Plebani, M. and Piva E. (2010). The national patient safety goal that reflects the benchmark on our medical-surgical/Telemetry unit was staffing communication in reporting critical values. Our facility as a whole was at 73% compliance for staffing communication. Our hospital 's compliance goal for staffing communication is 90%. However, our unit is currently at 75% compliance. Various factors contribute to the timeliness and compliance of reporting critical values including work force, material and methods, and equipment.
This report acknowledges the current good practice strategies that are utilized by a support group, with an illustration of different concepts and theories that will support; social and personal values, attitudes and ideology related to health and social care. This good practice guide will explore the importance of understanding the legislations and how it influences those within the organisation. Jhay’s Support Group is a service for young people aged 16-25 who has a learning.
Staying up-to-date with your health care facilities’ policies and procedures regarding your role as a health care industry representative will not only help you understand your role within their perioperative environment but ultimately help maintain a safe environment for the patient.
Due to the Americans with Disabilities Act being passed recently, there are many improvements that need to be made concerning social policy and individuals with developmental disabilities. A best practice for practitioners working with this target population would be a person centered approach. Falon et al conclude, “The aging service system has adopted the disability community’s ingrained philosophies of self-direction, person-centered planning, and participant- directed services” (p. 22). This can be considered the best practice approach because many individuals with developmental disabilities may lack control over their personal and professional lives. By using a person centered intervention planning technique the practitioner respects
Provide an example of how you will transform knowledge that you have gained to a future clinical situation. Be specific and of course consider any implications to patient safety.
Critical component of comprehensive strategy to improve patient safety is to create an environment that encourage organization to identify errors and be pro- active in prevention. Mandatory system expose specific case to the public, such model response to the statement: “The public has the right to know” , holding the providers as accountable for maintaining safety. The system can be also voluntary focus on much broader set of errors and strive to detect system weakness before serious harm done.
Dr. Davies became involved while completing her studies at the university of Toronto. It is apparent that she had a passion to make a difference in healthcare and was determined to use nursing research to guide evidence-informed practice for better patient outcomes. Perhaps this is how all new researchers emerg but Dr. Davies was able to notice a trend, research the finding and then implementing these findings by applying research results to the clinical setting. Recognition for this achievement was given which further lead to Dr. Davies teaming up with Dr. Edwards to assist with evaluating best practice guidelines, an 11 year period was dedicated to improving the healthcare system by promoting best practice.
It has been nearly fifteen years since the Institute of Medicine (IOM) published To Err is Human: Building a Safer Health System (Kohn, Corrigan, & Donaldson, 2000). This brought to the forefront the issue of safety in medicine along with a proposed agenda to decrease preventable complications. Interestingly, it was a shift in focus from individuals to processes in the effort to decrease error and improve outcomes.
The role of patients in improving patient safety is another important topic being discussed in the healthcare industry. Gibson (2007) stated patients have three roles in improving patient safety. According to Gibson (2007), in order for health facilities to improve patient safety, patients need to report all safety concerns to health providers so they can be addressed along with the other concerns conveyed by doctors, pharmacists, nurses, and others. Secondly, patients and family members are encouraged to ask questions and listen to physician orders once he or she makes their rounds. Since documentation is vital in the healthcare industry, all medical records, orders, and notes are entered on laptops in each patient room. Once a physician has
Learning from mistakes is not something that is accepted in health care. Near-miss and error reporting is an essential component of safety programs across safety conscious industries. Within health care, though, many physicians are often reluctant to engage in patient safety activities and be open about errors because they believe they are being asked to do so without adequate assurances of legal protection. Having proper health care management could better prevent inevitable human errors from reaching patients. But understanding the root causes of errors requires their divulgence in the first place. By having a solid management of health care some benefits includes surgical