would look for staff, leadership, patients, families, and anyone who had positive and negative experiences with the organization who could be able to see beyond their own personal experience to help in the improvement process for the overall quality of care and safety for staff and patients in the emergency department. A patient advocate would be the person or persons chosen to serve on this advisory board. This role held by the member would be to work with the other advisory board members and offer suggestions that would improve patient care, safety, and experience within the organization from a non-clinical view. The committee will determine the resources currently available and how adequate they are, where the areas needing improvement are, a cost analysis of improvements needed, formulate a plan and the resources needed to solve the problem, compare their findings to a similar facility to identify reasonability, decide on implementation processes, and finally how to measure effectiveness of the plan. Recommended changes for PCH to decrease violence experienced in the workplace include; developing and supporting a “zero tolerance”to violence policy, implement violence prevention and awareness programs to staff and community, educate staff on safe and approved crisis management techniques, create robust risk mitigation policies in caring of violent patients, provide a strong security presence in vulnerable areas of the facility, collaborate with local law enforcement and behavioral health agencies,
Essentials of Advance Nursing Practice 9employ crisis counselors solely assigned to the emergency department, and provide safety equipment and panic buttons in the workplace. Rationale for recommended changes The rational for the recommended changes will lead to improvement in patient and employee satisfaction, safety and quality care. The advisory committee members will collect data from patient and employee surveys, incident reports filed on injuries to staff or patients as well as destruction to equipment and hospital property, the number of law enforcement responses to crisis incidents that arise versus hospital security staff, and disposition of these violent patients. This allows for identification of any barriers resulting in decrease in patient and staff satisfaction, safety and care. They will then plan to come up with changes that will address these patient centered care and safety issues using evidenced based practice as a guide to positive change. Once the plan has been developed and agreed upon by the committee, they will begin to implement those changes addressing concerns learned from the above areas. After the changes have been implemented the advisory committee will evaluate the changes observing and learning from any errors or successes. The advisory committee will plan and act on any modifications to their plan as needed to ensure the plan’s success as it addresses changes that will improve the organization’
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- Fall '18
- Nursing, PCH