For example think of large scale downsizing of staff as a means of saving money

For example think of large scale downsizing of staff

This preview shows page 35 - 37 out of 40 pages.

For example, think of large-scale downsizing of staff as a means of saving money and remaining competitive. It is this insensitivity to error management that leads to patient safety concerns and has led healthcare practitioners to insist on a culture of safety.In order to achieve good patient outcomes, even though it might be politically challenging, an organization and its leaders must recognize the need to adopt a culture of safety. This culture recognizes that mistakes can and do occur, but that many can be prevented by taking a proactive stance. Allowing people to report mistakes, even those considered near misses (a mistake that
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C157 - Essentials of Advanced Nursing Practice Field ExperienceCourse of Study36/401. 2. 3. 4. nearly happened but was circumvented through timely intervention or recognition before its occurrence), allows an analysis of the event to occur. This analysis identifies the factors that allowed the near miss to occur in the first place. Staff must be assured that no punitive measures will result from reported errors, or else they will be reluctant to cooperate.IOM requires a national commitment to strict, ambitious, quantitative, and well-tracked national goals. Keeping a watchful eye to causes of errors helps leaders remain on the cutting edge of innovation in the area of patient safety.According to Buppert (2011), quality improvement and patient safety are inextricably intertwined. Just as it is human to err, it must become the responsibility of the healthcare profession to pursue ongoing quality improvement. In order to engage in quality improvement, there must be a development of an ongoing quality improvement mindset (Varkey, Reller, & Resar, 2007). According to Buerhaus (2007), this is the single most effective way to ultimately create a culture of patient safety. The four phases of the PDSA model begin with planning.During the phase, the focus is on planning for structure, process, and outcomes. In Planningthis phase, where to do a pilot test would decide.In the next phase of , the focus is on implementation and assessment.DoingThrough the third phase of , the focus is on analysis of pre-intervention and post-Studyingintervention aspects of the plan, with an eye toward redesign for quality improvement.Across the final phase of , the focus is on planning closure of the feedback loop with a Actingrepeat trial.Quality and Safety InitiativesPatient safety and quality healthcare are important predictors of patient outcomes. Patient safety can be defined as practices that reduce the risk of harm to patients, adverse events and lead to high quality care, improved patient outcomes and decrease in healthcare cost. Appropriate use of prophylaxes to prevent deep vein thrombosis and using maximum sterile barriers to prevent central line infections are safety practices in healthcare that is based on best practice. Much of the work defining patient safety and practices that prevent harm have focused on negative outcomes of care, such as mortality and morbidity (Garrett, 2013). Nurses have positive effect on decreasing
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