No weaknesses Area of Improvement One area of improvement identified from the

No weaknesses area of improvement one area of

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No weaknesses. Area of Improvement One area of improvement identified from the weaknesses identified in the table above is to include patients and families as active participants on tasks forces and quality improvement (QI) teams at BDMC. This will help to strengthen the quality improvement domain regarding PFCC at the medical center.
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THE IMPLEMENTATION OF A PATIENT SAFETY 7 Improvement Strategy In order to improve the identified weakness of a lack of patient and family members as participants on task forces and QI teams at BDMC, an improvement strategy will be implemented to recruit patient and family advisors specifically to a newly created Patient Safety Task Force (PSTF). The PSTF will be a multi-disciplinary team consisting of the patient and family advisors along with hospital staff members. At least three of the members will be patient and family advisors, who will be employed in a non-paid volunteer role. The leader of the team will be the Patient Safety Officer, along with representatives from Risk Management, Pharmacy, nursing, and a physician, along with the patient and family advisors. Advisors can be recruited for the task force by direct referral from a nurse or clinician, by placing signs or pamphlets in high traffic areas, and by having a link for application on the patient portal. A clinician may recognize a patient or family member with interest and experience with safety in the hospital setting and inquire about their interest in task force participation. The PSTF will focus on improving safety and identifying risks in areas such as patient falls, medication reconciliation and error prevention, pressure ulcer prevention, near misses, sentinel events, and patient security, for example. Advisors will be provided with education as needed to improve their understanding of hospital processes, HIPAA, and medical terminology. Meetings will be held quarterly and will be available on-site and on a secure conference call for advisors who may be ill or unable to travel. By including patient and family advisors in the PSTF, patient-centeredness is increased at BDMC. The advisors will provide their viewpoints from their first-hand experiences as patients or family members of patients, thereby increasing collaboration and inclusiveness on the medical team. System or Change Theory
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THE IMPLEMENTATION OF A PATIENT SAFETY 8 In order to effectively implement the above strategy, the Kotter 8-Step Change Model will be employed. The first step in the model is to create a sense of urgency (MindTools, n.d.). Developing a sense of urgency creates motivation for change within an organization. To do this, education will be provided to clinicians about the importance of PFCC and its benefits. Scenarios and opportunities will be explored through honest discussions. The second step of the model is forming a powerful coalition (MindTools, (n.d.). Strong leadership and visible support are key to implementing change. Leaders will be encouraged to educate their staff members about the importance of advisors on the task force and to become members if they choose.
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  • Spring '17
  • Dr. Heidi Johnson
  • Health care provider, Patient safety

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