DUMC Mission Statement

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.

The quality department has developed this manual to introduce new employees to the basic concepts of risk and quality management within the institution. This manual meets the institution’s initiative for continuous quality improvement within each department and the opportunity to mitigate areas of risk whenever possible. In order to accomplish this goal, it is important for the new employee to be able to identify what quality improvement and risk management mean within the institution. The institution believes that when employees are aware of these concepts, decision-making processes can be put in place to reduce risk and improve quality. This manual will also review the challenges that come from risk- and quality-management decisions especially in the health care setting. The new employee will be introduced to a variety of tools available to help assess potential problems, determine whether a change is needed and how to institute these changes through informed decision making. A clear understanding of how to use these tools will help the institution reach their goals of patient-centered care while providing a safe environment. Risk and quality management initiatives have the potential to save lives and save the institution money. The institution believes that successful risk and quality management is achieved only through employee awareness and incentives to provide a culture of safety.

The Latino community, from immigrating to United States born Latinos are often known to be depressed. Depression is a medical illness that causes a constant feeling of sadness and lack of interest, it affects how the person feels, behaves and thinks. Many Latinos rely on their extended family, community, traditional healers, or churches for help during a health crisis. As a result, many Latinos with mental illnesses often go without professional mental treatment. But why is it that Latinos are so reluctant to receiving help? Sheila Dichoso states that, “there are only 29 Latino mental-health professionals for every 100,000 Latinos in the United States, compared to 173 non-Hispanic white providers

Different sub-groups among the Latino Community possesses varying rates of psychological disorders. A recent study, conducted by the Albert Einstein College of Medicine, surveyed those of the Latino and Hispanic Communities in the United States. This study revealed, that generally, 27% of Latinos reported having higher levels of depression. Among the various Latino groups, those having a lower score of 22.3% were those of the Mexican descent and those having a

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.

Some of the challenges that agencies face in delivering programs and (Salami et al., 2016) services for temporary foreign workers and their families include the time required to build trust with this population, temporary foreign workers' reluctance to use services due to fear that it will affect their immigration status, and the emotional labor associated with working with temporary foreign workers. Professional and counselors understand that the Latino and Hispanic descent may have some cultural challenges and roadblocks when counseling both the individuals and the families. Although, that may be the case equal treatment for all clients is essential. It’s important to avoid being impersonal, accepting stereotypes, ethnocentric, or assuming that Latino and Hispanic descent clients have similar levels of acculturation, and Catholicism is the norm among Latino, Hispanic, or Spanish groups. When it pertains to offering community resources and assistance or when treating their client addiction and mental health issues. Processional in the healthcare profession realizes the obstacles and risk this population has from a cultural obligation standpoint, economic status, and religion aspect. In addition over

Every health care organization is struggling to address the mandated Centers for Medicare (CMS) core measures, the Hospital Consumer Assessment of Healthcare Providers (HCAHPS) patient satisfaction scores, in addition to the reportable events requirements. Given the reimbursement tied to outcomes, the organization is taking a serious stance in addressing the quality and safety initiatives, in addition to patient satisfaction scores. Furthermore, the organization has a patient safety counsel that focuses on nursing professional practice through the utilization of evidence based initiatives, assuring that nursing is deeply entrenched in working towards quality and safety goals.

At my institution we are encouraged to report near miss events in an electronic patient safety form. These events are reported weekly through newsletters .There is also a lessons learned section that focus on how an event can be prevented and what is expected for us to implement. Our unit has daily rounds for each patient. The goal of this meeting is to aid the process of discharging the patient as quickly as possible since our unit is an observation unit. Involved in this meeting is the Doctor, bedside nurse for the patient, charge nurse, care manager and social worker. Each member of this team collaborates to facilitate the safe discharge of the patient. We also have checklist for surgery and tools to assess the need and proper care for indwelling catheters, picc-lines, fall risks etc. These are some of the opportunities that are embedded as part of our practice that contribute to direct patient.

In providing safe and efficient patient care,healthcare professionals in their specific role and function working together often have miscommunication that sometimes endangered patients, therefore there should be a coordination of activities between the multidisciplinary health team to accomplish the share goal of providing a quality and safe care (King et al., 2008). The Teamstepps is an evidence based teamwork system that was developed for professionals in healthcare by the United States Department of Defense's Patient Safety Program in collaboration with the Agency for Healthcare Research and Quality(AHRQ) with the primary objective of providing a higher quality and safer patient care

Ardizonne’s presentation. Programs such as MedTeams and TeamStepps provide strategies to create teams which are high functioning, resourceful, aware and ultimately achieve desired outcomes. Dr. Ardizzone shared an event which triggered the implementation of checklists in the operating rooms at Memorial Sloan Kettering Cancer Center(MSKCC). These checklists were implemented after multiple scholarly articles recommended such measures, with substantial positive outcomes. She also mentioned the challenges faced by enacting such measures, i.e. training, buy-in, interdisciplinary education. All this information gave me a better understanding of the different tools available in healthcare and the constant struggles to implement such measures to fundamentally enhance patient safety.

Therefore, their role is considered to be clinical. Patient safety is an essential and vital component of quality nursing care. It is also a collaborative effort of all health care workers involved with the patient. The Joint Commission ensures health care organizations and health care providers follow, maintain and provide safe and effective care of the highest quality and value. Some of the NPSGs (2016) outlined include: Proper identification of patients, two patient identifiers are required for example patient’s name and date of birth, to ensure that the right patient is getting the right care. Improving staff communication by getting test results to the right staff on time. NPs promote patient safety in a lot of ways. It is a nurse’s professional responsibility to maintain safety and competency by being a life-long learner, keeping abreast of the changes in health care system through self-education; reading evidenced based articles that provides up-to-date regarding nursing care, keeping up with certifications, ensuring licenses are renewed before they expire, wash hands between patient contact, provide patient education by promptly addressing and detailing concerns that were addressed, coordinating care in a timely manner, providing holistic and comprehensive approaches to evaluation and management of patient problems. Focusing on not only the patient but the families too with the emphasis on the meaning of

Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is an evidence-based system designed to optimize patient care by improving communication and teamwork skills among health care professionals (Agency for Healthcare Research and Quality [AHRQ], 2015). TeamSTEPPS® was developed by Department of Defense’s Patient Safety Program in collaboration with AHRQ and is scientifically rooted in more than 20 years of research (AHRQ, 2015). The TeamSTEPPS model develops knowledge, skills, and attitudes that influence team outcome success in the areas of leadership, communication, mutual support, and situation monitoring (Persily, 2013, p. 198). The TeamSTEPPS curriculum is customizable to any health care setting and

Rincon Family Services has been created by Latinos suffering from substance use and mental health issues. In the 70s, RFS’s clientele was Hispanic predominantly; however, through the years the clinic has started working with an African-American population and also with a Caucasian population. Working in this facility and also doing my internship here has allowed me value of the richness of working in a place where the diversity allow us to learn from one another, facilitating mutual collaboration and cooperation. As a Latin South American woman, my cultural background is a little bit different from the other diverse ethnic groups that work here, at Rincon Family Services, groups such as the Mexicans and Puerto Ricans. On the other hand, my cultural background is totally

Introduction The Guide to Patient The and Family and Engagement in Hospital Quality in Hospital Quality and safety is a resource to help hospital develop effective partnerships with patients and family members with the goal of improving multiple aspects of hospital quality and safety. Nurse shift changes require the successful transfer of information Between Nurses Between. To prevent adverse event’s e and medical errors Patient and Family can play a role to make sure these can play a role to make sure this transition in care safe and effective?

Patient safety, working as an effective member of the healthcare team to achieve patient safety, and provide safe care to the patient, family, and community by self and system performance are three different learning outcomes, yet with the same end goal. Ensuring safe care to all involved in a situation is not just the nurses’ responsibility, but every health care team member. In NURS4377 Risk Analysis and Implication for Practice, this nurse learned about an aspect of patient safety. An assignment given questioned safety in medication administration. This assignment presented a look into the dangers of medication, common errors by staff, and ways to decrease adverse events. NURS4373 Management and Leadership required a leadership self-assessment,