Dr. Ardizzone Lecture Summary

Patient safety is number one in hospitals. Every staff member that comes into contact with a patient should always have the question, “Will the patient be safe?” in the back of

Mulloy, D. F., & Hughes, R. G. (2008). Patient safety & quality: an evidence-based handbook for nurses. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved from http://www.nlm.nih.gov/books/NBK2678/

As chronicled in Why Hospitals Should Fly, expecting that a mistake can always materialize, can prevent them from happening, thinking of this I will remember to be a more vigilant and mindful clinician. Furthermore, I will be cognizant at limiting risky behaviors, as the Just Culture lecture stated, these are the most significant threat to patient safety and if continued become reckless behaviors. At last, while I look to monitor my own behavior, I would like to believe that I will now be proactive, and watchful for other risky behavior that may be taken place at my institution. Overall, I feel the class material and my classmate’s comments educated me on many aspects of nursing, and I don’t feel like I am exaggerating when I say I believe I am a more prepared clinician today then I was before this class started. And for that, I want to thank my fellow classmates for the education and their openness in reporting the variety of aspects that they have encountered. It shows how you can learn from having an open dialogue and discussing errors made and those that were almost

Keeping patients safe is essential in today’s health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled ” To err is human, building a safer health system”(Wakefield & Iliffe,2002).This report found that approx-imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency

Unintentional errors, near-misses, and adverse patient outcomes occurring in the intensive care unit can range from significant to fatal. These errors have

The term “safety comes first” or more simply put, “safety first,” is a message that patients not only want to hear, but also want to know is the focus of the professionals that are caring for them; in particular, when they are under anesthesia and have limited or no ability to speak up or lookout for themselves. The National Patient Safety Agency (NPSA) has implemented two initiatives; Rocognising and Responding Appropriately to Early Signs of Deterioration in Hospitalised Patients (NPSA, 2007) and How to Guide: Five Steps to Safer Surgery (NPSA, 2010). Understanding that human beings make up the healthcare professional workforce, it is evident that tools and checklist can and will only be as good as the how people utilize and follow

healthcare organization accrediting bodies, and to maintain credibility with patients and peers alike, must adhere to the National Patient Safety Goals. As stated by Ulrich and Kear (2014), "Not only are nurses responsible for providing safe patient care, we are also responsible for creating an environment in which others can provide safe patient care, and for being the last line of defense when needed between the patient and potential harm. Having a deep understanding of patient safety and patient safety culture allows nurses to be the leaders we need to be in ensuring that our patients are always

Learning about patient safety is a quality that all nurses and future nurses need to have instilled in them before they

“All health care disciplines share a common and primary commitment to serving the patient and working toward the ideal of health for all.” (American Association of Colleges of Nursing, 2014, p. 1) There are many different professional members in the healthcare system. Each of them, have a specific specialty and responsibility to the patient and play an important role in the patient’s overall plan of care. “The scope of health care mandates that health professionals work collaboratively and with other related disciplines. Collaboration emanates from an understanding and appreciation of the roles and contributions that each discipline brings to the care delivery experience.” (American Association of Colleges of

You are so correct, it is importance for us health professionals to share a common understanding of patient safety standards and practices and improve patient safety depends largely on the ways in which we; share and learn with other health professionals as well as students. We must improve the way we treat each other by using respect and compassion, and learn from one another and from patient safety events or any challenges that impact the ability for us as health professionals, to improve is to ensure better patient outcomes and patient experience in (Milstead 2015 [Power Point slide 6-10).

Patient safety one of the driving forces of healthcare. Patient safety is defined as, “ the absence of preventable harm to a patient during the process of healthcare or as the prevention of errors and adverse events caused by the provision of healthcare rather than the patient’s underlying disease process. (Kangasniemi, Vaismoradi, Jasper, &Turunen, 2013)”. It was just as important in the past as it is day. Our healthcare field continues to strive to make improvement toward safer care for patients across the country.

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

Los Alamitos Medical Center has taken several steps to implement safety and informatics, as well as all other competencies. They have put a lot of effort into developing their adherence to different requirements and supporting the staff in following these guidelines. Some of their efforts include creating teams and committees, having daily huddles, monthly meetings, education sessions, and yearly training in-services for all staff members. Over the past few years, they have seen significant growth and development among their staff. They have seen parallel improvement in their patient satisfaction and clinical accomplishments. However, the medical center still has a long way to go in order to catch up to nearby hospitals and up to date evidence-base practices.

In today’s health care system, “quality” and “safety” are one in the same when it comes to patient care. As Florence Nightingale described our profession long ago, it takes work and vigilance to ensure we are doing the best we can to care for our patients. (Mitchell, 2008)

Issues related to a lack of patient safety have been going on for a lot of years now. Throughout the first decade of the 21st century, there has been a national emphasis on cultivating patient safety. Patient safety is a global issue, that touches countries at all levels of expansion and is one of the nation's most determined health care tests. According to the Institute of Medicine (1999), they have measured that as many as 48,000 to 88,000 people are dying in U.S. hospitals each year as the result of lapses in patient safety. Estimates of the size of the problem on this are scarce particularly in developing countries; it is likely that millions of patients worldwide could suffer disabling injuries or death every year due to unsafe medical care. Risk and safety have always been uninterruptedly been significant concerns in the hospital industry. Patient safety is a very much important part of our health care system and it really