Guidelines For Patient Care And Hospital Safety

As health care has advanced through the years, many roles have changed which includes those of risk management and patient safety. Once thought to be one in the same,but they have distinct and obvious differences that set each apart from the other. Risk management is defined very broadly by the United States Inspector General of the Department of Health and Human Services as "any activities,process, or policy to reduce liability exposure"(https://oig.hhs.gov/oei/reports/oei-01-03-00050.pdf).This is much different from the definition of patient safety as found in the book Advances in Patient Safety: New Directions and Alternative Approaches as "Patient safety is a discipline in the health care sector that applies safety science methods

Patient safety is of utmost importance to prevent errors and adverse effects associated with patients in health care. Yet, 44,000 to 90,000 people die each year from preventable medical errors (Potter & Peter) caused by human factors. According to World Health Organization (2009) human factors is defined as:

National Patient Safety Goals (NPSGs), established in 2002 by the Joint Commission, is to help accredited organizations address specific areas of concern in regard to patient safety ("Catheter-Associated," 2015). NPSG.07.06.01 Implement evidence-based practices to prevent indwelling catheter-associated urinary tract infections (CAUTI) is a 2015 NPSG ("The Joint Commission," 2015). Our facility has 1.32 CAUTIs per 1000 device days (Carson, 2015). Decreasing CAUTIs can be achieved with a strict goal, addressing the financial implications, interdisciplinary collaboration, nursing leadership, a measurement tool, and discussing the future healthcare delivery methods.

National Patient Safety Goals (NPSGs) were established in 2002 by the Joint Commission to help accredited organizations address specific areas of concern in regard to patient safety ("Catheter-Associated," 2015). NPSG.07.06.01 Implement evidence-based practices to prevent indwelling catheter-associated urinary tract infections (CAUTI) is a 2015 NPSG ("The Joint Commission," 2015). Our facility has 1.32 CAUTIs per 1000 device days (Carson, 2015). Decreasing our CAUTIs can be achieved with a strict goal, addressing the financial implications, interdisciplinary collaboration, nursing leadership, a measurement tool, and discussing the future healthcare delivery methods.

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.

The National Patient Safety Goals are intended to assess the safety and quality of care provided to patients/residents. Of the programs created to provide quality patient care, two are in relation to this particular case, Nursing Care Center and Home Care.1

The Pennsylvania Patient Safety Authority is a state agency founded by the Medical Care Availability and Reduction of Error (MCARE) on 2002. Moreover, the agency creates the greatest database system for patient safety which known as Pennsylvania Patient Safety Reporting System PA-PSRS. The system was developed by contract with Pennsylvania-based independent, ECRI, in partnership with Hewlett Packard Enterprise, a non-profit health services research agency, the Institute for Safe Medication Practices (ISMP), a Pennsylvania-based, non-profit health research organization and also a leading international information technology firm. Statewide compulsory for using PA-PSRS to report serious events in hospital, ambulatory surgical facilities and

I have chosen the Hospital National Patient Safety Goals. One goal is improve the accuracy of patient identification. The Joint Commission wants hospitals to use at least two patient identifiers when providing care, treatment, and services. I believe that the person, who is checking in the patient, needs to be made aware of the importance of this process. One way would be to request two pieces of personal identification. Fraud is happening everywhere and requesting two pieces of identification might make this less likely to happen. Every person that comes in contact with the patient needs to check their identification bracelet with the medical record, orders and prescriptions. The HIM professional manages the master patient index and must

As we all know, patient safety in a healthcare setting is extremely important and is to be taken very seriously. This is a very challenging topic with any healthcare establishment, because people do make errors and it’s only human. It is everybody’s job within the facility, hospital, or any healthcare setting to work on making sure that the safety of every patient that enters and leaves their building is safe. We want patients to feel safe and confident when they have to go to the hospital for a procedure, or even to a skilled nursing facility to have rehabilitation or to eventually stay long term.

Hello Mary. I agree there is a need for increased fall education and patient safety awareness of staff. We play a vital role in patient safety and quality improvement. I believe that being a nurse is a constant learning, we learn as we practice. Nursing research helps us to bring forth more efficient nursing care. According to Beck and Polit, it is important to emphasize the clinical nursing research to guide nursing practice and to improve the health and quality of life of our patients (2012). Unfamiliar environment, illnesses, and treatment increase the risk of the patient for falls. We are restraint free in our long-term care unit. Staffs are always looking for alternatives to prevent falls such as medication changes, alarms, 1:1 sitter,

Surgical complication can be any abnormality from an ordinary surgery. This can happen after or during a surgery. Some of the difficulties are pain, arrhythmias, blood clots, infection or the inability to urinate or loss of bowel sound as in a paralytic ileus.

Patient safety is a critical component of the care nurses deliver as we strive to prevent harm to our patients. Nurses work hard every day to provide safe and competent care in the setting in which they work. Gregory et al (2015) defines patient safety as, “the reduction and mitigation of unsafe acts within the health–care system, as well as through the use of best practices, shown to lead to optimal outcomes” (Gregory et al, 2015, p. 233) (also referenced as Davies, Hebert, & Hoffman, 2003, p. 12). Maintaining patient safety is very important to nursing care and health-care. The mother of nursing, Florence Nightingale, once stated, “It may seem a strange principle to enunciate as the very first requirement in a hospital that it should do the

Patient safety is essential and vital component quality care (Ballard, 2003). Patient safety involves medication safety, effective teamwork, procedural and surgical skills, accurate and timely communication (What is patient safety, n.d.). Nurses are the key to safety for patients. The environment in which the nurse provides care determines quality of care and patient safety.

I do agree with you that patient safety is a top priority and one that the hospitals are trying to continuously to improve. At Medical City Dallas, they also have an A for patient safety. Patients there have chair sensor mats that alarms the nurses whenever the patient is not on the chair. Our job is to provide the best care possible to the patients and avoid any sort of infection. I think it is amazing that that the hospital has made changes and those changes lowered their hospital acquired infection rate. It is our job to protect the patients and that means we must do care correctly.

In my view the main error which happened here is human error. Human error is a social label which implies that the individual should have acted differently and thus is responsible for the consequence of that conduct. Here the