Nursing Care Plan and Specimens Essay

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NDNQI Analysis and Action Plan: Adams 5, Inpatient Rehab Unit
Savetria Nicole Palmer
Walden University
NURS 2006 Section 13, Topics in Clinical Nursing
September 21, 2014

Quality is a broad term that encompasses various aspects of nursing care (Montolvo, 2007). The National Database of Nursing Quality Indicators [NDNQI] is the only national nursing database that provides quarterly and annual reporting of structure, process, and outcome indicators to evaluate nursing care at the unit level (Montolvo, 2007). Nursing's foundational principles and guidelines identify that as a profession, nursing has a responsibility to measure, evaluate, and improve practice (Montolvo, 2007). The purpose of this paper is to analyze the
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Each of these interventions will positively impact patient outcomes and reduce errors. According to The Joint Commission [TJC], proper patient identification is best practice for decreasing mislabeled specimens (The Joint Commission as cited by Sims, 2010). National Patient Safety Goal [NPSG], 01.01.01 states that healthcare providers should use at least two identifiers to identify patients. For example, the patient’s full name and date of birth is used to properly identify a patient (The Joint Commission, 2014). According to Kim et al., (2013), developing a standardized specimen handling system has the potential to reduce errors.
Figure 1. Steps to properly identifying a patient for specimen collection.

Figure 1. Essential specimen handling steps. Blue items are physician-specific responsibilities; pink items are nursing staff-specific responsibilities. Adapted from “Standardized Patient Identification and Specimen Labeling: A Retrospective Analysis on Improving Patient Safety,” by Kim JK; Dotson B; Thomas S; Nelson KC; Journal of the American Academy of Dermatology, 2013 Jan; 68 (1): 53-6.
The strongest intervention to reduce labeling errors is the addition of barcode technology (Brown, Smith & Sherfy, 2011). The use of automated patient identification and specimen collection techniques can be an additional safety net for routines that are vulnerable to error, especially when coupled with strong systems
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