Patient Care Quality And Safety. Quality Improvement Is

Over time the health care industry has become more complex. Health care is rapidly evolving and continuing to complicate our delivery of care, which in turn has the same effect on quality of care. This steady evolution and change results in nursing shortages and an increase in the prevalence of errors being made. In hopes of preventing these errors and creating safe and high quality patient care, with the focus on new and improved ways of thinking, The Quality and Safety Education for Nurses (QSEN) initiative was developed. The QSEN focuses on the following competencies: patient-centered care, quality improvement, safety, and teamwork and collaboration. Their initiatives work to prepare and develop the knowledge, skills, and attitudes that are necessary to make improvements in the quality and safety of health care systems (Qsen.org, 2014).

Having an appropriately staffed unit can lower the usage of restraints. c. Providers should be culturally sensitive to all of their patients, and dietary restrictions according to religion should be honored. The nurses should help create diets for in-patients, and help ensure that religious requests are being honored. The hospital can survey patients, and help collect data to get to the root cause of why diet requests are not being honored. C)

Admissions in general acute hospitals for patients over the age of 65 is 38% with 60% of those patients ending up on a medical surgical unit (Boltz, 2013). The number of restrained patients within this age range varies from 13-27% for medical surgical or non behavioral restraints, this number can significantly decrease based on alternative interventions attempted prior to restraint application with the number of restrained days varying from 3 to 123 out of every 1000 days (Enns et al., 2014). Reasons for non behavioral restraints are when a patient is; pulling at lines/tubes, removal of equipment/dressing, inability to respond to direct requests/follow instructions, intubation, or falls/risk of injury/keeping patients safe. A typical hospital

Patient Safety and Quality Improvement Act (PSQIA) was signed into law on July 29, 2005, published on November 21, 2008 and became effective on January 19, 2009 (U.S. Department of Health & Human Services, n.d). PSQIA catalyzes sharing of healthcare data, information and patient safety practices between health care organizations by creating Patient Safety Organizations (PSO). Providers can report or share information related to patient safety events with PSO without the fears of liability, because “ PSQIA provides federal privilege and confidentiality protections for patient safety information, called patient safety work product” (USDHMS, n.d ). This means protected information cannot be introduced in any federal, state, local, or tribal civil,

A restraint is any physical or chemical measure in the healthcare setting to keep a patient from being free to move (Craven, Hirnle & Jensen, 2013). Nurses are presented with dilemmas in deciding whether to use restraints to protect the patient from falls, harming themselves or others, suppress agitation and to facilitate treatment. Improper usage and misconceptions of restraining can have negative consequences including physical and psychological issues. Physical and psychological disadvantages from restraining could include low blood pressure, decreased circulation, thrombosis, constipation, urinary incontinence, depression, fear and increased confusion (Yeh et al., 2004). Educating nurses may reduce restraint usage by increasing

Los Angeles, Doctor and founder John McLaughlin, came up with the idea to reduce health care costs and improve patient safety

The main objective of healthcare professionals is to provide the best quality of patient care and the highest level of patient safety. To achieve that objective, there are many organizations that help improve the quality of care. One of the best examples is the Joint Commission. Unfortunately, the healthcare system is not free from total risks. In healthcare activities, there are possible errors, mistakes, near miss and adverse events. All of those negative events are preventable. But, it is clear that errors caused in healthcare result in thousands of deaths in the United States.

This work is using two original research papers and their findings to analyse the validity of the practice of SR (seclusion and restraint) in psychiatric inpatient facilities. The research papers chosen shed light on this questionable practice by analysing multiple patient characteristics and the events leading to SR. The other chosen research paper evaluates the inpatients perception of SR.

This assignment will discuss and explore the implementation of a proposal service improvement within an NHS trust. It will explore the reasoning for the change and the leadership style needed to utilise the change. The proposed change is to raise awareness of isolation room within the hospital setting in the NHS trust to help improve quality of care for patients and implementing a checklist to improve the proposed change. The advantage of isolation rooms is to increase privacy and dignity, reduce noise, less disruption from other patient and it offered a restful sleep (Maben, 2009). However, the question is whether patients in isolation rooms are being frequently monitored by staff and are receiving the same quality care other patients in bays are receiving and also whether patients psychosocial, psychological and physical well being are being met. Evans et al (2003) states that healthcare professional spent less time with isolated patient versus non-isolated patients. According

“Every 25 minutes, 1 baby is born suffering from opiate withdrawal. Newborns with neonatal abstinence syndrome (NAS) are more likely than other babies to also have low birth weight and respiratory complications” (Dramatic Increases in Maternal Opioid Use and Neonatal Abstinence Syndrome, 2015, Paragraph 2). To insure a better life for these babies, people are trying to create an Act called the Plan of Safe Care Improvement or otherwise known as the Infant Plan of Safe Care Improvement. This Act is meant to protect future babies from not only being born drug dependent because of their mothers, but also ensuring them a drug-free environment after birth. It will also “get help for the mothers and any other guardians involved in drug addiction”

Falls in a health care setting are costly to the patient, the health care facility and may affect the reimbursement that insurance gives to hospitals, yet they are preventable. Falls can be minor with just a few bumps and bruises or they can be major which can result in death. Not only are falls harmful to the patient but there is a lot of money and time that gets added up after a fall occurs *** There are many factors as to why a fall could take place, but being aware of the risk that a patient is a fall risk from the beginning can help avoid a fall from ever occurring. Accurately identifying a patient as a fall risk and communicating to other staff within 24 hours of admission is key to help in the prevention of falls.

In behavioral health nursing, using physical restraints is a very integral aspect to the overall health and well-being of patients and staff. Although this is still a very prominent and sensitive subject amongst healthcare professionals, I deemed it important that my facility implement and utilize physical restraints on our behavioral health unit. Nurses need to be educated on the use of restraints, which lead to my self-education on this topic. Nurses need to be aware of the benefits and the consequences that restraints can have on a patient.

This may also include environmental restraints, in which the patient is locked in their room or seclusion from others. These are usually used to prevent patients from injuries sustained from falls or other accidents. Also, it is used to administer treatment when a patient is not compliant with medical practitioners.

Subtheme 3. Psychiatric patient room’s location. The psychiatric patient rooms were located close to the main nurse stations to facilitate the supervision process for nurses and other staff and benefit from high visibility. Even though the psychiatric patients cause noises and vicinity of the main nurse station may prohibit communication in some cases, the nurses preferred to be able to react upon quickly. Accessibility and visibility of security staff may minimize the aggression and reduce the staff stress.

The officer shall use necessary forensic restraints on the prisoner as per the correctional facility or law enforcement agencies protocols. Hospital staff will not interfere with the placement of the forensic restraints unless there is an urgent need to relocate or temporarily remove the restraint based on the needed medical treatment. In this case a request will be made of the officer to do so. It may be necessary for the officer to request permission to do so with their supervisor. When clinical (medical) restraints are also required in addition to the forensic restraint the nursing staff will provide the patient and the officer with information as to the reason for the clinical restraint. Nursing staff will be responsible for monitoring or removing clinical restraints per hospital policy.