Patient Care Quality And Safety. Quality Improvement Is

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,

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)

In the United States alone there are 98,000 deaths per year caused by low quality health care (Ignatavicius & Workman, 2013, pg. 2). This statistic is disturbing because the errors that resulted in death were errors that were preventable. The intent of this chapter is to bring awareness to health care providers that are able to make a change in the quality of health care. In current practice patients are subjected to medication errors, preventable hospitalizations, premature death, and poor care provided due to racial, ethical, or low-income factors.

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).

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.

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

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

“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”

Due to the lack of proper resources and psychiatric professionals, the main source of programming and help that the correctional client has is the medication that is being administered to them by correctional officers (Brandt, 2012). Correctional staff often lack the proper education, training and knowledge on how to properly treat individuals will mental illness (Gur, 2010). Because of this the main form of behavioral correction is the use of segregation also known as solitary confinement (Kaba, Lewis, Hadler, Lee, 2014). Correctional staff will place inmates in segregation if they are a danger to themselves or others within the facility (Kaba et al, 2014). Segregation is severely isolating and can often further damage the inmate’s mental health. It often drives them ‘crazy’ or ‘insane’ because they cannot handle the lack of social interaction or the isolation stimulates their mental illness even further. An example where is would worsen a mental illness is schizophrenia, the lack of communication and light often can cause worsening hallucinations (Kaba et al,

On average an inmate in solitary confinement spends about 23 hours of their day in a cell with no windows and no contact to the outside. They are given an hour to go out to a concrete enclosed fitness room. Nadkarni conducted a study where half of the 48 inmates in solitary were shown a nature program of their choosing. They watched their show for about 45 minutes to an hour each day. This was all done in a room the prisoners called the “ blue room ”. At the end of the study statistics showed that around 43 percent of the inmates said they were “soothed” after watching that video. Moreover the staff workers even said that the inmates were much more calm after the video. The the blue room caused a 26 percent decrease in violence between the prisoners and the staff. This proves that the ‘blue room’ was a safer environment for the

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

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

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.

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.

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.