Application of Continous Quality Improvement (CQI) to Communication Safety Issues

1403 Words3 Pages
bulb-icon

Recommended: Factors that affect communication in health care

Phase 3 Application of CQI to Communication Safety Issues IP 3
Do you get the message across when talking with another person? Show how the individual knows the information was received just as it was spoken. Sometimes talking with others the information does not get across. When nurses communicate with other professionals they should be able to identify the safety issue that affect communication, determine the cause of problems, use continuous quality improvement (CQI) to change the way they communicate with others and evaluate the outcome.
“The Joint Commission cites communication failures as the leading source cause for medication errors, delays in treatment, and wrong-site surgeries, as well as the second most frequently cited root cause for operative and postoperative events and fatal falls (Rosenstein & O’Daniel, n.d., p.1).”
Errors in communication can be caused when orders, diagnosis, labs and medications are written, or verbalized incorrectly. There are many times physicians may give a verbal order that the nurse transcribes onto the order sheet. If the order were heard incorrectly then it will be written incorrectly, and carried out incorrectly. When incorrect information is passed on by nurses, to nurses in report, or Physician unable to receive a complete picture of patient changes and status. Incorrect information affects the physician, nurse and patient. Also, the patient will receive incorrect information. Trust is very important in the health care professionals.
Communication is not only words, but cultural languages that require an interpreter. The barriers of communication affect physicians, nurses, and patients.
Barriers to communication are the inability to understand what is being said (Dingley ...

... middle of paper ...

....d.). Retrieved from http://www.aacn.nche.edu/cnl/publications-resources/recommended-reading_br
Dingley, C., and Daughtery, K. et al,(n.d.). Improving patient safety: through provider Communication strategy enhancements. Retrieved from http://www.ahrq.gov/downloads/pub/advances2/vol3/advances-dingley_14.pdf
Nursing Links-Lake health team portal,(n.d.). Retrieved from http://www.portal.lakehealth.org/index.php?option=com_content&view=article&id=214&Itemid=(accessed).
Rosenstein, A., and O’Daniel, M.,(n.d.). Professional communication and team collaboration
Retrieved from http://www.ahrq.gov/professionals/clinicians-providers/resources/nursing/resources/nurseshdbk/ODanieM_TWC.pdf
Studer Group. Patient, Safety Toolkit: Practical tactics that improve both patient safety and patient perceptions of care (2007). Studer Group: Gulf Breeze, FL: Retrieved from

Show More
Related

  • Legal Incident Reporting Requirements: Vasopressin Overdose

    1664 Words  | 4 Pages

    Orlando Regional Healthcare, Education & Development. (2004). Patient Safety: Preventing Medical Errors. Retrieved on March 2014 from world wide web at http://www.orlandohealth.com/pdf%20folder/patient%20safety.pdf

    Read More

  • Royal North Line Hospital Failure

    1533 Words  | 4 Pages

    (2014, p. 14) due to poor communication it is one of the major problems in the medical field. This is a concern that has raised within the people working in the hospital and the common people. Poor communication has been shown an increase in death in hospitals. However, the common issue is delayed communication, which may lead to the lack of safety provided to the patients. In addition, Dekker (2016, p.44) states that the main problem in the communication systems in hospitals is among physicians. This is due to the ego among the professional people, this leads to the lack of care of the patients. This lack of communication blocks the advancement of the

    Read More

  • The Importance Of Health Disparity In Health Care

    1001 Words  | 3 Pages

    The goal of this lesson is to explore how we can improve communication to eliminate language barriers between healthcare providers and patients in our organization and to establish culturally and linguistically appropriate goals, that provide safe, equal, and quality care to all our clients regardless of race, ethnic, or socioeconomic status. At the end of this lesson we should be

    Read More

  • A Reflection Of The Story Of Fadiman

    2186 Words  | 5 Pages

    Effective communication prevents medical errors, improve patient- therapist relationship, as well as prevents disappointments and friction. It is essential to find out the level of health literacy of an individual, as well as the proficiency in English. According to Divi, Koss, Schmaltz & Loeb (2007), there is a risk of patient 's safety due to the language barrier. Based on the study of Divi et al. (2007), among 832 English speaking patients and 251 patients with limited English fluency, 49% of the patients of their study have limited English fluency that associated with physical harm with a rate of 29.5% patients that are fluent in English are physically injured. Partially injured and death occurs with patients with constrained English proficiency (52.4%), as compared to patients with English fluency (35.9%) (Divi et al., 2007). Divi et al. (2007) suggested providing access to qualified language interpreters for patients with limited English proficiency to prevent more harm. Effective communicating is not only important to patients with limited, or inadequate English proficiency but also to individuals with impaired vision, hearing, and people that unable to speak.It is also important about the patient 's privacy. Another knowledge from the book mentioned above is effective communication regardless of individuals culture.

    Read More

  • The Electronic Health Record Mandate

    925 Words  | 2 Pages

    Kimmel, K. C., & Sensmeier, J. (2002). A Technological Approach to Enhancing Patient Safety. Retrieved from https://blackboard.ohio.edu/bbcswebdav/pid-3906938-dt-content-rid-20290664_1/courses/NRSE_4510_1021_SEM_SPRG_2013-14/EHR_1%281%29.pdf

    Read More

  • Wrong Site, Wrong Procedure, and Wrong Patient Errors

    1585 Words  | 4 Pages

    The purpose of this paper is to identify a quality safety issue. I will summarize the impact that this issue has on health care delivery. In addition, I will identify quality improvement strategies. Finally, I will share a plan to effectively implement this quality improvement strategy.

    Read More

  • Communication in Nursing

    1158 Words  | 3 Pages

    “Communication is the heart of nursing… your ability to use your growing knowledge and yourself as an instrument of care and caring and compassion” (Koerner, 2010, as cited in Balzer-Riley, 2012, p. 2). The knowledge base which Koerner is referring to includes important concepts such as communication, assertiveness, responsibility and caring (Balzer-Riley, 2012). Furthermore, communication is complex. It includes communication with patients, patient families, doctors, co-workers, nurse managers and many others. Due to those concepts and the variety of people involved, barriers and issues are present. Knowing how to communicate efficiently can be difficult.

    Read More

  • Adverse Event Analysis

    1028 Words  | 3 Pages

    The goal of patient safety is to prevent harm to patients Mitchell (n.d.). Patient safety in any health system is critical not only for the credibility of the system, but for patient trust and satisfaction as well. Adverse outcomes are defined as any injury or harm resulting from medical care (Watcher, 2008). Adverse outcomes can result in death and disability and cost the health system dearly. Bernard and Encinosa (2004) reported that in the U.S. it costs twice as much to care for patients that experienced adverse outcomes. The Institute of Medicine (IOM) (2000) reported that adverse outcomes cost the U.S. more than 16 billion dollars or 6% of total inpatient costs. Therefore, adverse events are costly both in terms of human life and fiscal resources.

    Read More

  • The Spirit Catches You and You Fall Down by Anne Fadiman

    2253 Words  | 5 Pages

    Communication is cited as a contributing factor in 70% of healthcare mistakes, leading to many initiatives across the healthcare settings to improve the way healthcare professionals communicate. (Kohn, 2000.)

    Read More

  • Medication Administration Errors

    1530 Words  | 4 Pages

    Wieman TJ and Wieman EA (2004) demonstrates communication factors that result in MAE. They say that nurses’ failure to question unclear orders or pursue concerns because of intimidation by prescriber (physician or pharmacist) contributes to these errors. Illegible handwritten orders and ambiguous orders written in MARs or patient profiles further contribute to these medical errors. Moreover, other factors that also contribute are an incomplete medication orders such as missing dose or route, abbreviations misunderstood (Appendix B) (Davis N.M., 2005), and spoken orders misheard. According to Cohen M.R. (2007), nurses’ who contributes to MAE fail to identify the patient (checked ID band, allergy band, MAR sheet), unable to share correct information during the shift report and ineffective communication.

    Read More

  • Improving Patient Safety in Stroke Rehabilitation Wards

    2900 Words  | 6 Pages

    Wu, A. W. (2011). The value of close calls in improving patient safety: Learning how to avoid

    Read More

  • The Importance Of Professional Communication

    1342 Words  | 3 Pages

    Communication encompasses a wide range of processes such as the exchange of information, listening, posing of questions (Fleischer et al., 2009) or use of body language. In a healthcare environment where there are constant interactions among nurses, doctors, patients and other health professionals, professional and effective communication is important in ensuring high quality healthcare standards and meeting the individual needs of patients.

    Read More

  • Communication In Nursing Essay

    854 Words  | 2 Pages

    Nurses today need to have excellent communication skills. Receiving information from patients is the most important aspect of nursing. If nurses are unable to communicate with their patient then they would not be able to have a relationship with them. Communication is where two or more people interact with each other, by using sounds and words, this is verbal communication. Some individuals have different behaviors where they try to express themselves to others without using spoken words, this is non verbal communication. Once nurses have the proper communication tools, techniques and evidence based practice, when communicating with their patient, they would get the necessary information needed from the patient to properly diagnosis them.

    Read More

  • Patient Safety Plan Essay

    2010 Words  | 5 Pages

    The patient safety program in hospital setting is intended to reduce medical errors and hazardous conditions by assuring an environment that inspires error identification, reporting and prevention through education, system enhancement for any adverse occasions such that information about sentinel events that frequently occurs in health care are built in the system progressively for risk reduction. Through education component, proper and effective orientation and training that emphasizes clinical and non-clinical aspects of patient safety, including an inte...

    Read More

  • Patient Safety

    1173 Words  | 3 Pages

    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 coordination task force with the help of government agencies. These government agencies are responsible for making health pol-icies regarding patient safety to which every HCO must follow (Schulman & Kim, 2000).

    Read More

More about Application of Continous Quality Improvement (CQI) to Communication Safety Issues

Open Document