Dr. Williams and Class,
In article one, the name of the chapter is “Defining Patient Safety and Quality Care” and the URL is http://archive.ahrq.gov/professionals/clinicians-providers/resources/nursing/resources/nurseshdbk/MitchellP_DPSQ.pdf
The benefit of article one is to find a true definition of what is meant by quality care. In history, various people in health care had their own ideology of what was meant by quality. This is also a broad concept because what a person sees as quality, another person might think otherwise. According to (ANA, 2015, p. 89) defines quality as “the degree to which health services for patients, families, groups, and communities, or populations increase the likelihood of desired outcomes and are consistent
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Personally, respect and dignity while caring for the individual, regardless of color, race, age, creed or socioeconomic status is how I would define quality. On the other hand, patient safety is even a bigger concern because patients’ entrusted nurses with their lives. The section of this article, teaches us how to prevent medical errors, other costly mistakes and how they can be avoided. It emphasizes communication lapses which lead to commission of errors. Patient safety is the fundamental standard on which high quality of care is delivered. In last week’s discussion, I had mentioned that language barriers can impede high quality care and safety. Although it might take numerous years, we should not relinquish until we find ways and means to overcome these challenges to change. This information is applicable to my practice because in order to deliver patient care safely and timely, and make sure that I am adhering to the standard 14 and 17 of the (ANA, 2015). If we cannot comply with these standards, our effort would be …show more content…
This is not quick enough for some people, while others sense the fear of the unknown. After reading this article, I was able to grasp some of the vital concepts that change cannot occur in a short time-frame. It takes time, assessment, effort, commitment, planning and finance before it can become a reality. For example, we are here planning, preparing and empowering ourselves with the knowledge, and skills to take search literatures to find the best possible evidence to utilize in our daily practice. Nurses want to use the evidences to improve safety, high quality care leading up to exceptional patient’s
Standards are important aspects of nursing that a nurse must learn and implement every day for the rest of their nursing career. These standards provide for a nurse’s competence in the quality of care they deliver to the public. Standards offer a necessary guidance to nurses everywhere in an effort to ensure that people are treated correctly and ethically. Patients expect nurses to have a general knowledge of the medical realm and to know exactly what it is they –as nurses- are responsible for. Nurses need to have a sense of professionalism that enable the patient to feel safe and secure, knowing that a competent person is caring for him. A lack of professionalism does the opposite, making it impossible for a patient to trust or respect the nurse caring for him. Standards of nursing, if utilized correctly, give the nurse that sense of professionalism the patient is expecting. It insures for the safety of the patient and allows the nurse to provide quality health care that is expected of a medical professional.
Nurses are key components in health care. Their role in today’s healthcare system goes beyond bedside care, making them the last line of defense to prevent negative patient outcomes (Sherwood & Zomorodi, 2014). As part of the interdisciplinary team, nurses have the responsibility to provide the safest care while maintaining quality. In order to meet this two healthcare system demands, the Quality and Safety Education for Nurses (QSEN) project defined six competencies to be used as a framework for future and current nurses (Sherwood & Zomorodi, 2014). These competencies cover all areas of nursing practice: patient-centered care, teamwork and collaboration, evidence-based practice, quality
Safety is focused on reducing the chance of harm to staff and patients. The 2016 National Patient Safety Goals for Hospitals includes criteria such as using two forms of identification when caring for a patient to ensure the right patient is being treated, proper hand washing techniques to prevent nosocomial infections and reporting critical information promptly (Joint Commission, 2015). It is important that nurses follow standards and protocols intending to patients to decrease adverse
Vital improvement for patient safety has triggered an enormous amount of positive change in the healthcare system. There were “1.6 million adverse events each year that led to 180,000 deaths” (Liang & Mackey, 2011). In a review, avoidable errors led to $19.5 billion dollars in healthcare expenses (Liang & Mackey, 2011). The National Patient Safety Agency analyzed 425 deaths from acute care hospitals and found “15% of the deaths were related to unrecognized patient deterioration” (Higgins, Maries-Tillot, Quinton, & Richmond, 2008). This finding led to the Institute for Health Care Improvement’s promotion for the use of an early warning scoring system to assist with identifying deteriorating patients (Albert & Huesman, 2011).
O’Daniel, M., & A.H., R. (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville: Agency for Healthcare Research and Quality. Retrieved from: http://www.ncbi.nlm.nih.gov/books/NBK2637/
Fierce healthcare reported sometime in June of 2012 that hospitals across the country had received safety report cards from one Leapfrog group. They reported that most facilities got a C or below in the rankings. The report also showed that the biggest hospitals such as the Henry Ford Hospital in Michigan barely got a passing grade. The report cards were meant to inform patients and also to motivate improvements in patient safety, they were faced with a lot of criticism and controversy especially from hospitals that did not pass. This paper will discuss the controversy facing patient safety in the U.S. It will also analyze the effects of the issue and the solutions suggested and currently in place to solve the issue.
Quality and quality improvement are important to any healthcare organization because these principles allows organizations to fulfill their missions more effectively. Defining what quality is may differ depending on whom is asking the question, as differing participates may have differing ideas about what quality means and why it is important. Being that quality is what unites patients and healthcare organizations, we can see the importance of quality and the need for strong policies and practices that improve patient care and their experience while receiving that care. Giannini (2015) states that this dualistic approach to quality utilizes separate measurements, conformance quality that measures patient outcomes against a set standard and
The Joint Commission was founded in 1951 with the goal to provided safer and better care to all. Since that day it has become acknowledged as the leader in developing the highest standards for quality and safety in the delivery of health care, and evaluating organization performance (The Joint Commission(a) [TJC], 2014). The Joint Commission continues to investigate ways to better patient care. In 2003 the first set of National Patient Safety Goals (NPSGs) went into effect. This list of goals was designed by a group of nurses, physicians, pharmacists, risk managers, clinical engineers, and other professionals with hands-on experience in addressing patient safety issues in a wide variety of healthcare settings (TJC(b), 2014). The NPSGs were created to address specific areas of concern in patient safety in all health care settings.
The Quality and Safety Education for Nurses (QSEN’s) goal is to prepare future nurses with the knowledge, skills, and attitudes (KSAs) that are needed to continuously improve the quality and safety of the healthcare systems within which they work. QSEN focuses on six main competencies; patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. As we have learned in earlier classes these competencies and their KSAs offer a base to help us and other nurses as we continue our education and become RNs. As we will learn in this class these KSAs go hand in hand with health assessment.
One of the most essential aspects of doing a job well, no matter what job it is, is the ability to think critically about a situation. Finn (2011) defines critical thinking as “the ability and willingness to assess claims and make objective judgments on the basis of well-supported reasons and evidence rather than emotion or anecdote”. The difference between assessing a certain situation critically and assessing it without any evidence to corroborate your claims is that when you look at something critically, you are using your ability to “come up with the alternative explanations for events, think of research findings and apply new knowledge to social and personal problems” (Finn, 2011). When you can come up with other explanations using evidence, you can also create an alternative way of enhancing the situation. Critical thinking skills are especially important to nurses in a fast-paced setting. Nursing is a very demanding and rewarding field to enter into; it becomes enjoyable when you are good at it. In order to be good at their jobs, nurses need to learn the skills required to think critically and also, relate those skills to their everyday routines. This is known as evidence-based practice. Evidence-based practice is defined as “using the best scientific evidence available to guide clinical decisions and interventions with the goals of fostering self-management skills and improving health outcomes” (Miller, 2011). This paper examines the skills required for critical thinking, how to learn these skills, and how to apply them in clinical settings. (Miller, 2011; Finn, 2011; Noonan, 2011; Lunney, 2010; Wangensteen, Johansson, Bjorkstrom & Nordstrom, 2010; Chitty & Black, 2011).
Young, W. B., Minnick, A. F., & Marcantonio, R. (1996). How wide is the gap in defining quality care?: Comparison of patient and nurse perceptions of important aspects of patient care. The Journal of Nursing Administration, 26(5), 15-20.
The first issue of concern was access to health care. By access, ANA reiterated every person’s right to health care. Simply put, health care must be affordable, accessible, and acceptable. Quality care was the second issue that ANA addressed in its health care reform. Using the aims of the Institute of Medicine (IOM), the ANA elaborated quality care as one that is “safe, effective, patient-centered, timely, efficient, and equitable” (ANA, 2008, p. 6). Quality care, as further described by the IOM is based on the “relationship between nurse staffing and patient outcome” (ANA, 2008,
The overall goal for the Quality and Safety Education for Nurses (QSEN) plan is to meet the challenge of educating and preparing future nurses to have the knowledge, skills and attitudes that are essential to frequently progress the quality and safety of the healthcare systems in the continuous improvement of safe practice (QSEN, 2014).Safety reduces the possibility of injury to patients and nurses. It is achieved through system efficiency and individual work performance. Organizations determine which technologies have an effective protocol with efficient practices to support quality and safety care. Guidelines are followed to reduce potential risks of harm to nurses or others. Appropriate policies
... and nurses, have greatly improved in their efforts to provide quality care to patients, there are still important clinical components that need further improvement on. By being more efficient in resource utilizations and in the documentations of patient information, hospitals can be greatly benefited in terms of reduced costs, time, and errors, while increasing patient satisfactions. Furthermore, by incorporating indicators in assessing performance and taking steps to find opportunities in improvements, hospitals can decrease certain types of undesirable conditions and events that occur while further increasing the quality of care and delivering safer performance. Resolving the current gaps in care would lay the ways to excellence in clinical quality of care which leads to better patient outcomes, ultimately leading to better health of the community as a whole.
The meaning of quality is “the right care for the right person at the right time”. Quality can be well-defined as the value, efficiency, consistency, and outcome of the care being provided. The Center for Medicare and Medicaid Service’s (CMS) stated “an rise in health care spending from $2.34 trillion in 2008 to $ 2.47 trillion in 2009, the largest one year increase since 1960” (Pickert, 2010). “The action to improve the American health care delivery system as a whole, in all of its quality dimensions such as efficiency, effectiveness, equitability, timeliness, patient-centeredness, and safety for all Americans” (IOM, 2011). This paper aims to find out the relationship between cost and quality relating to health care.