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Significance of safety at healthcare facility
Patient safety and risk management
Quality case study in patient safety
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Defining Quality and Patient Safety:
Consumers have a different view of what constitutes quality and safety in medical practices (Shi, L. & Singh, D., 2012). Quality in healthcare is defined as the ability to reach desired health outcomes that are consistent with professional information, according to the Institute of Medicine (Shi, L. & Singh, D., 2012). Safety is achieved by the absence of errors and the delivery of efficient care (Menachemi,N., Saunders, C., Chukmaitov, A., Matthews, M., & Brooks, R.C., 2007). Although communities define quality and security differently, both concepts are the responsibility of all participants (Longo, D., Hewitt, J.E., Ge, B., & Shubert, S., 2007).
The Importance of Quality and Safety:
The ideas of quality and safety are vital in the effort to reduce medication errors in hospital pharmacies. Joint Commission reported that 44,000 to 98,000 deaths occur annually as a result of medical errors (Longo, D., Hewitt, J.E., Ge, B., & Shubert, S., 2007). Of these flaws, sixty-seven percent (67%) can be attributed to medication inaccuracies (Kripalani, S., Roumie, C., Dalal, A., & PILL-CVD, 2012). More than half of these issues occur at the interface stage of care and continue during the discharge process (Kripalani, S., Roumie, C., Dalal, A., & PILL-CVD, 2012). On admission to the hospital, a list of the patient’s medications is analyzed and documented to increase quality throughout the consumers stay and safely provide any additional treatment needed.
Key Challenges for Pharmacies:
There are many challenges for pharmacies in dispensing medications to inpatients and upon discharge. Joint Commission noted that most pharmaceutical oversights were the results of transcriptions (Kripala...
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...LL-CVD. (2012). Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. AHRQ.gov, 157, 1-10. Retrieved from http://www.ahrq.gov/.
Longo, D., Hewitt, J.E., Ge, B., & Shubert, S. (2007, May/June). Hospital patient safety: characteristics of best-performing hospitals. Journal of Healthcare Management, 52(3), 188-205.
Menachemi,N., Saunders, C., Chukmaitov, A., Matthews, M., & Brooks, R.C. (2007, Nov/Dec). Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida. Journal of Healthcare Management, 52(6), 398-410.
Shi, L. & Singh, D. (2012). Delivering health care in America: a system approach. Burlington: Jones & Bartlett Learning, LLC.
The Joint Commission. (2006, January 25). The Joint Commission. Retrieved from http://www.jointcommission.org/.
Shi, L., Singh, D.A. (2013). Essentials of the U.S. Health Care System. Burlington: Jones &
Studies by Jha et al. examined surveys completed by the 2010 American Hospital Association Annual Information Technology of 2902 hospitals’ readiness for Meanin...
Niles, Nancy J. Basics of the U.S. Health Care System. Sudbury, MA: Jones and Bartlett, 2011. Print.
Kovner, A.R & Knickman, J.R (2011) Jonas & Kovner’s Health Care Delivery in the United States, 10th Edition. New York: Springer Publishing.
Unver, V., Tastan, S., & Akbayrak, N. (2012). Medication errors: Perspectives of newly graduated and experienced nurses. International Journal Of Nursing Practice, 18(4), 317-324. doi:10.1111/j.1440-172X.2012.02052.x
The interpretation of quality health care varies with each person. Some place emphasis on the ability to access various treatments without interference. Others value the feature of being able to simply select one’s provider. Quality health care, according to the Institute of Medicine (2001), can be defined as care that is “safe, effective, patient-centered, timely, efficient and equitable” (p. 3). Furthermore, it should account for, in detail, a patient’s medical history, and improve overall patient well-being.
Niles, N. J. (2011). Basics of the U.S. health care system. Sudbury, MA: Jones and Bartlett.
Hughes, R. G. (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Retrieved from http://www.ahrq.gov/qual/nurseshdbk/
Tzeng, H., Yin, C., & Schneider, T. E. (2013). Medication Error-Related Issues In Nursing Practice. MEDSURG Nursing, 22(1), 13-50.
Medication errors are among the biggest issues in health care settings today. The effect of managed care is one of the causative factors. The need to contain costs has invariably doubled the nurses' workload making them less efficient as caregivers. Example of problem is the high incidence of medication errors. Nurses' workload has increased tremendously regardless of the fact that most of these patients are of great acuity, thereby predisposing them to a greater risk of medication errors.
O’Shea, E (1999) Factors contributing to medication errors: a literature review. Journal of Clinical Nursing. 8, 5,496-503.
In today’s health care system, “quality” and “safety” are one in the same when it comes to patient care. As Florence Nightingale described our profession long ago, it takes work and vigilance to ensure we are doing the best we can to care for our patients. (Mitchell, 2008)
This week readings bring us overview of the issues we face in today’s healthcare such as “safe, effective, patient-centered, timely, efficient, and equitable” care (IOM, 2001, p 3). Safety and quality of care are the major factors which I think must be address to assure the best possible patients’ outcomes and to build culture of safety.
Shi, L., & Singh, D. (2012). Delivering health care in America: a system approach. Burlington, MA: Jones & Bartlett Learning, LLC.
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).