Assessment 1
Enhancing Quality and Safety
For this assessment, you will develop a 3–5 page paper that examines a safety quality issue in a health care setting. You will analyze the issue and examine potential evidence-based and best-practice solutions from the literature as well as the role of nurses and other stakeholders in addressing the issue.
Introduction
Health care organizations and professionals strive to create safe environments for patients; however, due to the complexity of the health care system, maintaining safety can be a challenge. Since nurses comprise the largest group of health care professionals, a great deal of responsibility falls in the hands of practicing nurses. Quality improvement (QI) measures and safety improvement plans are effective interventions to reduce medical errors and sentinel events such as medication errors, falls, infections, and deaths. A 2000 Institute of Medicine (IOM) report indicated that almost one million people are harmed annually in the United States, (Kohn et al., 2000) and 210,000–440,000 die as a result of medical errors (Allen, 2013).
The role of the baccalaureate nurse includes identifying and explaining specific patient risk factors, incorporating evidence-based solutions to improving patient safety and coordinating care. A solid foundation of knowledge and understanding of safety organizations such as Quality and Safety Education for Nurses (QSEN), the Institute of Medicine (IOM), and The Joint Commission and its National Patient Safety Goals (NPSGs) program is vital to practicing nurses with regard to providing and promoting safe and effective patient care.
You are encouraged to complete the Identifying Safety Risks and Solutions activity. This activity offers an opportunity to review a case study and practice identifying safety risks and possible solutions. We have found that learners who complete course activities and review resources are more successful with first submissions. Completing course activities is also a way to demonstrate course engagement.
References
Allen, M. (2013). How many die from medical mistakes in U.S. hospitals? https://www.npr.org/sections/health-shots/2013/09/20/224507654/how-many-die-from-medical-mistakes-in-u-s-hospitals.
Kohn, L. T., Corrigan, J., & Donaldson, M. S. (Eds.). (2000). To err is human: Building a safer health system. National Academy Press.
PROFESSIONAL CONTEXT
As a baccalaureate-prepared nurse, you will be responsible for implementing quality improvement (QI) and patient safety measures in health care settings. Effective quality improvement measures result in systemic and organizational changes, ultimately leading to the development of a patient safety culture.
The purpose of this assessment is to better understand the role of the baccalaureate-prepared nurse in enhancing quality improvement (QI) measures that address a safety quality issue in a health care setting. This will be within the specific context of patient safety risks at a health care setting of your choice. You will do this by exploring the professional guidelines and best practices for improving and maintaining patient safety in health care settings from organizations such as QSEN and the IOM.
Looking through the lens of these professional best practices to examine the current policies and procedures currently in place at your chosen organization and the impact on safety measures for patients surrounding a specific safety quality issue, you will consider the role of the nurse in driving quality and safety improvements. You will identify stakeholders in QI improvement and safety measures as well as consider evidence-based strategies to enhance quality of care and promote safety in the context of your chosen health care setting.
As a baccalaureate-prepared nurse, you will be responsible for implementing quality improvement (QI) and patient safety measures in health care settings. Effective quality improvement measures result in systemic and organizational changes, ultimately leading to the development of a patient safety culture.
The purpose of this assessment is to better understand the role of the baccalaureate-prepared nurse in enhancing quality improvement (QI) measures that address a safety quality issue in a health care setting. This will be within the specific context of patient safety risks at a health care setting of your choice. You will do this by exploring the professional guidelines and best practices for improving and maintaining patient safety in health care settings from organizations such as QSEN and the IOM.
Looking through the lens of these professional best practices to examine the current policies and procedures currently in place at your chosen organization and the impact on safety measures for patients surrounding a specific safety quality issue, you will consider the role of the nurse in driving quality and safety improvements. You will identify stakeholders in QI improvement and safety measures as well as consider evidence-based strategies to enhance quality of care and promote medication administration safety in the context of your chosen health care setting.
SCENARIO
Select one of the safety quality issues presented in the Assessment 01 Supplement: Enhancing Quality and Safety [PDF] Download Assessment 01 Supplement: Enhancing Quality and Safety [PDF]resource and incorporate evidence-based strategies to support communication and ensure safe and effective care.
Assessment 01 – Enhancing Quality and Safety
For this assessment, you will develop a 3–5-page paper that examines a safety quality issue in
a health care setting. You will analyze the issue and examine potential evidence-based and
best-practice solutions from the literature as well as the role of nurses and other stakeholders in addressing the issue.
Before you complete the instructions detailed in the courseroom, first select one of the safety
quality issues below to analyze for this assessment. After you have selected one of the issues
from the list below, return to the detailed instructions in the courseroom to complete your
assessment.
• LGBTQ+ and Transgender-Specific Care Needs: LGBTQ+ and transgender
individuals often face unique health challenges and disparities. A lack of knowledge or
sensitivity toward their specific needs can lead to inadequate care, discrimination, and
even avoidable health complications. Here’s why addressing understanding and
addressing the specific needs of these populations is essential:
o Affirmation and Respect: Using correct pronouns, names, and understanding
the specific health needs of transgender and LGBTQ+ individuals can create an
environment of respect and affirmation. This respect is foundational to building
trust and ensuring that patients feel safe and understood in healthcare settings.
o Mental and Emotional Well-being: Due to societal stigmas and discrimination,
LGBTQ+ and transgender individuals may face higher rates of anxiety,
depression, and other mental health challenges. Being sensitive to these needs
and providing appropriate support is crucial for holistic care.
o Addressing Health Disparities: LGBTQ+ and transgender individuals might be
at higher risk for certain health issues. For instance, transgender women might
be at a higher risk for HIV/AIDS, while lesbian and bisexual women may be at a
higher risk for certain cancers. Knowledge of these disparities can guide
preventive care, screenings, and early interventions.
o Gender-Affirming Care: Transgender individuals might seek various medical
interventions as part of their transition, such as hormone therapies or surgeries.
Understanding the medical and emotional aspects of these treatments is crucial
for providing comprehensive care.
o Avoiding Discrimination: Discrimination or bias, whether overt or subtle, can
deter LGBTQ+ and transgender individuals from seeking care, adhering to
medical advice, or disclosing essential information about their health. Ensuring
an inclusive and non-discriminatory environment is vital for effective care
delivery.
o Sexual and Reproductive Health: LGBTQ+ individuals often face barriers in
accessing sexual and reproductive health services. Being knowledgeable and
non-judgmental about diverse sexual orientations and practices can lead to
better patient education and care in this domain.
o Social and Community Support: Recognizing the importance of community
and chosen family for many LGBTQ+ and transgender individuals can guide care
plans, especially when considering mental health support or discharge planning.
o Legal and Ethical Considerations: In many regions, there are legal protections
in place to ensure non-discrimination based on sexual orientation or gender
identity. Being aware of these protections is not only a legal obligation but an
ethical one, ensuring that all patients receive equitable care.
• Patient Identification Errors in Healthcare: Ensuring the correct identification of
patients is a foundational aspect of safe healthcare delivery. When errors occur in this
basic step, the ripple effects can be catastrophic. Here’s why understanding and
preventing patient identification errors is essential:
o Patient Safety and Well-being: The most immediate and alarming consequence
of patient identification errors is the potential harm to the patient. Administering
the wrong medication, performing surgery on the wrong site, or providing
inappropriate treatments can lead to severe complications, prolonged recovery,
or even death.
o Loss of Trust: When patients or their families experience or witness
identification errors, their trust in the healthcare system can be severely eroded.
This loss of trust can make patients hesitant to seek care in the future or follow
medical advice, potentially compromising their health.
o Professional Reputation: For healthcare professionals, being involved in an
identification error can have lasting implications on their reputation. Such errors
can lead to disciplinary actions, loss of licensure, or legal consequences.
o Legal and Financial Implications: Patient identification errors can result in
lawsuits, leading to significant financial penalties for healthcare institutions.
Beyond the direct costs of litigation, there’s the potential for increased insurance
premiums and the costs associated with implementing corrective measures.
o Operational Disruptions: Identification errors can disrupt the normal flow of
operations in a healthcare setting. They may necessitate additional tests,
procedures, or interventions to correct the error, leading to delays and
inefficiencies.
o Emotional Toll on Healthcare Providers: Realizing that one has been involved
in an identification error can be emotionally devastating for healthcare providers.
Feelings of guilt, anxiety, and doubt can lead to burnout and may even cause
some professionals to question their career choice.
o Increased Healthcare Costs: Beyond the direct costs associated with correcting
the error, there are indirect costs to consider. These might include extended
hospital stays, additional treatments, and the long-term care needs of patients
who experience complications due to the error.
o Regulatory and Accreditation Implications: Healthcare facilities are subject to
regulations and standards set by accrediting bodies. Identification errors can lead penalties, increased scrutiny, and potential challenges in maintaining
accreditation.
INSTRUCTION
For this assessment, you will analyze a safety quality issue in a health care setting and identify a quality improvement (QI) initiative.
Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you know what is needed for a distinguished score.
· Explain factors leading to a specific patient-safety risk in a health care setting.
· Explain evidence-based and best-practice solutions to improve patient safety and reduce costs.
· Explain how nurses can help coordinate care to increase patient safety and reduce costs.
· Identify stakeholders with whom nurses would coordinate to drive safety enhancements with a specific safety quality issue.
· Communicate using writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.
ADDITIONAL REQUIREMENT
· Length of submission: 3–5 pages, plus title and reference pages.
· Number of references: Cite a minimum of 4 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.
· APA formatting: References and citations are formatted according to current APA style.
COMPETENCIES MEASURED
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
· Competency 1: Analyze the elements of a successful quality improvement initiative.
· Explain evidence-based and best-practice solutions to improve patient safety and reduce costs.
· Competency 2: Analyze factors that lead to patient safety risks.
· Explain factors leading to a specific patient-safety risk in a health care setting.
· Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs.
· Explain how nurses can help coordinate care to increase patient safety and reduce costs.
· Identify stakeholders with whom nurses would coordinate to drive safety enhancements with a specific safety quality issue.
· Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar or punctuation, word choice, and spelling.
· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.
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