Patient Safety /QSEN Writing Assignment
Patient Safety /QSEN Writing Assignment
Patient Safety /QSEN Writing Assignment
ASSIGNMENT #3 (20%) Patient Safety / QSEN Writing Assignment Students will complete all assigned readings on the topic of Patient Safety and Health Care Quality. Students will watch the posted videos on the Lewis Blackman story, the Dennis Quaid twins, and the Josie King story. Students will then write a 4 to 5-page paper in APA 6th Ed. 2nd printing format reflecting on these stories and the commonalities between them. Consider this; as a health care consumer (patient), what would you likely consider to be elements of
quality care when you receive health care services? As a professional nurse, what would you likely consider to be elements of quality care when you provide health care services? Discuss the commonalities and differences of these two lists, how much do they match? Differ?
In their paper, students will also discuss the concepts of quality improvement, patient safety goals, Six Sigma, and Quality Safety Education for Nurses (QSEN).
Grading Rubric: Reflection Paper QSEN Paper Percentage Worth Reflect on the patient stories and discuss common themes 10% Discuss QSEN including its origination, purpose, & goals 20% Discuss Six Sigma and why it is useful in nursing 20% Discuss the commonalities / differences of consumer / nurse elements of quality 20% Summarizes how these stories change your perception of nursing? 20 % APA format (title page, reference page, double-space, running head) 10 %
What is the definition of patient safety?
Patient safety is a health-care discipline that arose in response to the increasing complexity of health-care systems and the associated increase in patient harm in hospitals.
Its goal is to prevent and minimize risks, errors, and harm to patients while providing health care.
Continuous improvement based on learning from errors and bad events is a cornerstone of the discipline.
Delivering high-quality essential health services necessitates patient safety.
Indeed, there is broad agreement that high-quality health care should be effective, safe, and people-centered around the world.
Furthermore, health services must be timely, egalitarian, integrated, and efficient in order to reap the benefits of high-quality care.
Clear policies, leadership ability, data to drive safety improvements, skilled health care personnel, and effective patient involvement in their care are all required to support successful implementation of patient safety methods.
What causes patient harm?
A well-developed health-care system considers the rising complexity of health-care environments, which makes humans increasingly prone to errors.
For example, a patient in the hospital may receive the incorrect drug due to a mix-up caused by identical packaging.
In this situation, the prescription is passed through several levels of care, beginning with the ward doctor, then to the pharmacy for dispensing, and ultimately to the nurse, who gives the patient the incorrect medication.
This problem could have been swiftly discovered and remedied if there had been safeguarding mechanisms in place at various levels.
In this case, a lack of standard protocols for storing medications that appear comparable, poor communication between clinicians, a lack of verification prior to medication administration, and a lack of patient involvement in their own treatment could all be contributing causes to the errors.
Traditionally, the individual provider who made the mistake (active error) would bear responsibility for the occurrence and could be penalized as a result.
Unfortunately, this does not take into account the components in the system that contributed to the error (latent errors).
An active error reaches the patient when many latent mistakes align.
Its human to make mistakes, and expecting flawless performance from people working in complex, high-stress situations is impractical.
Assuming personal perfection is achievable will not increase safety (7).
When humans are placed in an error-proof environment with well-designed systems, tasks, and procedures, they are less likely to make mistakes (8).
As a result, concentrating on the system that permits harm to occur is the first step toward reform, which can only happen in an open and transparent atmosphere with a strong safety culture.
This is a workplace culture in which safety principles, values, and attitudes are valued highly and are held by the majority of employees (9).
The cost of harm
Millions of individuals are injured or killed each year as a result of hazardous and low-quality health care.
Many medical practices and risks linked with health care are emerging as substantial threats to patient safety, contributing significantly to the burden of harm caused by unsafe care.
The following are some of the most concerning patient safety situations.
Pharmaceutical errors are a prominent cause of damage and preventable harm in health-care systems: the cost of medication errors is estimated to be US$ 42 billion per year globally (10).
In high-income countries and low- and middle-income countries, health-care-associated infections affect 7 and 10 out of every 100 hospitalized patients, respectively (11).
Up to 25% of patients experience difficulties as a result of unsafe surgical operations.
Every year, almost 7 million surgical patients experience serious problems, with 1 million of them dying during or shortly after operation (12).
Unsafe injection practices in health-care settings can spread infections such as HIV and hepatitis B and C, putting patients and health-care workers at risk. They are responsible for a global burden of harm estimated at 9.2 million years of life lost due to disability and death (known as Disability Adjusted Life Years (DALYs)) (5).
In outpatient care settings, diagnostic errors affect roughly 5% of adults, with more than half of them having the potential to cause serious injury.
The majority of people will experience a diagnostic error at some point in their lives (13).
Patients are at risk of serious transfusion reactions and infection transmission if unsafe transfusion methods are used (14).
A group of 21 countries data on unfavorable transfusion reactions shows an average of 8.7 serious reactions per 100 000 dispersed blood components (15).
Overexposure to radiation and occurrences of wrong-patient and wrong-site identification are examples of radiation mistakes (16).
According to an assessment of 30 years of published data on radiation safety, the overall rate of errors is estimated to be roughly 15 per 10,000 treatment courses (17).
Sepsis is frequently misdiagnosed, resulting in a patients death.
Because these infections are frequently resistant to medications, they can quickly worsen clinical conditions, impacting an estimated 31 million people worldwide and resulting in more than 5 million deaths each year (18).
One-third of the complications associated with hospitalization are due to venous thromboembolism (blood clots), which is one of the most common and preventable causes of patient damage.
Annually, 3.9 million cases are projected to occur in high-income nations, with 6 million cases occurring in low- and middle-income countries (19).
Patient safety is a critical aspect of Universal Health Coverage.
Under Sustainable Development Goal 3 (Ensure healthy lives and promote health and well-being for all at all ages), patient safety during the provision of safe and high-quality health services is a prerequisite for strengthening health-care systems and progressing toward effective universal health coverage (UHC) (7).
The SDG 3.8 goal is to achieve universal health coverage (UHC), which includes financial risk protection, access to quality essential health care services, and access to safe, effective, high-quality, and affordable necessary medications and vaccinations for all.
WHO emphasizes the concept of effective coverage in accomplishing the goal, viewing UHC as a means of improving health and ensuring that patients receive high-quality treatments in a safe manner (20).
Patient Safety /QSEN Writing Assignment
Its also critical to highlight the role of patient safety in lowering expenses associated with patient damage and enhancing health-care system efficiency.
Safe services will also assist in reassuring and restoring community faith in local health-care systems (21).
