To prepare for this application:
* begin with types of health care organizations and groups of patients (geriatric patient requiring chronic care, pediatric patients admitted for acute care). identify a particular type of setting and/or patient population to help you pinpoint your focus for the following step.
*review the National Patient Safety Goals, the CDC’s NHSN website, and the information on patient safety concerns. select a specific patient safety risk (patient falls, medication reconciliation) to focus on this assignment.
*analyze the systems errors and/or human factors errors that should be considered with regard to this safety risk.
*reflect on related insights that could be gained from high-reliability organizations. what approaches do these organizations use that might be applicable within a healthcare organization?
*consider the strategies and tools (six sigma, lean) that could be used to assess and reduce this particular risk.
*evaluate the potential benefits of patient and family involvement and steps that could be taken to ensure that they are included in this endeavor.
The Assignment
write a 4 to 5 page paper
*briefly summarize the patient safety risk you have selected, and provide a rationale for why it deserves particular attention.
*analyze the influence of systems errors and human factors errors with regard to this risk.
*discuss related insights that could be gained from high-reliability organizations and how they might be applied within a health care organization.
*propose strategies and tools for assessing and reducing risk related to this safety issue.
*describe how patients and patients’ families can be involved in addressing this issue.
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Solution Preview
Can Rounding Reduce Patient Falls in Acute Care? An Integrative Literature Review. Academic Journal (includes abstract) Hicks, Darlene; MEDSURG Nursing, Jan/Feb2015; 24(1): 51-55. (5p) (Journal Article – research, systematic review, tables/charts) ISSN: 1092-0811 PMID:
Factors associated with falls in hospitalized adult patients. Academic Journal (includes abstract) Cox, Jill; Thomas-Hawkins, Charlotte; Pajarillo, Edmund; DeGennaro, Susan; Cadmus, Edna; Applied Nursing Research, May2015; 28(2): 78-82. (5p)
(geriatric patient requiring chronic care) select a specific patient safety risk (patient falls, medication reconciliation) to focus on this assignment.
*analyze the systems errors and/or human factors errors that should be considered with regard to this safety risk.
In reference to the system risks and errors that are evident for the falls that currently are problematic throughout the healthcare industry, which are characterized by certain factors that include the patient’s age, whether or not the patient has a history of falls, if the patient has experienced cognitive impairment, whether the patient is experiencing visual impairment, gait and balance disorders, musculoskeletal disorders, weakness, use of assistive devices for mobility, incontinence or need for …
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