Addressing A Patient Safety Error

Description

Addressing a Patient Safety Error

Instructions

Imagine that you are a patient safety officer at your local hospital. You have identified that an error has occurred that will compromise patient safety. For this assignment, prepare a 3-5 page paper for organizational leadership in which you outline the importance of addressing this error, as well as steps you will employ to do so. If you would like, you can use the same error you addressed in your first discussion in this unit.

In your paper:

  • Explain the health care safety imperative.
  • Describe three common best practices, tools, or techniques that your plan uses to reduce the threat to patient safety (for example, process for responding, processes for detecting, et cetera).
  • Analyze the roles regulatory agencies play within your organization related to patient safety (for example, the Joint Commission’s National Patient Safety Goals) and your patient safety plan.
  • Identify the recurring error in your hospital that poses a potential threat to patient safety.
  • Evaluate the implications for the organization if the error is not addressed.
  • Analyze how the role of patient safety officer impacts effective application of the patient safety plan.
    • Explain what your responsibility is as a patient safety officer.
    • Describe your role as the patient safety officer in this particular matter.
    • Provide one example from the literature to illustrate your point.
  • Explain how you would apply operational considerations and best practices to identify and work toward eliminating or reducing the particular error you have identified.

Support your findings with at least two peer-reviewed sources. You may use the resources listed in the study materials for this unit.

Additional Requirements

  • Your paper will be a minimum of 3-5 double-spaced pages in length, not including title and reference pages.
  • Font: Arial 12-point.
  • Cite at least two references.
  • Format your paper according to APA style.
  • Submit a draft of your assignment to Turnitin. Using the Turnitin results, edit and finalize your assignment, and then upload it to the assignment area. Note: When you submit an assignment to Turnitin, it is not also submitted to the courseroom. You must do this separately.

To fully understand how this assignment will be graded, be sure to carefully read the Addressing a Patient Safety Error Scoring Guide.

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Resources

References:

Nursing Standards

Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx

Clinical Guidelines

Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf

Living Guideline

Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E

Evidence-based practice

BMJ Best Practice

Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/

Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com

Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf

JBI: Evidence summary

Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global

JBI: Best practice information sheet

Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.

Cochrane Database of Systematic Reviews

Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2

Drug Information

Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au

Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm

 

Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml

Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html

Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/

Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html

Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis

Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia

Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367

NCBI Bookshelf

Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/

Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au

 

 

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