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Npsa Patient Safety Report

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Introduction Definition Patient safety mainly refers to the prevention of preventable errors and adverse effects to patients associated with healthcare(Rcn.org.uk).Personal safety requires knowledge and skills in multiple areas in order to be executed effectively(Pascale Carayon,2010). This is generally a nationwide priority particularly focused on preventing medical errors before they can occur and cause either death, permanent injury or temporary harm.(Nursingcentre.com,2015).Statistically, medical errors affect 1 in 10 patients worldwide (Who.int,2015), and implications could include death, permanent injury, financial loss or psychological harm to the patient or in some situations to the caregiver (Nursingcentre.com,2015).Therefore …show more content…

During treatment, there are numerous people with various types of health-care providers including doctors, nurses, pharmacists, social workers and several more involved in handling the patient,(Who.int,2015).Therefore, there is an increased difficulty in ensuring safe care, unless there is an effective system designed to facilitate any general probable issues.(Who.int,2015). Thus, harmful effects can arise from problems within the practice, with the products, the procedures or the systems. Patient safety therefore demands an intricate system wide effort which involves a wide range of actions surrounding performance improvement, environmental safety and proper risk management which focuses on infection control, the safe use and handling of medicines, equipment safety and creating a safe clinical environment to care for the …show more content…

(2015). [online] Available at: http://www.who.int/patientsafety/education/curriculum/who_mc_topic-1.pdf [Accessed 24 Oct. 2015]. Npsa.nhs.uk, (2015). NPSA - What is a Patient Safety Incident?. [online] Available at: http://www.npsa.nhs.uk/nrls/reporting/what-is-a-patient-safety-incident/ [Accessed 24 Oct. 2015]. Nursingcenter.com, (2015). Nursing Journals | NursingCenter. [online] Available at: http://www.nursingcenter.com/journalarticle?Article_ID=1165782 [Accessed 24 Oct. 2015]. Pascale Carayon, K. (2010). Patient Safety: The Role of Human Factors and Systems Engineering.Studies in health technology and informatics, [online] 153, p.23. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057365/ [Accessed 24 Oct. 2015]. Rcn.org.uk, (2015). Definition and aims - RCN. [online] Available at: https://www.rcn.org.uk/development/practice/patient_safety/definition_and_aims [Accessed 24 Oct. 2015]. Who.int, (2015). WHO | Patient safety. [online] Available at: http://www.who.int/topics/patient_safety/en/ [Accessed 24 Oct.

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I have work as a certified nursing assistant in the surgery unit and we have already implemented most if not all these patient safety measures. As a nurse, I will continue to practice and perform these safety measure that I have learned from my colleagues. Any patient that enters my unit will be asked to identify themselves. Patient will be asked to say their name and date of birth, while I make sure that their information is accurate on their arm band. Next step in the process, is to attain a medical history, from their current medication, health history and any allergies.

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High rates of patient mortality have been the result of miscommunication and have also been traced down by sentinel events by the Joint Commission. Safety issues arise in all areas of healthcare facilities that miscommunication is a preventable factor in the process for patient quality care and can be in fact augmented. Communication is vital at all moments in the duration of nursing duties and is held to be imperative between two shifts (Millar & Sands 2013). The WHO Patient Safety Alliance nominated communication enhancement as top 5 initiative in preventing fatal adverse effects and had later in the years of 2008-2009, funded National Clinical Handover Initiative by the Australian Commission on Safety and Quality in Healthcare (Johnson, Jefferies & Nicholls

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The success of patient safety, prognosis and improve health outcomes within the nursing profession is dependent upon proficient communication. When communication is not proficient, patient safety and wellness is compromised (Gore et al., 2015). There are numerous safety issues that can arise from inapt communication within nursing. Two issues that have the potential to impact patient care and safety are hand-off communication errors and cultural competence. Mitigating these safety issues within the nursing profession will be vital to improving and maintaining patient safety and promote positive health outcomes.

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They need to learn the various pieces and functions of communication in diverse areas of nursing. According to Garrett (2016), to maintain patient safety communication should be consistent, comprehensive, transparent, concise, and appropriate, consequently, leading to interacting and connecting with patients who demonstrated to improve results, reduce costs, and improve the patient’s understanding. A study conducted by Daly (2017), states that they are four themes nurses should utilize in their daily practice: 1. Prioritise people, 2. Practise effectively, 3.

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The theoretical framework chosen for this study would be follow the Eindhoven model. This model was adapted by Henneman and Gawlinski (2010), investigating “near-miss” events, and conceptualize the role of the nurse at point of care in preventing adverse events and outcomes for patients. The reason for choosing this model, that it clearly demonstrates the relationship between human operator, organizational, and technical failures, because of the development of incidents that may or may not lead to adverse outcomes (Henneman et al., 2010). In the healthcare setting, if a high-risk condition is not prevented by adequate defenses system, it will not be interrupted, therefore places a threat on the patient’s safety (Henneman et al., 2010). Bedside

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Understanding how human factors affect patient safety, is relevant as it can help us be more aware of the prerequisites of clinical errors and minimise them (Hinshaw, 2016). The autonomy to take sick leave when one is sick, is vital in the prevention of adverse events. To attain quality care and patient safety, it is vital for us to have mutual respect for one another. This provides a safe and satisfying workplace.

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Risk management and patient safety: Risk can be defined as “the possibility of incurring misfortune or loss” and may be accompanied with patients, staff and visitors, equipment, consumables, buildings, system and management. Risk management is a proactive approach, which aims to identify, assess and prioritise risk on an ongoing basis, so as to minimise its negative consequence. (Risk Management Strategy, 2007). Risk management involves identifying the factors that may go wrong, influencing factors, to ensure action to prevent recurrence and restabilising the system is place to reduce risk.

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However, there are limited studies that have addressed safety climate among healthcare workers (Gershon et al., 2000; Hahn and Murphy, 2008; Smith et al., 2013). The question is that why ones should discriminate patient safety climate against safety climate of Healthcare Providers such as nurses. The reason is that there are powerful laws that support patient rights and continues supervision is implemented for that. On the other hand, patients are vulnerable individuals so any unsafe behavior has a potential of leading to serious consequences. In the other viewpoint, indeed patients are customer and healthcare managers attempt to obtain their customer satisfaction, because of business competition and/or financial

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Maintaining patients safety reduces the risk of adverse events such as, accidental injuries, complications, disability and even death, resulting from healthcare management and the care a patient receives (Van de Castle et al.2004) (Patient Safety, 2014). The prevalence of adverse events within a facility are a determinant of the quality of care provided to patients and is an indicator of patient safety. These incidences not only effect the patient and staff but also financially burden the healthcare system (Kang, Kim & Lee,

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