Npsa Patient Safety Report
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.
Examples Of Iom's Six Aims Of Improvement In Healthcare
573 Words | 3 PagesEach year, the goals are analyzed and if necessary, updated. The 2016 National Patient Safety Goals aim to: 1) Improve the accuracy of patient and resident identification; 2) Improve the effective communication of caregivers; 3) Improve the safety of medication use; 4) Improve the safety of clinical alarm systems; 5) Reduce the risk of health care associated infections; 6) Organize identification of safety risks evident in patient populations; and 7) Set universal protocol for preventing wrong site/procedure/person surgeries (TJC, 2016). These safety goals are mandated so that medical errors are reduced and patients are given the best quality care possible. Some of the steps nurses can take in association with these goals include: using at least two patient identifiers to ensure correct patient treatment and reduce patient misidentification; making timely reports of critical test and diagnostic results; maintaining accurate patient medication information, and labeling all medications and containers removed from original containers; quickly responding to medical equipment alarms, and maintaining their upkeep; following hand hygiene guidelines, and using evidence-based practices to prevent infections due to multi drug-resistant organisms, surgical sites, or indwelling catheters; identifying patients at risk for suicide; and ensuring that sites are correctly marked for surgery through marking the procedure site and undergoing a verification process (Cherry & Jacobs,
Teamwork And Collaboration Component Analysis
231 Words | 1 PagesPatient safety component explains how important it is that as nurses, patients safety is kept as a priority. It is our job to help minimize risk of harm
Pediatric ICU: Effective Communication In Critical Care
654 Words | 3 PagesCommunication is an important factor in determining patient outcomes, patient experiences, and healthcare costs, both positively and negatively. In fact, communication breakdown accounts for two thirds of sentinel events, the most serious of errors reported to the Joint Commission, making it the leading cause of medical errors (Starmer et al., 2014). The Institute of Medicine (1999) conservatively estimates that between 44,000 and 98,000 patients die each year from medical errors. More recent estimates predicted this number to be upwards of 400,000 deaths annually, making medical errors the third leading cause of death in the United States (Makary & Daniel, 2016). Miscommunication and handoff errors are the primary point these errors occur.
Aha Moment Essay
691 Words | 3 PagesSafety: Safety is the number one goal to have when working in the medical field. Our goal in clinical was to make sure everyone remained safe in the workplace, including patients, staff members, and visitors. Some ways how we kept everyone safe included: addressing spills in a timely manner; using the medication rights; keeping bed wheels locked; following standard precautions; double-checking medications and patient charts; answering call lights in a timely manner; hourly rounding; washing our hands; wearing PPE when needed; and so on. There were so many things that we all did during the clinical day to keep all members safe and free from harm. The number one way is to implement standard precautions.
Patient Safety In Healthcare: Pressure Ulcer Rate
398 Words | 2 PagesPatient Safety in Healthcare: Pressure Ulcer Rate Hospitals admit patients all over the United States (US) every day. Generally, the public regards hospitals as safe places to receive the care they need. Patients and families perceive nurses as being trustworthy and hard workers that dedicate their lives to caring for the sick. Utilizing Patient Safety Indicators (PSIs) can assist hospitals to achieve the best patient outcomes, deliver safe, quality care, and prevent adverse events. The purpose of this paper is to define the purpose of the PSIs 90 and role in healthcare today.
Clinical Handover In Nursing
813 Words | 4 PagesHigh 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
Ineffective Nursing Communication
1038 Words | 5 PagesThey 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.
Hand Off Communication In Nursing
623 Words | 3 PagesThe 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.
Overview Of The Eindhoven Model
194 Words | 1 PagesThe 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
National Patient Safety Agency (NPSA)
2075 Words | 9 PagesRisk 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.
The Importance Of Patient Safety Culture
780 Words | 4 PagesThe World Health Organization (WHO) ‘’defines patient safety practices as processes or structures that reduce the probability of adverse events resulting from exposure to the health care system across a range of diseases and procedures’’ (WHO, 2014). Patient Safety Culture is “the product of individual and group values, attitudes,
Reflection: Horizontal Bullying
1590 Words | 7 PagesUnderstanding 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.
Informatics Impact On Healthcare
855 Words | 4 PagesSafety has always been in the forefront in managing patient care, especially when administering
The Importance Of Patient Safety
1001 Words | 5 PagesThe code of professional conduct guides nursing practice and promoting and maintaining patient safety is one of its key principles (Nursing and midwifery board of Ireland, 2014). The Health information and quality authority was established in 2005, and the aim of this government body is to develop standards for healthcare and to provide safe, high quality health services. Patient safety can be maintained once these policies and guidelines are adhered to. Patent safety is a key principle across the board in healthcare services, however maintaining safety in mental health nursing brings about increased difficulties (Duxbury, 2015).
Safety Climate In Nursing
738 Words | 3 PagesHowever, 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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