ipl-logo

National Patient Safety Agency (NPSA)

2075 Words9 Pages

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.
Adverse events are a common phenomenon in clinical practice inspite of increased attention to quality. The root causes of adverse events lie in several …show more content…

In 1999, all the Chief Executives of healthcare organizations were given a framework and statutory duty called clinical governance for management of healthcare service delivery, risk management, maintain quality and safety. In 2001, the National Patient Safety Agency (NPSA) was set up which was charged with a national reporting and learning agency for adverse events, to take lessons from reports and develop solutions to considerably reduce risk and prevent further recurrences. Safety alerts are been issued on various topics related to adverse events in all hospitals. NPSA has been working towards to change the culture from one of blame to one which is fair and open. This has been achieved by providing training to staffs in NHS institutions in conducting analysis of root cause in cases of adverse events. In UK, a charitable foundation called Health Foundation has been funding “Safer Patients Initiative” programme which works towards the improvement of quality of healthcare service across the continent (Burnett & Vincent, 2007). The NHS Quality Improvement Scotland (NHS QIS) clinical governance and risk management standards came into effect from Nov 2005. Steps for risk management strategy included establishing context, identifying risk, analysing risk, evaluating risk and treating risk along with periodic monitoring and …show more content…

Woolf et. al and Grimshaw et. al suggests that utmost benefit that could be attained by clinical guidelines is to improve health outcomes. (Woolf, Grol, Hutchinson, Eccles, & Grimshaw, 1999). Clinical guidelines that provides correct information about the proven benefits of intervention and discourage the harmful or ineffective ones can be instrumental in reducing morbidity and mortality and improve the quality of life. (Grimshaw & Russell, 1993). Clinical guidelines can be very useful in improving the quality of clinical decision making. They can provide explicit recommendations for clinicians who are unclear about how to proceed or in deciding treatment options (Starey,

Show More
Related
129 Words | 1 Pages

Thank you for your all information. Your answer is very organized and well addressed the question. I agreed with you the Joint Commission's mission and goal now is to focus on continuously improving health care for the public by evaluating health care organizations and inspiring them to excel in providing the safest and effective care of the highest quality and value. According to the Joint Commision (JC), there are no new National Patient Safety Goals in 2015, but JC continuously determines the highest priority patient safety issues and how best to address them. For exxample, for hospital setting, the goals focus on following problems: identify patients correctly, improve staff communication, use alarms safely, prevent infection, identify

Read More
1123 Words | 5 Pages

Hence, this is a sentimental event because this unanticipated event resulted in death to a patient, not related to the natural source of the patient's illness. Therefore, the threat and error management model should be used to determine both training needs and organizational strategies to improve the management of threats to safety. What defenses in the system failed in this case? Can you construct a Swiss cheese analysis of the system defenses and what occurred?

Read More
519 Words | 3 Pages

The concern for safety has become a bigger and more important issue, and these two departments are forming a relationship. Although it has been the tradition for these two departments to work separately, they both have a common goal, to oversee the safety and excellence in healthcare organizations. Some smaller organizations have always had the same person control quality and risk and remained successful. These days, we are seeing a lot more collaborations, goal sharing, ad idea exchanging among these two groups (Perry, 2007). Risk management is critical to every organization.

Read More
2427 Words | 10 Pages

This will be achieved through rich qualitative input and international consensus-building that will complement coordinated efforts in academic medicine with an end goal of improving health provider wellbeing and patient outcomes. This tool will be refined through stakeholder engagement with key individuals and groups who will be involved throughout the process. Through undertaking a rigorous design and development process, we expect that the tool will be well-received and quickly transition the adoption phase given that we will be working with stakeholders throughout the process. This proposal focuses on the development of the evaluation tool and implementation tool. The tool will initially be deployed in clinical settings that have already been identified as having opportunities for improvement.

Read More
591 Words | 3 Pages

All businesses have to comply with The Health and Safety Executive (UK Government body) and complete Risk Assessments to ensure the safety of their staff and customers. A Risk Assessment looks at a normal day working activities and considers what could go wrong and encourages the employer to look at measures to protect the employee/customer and to have a plan of action should anything go wrong. These assessments are regularly revisited and updated as necessary. As a practice dealing with veterinary medication and equipment that can be hazardous to human health we also need to comply with the following boards; •

Read More
1017 Words | 5 Pages

The Joint Commission is involved in making sure the health care facilities are providing the patient and family members of patients the effective and safe care that the patient needs and deserves. There is a close relationship between the National Patient Safety Goals (NPSG) and the results of the Joint Commission survey. If the facility were following the NPSG’s then the facility would have more of likelihood that the organization will receive a good survey results from the Joint Commission. There are serious consequences for the health care organization if the organization does not meet the benchmarks set by the Joint Commission. Multiple tools out there will aid this author in determining if the organization that this author works in is

Read More
758 Words | 4 Pages

Health care provider need to be open and transparent to the service user and the health care commissioner on how the service are. One way of doing this is to use relevant NICE guidance and quality standards to show where high quality care is being provided and highlight areas for improvement REF. The care quality commission (CQC) was established in 2009 to independently regulate, monitor, rate and inspect health and social care services in England, Its duty is to register providers and managers who meet the legal requirement to offer health and social care service to the people. REF CQC make sure the organisation meet the fundamental standards of quality and safety and also they have the right to publish what they find including performance rating to help people choose care.

Read More
861 Words | 4 Pages

Each Clinical Care Standard is developed in collaboration with a topic working group of clinicians, researchers and consumers. The group uses the most current evidence from guidelines and standards, information about gaps between evidence and practice, their expertise and knowledge of the issues affecting the correct delivery of care, and consideration of issues that are important to consumers. The topic working groups are supported by a Clinical Care Standards Advisory Committee that provides advice on the development process of the Clinical Care Standards program. A public consultation process is also conducted before finalization and publication. Quality statements within the Clinical Care Standards describe high priority areas for quality improvement.

Read More
1763 Words | 8 Pages

Care staff have a duty of care to ensure the safety of individuals they support; however, individuals also have a right to make their own choices which can lead to dilemmas. The risk assessment process can be used to support individuals to understand the possible repercussions of their choices and put measures in place to reduce or eliminate these risks this can help individuals and staff to have a positive attitude towards risk taking and to promote their strengths and abilities. This can lead to self-confidence, self-esteem and overall

Read More
429 Words | 2 Pages

In order for the future of health care to change, changes must begin at the top with stakeholders, the hierarchy and nursing management, nurses as leaders within their organizations. According to Disch J. (2008), nurses as leaders within their organizations need to also step forward, CNEs have the background, perspective, and platform to help their organizations seriously tackle safety issues that jeopardize patient care and that face nurses and their colleagues daily, and are the essential building blocks of all health systems--and

Read More
1437 Words | 6 Pages

To enhance the system of health care, a just culture needs implemented. A just culture encourages an environment that pinpoints problems for improvement, rather than just seeking blame. Furthermore, an overview of the risk management process and its five components will illuminate the importance of identifying, analyzing, prioritizing, and monitoring risks. The risk management process combined with a just culture will promote best practices for an improved health care system with reduced or eliminated errors. Just Culture Risk managers that support a just culture, realize that people make mistakes and punishments seldom resolve problems.

Read More
1270 Words | 6 Pages

Working with those value systems should cause a reduction in failures of service-user safety. Two years after the implementation of the 6C’s it was found that there were improvements in service-user satisfaction and communication (NHS England, 2014). Kalisch et al, 2007 found that efficient group work saw increased levels of job satisfaction, service-user satisfaction, quality of care and most importantly service-user safety. The delivery of safe care relies heavily on effective team working (Despins, 2009).

Read More
398 Words | 2 Pages

Patient safety experts have demonstrated that “patient safety increases when teamwork and collaboration skills are taught and empowered; when teamwork and collaboration are not present, medical errors will result” (Creasia & Friberg, 201, p. 348). As a nurse, it is imperative to collaborate with other interdisciplinary members in health care and also strive to research and implement evidence-based practices. Evidence-based practice is necessary to “ensure the highest quality of cost-effective care and the best patient outcomes” (Fineout-Overholt, 2011, para. 16). With a collaborative and innovative attitude on safe health care practices, an increase in patient safety and effectiveness of care will

Read More
998 Words | 4 Pages

 Avoid clinical disaster Regulators are dedicating themselves to setup early warning and action plan to mitigate and prevent risks. The unanticipated risks have become more easier to be picked up and mitigated by utilising

Read More
1136 Words | 5 Pages

1. Explain the legislative framework for health, safety and risk management in the work setting. Presious healthcare provides home care to service users in their home, we work alongside other professionals to promote the service user’s wellbeing. As a manager of domiciliary care, we work in the service users home environment, we work within several laws and legislations such as: Food Hygiene Regulations 2006, Care Standards Act, Health and Safety 1974, Disability Act 1989 etc.

Read More

More about National Patient Safety Agency (NPSA)

Related Topics

Open Document