NURS3100 Section, Issues and Trends
Patientsafety indicators (PSIs) are the health practice that can be usedwith hospital inpatient discharge data to provide a perspective onpatient safety. According to Huges (2008), PSIs screens problems thatpatients experience as a result of exposure to the healthcare systemand that are likely amenable to prevention by changes at the systemor the health provider. These changes are referred to ascomplications or adverse events that can take place when a patient ishospitalised or has been discharged from a healthcare facility.Patient has a better outcome when PSI is used with other measureslike safety culture and education. Therefore, the purpose of thispaper is to describe the analysis of a quality level indicator, itsability to improve the quality of health care, and the currentinformation about the improvement of clinical leadership goals inaddition to solutions for improving the safety of patients.
PSIis not limited to hospitalised patients only. Hughes mentions thatPSIs are defined on two levels: the provider level and the arealevel. Provider-level Indicators provide a measure of the potentiallypreventable complication for patients who received their initial careand the complexity of care within the same hospitalisation (DeVos, Graafmans, Kooistra, Meijboom, Van Der Voort, & Westert,2009).Provider-level Indicators include only those cases where a secondarydiagnosis code flags a potentially preventable complication.Area-level Indicators takes care of all the cases of the potentiallypreventable complications that can occur in a given area,(metropolitan service area or county) either during hospitalisationor resulting in subsequent admission (Huges, 2008). Area-levelIndicators are specified to include both the principal diagnosis andthe secondary diagnoses, for the complications of care. Thisspecification is cases where the patient’s risk of the complicationoccurred in a separate hospitalisation (Hughes, 2008).
CurrentData Leadership Goals
Asafety healthcare facility does not stop with the direct caregivers.It requires input from all departments including the patientsthemselves. Widespread consensus shows that health care organisationscan reduce patient injuries by improving the safety of theenvironment, implementing technical changes such as electronicmedical record systems, and improving staff awarenessof patient safety risks (Jorm,Dunbar, Sudano & Travaglia, 2009). Clinicalprocess interventions also present strong evidence for reducing therisk of adverse events related to the patient’s exposure tohospital care. These PSIs can be used to evaluate local and nationalinitiatives (Jorm et al., 2009). Below are some healthcare goals thathealthcare facilities can implement to improve patient safety (Jormetal., 2009)
Review and synthesise the evidence base and best practices from the scientific literature.
Work with the multiple disciplines and departments involved in caring for surgical patients to redesign health care by best practices while emphasising on coordination and collaboration.
Implement performance measurements for improvement and accountability.
Developing shared expectations of their rights and responsibility with regards to quality care.
Develop a patient-centered model for safe culture
Encourage health literacy and patient empowerment.
Oneof the most critical approaches a healthcare facility can do toimprove patient’s safety is to adopt a safety culture. According toSummer and James (2011), a patientsafety culture framework is one that defines safety factors suchasleadership, evidence-based practice, teamwork, communication,learning, patient-centered culture. Nurseleaders can improve PSI by adopting a safety culture (Summer &James, 2011). De Vos et al., (2009) describes culture as a crucialcomponent of healthcare quality and safety. A culture of safetyincludes the attitudes and behaviours that relate to the patientsafety and that are expected to promote appropriate patient safety.It is important that nurse leaders adequately assess the safetyculture in their workplace and clearly articulate a framework toguide nurses as they work to increase safety within the work setting.This type of educational assessment can raise awareness about patientsafety issues, analyse the current status of the culture related tosafety, timely interventions, and track the effectiveness ofimprovements over time (Summer & James, 2011). Nurse managers canalso implement performancemeasurements for improvement and accountability.
Healthcareworkers who are directly involved with patient care cannot rely ontheir work etiquette as an assurance of safety of the patient.According to Summer & James, "Nurses believe they canprotect patients because of their commitment to their job and theirpersonal abilities. Patient safety is a teamwork via culture thatcentres on the patient’s interest.Along with the safety culture, education is important so that thenurses can understand and enact behaviours that are associated withthe safety. Communication openness, feedback about the error, thefrequency of events reported, management support for safety,staffing, non-punitive response to error and teamwork across andwithin units is imperative in fostering a safety first healthcarefacility.
Inregards to the week four and week six assignments, I have learned theproper mode of citing resources using the APA style in addition toproofreading my work. In fact, the proofreading is essential as itenabled me to correct typos and grammatical errors. I have alsorealised that proofreading is quite necessary for ensuring that thefinal solution follows all the instructions in the assignment.
Insummary, Patientsafety indicators (PSIs) are the factors that determine the healthcondition of patients during admission and after discharge from ahealth facility. The clinical leadership may use this data to improvethe quality of health provided in the hospital. The Provider-levelindicators can provide a given value of preventable complications onpatients after discharge. Theclinical leadership is mandated with ensuring the safety of thehospital in addition to the people visiting operating within itspremises. These safety standards are achievable by attaining someleadership goals high levels of literacy and patient care among thenurses.
DeVos, M., Graafmans, W., Kooistra, M., Meijboom, B., Van Der Voort,P., & Westert, G.
(2009).Using quality indicators to improve hospital care: a review of the
literature. InternationalJournal for Quality in Health Care.
Hughes,R. (Ed.). (2008). Patientsafety and quality: An evidence-based handbook for
nurses (Vol.3). Rockville, MD: Agency for Healthcare Research and Quality.
Jorm,C. M., Dunbar, N., Sudano, L., & Travaglia, J. F. (2009). Shouldpatient safety be more
patientcentred?. AustralianHealth Review, 33(3),390-399.
Sammer,C., & James, B. (2011). Patient safety culture: The nursing unitleader’s role. OnlineJ
No related posts.