Even complicated and confusing topics will be easily developed and covered if you request our help writing an essay. Place an order today!

Safety Score Improvement Plan for XYZ Rehabilitation Center

Safety Score Improvement Plan for General Hospital

Nursing professionals are key players in maintaining a culture of quality care and patient safety in a health care environment. Their role in addressing specific patient safety issues will be discussed using the example of General Hospital (GH), a 1,500-bed multispecialty hospital in the United States. The hospital regularly reports its performance data to the Hospital Safety Score, a nongovernmental organization that ranks hospitals on their safety rate. 

The safety score for the orthopedic inpatient unit of GH has alarmingly increased because of the number of patient injuries resulting from falls. The can affect the image of the hospital, because patient falls are preventable hospital-acquired conditions. The nurse manager of the unit has been advised by the hospital’s patient safety office to identify the cause of the problem, determine an evidence-based safety score improvement plan, and devise measurable long-term solutions for the safety issue.  

Factors behind the Patient Safety Issue – Patient falls

Patient falls are one of the most reported patient safety incidents in health care practice. According to the American Nurses Association (n.d.), it is a serious problem in nursing and health care; as injuries resulting from falls can lead to permanent loss of function of certain body parts or even death. According to systems theory, adverse events such as patient falls are related to the quality of care provided by health care professionals at the front line of operations such as (Lawton, Carruthers, Gardner, Wright, & McEachan, 2012).

 Health care experts have relied on systems theory and systems thinking perspectives to analyze the incidence of safety issues as a nursing challenge. The theory states that problems in any part of a system, such as the nursing department in a hospital, will affect the functioning of the hospital as a whole. Therefore, larger organizational systems should be taken into consideration while implementing changes in nursing profession to improve safety issues. 

Influence of Leadership in Changes for Safety 

Nurse leaders at GH are an important systems factor in driving changes at the organizational and clinical level. The importance of leadership in achieving better patient outcomes or patient experiences was explored in a study of leadership practices and styles (Wong, Cummings, & Ducharme, 2013). The study showed that relational leadership styles, which focused on people and relations, improved patient outcomes because nurse leaders were able to assess patients’ needs better and coordinate staff and resources accordingly (Wong et al., 2013). 

GH nurse leaders can use relational leadership styles to analyze the systems effect of safety issues on patients and nursing professionals. The leadership style can improve job satisfaction among nursing professionals by better managing staff and can enhance patient safety and satisfaction by providing quality care. Relational nurse leaders are also able to effectively use systems theory to analyze organizational policies and procedures that impact patients directly and affect the way nursing professionals deliver care. 

The Effects of Policies and Procedures on Safety Issues

Policies and procedures govern every aspect of nursing such as management of staff, modes of health care delivery, and fiscal and material resources. When applied to policies and procedures governing staff management, systems theory helps nurse leaders assess the competencies of their nursing professionals, plan staff schedules to prevent work overload, hire more nurses to address shortages, and introduce strategies to retain current nurses. 

The dynamic systems model, a systems-theory-based model, can help nurse leaders monitor and reassess those policies (Morath, 2011). It promotes a transparent health care system where nurses are trained to (a) provide transparent care, (b) anticipate and pullback from risky practice, (c) work with other health care professionals, (d) monitor peers, and (e) be innovative and open to new technology that tests and studies safety practices. The model requires nurse leaders to research potential safety issues and gather evidence about those issues before implementing specific changes. 

Recommendations to Ensure Patient Safety

Introducing changes for patient safety starts with collecting information, which will ensure an evidence-based approach to solving problems. The data collected will help devise a safety improvement plan. A structured approach to organizational change is important if the plan is to be properly implemented.

The root cause analysis (RCA) is a systematic analysis of the common causes of safety issues. The RCA also devises strategies to prevent future safety incidents. Based on systems theory, the techniques of the RCA move beyond individual blame for clinical errors and examine the organizational factors that contribute to the errors (Huber, 2017; Dolansky & Moore, 2013). 

According to Dolansky and Moore, all nursing professionals must know how to conduct the RCA as it teaches them about systems theory. However, there are difficulties in obtaining information for the RCA. Teams that conduct RCAs often overlook important evidence in the care process in their hurry to complete the analysis before the stipulated 45 days set by the Joint Commission (Wocher, 2015). The lack of information can impede strategies for implementing evidence-based changes in safety. 

Competency development integrated into staff management is a proven strategy in improving patient outcomes. One evidence-based education plan that can be adapted to clinical practice is the Quality and Safety Education in Nursing (QSEN) initiative. Funded by the Robert Wood Johnson Foundation, the competencies of the QSEN integrate quality improvement and safety management into nursing education (Dolansky & Moore, 2013). 

With the QSEN’s background in systems theory, nursing professionals can apply it at the individual and organizational levels of care. The six competencies of the QSEN are as follows:

(a) patient-centered care, (b) evidence-based practice, (c) teamwork and collaboration, (d) safety, (e) quality improvement, and (f) informatics (Dolansky & Moore, 2013). Nursing professionals who develop these competencies are better able to deliver safe care and solve safety issues. 

However, there are limitations to the QSEN strategy. The QSEN is more than a decade old and has not been updated. Despite these difficulties, the QSEN competencies have become a key component of quality care and patient safety. 

Plan to Implement Safety Recommendation and Monitor Outcomes

The education department teaches staff to think like systems thinkers and develop personal mastery over the profession and system (Burke & Hellwig, 2011). The education department at GH could integrate QSEN competencies into education programs using a framework for organizational learning called the Baldrige framework. A system of continuous quality improvement, the Baldrige framework explains seven criteria that are indicators of quality for organizational learning programs: (a) leadership; (b) strategic planning; (c) focus on patients, other customers, and markets; (d) measurement, analysis, and knowledge management;

(e) workforce focus; (f) process management; and (g) organizational performance results (Burke

& Hellwig, 2011; Huber, 2017). Educational outcomes can be monitored at two levels: (a) the systems level where organizational performance is reviewed through patient and customer satisfaction surveys, scorecards, and human resources indicators; and (b) at the departmental level through pre- and post-testing of nursing professionals, course evaluations, further training of select nursing professionals, and assessments. 

The improvement of safety standards at GH starts with developing the competency of its nurse leaders and nursing professionals. Because nursing professionals are at the front lines of care delivery, nurse educators should tailor programs, content, and goals to suit the unique needs of the nursing profession. 

Conclusion

Patient safety issues such as patient falls are commonplace in a health care organization. Health care professionals must develop the foresight and strategic thinking to identify patient safety issues early and have solutions at the ready. The example of GH shows the importance of preemptively addressing safety issues in nursing instead of letting them fester over time and affect organizational performance.  General Hospital and its leadership should take an active interest in developing nursing competencies continuously, focusing on quality and safety education. Embedding these ideas into the safety score improvement plan will create a lasting culture of quality care and patient safety. These are the standards that define the organization’s image in health care. 

SOURCE: allaplusessays.com
All A+ Essays – PLACE YOUR ORDER HERE: https://allaplusessays.com/order

Havent found the Essay You Want?
We Can Assist
The Paper is Written from Scratch Specifically for You

    WHY allaplusessays.com

  • Confidentiality & Authenticity Guaranteed
  • Plagiarism Free Content Guarantee
  • All A+ Essays Guarantee Timely Delivery of All Papers
  • Quality & Reliability
  • Papers Written from Scratch and to Your Instructions
  • Qualified Writers Only
  • All A+ Essays Allow Direct Contact With Your Writer
  • Using allaplusessays.com Means Keeping Your Personal Information Secure
  • 24/7 Customer Support

GET QUALITY ESSAY HELP AT: https://allaplusessays.com/order

ORDER A PAPER WRITTEN FROM SCRATCH AND TO YOUR EXACT INSTRUCTIONS (allaplusessays.com – For 100% Original Content)

testimonials icon
Assignment 3 Defining the Project Scope Review the project case. Determine the scope of the District 4 Production Warehouse Move project...
testimonials icon
Due 12:00 AM Tuesday night/Wednesday morning Format: 4 pages double spaced Times New Roman 12pt font.  I.     La...
testimonials icon
Physician-assisted suicide should be legal and available to those how choose to use it. Paper Format: APA Style with title page and refe...
testimonials icon
Assignment Choice #1: Entity-Relationship Modeling Let us consider the information that your school trac...
testimonials icon
Do you think leadership style is fixed and unchangeable, or can leaders be flexible and adaptable with respect to style...
testimonials icon
Running head: THE CHILD WELFARE SYSTEM IN THE UNITED STATESThe Child Welfare System in the United StatesNameCourseAffiliateDate1THE CHILD WELFARE SYS...
testimonials icon
Please, respond to the following discussion in one  paragraph, using only one refere...
testimonials icon
Defend or Refute ONE (and only one) of the following statements: The sciences of genetics, linguistics, geology, and biology provide a complete a...
testimonials icon
Hello, I have an assignment due Saturday, August 26, 2017 by 12 p.m. (CST).  If someone could please help me with this.  You only...
testimonials icon
Presenting Duty Ethics Presenting to a management team, client, or work group is a skill that professionals need to master. Multimedia presentation...

Other samples, services and questions:

Calculate Price

When you use PaperHelp, you save one valuable — TIME

You can spend it for more important things than paper writing.

Approx. price
$65
Order a paper. Study better. Sleep tight. Calculate Price!
Created with Sketch.
Calculate Price
Approx. price
$65