National Patient Safety Goals

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

The Joint Commission’s tracer methodology is used to ensure compliance standards are met, as well as to “trace” and document the level of care provided to patients in order to make improvements to the facility’s health care delivery system. Patients requiring services that utilize the entire continuum of care spectrum are selected in an effort to gather sufficient information needed to identify areas with potential risks and safety concerns. As the patients’ course of care progresses across the system, Joint Commission surveyors evaluate each department 's policy and procedure on data management, infection control and medication management process. Health information management is impacted by the “tracer methodology” because HIM must ensure

Clean catheter from insertion site to the external tube to decrease the number of existing pathogens. Clean with soap and warm water. 6. Observe color, clarity, and odor of urine every shift. Monitor urinalysis results and other labs including WBC counts for possible infection the patient can incur.

Central line associated bloodstream infections (CLABSIs) in 2009 were amongst 23,000 infections in the inpatient population of US hospitals. (Sweet, Cumpston, Briggs, Craig, & Hamadani, 2012) These infections increase morbidity of patients, mortality, and increase cost. Those that are at risk are the population with central venous catheters. This infection is commonly due to improper hub care and consequently provides the direct introduction of the bacteria into the blood stream. A fairly new intervention to prevent this morbid infection is the implementation of alcohol impregnated protective caps, otherwise known as the brand name Curos caps in addition to others.

My Ideology of the Six Concepts of QSEN According to QSEN.org (2020), “The Quality and Safety Education for Nurses (QSEN) project addresses the challenge of preparing future nurses with the knowledge, skills, and attitudes (KSAs) necessary to continuously improve the quality and safety of the healthcare systems within which they work.” Using my clinical experience; I will be discussing various aspects of each of the six concepts of QSEN. These concepts include patient-centered care, quality improvement, Informatics, evidence-based practices, teamwork & collaboration, and Safety. Discover and reflect with me as I evaluate how well the hospitals I went to, Mercy Health Behavior Institute, St. Charles, and Promedica Toledo Hospital, implemented

The primary prevention is the best way to eliminate the potential for exposure. Since hand washing is the most effective mean of spread of infection, it would be my primary goal to increase the compliance of hand hygiene among healthcare workers, but also an extensive education of patients and family members on hand washing before and after touching the patient as well as afar any contact with any potentially contaminated materials (surface, body fluids or respiratory secretions). Mandatory education of patients, visitors and healthcare workers, across the system as well as cross department compliance practices are single best mean of preventing the spread of infection. For example, every patient and family member can be educated about hand hygiene, use of PPE-personal protective equipment (face mask, gowns and gloves). Although, the practices are already being utilized, I believe the compliance is poorly monitored.

Every nurse, at some point, has questioned why something is done. Perhaps the procedure misuses time, is painful for the patient, or is unnecessarily unsafe for the nurse. Is this process or procedure utilized because of an outdated method or is it proven to be the best practice? Thus, every nurse, and especially nurse leaders, have the unique ability to question, research, and discover enhanced nursing processes that can improve patient and nurse outcomes alike.

Through the learning from week 1 and week 2, I have learnt that the most frequent adverse event in health-care delivery is health care-associated infections. It is essential for us to follow the infection control practices that both patients and us are at a risk of being infected. Standard Precautions involve the use of safe work practices and protective barriers, for example, the use of personal protective equipment(PPE). At first, I think Standard Precautions are very easy. Everyone knows PPE can protect us from infections and hand hygiene is important throughout the process.

Heads the Surgical team in ensuring the safe movement of sterile supplies; monitoring of appropriate temp and humidity in the OR Core; and facilitating a smooth transition to operational process. Facilitates the movement of sterile supplies from the OR suites and IR/Cath Lab to the OR Core. Monitored the execution of process efficiently minimizing the risk of compromised supplies and eventually wastes. Ms Fernandez directs nursing, cath lab team, logistics and EMS in addressing concerns and employing appropriate communications and actions. This resulted in the absence of compromised supplies, surgical and procedural cases were conducted as scheduled after the project.

Hospital-acquired infectsion (HAI) is defined by the Centers for Disease Control and Prevention as a localized or systemic condition resulting from an adverse reaction to the presence of an infectious agent or toxin that occurs 48 hours or more after admission to a hospital or health care facility. ”(JAMDA) Every year it is estimated that 700,000 to 1.7 million people will contract a HAI and nearly 100,000 will die from their infection. There are 5 major HAIs; Blood stream infections, ventilator associated pneumonia, surgical site infections, Clostridium difficile infections and catheter associated urinary tract infections.(MCELROY) Of the five, the most common in elderly patients is pneumonia and UTIs. How can we decrease the occurrences

The Leapfrog Group (“Leapfrog”) is a hospital reporting organization created to provide purchasers with transparent health care quality information. Prior to Leapfrog’s creation, employers who purchase health care found it difficult to provide high-quality care to their employees because they could not identify which providers were best. A group of employers developed Leapfrog in response to this lack of transparency and accountability. Sixty purchaser members were included in the launch of Leapfrog in 2001, with funding from Business Roundtable, the Robert Wood Johnson Foundation, and the Commonwealth Fund.1 The mission of Leapfrog is to “trigger giant leaps forward in the safety, quality and affordability of U.S. health care by using transparency

According to Duncanson and Pearson (2005) there were significant lack of studies in the literature to link the availability of patient information about MRSA and hand hygiene to their willingness to question healthcare professionals about hand hygiene practices. A study done by Henderson (2006) that explored the nurses’ and patient’s therapeutic relationship in care while in hospital, found that nurses were unwilling to involve patient’s in decision making regarding their care, this in turn made forming a partnership more difficult between nurse and patient. The

Pant Hospital, New Delhi, India; a tertiary care hospital. A cross sectional survey of 400 health care personnel was conducted from September to December 2009 regarding hospital infection control practices (hand hygiene, standard procedures, hospital environmental cleaning and needle stick injury). The mean knowledge regarding hand hygiene was 86.8% with insignificant difference among doctors and nurses. Doctors (71.3%) were more knowledgeable about standard procedure regarding the transmission of pathogens when compared to nurses (52%). Nurses used these maximal barrier precautions significantly less in comparison to

Introduction Infection control is the major concern in healthcare industrial. According to World Health Organization (WHO), infection prevention and control measures are to protect vulnerable group who might be acquire an infection both in the general community and while receiving care due to health problems, in a range of settings (World Health Organization, 2015). In perioperative setting, infection control is particularly important because surgical intervention provide a portal of entry for pathogenic microorganism as it interrupts skin integrity, which is the body’s first line defense against microorganisms. Poor infection control will lead to postoperative surgical site infection result in delayed recovery that lead to increased length

Introduction: Infection control and prevention is one of the most important issues in hospital practice today, especially with the emergence of drug-resistant bacteria In USA, approximately 99,000 deaths occur per year with hospital acquired infections and in France, the prevalence of hospital acquired infections was 6.87% in 2001 and 7.5% in 2006.In Italy in 2000’s, about 6.7 of hospitalized patients was infected. The overall nosocomial infection rate at Saudi Arabian Military hospital was 4.98 per 100 discharged patients. After construction of an infection control unit, Research Institute in Egypt conducted a surveillance program in a period from September to December 2001and the same periods in 2004 found that the overall nosocomial