29 Sep NSG 3370 The Role of the Nurse in Quality and Patient Safety D
NSG 3370
The Role of the Nurse in Quality and Patient Safety Discussion
Guidelines
- The Role of the Nurse in Quality and Patient Safety Discussion should focus on the utilization of Evidence-Based Practice to improve quality and safety of patients. It should be supported by the 2020 National Patient Safety Goals and literature. The discussion should be objective, and not opinion based.
- Choose one clinical problem from the list below that could use improvement. Describe the clinical problem and provide support from the literature. Do not write about personal experiences of you or personnel (coworkers, supervisors, etc.) in your practice or of ongoing project in your facility.
- Catheter Associated Urinary Tract Infection (CAUTI)
- Central Line Associated Blood Steam Infection (CLABSI)
- Patient identification errors – medication
- Patient identification errors – blood/blood products
- Medication administration errors
- Falls/injuries
- Bedside report issues
- Allergies
- Ventilator Acquired Pneumonia (VAP)
- Surgical Site Infection (SSI)
- DVT prophylaxis injury
- Staff communication
- Alarm Fatigue
- Alarm Safety
- Medication reconciliation
- A literature search should be performed using the Troy Online Library. Locate at least 3 articles of studies published in peer-reviewed, scholarly journals and published within the last 5 years. DO NOT use unpublished Master’s theses or unpublished doctoral dissertations, as these sources are not published in a journal but available from a repository. The published journal articles should be studies related to the topic, which should be used as resources to support the clinical problem, the National Patient Safety Goal and the Process Improvement Tool. Use the journal articles to write and give support to the discussion. A chapter from text may also be used as an additional resource to support the information but IS NOT included in the review of the literature. However, the specific chapter author must be cited and referenced according to APA guidelines.
- Choose a specific 2020 Nation Patient Safety Goal that applies to the clinical problem. Identify the specific NPSG by number as given by the Joint Commission (see document below). Describe and relate how the specific NPSG applies to the clinical problem.
- Choose a Process Improvement Tool listed below that would be appropriate for implementation. Describe the tool, and how the tool could/should be implemented. You will find more information on each Tool in Chapter 22.
- flowcharts
- Pareto chart
- cause and effect diagrams
- run charts
- Follow APA 7th Edition Guidelines for formatting.
2020 Hospital National Patient Safety Goals
The purpose of the National Patient Safety Goals is to improve patient safety. The goals focus on problems in health care safety and how to solve them.
This is an easy-to-read document. It has been created for the public. The exact language of the goals can be found at www.jointcommission.org.
Get important test results to the right staff person on time.
Reduce the risk for suicide.
Use the hand cleaning guidelines from the Centers for Disease Control and Prevention or the World Health Organization. Set goals for improving hand cleaning. Use the goals to improve hand cleaning.
Make sure that the correct surgery is done on the correct patient and at the correct place on the patient’s body.
Mark the correct place on the patient’s body where the surgery is to be done.
Pause before the surgery to make sure that a mistake is not being made.
Use at least two ways to identify patients. For example, use the patient’s name and date of birth. This is done to make sure that each patient gets the correct medicine and treatment.
Identify patients correctly NPSG.01.01.01
Prevent infection NPSG.07.01.01
Improve staff communication NPSG.02.03.01
Identify patient safety risks NPSG.15.01.01
Prevent mistakes in surgery UP.01.01.01
UP.01.02.01
UP.01.03.01
Before a procedure, label medicines that are not labeled. For example, medicines in syringes, cups and basins. Do this in the area where medicines and supplies are set up.
Take extra care with patients who take medicines to thin their blood.
Record and pass along correct information about a patient’s medicines. Find out what medicines the patient is taking. Compare those medicines to new medicines given to the patient. Give the patient written information about the medicines they need to take. Tell the patient it is important to bring their up-to-date list of medicines every time they visit a doctor.
Use medicines safely
NPSG.03.04.01
NPSG.03.05.01 NPSG.03.06.01
Make improvements to ensure that alarms on medical equipment are heard and responded to on time.
Use alarms safely
NPSG.06.01.01
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