Annotated Bibliography – Improvement Plan Tool Kit

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Annotated Bibliography – Improvement Plan Tool Kit

Effects of delays in respiratory care pose a serious threat to patient safety. Such delays have severe consequences, including adverse effects on patients, such as hypoxia and increased admissions to the ICU. Some of these risks are avoidable if identified early enough and appropriate action is taken; however, some of the concerns that remain include communication challenges and staff limitations. Respiratory care delays should be a concern to patients and healthcare organizations since they lead to inefficiency and increased costs. This improvement plan toolkit provides nurses with the tools and approaches to manage these delays, as outlined below. This toolkit is divided into four main sections: general organization safety and quality measures, environmental safety and quality hazards, staff-initiated preventive measures, and general measures for reporting and improving environmental safety concerns, and it offers a comprehensive view for improving respiratory care and patient safety.

Annotated Bibliography

General Organizational Safety and Quality Best Practices

Lu, L., Ko, Y.-M., Chen, H.-Y., Chueh, J.-W., Chen, P.-Y., & Cooper, C. L. (2022). Patient safety and staff well-being: Organizational culture as a resource. International Journal of Environmental Research and Public Health, 19(6), 3722.

This article seeks to understand the relationship between patient safety and staff health while highlighting the significance of organizational culture as a type of capital. Thus, it offers strategies for promoting a healthy work culture that helps to improve not only the safety of patients but also the well-being of caregivers. Through awareness of such dynamics, nurses can enhance safety improvement measures, especially in critical sectors such as respiratory care.

Nurses can, therefore, use this resource to enhance a positive organizational culture that enhances the safety and well-being of staff. This is especially helpful during group discussions, training, and the enforcement of standard safety measures. The results of the article are useful to consider when developing strategies to reduce the impact of staff shortage and enhance communication, which is essential in managing respiratory emergencies.

The resource is useful in recognizing and encouraging activities that can foster both patient safety and staff satisfaction. It stresses the significance of appropriate organizational culture and serves as a valuable reference for nurses involved in quality and safety changes. Therefore, the strategies mentioned above can help the nurses minimize patient safety hazards and improve the environment of the healthcare setting. This resource is useful in the formulation, implementation, and evaluation of safety enhancement strategies, guaranteeing recurrent organizational advantages.

Ricciardi, W., & Cascini, F. (2020). Guidelines and safety practices for improving patient safety. In Springer eBooks (pp. 3–18). https://doi.org/10.1007/978-3-030-59403-9_1

This resource offers detailed recommendations on how patient safety can be promoted in different care contexts. It provides step-by-step guidelines and suggestions on how safety can be practiced effectively; this is important when dealing with issues to patient safety, such as delayed respiratory care. The guidelines involve such aspects as the proceduralization of activities, optimization of communication, and strict education of healthcare workers.

Nurses can use these guidelines to advance and modify safety principles in their particular units. It is constructive when developing mechanical reaction templates for respiratory catastrophes, guaranteeing that everyone knows the expected actions. When these activities are followed, nurses will be in a better position to recognize respiratory complications and their management at an early stage.

By having a sound and easily understandable framework in place, this resource enhances the ability to put into practice and maintain safety-enhancing interventions. Nurses involved in quality and safety improvements will find it most beneficial since it provides an array of best practices to decrease patient safety incidents. The protocols and recommendations can easily be incorporated into daily working and training activities, making this resource a toolbar for constant enhancement. Also, this resource is effective in the planning and assessment phase of safety measures and practices to ensure organizational compliance and safety efficacy.

Wagner, C., Kristensen, S., Sousa, P., & Panteli, D. (2019). Patient safety culture as a quality strategy. Improving Healthcare Quality in Europe – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK549280/

This article contains all the necessary information on nurturing and maintaining a patient safety culture in healthcare systems. The authors explain the approaches, resources, and competencies needed for creating a safety culture across an organization. Therefore, knowledge of patient safety culture principles will enable nurses to enhance the improvement of safety in the specific area of concern, which is respiratory care delay.

This resource is beneficial to nurses because it provides them with information on safety, communication, and teamwork. It proves helpful when used in training sessions, safety orientation, and quality improvement forums. The resource helps establish protocols for communication, which are crucial for the timely and effective handling of respiratory emergencies.

This resource is useful in suggesting relevant tools and approaches to enhance ongoing improvement of patient safety interventions. It also focuses on teamwork and would, therefore, be helpful for a nurse working on quality and safety measures. If the information provided in this resource is applied, nurses would be able to minimize patient safety threats and help enhance the safety of the healthcare system. The article can be applied during the strategic, operational, and assessment stages of enhancing safety for effective and continuous improvement of care quality.

Environmental Safety and Quality Risks

Authors, Smith, A., & Severn, M. (2023, April 1). Reducing the environmental impact of clinical care: CADTH Horizon Scan. Canadian Agency for Drugs and Technologies in Health – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK596637/

This resource focuses on reducing the negative impacts of clinical on and offers tools and suggestions that healthcare organizations can implement to be environmentally friendly. It encompasses the descriptions of current approaches to waste management, emerging technologies, and procedures, as well as suggested policies and strategies for their implementation in the context of the healthcare system.

This framework can help nurses apply green principles to their work, for example, by avoiding unnecessary disposables, using less energy, and disposing of waste more efficiently. By applying these strategies, nurses can promote enhanced health and safety outcomes to foster a safer and sustainable healthcare environment.

This article is important in the provision and maintenance of environmental changes for safety features, as well as particular problems, such as waste disposal and energy usage. First, it contains recommendations for implementation that can be adopted in hospital policies and procedures, thus being useful for the nurses in charge of quality and safety improvements. This resource is especially helpful during the planning and evaluation stages of environmental safety initiatives so that practices and procedures support sustainability and minimize the effects of healthcare delivery on the surroundings.

Mistri, I. U., Badge, A., Shahu, S., Mistri, I. U., Badge, A., & Shahu, S. (2023). Enhancing patient safety culture in hospitals. Cureus, 15(12). https://doi.org/10.7759/cureus.51159

From this article, knowledge on how to improve patient safety culture in the hospital can be gleaned. It delves into how the culture of the organization can promote improved patient safety using policies, training, and improvement mechanisms. Leadership, teamwork, and communication are other aspects highlighted by the authors as essential in improving the safety culture and eradicating medical mistakes that result in poor patient outcomes.

Nurses may use this resource to collect data on the appropriate strategies for promoting patient safety culture in the healthcare teams. Notably, it gives guidelines for creating a safety culture and recommends practices like using safety scripts, conducting daily safety huddles, and discussing safety issues freely. These recommendations can be applied to practice by nurses promoting patient safety measures, engaging in patient safety improvement committees, and being involved in patient safety concerns concerning other disciplines. This source is most useful for nurses who plan to promote a safer care environment and improve the quality of care through cultural change initiatives.

Wang, M., Zhang, H., Luo, Y., & Xu, M. (2024). Comprehensive risk management of health, safety, and environment for social emergency rescue organization. Heliyon, 10(1), e23021. https://doi.org/10.1016/j.heliyon.2023.e23021

This article discusses general risk management frameworks for health, safety, and the environment for social emergency rescue organizations. It offers guidelines and methods for evaluating and controlling risks arising from emergency response operations, which puts the HS&E management systems in organizations in focus.

Other professionals may benefit from this resource by being aware of the broader perspectives of risk management in emergency settings, which contributes to improved preparedness and responses. The article provides information about recognizing dangers, applying safeguards, and managing crisis management to protect patients and healthcare employees.

Accordingly, nurses can use this resource during emergency preparedness training sessions and exercises to plan through different outcomes and enhance effectiveness. Additionally, the article serves as the basis for developing particular decision-making regarding emergencies that would help improve the quality of patient care and optimize the processes. This resource is useful to various healthcare teams who respond to emergencies and disasters. It contains useful information regarding how one can control risks and how health, safety, and the environment can be enhanced.

Individual Strategies to Improve Personal and Team Safety

De Brún, A., Anjara, S., Cunningham, U., Khurshid, Z., Macdonald, S., O’Donovan, R., Rogers, L., & McAuliffe, E. (2020). The collective leadership for safety culture (Co-Lead) team intervention to promote teamwork and patient safety. International Journal of Environmental Research and Public Health, 17(22). https://doi.org/10.3390/ijerph17228673

This article evaluates the applicability of Collective Leadership for Safety Culture (Co-Lead) team intervention concerning improving teamwork and patient safety in healthcare organizations. The intervention is aimed at improving the elements of the safety culture within and across healthcare teams by building their collective leadership capacities. This includes regular, formal team meetings, leadership development, and other feedback systems aimed at enhancing inter-and intrateam exchange of information.

From this resource, nurses can gain information on a structured intervention of collective leadership to enhance patient safety and interprofessional collaboration. Essentially, leadership is important in developing a safety culture among the healthcare workforce since this underpins error reduction and patient outcomes.

Through this paper, nurses can seek support for collaborative interventions in the workplace, engage in leadership development programs, and incorporate team-oriented processes that raise safety standards. In turn, by learning about the principles of collective leadership presented in the Co-Lead intervention, nurses are better equipped to help foster a supportive and safe work climate that would minimize patient-related risks.

Ezie, K. N., Amekpor, F., Scott, G. Y., Andigema, A. S., Musa, S. S., Takoutsing, B. D., & Lucero-Prisno, D. E., III. (2023). Healthcare workers’ safety; a necessity for a robust health system. Annals of Global Health, 89(1). https://doi.org/10.5334/aogh.4167

In this article, the authors discuss why the safety of health workers must be considered in the process of strengthening the healthcare system. The article discusses the various factors that endanger the safety of healthcare workers, such as chemical, physical, and ergonomic hazards, contagious diseases, acts of violence, and stress. The authors stress the importance of proper measures and politics aimed at protecting healthcare staff and improving healthcare quality in general.

This article is a helpful resource for nurses as it gives information about occupational hazards experienced in healthcare institutions and their impact on clients. This establishes the correlation between HCWs’ safety and patient safety as well as the impact of a safe work environment on patients.

Through this resource, nurses can campaign for better workplace safety standards, enroll in safety sensitization initiatives, and work with management to establish policies that protect healthcare workers. Also, the article helps nurses understand the larger systemic factors at play when it comes to the safety of healthcare workers and arm them with knowledge that they can use to effectively participate in the process of enhancing safety in their healthcare organizations.

Young, M., & Smith, M. A. (2022, December 13). Standards and evaluation of healthcare quality, safety, and person-centered care. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK576432/

This article provides a detailed analysis of the key quality indicators and the assessment tools for evaluating healthcare quality, safety, and person-centered care. It explains how different aspects of quality and various frameworks and metrics for defining them relate to improving patient care and safety within a healthcare organization. As such, this resource will help nurses enhance their knowledge of the fundamental standards and scopes of assessment for safe, effective, patient-centered practice. Nurses can benefit from understanding these standards in enhancing their practice and being part of quality improvement in health facilities.

In addition, it is important to note that this resource can be helpful to nurses in their professional development and lifelong learning. It is used as a guide in improving the quality, safety, and person-centric care delivery in the health systems. Nurses can utilize this source to make practice-related decisions, promote patient safety, and engage in interprofessional collaborations to better the healthcare field.

Process Best Practices for Reporting and Improving Environmental Safety Issues

Aaron, M., Webb, A., & Luhanga, U. (2020). A narrative review of strategies to increase patient safety event reporting by residents. Journal of Graduate Medical Education, 12(4), 415–424. https://doi.org/10.4300/jgme-d-19-00649.1

This article offers a narrative synthesis of interventions that have been implemented toward enhancing the reporting of patient safety events among medical residents. It examines issues related to barriers, best practices, and reporting consequences to patient satisfaction and healthcare organization performance. Nurses can use this article to push for better reporting practices and to encourage a culture of open and constructive information sharing. This entails educational campaigns, policies, and quality improvement activities that aim to improve reporting and outcomes of patient care.

For these strategies to be effective, nurses may require knowledge of incident reporting systems, proper reporting policies, and feedback processes. Reporting culture enhancement efforts requires collaboration with other teams and leadership support to create and maintain change. Nursing leaders and quality improvement teams may find the review’s synthesis of best practices helpful in allocating resources and enhancing processes. Better reporting can help lessen patient safety threats by addressing system failings and human mistakes faster, resulting in better patient safety and a safer healthcare culture. Using this review during staff education, quality meetings, or during the development of policies ensures that patient care practices are made transparent to the extent of improving them.

O’Donnell, B., & Gupta, V. (2023, April 3). Continuous quality improvement. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK559239/

The resource enhances nurses’ knowledge and provides them with practical information about CQI’s implementation in the nursing practice area. It introduces concepts like Lean, Six Sigma, and PDSA cycles, offering tips on how to establish improvement aims, review data, and incorporate changes that can improve patient safety and increase the quality of care. Nurses can use this article to work through a list of priorities to enhance the quality of care, prevent adverse occurrences, and maintain constructive alterations for extended periods. It actively encourages the implementation of best practices and encourages the process of constant improvement within healthcare teams. Thus, utilizing these methodologies, nurses can identify and mitigate patient safety risks and enhance the general quality of care while aligning with organizational objectives for improved patient outcomes. Altogether, this resource equips nurses with leadership skills to champion improvements in the quality of patient care and safety and ensures continued advancement in the practice of health care.

Vaismoradi, M. (2020). Nurses’ adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health, 17(6), 1–15. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7142993/

Vaismoradi’s systematic review assesses research on the extent to which nurses follow principles of patient safety, factors such as culture, and training performance. It offers information on concepts like medication safety and infection control. This resource educates nurses by synthesizing information regarding adherence factors and interventions. Nurses can use the findings to work on the development of practice standards, to develop a quality improvement plan, or to promote policy changes. It may involve items such as trained resources, revised training material, and audits. Nursing leaders can consider this review useful for decisions and resource management to enhance patient safety. Therefore, improving adherence reduces risks such as medication errors and infections, thus improving safer care environments. During quality improvement campaigns, policy revisions, and staff development, it is crucial to enhance safety and address compliance requirements.

References

Ezie, K. N., Amekpor, F., Scott, G. Y., Andigema, A. S., Musa, S. S., Takoutsing, B. D., & Lucero-Prisno, D. E., III. (2023). Healthcare workers’ safety: a necessity for a robust health system. Annals of Global Health, 89(1). https://doi.org/10.5334/aogh.4167

Mistri, I. U., Badge, A., Shahu, S., Mistri, I. U., Badge, A., & Shahu, S. (2023). Enhancing patient safety culture in hospitals. Cureus, 15(12). https://doi.org/10.7759/cureus.51159

O’Donnell, B., & Gupta, V. (2023, April 3). Continuous quality improvement. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK559239/

Ricciardi, W., & Cascini, F. (2020). Guidelines and safety practices for improving patient safety. In Springer eBooks (pp. 3–18). https://doi.org/10.1007/978-3-030-59403-9_1

Wang, M., Zhang, H., Luo, Y., & Xu, M. (2024). Comprehensive risk management of health, safety, and environment fora social emergency rescue organization. Heliyon, 10(1), e23021. https://doi.org/10.1016/j.heliyon.2023.e23021

Young, M., & Smith, M. A. (2022, December 13). Standards and evaluation of healthcare quality, safety, and person-centered care. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK576432/

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Question

For this assessment, you will develop a Word document or an online resource repository of at least 12 annotated professional or scholarly resources that you consider critical for the audience of your safety improvement plan to understand or implement to ensure the success of the plan.

Improvement Plan Tool Kit

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Introduction
Communication in the health care environment consists of an information-sharing experience, whether through oral or written messages (Chard & Makary, 2015). As health care organizations and nurses strive to create a culture of safety and quality care, the importance of interprofessional collaboration, the development of tool kits, and the use of wikis becomes more relevant and vital. In addition to the dissemination of information and evidence-based findings and the development of tool kits, continuous support for and availability of such resources are critical. Among the most popular methods to promote ongoing dialogue and information sharing are blogs, wikis, websites, and social media. Nurses know how to support people in times of need or crisis and how to support one another in the workplace; wikis in particular enable nurses to continue that support beyond the work environment. Here they can be free to share their unique perspectives, educate others, and promote health care wellness at local and global levels (Kaminski, 2016).

You are encouraged to complete the Determining the Relevance and Usefulness of Resources activity prior to developing the repository. This activity will help you determine which resources or research will be most relevant to address a particular need. This may be useful as you consider how to explain the purpose and relevance of the resources you are assembling for your toolkit. The activity is for your own practice and self-assessment, and demonstrates course engagement.

References
Chard, R., & Makary, M. A. (2015). Transfer-of-care communication: Nursing best practices. AORN Journal, 102(4), 329–342.

Kaminski, J. (2016). Why all nurses can/should be authors. Canadian Journal of Nursing Informatics, 11(4), 1–7.

Professional Context
Nurses are often asked to implement processes, concepts, or practices—sometimes with little preparatory communication or education. One way to encourage sustainability of quality and process improvements is to assemble an accessible, user-friendly toolkit for knowledge and process documentation. Creating a resource repository or toolkit is also an excellent way to follow up an educational or in-service session, as it can help to reinforce attendees’ new knowledge as well as the understanding of its value. By practicing creating a simple online toolkit, you can develop valuable technology skills to improve your competence and efficacy. This technology is easy to use, and resources are available to guide you.

Scenario
For this assessment, build on the work done in your first three assessments and create an online toolkit or resource repository that will help the audience of your in-service understand the research behind your safety improvement plan pertaining to a specific patient safety issue and put the plan into action.

Preparation
Google Sites is recommended for this assessment; the tools are free to use and should offer you a blend of flexibility and simplicity as you create your online toolkit. Please note that this requires a Google account; use your Gmail or Google Docs login, or create an account following the directions under the “Create Account” menu.

Refer to the resources on the following list to help you get started with Google Sites:

Assessment 4: Google Sites reading list.
Instructions
Using Google Sites, assemble an online resource toolkit containing at least 12 annotated resources that you consider critical to the success of your safety improvement initiative. These resources should enable nurses and others to implement and maintain the safety improvement you have developed.

It is recommended that you focus on the 3 or 4 most critical categories or themes with respect to your safety improvement initiative. For example, for an initiative that concerns improving workplace safety for practitioners, you might choose broad themes such as general organizational safety and quality best practices; environmental safety and quality risks; individual strategies to improve personal and team safety; and process best practices for reporting and improving environmental safety issues.

Following the recommended scheme, you would collect 3 resources on average for each of the 4 categories, focusing on a specific patient safety issue. Each resource listing should include the following:

An APA-formatted citation of the resource with a working link.
A description of the information, skills, or tools provided by the resource.
A brief explanation of how the resource can help nurses better understand or implement the safety improvement initiative pertaining to a specific patient safety issue.
A description of how nurses can use this resource and when its use may be appropriate.
Remember that you must make your site “public” so that your faculty can access it. Check out the Google Sites resources for more information.

Here is an example entry:

Merret, A., Thomas, P., Stephens, A., Moghabghab, R., & Gruneir, M. (2011). A collaborative approach to fall prevention. Canadian Nurse, 107(8), 24–29.
This article presents the Geriatric Emergency Management-Falls Intervention Team (GEM-FIT) project. It shows how a collaborative nurse-led project can be implemented and used to improve collaboration and interdisciplinary teamwork, as well as improve the delivery of health care services. This resource is likely more useful to nurses as a resource for strategies and models for assembling and participating in an interdisciplinary team than for specific fall-prevention strategies. It is suggested that this resource be reviewed prior to creating an interdisciplinary team for a collaborative project in a health care setting.
Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

Identify necessary resources to support the implementation and continued sustainability of a safety improvement initiative pertaining to a specific patient safety issue.
Analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements, focusing on a specific patient safety issue.
Analyze the value of resources to reduce patient safety risk related to a specific patient safety issue.
Present reasons and relevant situations for the use ofthe resource toolkit by its target audience.
Communicate in a clear, logically structured, and professional manner that applies current APA style and formatting.
Example Assessment: You may use the following example to give you an idea of what a Proficient or higher rating on the scoring guide would look like, but keep in mind that your toolkit will focus on promoting safety with the quality issue you selected in Assessment 1. Note that you do not have to submit your bibliography in addition to the Google Site; the example bibliography is merely for your reference.

Assessment 4 Example [PDF] Download Assessment 4 Example [PDF].
To submit your online tool kit assessment, paste the link to your Google Site in the assessment submission box.

Example Google Site: You may use the example found on the Assessment 4: Google Sites reading list, Resources for Improved Heparin Infusion Safety, to give you an idea of what a Proficient or higher rating on the scoring guide would look like for this assessment but keep in mind that your tool kit will focus on promoting safety with the quality issue you selected in Assessment 1

Note: If you experience technical or other challenges in completing this assessment, please contact your faculty member.

Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Analyze the elements of a successful quality improvement initiative.
Analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements focusing on a specific patient safety issue.
Competency 2: Analyze factors that lead to patient safety risks.
Analyze the value of resources to reduce patient safety risk related to a specific patient safety issue.
Competency 3: Identify organizational interventions to promote patient safety.
Identify necessary resources to support the implementation and continued sustainability of a safety improvement initiative pertaining to a specific patient safety issue.
Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
Present reasons and relevant situations for resource tool kit to be used by its target audience.
Communicate resource tool kit in a clear, logically structured, and professional manner that applies current APA style and formatting.