Annotated Resource Guide for Effective Safety Improvement Plan Implementation

Maureen

3 weeks ago

Annotated Resource Guide for Effective Safety Improvement Plan Implementation

This assessment assembles a vital toolkit containing 12 annotated professional resources crucial for our safety improvement plan. Tailored for our audience, this toolkit focuses on four key themes pivotal to the success of the safety initiative. These themes encompass general organizational safety and quality best practices, environmental safety and quality risks, individual strategies to enhance personal and team safety, and process best practices for reporting and improving environmental safety issues. This assessment aims to empower the audience with essential knowledge by curating this resource repository, facilitating a seamless understanding and effective implementation of the safety improvement plan for a safer and healthier work environment.

Annotated Bibliography

General Organizational Safety and Quality Best Practices

Al-Worafi, Y. M. (2020). Medication errors. In Drug safety in developing countries (pp. 59-71). Academic Press. https://doi.org/10.1016/B978-0-12-819837-7.00006-6

The article provides valuable insights into medication errors, a critical aspect of patient safety. It describes medication errors, their causes, and potential consequences, offering nurses essential information to enhance their understanding of patient safety issues. Nurses can leverage this resource to comprehend better the complexities surrounding patient identification errors in healthcare, as medication errors often stem from similar root causes such as inaccurate patient information or improper identification. By understanding the intricacies of medication errors, nurses can recognize the importance of accurate patient identification and its role in preventing adverse events. Nurses can use this resource as a reference guide when designing and implementing strategies to address patient identification errors. Its use is appropriate during staff education and training sessions and in ongoing quality improvement initiatives aimed at reducing patient safety risks.

Bates, D. W., Levine, D. M., Salmasian, H., Syrowatka, A., Shahian, D. M., Lipsitz, S. R., Zebrowski, J. P., Myers, L. C., Logan, M. S., Roy, C. G., Iannaccone, C., Frits, M., Volk, L. A., Dulgarian, S., Amato, M. G., Edrees, H., Sato, L., Folcarelli, P., Einbinder, J. S., . . . Mort, E. (2023). The safety of inpatient health care. The New England Journal of Medicine, 388(2), 142–153. https://doi.org/10.1056/nejmsa2206117

The article addresses the safety of inpatient healthcare, offering a comprehensive examination of various factors contributing to patient safety within hospital settings. It provides valuable information on patient safety measures, including identifying common safety hazards, strategies for error prevention, and recommendations for improving patient outcomes. Nurses can benefit from this resource by understanding the broader context of patient safety, including the significance of accurate patient identification. By understanding the broader landscape of patient safety, nurses can better appreciate the importance of addressing patient identification errors in healthcare and recognize the interconnectedness of various safety initiatives. Nurses can use this resource as a reference guide when developing and implementing safety improvement plans, particularly in reducing patient safety risks related to patient identification errors. It is appropriate to enhance patient safety protocols during staff training sessions, quality improvement meetings, and interdisciplinary collaboration efforts.

Bell, S. K., Delbanco, T. L., Elmore, J. G., Fitzgerald, P., Fossa, A., Harcourt, K., Leveille, S. G., Payne, T. H., Steinmetz, R., Walker, J., & DesRoches, C. M. (2020). Frequency and types of patient-reported errors in electronic health record ambulatory care notes. JAMA Network Open, 3(6), e205867. https://doi.org/10.1001/jamanetworkopen.2020.5867

The article explores the frequency and types of patient-reported errors in electronic health record (EHR) ambulatory care notes. It provides valuable insights into the prevalence and nature of errors patients document within EHRs, shedding light on potential vulnerabilities in patient identification processes. Nurses can benefit from this resource by understanding how patient-reported errors in EHRs can impact patient safety, including inaccuracies in patient identification information. By understanding the types and frequency of errors patients document, nurses can better appreciate the importance of accurate patient identification and identify areas for improvement within their practice settings. Nurses can use this resource as a reference guide when assessing current patient identification processes and implementing strategies to address identified vulnerabilities. Its use is appropriate during quality improvement initiatives focused on enhancing patient safety protocols and during staff training sessions to raise awareness about the significance of accurate patient identification.

Environmental Safety and Quality Risks

Gandhi, T. K., & Singh, H. (2020). Reducing the risk of diagnostic error in the COVID-19 era. Journal of Hospital Medicine, 15(6), 363. https://doi.org/10.12788%2Fjhm.3461

The article focuses on reducing the risk of diagnostic errors in the COVID-19 era. It provides valuable information on strategies to mitigate diagnostic errors, including utilizing technology and decision support tools, enhancing communication among healthcare providers, and fostering a culture of transparency and learning. Nurses can benefit from this resource by gaining insights into the broader context of patient safety, including the implications of diagnostic errors on patient outcomes and safety. By understanding the strategies outlined in the article, nurses can identify opportunities to improve patient identification processes within their practice settings, particularly in the context of mitigating diagnostic errors related to inaccurate patient information. Nurses can use this resource as a reference guide when developing and implementing safety improvement plans focused on patient identification. Its use is appropriate during quality improvement initiatives and interdisciplinary collaboration efforts to enhance patient safety protocols.

Giardina, T. D., Korukonda, S., Shahid, U., Vaghani, V., Upadhyay, D. K., Burke, G. F., & Singh, H. (2021). Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. BMJ quality & safety, 30(12), 996-1001. https://doi.org/10.1136/bmjqs-2020-011593

The article evaluates the use of patient complaints to identify diagnosis-related safety concerns through a mixed-method approach. It provides insights into how patient complaints can serve as valuable sources of information for identifying safety concerns related to diagnostic errors. Nurses can benefit from this resource by gaining knowledge on the importance of patient feedback in identifying potential safety issues, including those related to patient identification errors. By understanding the methodology and findings outlined in the article, nurses can recognize the significance of incorporating patient complaints into safety improvement initiatives to address patient identification errors. Nurses can also use this resource as a reference guide when developing strategies to incorporate patient feedback into their practice settings, particularly in identifying and mitigating patient identification errors. Its use is appropriate during quality improvement initiatives, interdisciplinary collaboration, and patient safety rounds to enhance patient safety protocols.

Simsekler, M. C. E., Qazi, A., Alalami, M. A., Ellahham, S., & Ozonoff, A. (2020). Evaluation of patient safety culture using a random forest algorithm. Reliability Engineering & System Safety, 204, 107186. https://doi.org/10.1016/j.ress.2020.107186

This article evaluates patient safety culture using a random forest algorithm, providing insights into the assessment of safety culture within healthcare settings. It presents a novel approach utilizing machine learning techniques to analyze safety culture data, offering a potentially more accurate and efficient method compared to traditional survey-based assessments. Nurses can benefit from this resource by understanding how safety culture assessments can inform the development and implementation of safety improvement plans, including those focused on patient identification errors. Nurses can use this resource to learn about the application of advanced analytical methods in assessing safety culture, enabling them to identify areas for improvement and tailor interventions to address specific patient safety issues. The article has also been selected since its use may be appropriate during safety culture assessments, quality improvement initiatives, and strategic planning sessions aimed at enhancing patient safety protocols related to patient identification errors.

Individual Strategies to Improve Personal and Team Safety

Gopal, D. P., Chetty, U., O’Donnell, P., Gajria, C., & Blackadder-Weinstein, J. (2021). Implicit bias in healthcare: clinical practice, research, and decision making. Future Healthcare Journal, 8(1), 40. https://doi.org/10.7861%2Ffhj.2020-0233

The article addresses implicit bias in healthcare, exploring its implications for clinical practice, research, and decision-making. It provides valuable information on recognizing and addressing implicit biases, enhancing nurses’ awareness of potential biases contributing to patient identification errors. Nurses can benefit from this resource by gaining insights into the influence of implicit biases on patient care, including their impact on accurate patient identification. By understanding the concepts and strategies outlined in the article, nurses can identify opportunities to mitigate the effects of implicit biases in patient identification processes within their practice settings. Nurses can use this resource as a reference guide when developing educational programs or interventions to raise awareness and address implicit biases among healthcare providers. Its use is appropriate during staff training sessions, quality improvement initiatives, and interdisciplinary collaboration efforts focused on enhancing patient safety protocols related to patient identification.

Simamora, R. H. (2020). Learning of patient identification in patient safety programs through clinical preceptor models. Medico-Legal Update, 20(3), 419-422.

The article discusses the learning of patient identification in patient safety programs through clinical preceptor models. It provides insights into how clinical preceptors can facilitate the learning process for nurses regarding patient identification practices within patient safety programs. This resource equips nurses with the necessary knowledge and skills to understand the importance of accurate patient identification and its role in ensuring patient safety. Nurses can use this resource to learn about effective teaching methods and strategies employed by clinical preceptors to enhance understanding and implementation of patient identification protocols. Its use may be appropriate during orientation programs for new nurses, ongoing education and training sessions, and quality improvement initiatives focused on patient safety. Overall, this resource is a valuable tool for nurses responsible for implementing quality and safety improvements and providing guidance and support in reducing patient safety risks associated with patient identification errors.

Weiner, S. J., & Schwartz, A. (2023). Listening for what matters: Avoiding contextual errors in health care. Oxford University Press.

The article focuses on the importance of listening for contextual cues to avoid errors in healthcare. It provides insights into how healthcare providers can improve patient care by actively listening to patients’ concerns, preferences, and contextual factors. Nurses can benefit from this resource by gaining knowledge and skills related to effective communication and patient-centred care, which is essential for accurate patient identification and safety improvement initiatives. Nurses can use this resource to learn techniques for actively listening to patients, identifying contextual cues, and incorporating patient perspectives into their practice. Its use may be appropriate during communication skills training sessions, interdisciplinary collaboration efforts, and quality improvement initiatives focused on enhancing patient safety protocols related to patient identification. Overall, this resource is a valuable tool for nurses responsible for implementing quality and safety improvements, providing guidance and strategies to reduce patient safety risks associated with patient identification errors.

Best Practices for Reporting and Improving Environmental Safety Issues

Niñerola, A., Sánchez-Rebull, M. V., & Hernández-Lara, A. B. (2020). Quality improvement in healthcare: Six Sigma systematic review. Health Policy, 124(4), 438-445. https://doi.org/10.1016/j.healthpol.2020.01.002

The article presents a systematic review of Six Sigma methodologies in healthcare quality improvement. It offers insights into Six Sigma’s principles, techniques, and applications in enhancing healthcare quality and safety. Nurses can benefit from this resource by gaining knowledge and skills related to quality improvement methodologies, including Six Sigma, which can be applied to address patient identification errors. Nurses can use this resource to learn about the principles and tools of Six Sigma, such as DMAIC (Define, Measure, Analyze, Improve, Control), which can help identify root causes of patient identification errors and implement effective solutions. Its use may be appropriate during quality improvement projects focused on patient safety, such as reducing misidentification errors or improving patient identification processes. Overall, this resource is a valuable tool for nurses responsible for implementing quality and safety improvements, providing guidance and strategies to reduce patient safety risks associated with patient identification errors.

Riplinger, L., Piera-Jiménez, J., & Dooling, J. P. (2020). Patient identification techniques – Approaches, implications, and findings. Yearbook of Medical Informatics, 29(01), 081–086. https://doi.org/10.1055/s-0040-1701984

The article explores various patient identification techniques, approaches, implications, and findings. It provides a comprehensive overview of different methods and strategies used in patient identification processes, including technological advancements, procedural protocols, and best practices. This resource benefits nurses by providing knowledge and an understanding of the diverse approaches to patient identification, which can inform the development and implementation of safety improvement plans. Also, nurses can use this resource to explore different patient identification techniques, evaluate their implications for patient safety, and identify best practices for implementation in their healthcare settings. Its use may be appropriate during staff education and training sessions, quality improvement initiatives, and interdisciplinary collaboration efforts focused on enhancing patient safety protocols related to patient identification errors. Overall, this resource is a valuable tool for nurses responsible for implementing quality and safety improvements, providing insights and guidance to reduce patient safety risks associated with patient identification errors.

World Health Organization. (2021). Global patient safety action plan 2021-2030: Towards eliminating avoidable harm in health care. World Health Organization.

The resource serves as a comprehensive guide towards eliminating avoidable harm in healthcare. It outlines strategies, goals, and recommendations for improving patient safety worldwide over the next decade. This resource is important to nurses as it provides insights into global patient safety priorities, including the importance of accurate patient identification and understanding overarching strategies for enhancing patient safety. Nurses can use this resource to inform the development and implementation of safety improvement plans focused on patient identification errors. Its use may be appropriate during strategic planning sessions, policy development, and quality improvement initiatives to reduce patient safety risks associated with patient identification errors. Overall, this resource provides valuable guidance and direction for nurses responsible for implementing quality and safety improvements, offering a framework for addressing patient safety issues on a global scale.

References

Al-Worafi, Y. M. (2020). Medication errors. In Drug safety in developing countries (pp. 59-71). Academic Press. https://doi.org/10.1016/B978-0-12-819837-7.00006-6

Bell, S. K., Delbanco, T. L., Elmore, J. G., Fitzgerald, P., Fossa, A., Harcourt, K., Leveille, S. G., Payne, T. H., Stametz, R., Walker, J., & DesRoches, C. M. (2020). Frequency and types of patient-reported errors in electronic health record ambulatory care notes. JAMA Network Open, 3(6), e205867. https://doi.org/10.1001/jamanetworkopen.2020.5867

Gandhi, T. K., & Singh, H. (2020). Reducing the risk of diagnostic error in the COVID-19 era. Journal of Hospital Medicine, 15(6), 363. https://doi.org/10.12788%2Fjhm.3461

Giardina, T. D., Korukonda, S., Shahid, U., Vaghani, V., Upadhyay, D. K., Burke, G. F., & Singh, H. (2021). Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. BMJ Quality & Safety, 30(12), 996-1001. https://doi.org/10.1136/bmjqs-2020-011593

Gopal, D. P., Chetty, U., O’Donnell, P., Gajria, C., & Blackadder-Weinstein, J. (2021). Implicit bias in healthcare: clinical practice, research and decision making. Future Healthcare Journal, 8(1), 40. https://doi.org/10.7861%2Ffhj.2020-0233

Simamora, R. H. (2020). Learning of patient identification in patient safety programs through clinical preceptor models. Medico-Legal Update, 20(3), 419-422.

Weiner, S. J., & Schwartz, A. (2023). Listening for what matters: Avoiding contextual errors in health care. Oxford University Press.

World Health Organization. (2021). Global patient safety action plan 2021-2030: Towards eliminating avoidable harm in health care. World Health Organization.

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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.

Annotated Resource Guide for Effective Safety Improvement Plan Implementation

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Introduction
Communication in the healthcare environment consists of an information-sharing experience whether through oral or written messages (Chard & Makary, 2015). As healthcare 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 become 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 healthcare 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 tool kit. The activity is for your own practice and self-assessment, and demonstrates course engagement.