DNP 835 Topic 8 DQ 1 Describe the eight recommendations proposed in the IHI report that DNP leaders can apply to accelerate patient safety and the prevention of harm

DNP 835 Topic 8 DQ 1 Describe the eight recommendations proposed in the IHI report that DNP leaders can apply to accelerate patient safety and the prevention of harm

DNP 835 Topic 8 DQ 1 Describe the eight recommendations proposed in the IHI report that DNP leaders can apply to accelerate patient safety and the prevention of harm

Topic 8 DQ 1

Reflecting on the “IHI Module: PS 202 Achieving Total Systems of Safety,” describe the eight recommendations proposed in the IHI report that DNP leaders can apply to accelerate patient safety and the prevention of harm. What three key recommendations will you use as a DNP leader to promote safety among the workforce in your organization to improve health outcomes?

Reflecting on the “IHI Module: PS 202 Achieving Total Systems of Safety,” describe the eight recommendations proposed in the IHI report that DNP leaders can apply to accelerate patient safety and the prevention of harm. What three key recommendations will you use as a DNP leader to promote safety among the workforce in your organization to improve health outcomes? 

Attachments 

 The Institute for Healthcare Improvement proposes eight recommendations to promote patient safety by reflecting on the systems that increase optimal outcomes (Institute for Healthcare Improvement, 2023). As with most change processes, leadership buy-in is paramount; hence leaders sets standards that establish and maintain the safety culture. Doctors of Nursing Practices use the leaders to augment the safety culture mindset encouraging them to direct, centralize, and synchronize a plan that promotes patient safety.

As the DNP collaborates with the leadership team, the meetings provide mutually agreed safety metrics reflecting meaningful outcomes. For example, if the organization notices an uptake in new admission falls, safety metrics include establishing and updating protocols to identify and implement measures for reduction. Likewise, the new fall risk identification protocols would require relevant outcome measurements to justify continuation. Fortunately, evidence-based practice supports the change process, and DNPs act as change initiators.  

Evidence-based practice alterations reflect research-driven patient safety processes, and unfortunately, as with any program, research endeavors require funding. Therefore, another component of IHIs Achieving Total Systems of Safety includes increasing research funding that addresses safety and covers the healthcare continuum (Institute for Healthcare Improvement, 2023). In addition, IHIs premise is that healthcare safety is an ongoing process starting from conception; hence, the practitioners involved must address their patients’ current and future needs. Another aspect of IHI’s Achieving Total Systems of Safety process is the support of the healthcare workforce; IHI reminds entities to consider the worker’s emotional and physical needs in scheduling as exhaustion increases the risk of medical errors.  

The DNP can guide facilities to implement minor changes such as staffing considerations (Institute for Healthcare Improvement, 2023). In addition, DNPs can use the skills acquired through their direct practice improvement program to prove that supporting the healthcare team allows for a more effective patient-family safety partnership. Finally, as technology continuously evolves, it can be valuable for the Achieving Total Systems of Safety program. Technology has revolutionized care practices; therefore, DNPs assistance can be used to optimize patient safety improvement.  

References 

Institute for Healthcare Improvement. (2023). Free from Harm: Accelerating Patient Safety Improvement Fifteen Years after To Err Is Human | IHI – Institute for Healthcare Improvement. Www.ihi.org. https://www.ihi.org/resources/Pages/Publications/Free-from-Harm-Accelerating-Patient-Safety-Improvement.aspx 

REPLY 

Healthcare organizations yearn to promote patient safety. However, promoting patient safety is a process that involve various engagements. Effective leadership and competent healthcare professionals are part of aspects that guarantee promotion of patient safety (Huang et al., 2020). Promotion of patient safety may also involve incorporating different changes in healthcare settings. These changes guarantee improvement in the quality of healthcare services and promotion of patient safety (Abedi et al., 2019).

Therefore, effective leadership allows leaders to take charge of positive change in their organizations. Besides, leaders instruct and guide most activities related to promotion of patient safety. The partnership between competent workforce and perfect leaders results to effective patient safety and change implementation where necessary. Doctors of Nursing Practices use the leaders to augment the safety culture mindset encouraging them to direct, centralize, and synchronize a plan that promotes patient safety. Excellent leaders understand the safety culture. Hence, it is possible for them to guarantee positive patient culture in their decisions and actions.  

 References 

Abedi, G., Mahmoodi, G., Malekzadeh, R., Khodaei, Z., Siraneh Belete, Y., & Hasanpoor, E. (2019). Impact of patients’ safety rights and medical errors on the patients’ security feeling: a cross-sectional study. International Journal of Human Rights in Healthcare, 12(3), 215-224. https://doi.org/10.1108/IJHRH-01-2019-0001 

Huang, C. H., Wu, H. H., Lee, Y. C., Van Nieuwenhuyse, I., Lin, M. C., & Wu, C. F. (2020). Patient safety in work environments: perceptions of pediatric healthcare providers in Taiwan. Journal of Pediatric Nursing, 53, 6-13. https://doi.org/10.1016/j.pedn.2020.03.005 

DNP 835 Topic 8 DQ 1 Describe the eight recommendations proposed in the IHI report that DNP leaders can apply to accelerate patient safety and the prevention of harm

The global magnitude of the number of patients that are affected by compromised patient safety in healthcare facilities is enormous. The effects of the safety compromise range from disabilities, injuries, or even death caused by errors and unsafe medical practices. These issues make patient safety a universal healthcare problem affecting patients at various stages of healthcare of care (Al Lawati et al., 2019). Patient safety is vital and needs more attention to reduce this harm from reaching the patient. Patient safety as defined by the World Health Organization (WHO) is the prevention of errors and adverse effects from healthcare delivery from reaching the patients and doing no harm to patients.   

The eight recommended by the institute of healthcare improvement (IHI) for leaders to accelerate patient safety and prevent harm are listed: 

1. Ensure that leaders establish and sustain a safety culture. To ensure that leaders establish and sustain a safety culture Al Lawati et al. (2019) pointed out that organizational culture needs to be assessed first before implementing effective change in an organization. Patient safety is a priority and requires an organizational culture that needs to be brought to the forefront to improve quality care. This requires management intervention in propelling and sustainability of environmental safety (Paais & Pattiruhu, 2020).
2. 2.  Create centralized and coordinated oversight of patient safety. A well-coordinated collaboration among the healthcare specialty is necessary to achieve the best possible quality care that is safe and free of harm. Clear and effective communication and information exchange is crucial. Language should be made universal to avoid errors and misunderstandings. well-coordinated patient care and applying proper communication can have added to a beneficial effect on patient quality of care. A well-established communication Strategy and methods can eliminate medical errors and misunderstandings (El Sayed et al., 2019).

 3. Create a common set of safety metrics that reflect meaningful outcomes for example using the patient teach-back methods to verify patient understanding of their treatment or two nurse verification of a treatment order before administration to prevent error. 

 4. Increase funding for research in patient safety and implementation science. Loans can be used for research that will improve patient safety and quality. A facility or government loan may be used in this aspect. As healthcare is evolving, continuous research is needed to address the newer disease conditions and newer technologies and to the improvement of patient safety (IHI, 2023). 

5. Address safety across the entire care continuum requires communication, the establishment of responsibility, and transparency. Establishing protocols that address issues in a less punitive approach and addressing issues as they occur may help in owning the responsibility for one’s actions.  

 6. Support the healthcare workforce. Employees’ support is essential to promoting patient safety and sustainability. Healthcare workers’ support increases engagement and productivity. The well-being of the healthcare workers is an essential aspect and access to resources is critical to promoting safety (IHI, 2023). 

7. Partner with patients and families for the safest care. The patients and their Families are vital members of the healthcare team and need to be recognized for effective healthcare planning of patient treatment and management.
8. Ensure that technology is safe and optimized to improve patient safety. Healthcare technology needs to be updated to meet safety requirements in the care of patients. This involves training to ensure proper utilization and application to avoid errors and the use of information technology technical assistance.  Institute for Healthcare Improvement (2023).

The three key recommendations this DNP leader will use to promote safety among the workforce and to improve health outcomes are to ensure that leaders establish and sustain a safety culture. This may be achieved through effective communication of the most up-to-date guidelines and standards of healthcare treatments and management of disease conditions. Emphasizing documented outcomes and the reason for a change. Encouraging facility managers and leaders to take the lead for a lasting and routine practice (Fruhen et al., 2019; Paais & Pattiruhu, 2020)). Supporting the healthcare workforce to create a healthy and happy team which is the foundation for empowerment engagement in promoting safety, and partnering with patients and families as an integral part of the patient treatment team and for continuity of care (Institute for Healthcare Improvement, 2023). 

 Reference 

Al Lawati, M. H., Short, S. D., Abdulhadi, N. N., Panchatcharam, S. M., & Dennis, S. (2019). Assessment of patient safety culture in primary health care in Muscat, Oman: a questionnaire-based survey. BMC family practice, 20(1), 1-8. https://bmcprimcare.biomedcentral.com/articles/10.1186/s12875-019-0937-4 

El Sayed, M., El Sibai, R., Bachir, R., Khalil, D., Dishjekenian, M., Haydar, L., Aguehian, R., & Mouawad, R. (2019). Interfacility patient transfers in Lebanon-A culture-changing initiative to improve patient safety and outcomes. Medicine, 98(25), e15993. https://doi.org/10.1097/MD.0000000000015993 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6636966/ 

Fruhen, L. S., Griffin, M. A., & Andrei, D. M. (2019). What does safety commitment mean to leaders? A multi-method investigation. Journal of safety research, 68, 203-214. https://www.sciencedirect.com/science/article/abs/pii/S0022437518303190 

Institute for Healthcare Improvement (2023). Free from Harm: Accelerating Patient Safety Improvement Fifteen Years after To Err Is Human. Retrieved from https://www.ihi.org/resources/Pages/Publications/Free-from-Harm-Accelerating-Patient-Safety-Improvement.aspx 

Paais, M., & Pattiruhu, J. R. (2020). Effect of motivation, leadership, and organizational culture on satisfaction and employee performance. The Journal of Asian Finance, Economics, and Business, 7(8), 577-588. https://koreascience.kr/article/JAKO202026061031735.page 

 RESPOND HERE 

 Patient safety guarantee patient-centered healthcare services that consider patient tastes and preferences. Unfortunately, not all patients are sure of their safety when seeking healthcare services. Compromised patient safety in healthcare facilities is enormous. The presence of compromised patient safety expose patients to different healthcare problems such as disabilities, injuries, or even death caused by errors and unsafe medical practices (Maher et al., 2019). Therefore, healthcare stakeholders prioritize in promotion patient safety as a strategy of ensuring that patients are comfortable when visiting healthcare facilities.

Patient safety creates a suitable space for the provision of quality healthcare services. Patient safety is a universal healthcare problem affecting patients at various stages of healthcare of care (Khoshakhlagh et al., 2019). The World Health Organization (WHO) acknowledges the presence of compromised patient safety in the global healthcare sectors and its danger on patients. Compromised patient safety interfere with chances of providing patient-satisfactory healthcare services. Healthcare facilities rely on effective leadership and competent healthcare workforce in averting the effects of compromised patient safety.  

References 

Khoshakhlagh, A. H., Khatooni, E., Akbarzadeh, I., Yazdanirad, S., & Sheidaei, A. (2019). Analysis of affecting factors on patient safety culture in public and private hospitals in Iran. BMC health services research, 19(1), 1-14. 

Maher, A., Ayoubian, A., Rafiei, S., Sheibani Tehrani, D., Mostofian, F., & Mazyar, P. (2019). Developing strategies for patient safety implementation: a national study in Iran. International Journal of Health Care Quality Assurance, 32(8), 1113-1131. https://doi.org/10.1108/IJHCQA-02-2019-0043 

 Within healthcare organizations there are many disciplines that work together to provide safe patient care. However, with health systems being complex there are times that adverse events happen causing harm to patients. According to the Institute for Healthcare Improvement (2023) there are eight proposed recommendations to accelerate patient safety and prevent harm: 

1. Ensure leaders establish and sustain a safety culture: Implementing and sustaining a culture of patient safety must begin with senior leaders communicating a vision. This will help set expectations of safety which will filter throughout the organization. 

1.  Create centralized and coordinated oversight of patient safety: Establishing patient safety programs requires many different steps. Therefore, it is important for healthcare organizations to have an oversight plan that consists of who is leading the program, clinical experts, and a model that facilitates the evaluation of processes and outcomes (McCradden et al., 2020).  

1.  Create a common set of safety metrics that reflect meaningful outcomes: This allows for structured based approaches in reducing patient harm by having measurable safety goals. This will in turn increase the chances of success of safety programs by monitoring compliance which will foster continuous improvement. 

1. Increase funding for research in patient safety and implementation science: It is important to allocate funding for research. Newly evidence-based research can lead to advancements in how healthcare organizations provide care which will positively impact outcomes. 

1. Address safety across the entire care continuum: It is the responsibility of all healthcare workers to provide safe care. In other words, safe patient care does not just happen in an inpatient unit or a clinic setting but it can include ensuring patients are safe when they are discharged home. Things such as ensuring they have what they need to care for themselves, and any other social support is key in patient-centric care. 

1. Support the health care workforce: Clinicians cannot provide care to others unless they have cared for themselves. It is crucial that healthcare organizations provide means that support the well-being of their staff. 

1. Partner with patients and families for the safest care: Involving patients and families in care gives patients autonomy to make informed decisions for their care (Jazieh et al., 2018). This level of engagement leads to better outco