Patient safety strategies training
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TeamSTEPPS is a comprehensive teamwork training system developed by the US Department of Defence and AHRQ to improve patient safety and quality in healthcare. It is based on over 30 years of research in high-risk industries. The training provides specific teamwork skills and is delivered through a train-the-trainer model to develop patient safety advocates within hospitals. The objectives are to build a core of advocates with the skills and strategies to ensure a culture of patient safety.
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Copyright 息2017 Capella University. Copy and distribution of this document are prohibited.
Safety Score Improvement Plan for TrueWill General Hospital
Learners Name
Capella University
Organizational and System Management for Quality Outcomes
Safety Score Improvement Plan
May, 2017
SAFETY SCORE IMPROVEMENT PLAN 2
Copyright 息2017 Capella University. Copy and distribution of this document are prohibited.
Safety Score Improvement Plan for TrueWill General Hospital
Nursing professionals are key players in maintaining a culture of quality care and patient
safety in a health care environment. Their role in addressing specific patient safety issues will be
discussed using the example of TrueWill General Hospital (TGH), a 1,500-bed multispecialty
hospital in the United States. The hospital regularly reports its performance data to the Hospital
Safety Score, a nongovernmental organization that ranks hospitals on their safety rate.
The safety score for the orthopedic inpatient unit of TGH has alarmingly increased
because of the number of patient injuries resulting from falls. The negative score can affect the
image of the hospital, because patient falls are preventable hospital-acquired conditions. The
nurse manager of the unit has been advised by the hospitals patient safety office to identify the
cause of the problem, determine an evidence-based safety score improvement plan, and devise
measurable long-term solutions for the safety issue.
Factors behind the Patient Safety Issue
Patient falls are one of the most reported patient safety incidents in health care practice.
According to the American Nurses Association (n.d.), it is a serious problem in nursing and
health care; as injuries resulting from falls can lead to permanent loss of function of certain body
parts or even death. According to systems theory, adverse events such as patient falls are related
to the quality of care provided by health care professionals at the front line of operations such as
nursing professionals (Lawton, Carruthers, Gardner, Wright, & McEachan, 2012).
Health care experts have relied on systems theory and systems thinking perspectives to
analyze the incidence of safety issues as a nursing challenge. The theory states that problems in
any part of a system, such as the nursing department in a hospital, will affect the functioning of
Comment [A1]: Yes, patient falls
and how can lead to adverse effects,
even death.
SAFETY SCORE IMPROVEMENT PLAN 3
Copyright 息2017 Capella University. Copy and distribution of this document are prohibited.
the hospital as a whole. Therefore, larger organizational systems should be taken into
consideration while implementing changes in nursing profession to improve safety issues.
Influence of Leadership in Changes for Safety
Nurse leaders at TGH are an important systems factor in driving changes at the
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