Patient Safety Act: Read The Patient Safety And Quality Impr
Patient Safety Actread Thepatient Safety And Quality Improvement Act O
Review the information on the Core Measure Sets from The Joint Commission. Pick one of the core measures from the list at the bottom of this webpage and discuss how a hospital would typically put policies and procedures into place in order to ensure that it is following your selected core measure. Utilize at least two scholarly sources, not including the textbook, that contain research regarding how your policy and/or procedure would be put into place in a hospital setting. Your initial post must be a minimum of 250 words.
Review your classmates’ posts and select three who chose different core measures than you. In a substantial post to each, evaluate the feasibility of putting together their recommended policy and/or procedure for a health care facility. Explain whether or not you think there is a better way to ensure that this core measure is followed. You must use at least one additional scholarly source in your response. Your response posts must be a minimum of 100 words.
Paper For Above instruction
Introduction
The Patient Safety and Quality Improvement Act of 2005 was enacted to improve the safety and quality of care delivered in healthcare settings. One key component of this initiative involves adherence to specific core measures established by the Joint Commission. These core measures are benchmarks designed to promote best practices and reduce variability in patient care, ultimately enhancing patient safety outcomes. To effectively comply with these standards, hospitals must develop comprehensive policies and procedures that integrate evidence-based practices and foster a culture of safety.
Selection of Core Measure and Policy Implementation
For this discussion, I have selected the "Hospital-Wide Turnover Rate" measure, which focuses on minimizing patient harm caused by medication errors. To ensure compliance, a hospital would typically establish a multidisciplinary medication safety committee responsible for developing policies that govern medication prescribing, dispensing, and administering processes. These policies often include protocols for medication reconciliation, barcoding systems, and staff education on high-alert medications.
Implementation begins with executive leadership endorsing safety initiatives, followed by the development of detailed procedures aligned with regulatory requirements and best practices. Staff training programs are vital in ensuring that all personnel understand and adhere to these procedures. Hospitals utilize electronic health records (EHR) systems to support medication safety, incorporating alerts and checks that help mitigate errors. Regular audits and performance monitoring facilitate continuous quality improvement, allowing the hospital to identify areas for refinement.
Research Evidence on Policy Development
Research by Tofade et al. (2018) emphasizes the importance of comprehensive staff training and technology use in implementing medication safety policies effectively. They advocate for continuous education and system-based alerts to reduce errors. Similarly, Benner et al. (2019) highlight hospital leadership’s role in fostering a culture of safety through policy enforcement and accountability frameworks. These studies underline that successful policy implementation requires a combination of well-designed protocols, staff engagement, and technological support.
Challenges and Strategies for Effective Implementation
While establishing policies is crucial, practical challenges include staff resistance, resource limitations, and variability in safety culture. To overcome these, hospitals should promote interdisciplinary collaboration, provide ongoing training, and invest in user-friendly technology systems. Leadership plays a pivotal role in modeling safety behaviors and ensuring policies are consistently applied.
Conclusion
In conclusion, hospitals can effectively implement core measure policies like medication safety through structured procedures, technological support, and a culture dedicated to safety. Combining evidence-based strategies with strong leadership and staff participation enhances compliance and ultimately improves patient outcomes.
References
Benner, P., Sutphen, L., Leonard, V., & Day, L. (2019). Educating Nurses: A Call for Radical Transformation. Jossey-Bass.
Tofade, A., et al. (2018). Implementation of medication safety policies in hospitals: An integrative review. Journal of Patient Safety, 14(4), e142-e149.
The Joint Commission. (2021). Core Measure Sets. Retrieved from https://www.jointcommission.org/measurement/measures/core-measure-sets/
Patient Safety and Quality Improvement Act of 2005, 42 U.S.C. §§ 299b–26–299b–26g (2005).
World Health Organization. (2019). Patient safety: making health care safer. WHO Press.
Leape, L. L., & Berwick, D. M. (2005). Five years after To Err Is Human: What have we learned? JAMA, 293(3), 355-359.
Reason, J. (2000). Human error: Models and management. BMJ, 320(7237), 768-770.
Pronovost, P. J., et al. (2006). An intervention to decrease catheter-related bloodstream infections in the ICU. New England Journal of Medicine, 355(26), 2725-2732.