To prepare for this Application:
- Begin by brainstorming types of health care
organizations and groups of patients (e.g.,
geriatric patients requiring chronic care, pediatric patients admitted for
acute care). Identify a particular type of setting and/or patient
population to help you pinpoint your focus for the following step.
- Review the National Patient Safety Goals, the CDC's
NHSN Web site, and the information on patient safety concerns presented in
the other Learning Resources.Select a specific patient safety risk (e.g.,
patient falls, medication reconciliation) to focus on for this assignment.
- Analyze the systems errors and/or human factors errors
that should be considered with regard to this safety risk.
- Reflect on related insights that could be gained from
high-reliability organizations. What approaches do these organizations use
that might be applicable within a health care organization?
- Consider the strategies and tools (e.g., Six Sigma,
Lean) that could be used to assess and reduce this particular risk.
- Evaluate the potential benefits of patient and family
involvement and steps that could be taken to ensure that they are included
in this endeavor.
Note: To complete this Application Assignment, you will need to
use the Learning Resources assigned in both Weeks 4 and 5.
The Assignment
Write a 4- to 5-page paper that addresses the following:
Write a 4- to 5-page paper that addresses the following:
- Briefly summarize the patient safety risk you have
selected, and provide a rationale for why it deserves particular attention.
- Analyze the influence of systems errors and human
factors errors with regard to this risk.
- Discuss related insights that could be gained from
high-reliability organizations and how they might be applied within a
health care organization.
- Propose strategies and tools for assessing and reducing
risk related to this safety issue.
- Describe how patients and patients’ families can be
involved in addressing this issue.
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