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Journal of Patient Safety and Risk Management Essay

Journal of Patient Safety and Risk Management Essay

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Improvement Plan Toolkit

Patient safety is paramount in all healthcare settings. The best was of enhancing patient safety is through patient education. An improvement plan toolkit is needed to improve the adequacy and efficacy of patient education to minimize adverse health practices and consequences. Therefore, for this project, 12 sources are selected whose annotations is provided and this study will help in providing guidelines for implementation of measures to improve patient education in a healthcare setting. Journal of Patient Safety and Risk Management Essay

Annotated Bibliography

General Organizational Safety and Quality Best Practices

Johnson, A. M., Brimhall, A. S., Johnson, E. T., Hodgson, J., Didericksen, K., Pye, J., Harmon, G. J. C., & Sewell, K. B. (2023). A systematic review of the effectiveness of patient education through patient portals. JAMIA Open, 6(1), ooac085. https://doi.org/10.1093/jamiaopen/ooac085

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The article is a systematic review that explores the effectiveness of patient education through patient portals, with a focus on the effect of educational materials on engagement of patients. Patient portals tend to have different features, including access to health records, medication refills, education materials, scheduling of appointments, and telehealth visits. The study provides a comprehensive analysis as to whether the resources could enhance patient engagement and improve the ability of a patient to manage their health conditions. The study is relevant to the concept of patient safety improvement and it addresses the role of patient education through portals in enhancing engagement of patients and subsequently improving health outcomes. Nurses can benefit from the resource by gaining insights on the efficacy of patient education through patient portals. The article provides information on the rates of patient use of the portals, their perceptions on the usefulness of educational materials, and changes in health outcomes.  The resource can be used by nurses in projects on initiatives relevant to patient education, health informatics, and implementation and use of patient portals within health settings. It is valuable for nurses aiming at enhancing patient engagement and improve health outcomes for patients through the use of patient portals. Journal of Patient Safety and Risk Management Essay

Ricciardi, W., & Cascini, F. (2020). Guidelines and Safety Practices for Improving Patient Safety. In Textbook of Patient Safety and Clinical Risk Management (pp. 3–18). https://doi.org/10.1007/978-3-030-48372-9_1

The article is a chapter in the book, Textbook of Patient Safety and Clinical Risk Management. The content focuses on clinical practice guidelines in enhancing patient safety and the importance of research on safety practices in contributing to the development of the guidelines. The chapter explores the process used to formulate these guidelines and thus improve patient safety, with a focus on increasing the likelihood of attaining high scores. The article is relevant to improvement of patient safety as it emphasizes the essence of clinical practice guidelines for improving patient safety and indicates the importance of safety practices in informing the development of guidelines. Understanding the process can health nurses to contribute in the implementation of evidence-based practice and thus enhance patient safety. Journal of Patient Safety and Risk Management Essay

Nurses can benefit from this resource by gaining insights to the importance of adherence to these guidelines to enhance patient safety. Information on the process used to create guidelines provides nurses with a foundation for understanding how evidence-based practices are formulated and implemented. Nurses involved in quality improvement and implementation of guidelines can use the resources to inform their decision-making procedures and thus contribute to safe patient care.  The resource can be used appropriately when fostering an understanding of the role of clinical practice guidelines in improving patient safety. Specifically, it is relevant for nurses involved in policy development, quality improvement initiatives, and implementation and updating of guidelines guiding a health facility.

Tan, K. H., Pang, N. L., & Fong, K. Y. (2019). Building an organizational culture of patient safety. Journal of Patient Safety and Risk Management, 24(6). https://doi.org/10.1177/2516043519878979 Journal of Patient Safety and Risk Management Essay

The article outlines the experiences of the SingHealth Duke-NUS Institute for Patient and Safety Quality as it strives to formulate an organizational culture centered on patient safety. Having being established in 2017, the institute integrates a variety of efforts in patient safety and quality in the institution. The focus is on elimination of errors and harm that could be prevented hence improving patient outcomes. There are various aspects covered in the article, which include patient safety, including leadership, safety management systems, communication of safety problems and allocation of the needed resources. Journal of Patient Safety and Risk Management Essay

Primarily, this resource is critical in cultivating patient safety and culture. It emphasizes the essence of strong leadership that prioritizes safety over financial gain or profitability. As part of achieving this goal, there is a need to encourage resolution of any safety problems and ensure there are adequate resources and accountability for effective safety systems. The recommended solutions for improving patient safety include promoting cultures such as reporting culture, Speak Up culture, learning, just, and patient-centric culture.

Nurses can benefit from this resource to gain an immense understanding of organizational techniques and remain committed towards developing a patient safety and quality culture. Through the experiences of the institute, nurses can learn of the importance of techniques that would enhance professional education to improve their capacity for patient safety and quality. The resource can be used in projects and initiatives aimed at enhancing patient safety in health settings. It is a relevant resource for use during the planning and implementation phases of patient safety improvement projects and initiatives. Journal of Patient Safety and Risk Management Essay

Environmental Safety and Quality Risks

Alingh, C. W., van Wijngaarden, J. D. H., Huijsman, R., & Paauwe, J. (2018). The influence of environmental conditions on safety management in hospitals: a qualitative study. BMC Health Services Research, 18, 313. https://doi.org/10.1186/s12913-018-3116-8

This is a qualitative article that explores the influence of environmental conditions, such as pressures from different stakeholders, on safety management of health facilities. The research is based on human resource theory that analyzes how hospitals shape their safety management approach under institutional and competitive pressures. Mainly, this research was conducted in Netherlands and involved interviewing of hospital managers and staff centrally involved in safety management. The resource is relevant to patient safety improvement as it delves into the effects of external pressures on safety management approaches adopted by health facilities and provides insights as to how safety requirements, compliance pressures, and accountability mandates from stakeholders influence the selection between control-based and commitment-based safety management approaches. Journal of Patient Safety and Risk Management Essay

Nurses can benefit from the resource by gaining insights to the influence of environmental conditions on safety management in health facilities. The research highlights some of the challenges faced in meeting safety demands by external stakeholders and how this influences the choice between the diverse approaches. Nurses can use this resource when involved in initiatives for patient safety, quality improvement, and leadership roles in hospitals. It is a valuable resource for nurses seeking to understand the effect of external pressures on safety management and thus allow for informed decisions on the adoption of control-based or commitment-based approaches.  Journal of Patient Safety and Risk Management Essay

Dehdashti, A., Fatemi, F., Jannati, M., Asadi, F., & Kangarloo, M. B. (2020). Applying health, safety, and environmental risk assessment at academic settings. BMC Public Health, 20, 1328. https://doi.org/10.1186/s12889-020-09441-5

Mainly, this is cross-sectional study conducted in an Iranian medical sciences university in 2018 that focuses on the development of a risk evaluation for health, safety, and environmental elements. The study used a three-step process that would be used to identify hazards, consequences, and evaluate risks. The data was collected through a checklist of different sites and risk quantified, prioritized, and control measures proposed accordingly. The study aims at establishing a scale of measures for reduction of risks.  The article is relevant to patient safety improvement as it addresses the risks that students, staff, and faculty face in academic settings with a focus on health, safety, and environmental elements. Valuable insights are included on the different facilities and functions within academic institutions hence emphasizing the need for corrective measures for risk reduction. Journal of Patient Safety and Risk Management Essay

Nurses can benefit from the resource by gaining insights to the application of health, safety, and environmental risk evaluation in academic settings. The study highlights the essence of hazard identification, evaluating effects, and proposes control measures that would help in mitigating the risks. The information presented can be used to contribute to risk reduction programs and create awareness among nursing students, staff, and faculty. The resource can be used by nurses involved in risk and safety management initiatives and is valuable for nurses engaged in research, policy development, or education in the context of safety in healthcare.

Vaismoradi, M., Tella, S., Logan, P. A., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ Adherence to Patient Safety Principles: A Systematic Review. International Journal of Environmental Research and Public Health, 17(6), 2028. Journal of Patient Safety and Risk Management Essay https://doi.org/10.3390/ijerph17062028

The article is a systematic review that explores the adherence to patient safety principles and focuses on clinical nursing initiatives. In the review, studies published from 2010 to 2019 are explored using the Vincent’s framework for evaluating risk and safety in clinical practice. Six articles were included in the review and addressed topics such as management of peripheral venous catheters, surgical hand rubbing instructions, double-checking policies of management of medicine, nursing handovers between wars, cardiac monitoring and surveillance, and care-associated precautions. The resource is relevant to patient safety improvement and identifies factors influencing adherence to safety. Nurses and health personnel can benefit from this resource in their bid to enhance patient safety practices. The review is beneficial in providing a comprehensive understanding of the factors impacting adherence to patient safety principles and provides insights to clinical interventions and impact of individual and systemic factors on adherence. Thus, nurses can use this resource when seeking to enhance patient safety practices in clinical settings. Journal of Patient Safety and Risk Management Essay

Staff-Led Preventive Strategies

Jaam, M., Naseralallah, L. M., Hussain, T. A., & Pawluk, S. A. (2021). Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: A systematic review and meta-analysis. PLoS One, 16(6), e0253588. https://doi.org/10.1371/journal.pone.0253588

The article is a systematic review and meta-analysis that investigates pharmacist-led interventions that would help in reducing medication errors. The study covers a myriad of interventions to healthcare providers, with a focus on nurses and resident physicians. Twelve studies involving 115,058 participants were included in the study. The studies included used different educational methods that ranged from lectures, posters, practical teaching sessions, feedback and audit, and flashcards. The resource is relevant to patient education as it addresses medication errors and evaluates how pharmacist-led interventions can be of help in reducing the rates of medication errors. Journal of Patient Safety and Risk Management Essay As such, it provides valuable insights for health professionals and policymakers. Nurses and health personnel involved in medication management can benefit from understanding the effect of these education interventions on overall patient safety.

Nurses who are involved in medication administration, patient safety initiatives, and quality improvement projects could use this information to advocate for pharmacist-led educational interventions to enhance medication safety in healthcare settings. They can use this resource to work collaboratively with pharmacists and those seeking evidence-based solutions to the issue of reduction of medication errors. Nurses engaged in research and development of policy linked to medication safety could use the review and meta-analysis to inform their work.  Journal of Patient Safety and Risk Management Essay

Morgan, L., Flynn, L., Robertson, E., New, S., Forde-Johnston, C., & McCulloch, P. (2016). Intentional Rounding: a staff-led quality improvement intervention in the prevention of patient falls. Journal of Clinical Nursing, 25(21-22), 3250-3258. https://doi.org/10.1111/jocn.13401

The study explores the design and evaluation of nursing staff-led intentional rounding intervention aimed at reducing inpatient falls. Notably, patient falls are one of the causes of harm during hospital treatment. Intentional rounding could help in providing patient with the needed knowledge on how to protect them and loved ones from fall and thus acts as a potential technique for prevention. In this study, a specific implementation strategy such as engagement and communication activities, support and coaching, and iterative plan-do-check-act cycles are considered. The efficacy of an intervention is evaluated by measuring compliance with hourly visiting to patients and fall incidences. The resource is critical to patient safety improvement as it provides valuable insights on the effectiveness of staff-led intervention in patient safety initiatives and subsequently quality improvement. Journal of Patient Safety and Risk Management Essay

Nurses can benefit from this resource as it enables them to appreciate the importance of an integrated implementation strategy such as teamwork training and systems improvement to yield positive change, nurses involved in patient safety initiatives and those responsible for fall prevention programs could use the information to enhance their techniques and contribute to the reduction of patient falls in hospital settings. Nurses seeking evidence-based solutions to reduce falls among patients could benefit from this study.

Ojo, E. O., & Thiamwong, L. (2022). Effects of Nurse-Led Fall Prevention Programs for Older Adults: A Systematic Review. Pacific Rim International Journal of Nursing Research, 26(3), 417–431. https://doi.org/10.17795/pri5-838 Journal of Patient Safety and Risk Management Essay

The article is a systematic review that seeks to investigate the effects of nurse-led fall prevention programs for older adults. The review includes six randomized controlled trials, two non-randomized controlled trials, and three quasi-experimental designs. The John Hopkins Nursing Evidence-Based Practice framework was employed to determine the evidence level and quality rating. Data extraction was also performed using a matrix review technique. In this resource, valuable insights are provided on nurse-led interventions to reduce fall rates and yield positive change of behavior in patients. In this regard, nurses and health personnel involved in geriatric care, patient safety initiatives, or quality improvement projects could benefit from this resource as it fosters the understanding on the outcomes of nurse-led fall prevention programs.  Journal of Patient Safety and Risk Management Essay

Nurses can benefit from this resource by gaining profound insights on the efficacy of nurse-led fall prevention programs for geriatric patients. The study emphasizes the essence of nursing staff in patient education, administration of exercise programs, and follow-up post interventions. Nurses working in these settings are responsible for the implementation of fall prevention initiatives and can use the information in this article to design nurse-led programs that are focused on reduction of injurious fall rates and improving the behavior of the patients.

Best Practices for Reporting and Improving Environmental Safety Issues

Afaya, A., Konlan, K. D., & Kim Do, H. (2021). Improving patient safety through identifying barriers to reporting medication administration errors among nurses: an integrative review. BMC Health Services Research, 21, 1156. Journal of Patient Safety and Risk Management Essay https://doi.org/10.1186/s12913-021-07132-z

The review systematically identifies and examines some of the barriers hindering nurses from reporting medication administration errors within a hospital setting. In this review, the studies covered are from January 2016 to December 2020. They contribute to the achieving of the challenge by the World Health Organization on reduction of medication-related harm by 50% within the next five years. The themes identified are related to the barriers to reporting the medication administration errors. Primarily, this resource is relevant to patient safety improvement as it addresses the issue of medication administration errors are barriers that hinder nurses from reporting them. Critical insights are provided into the organizational, professional, and individual factors that act as barriers to medication errors. Journal of Patient Safety and Risk Management Essay

Nurses can benefit from the resources by gaining insights to the barriers hindering the reporting of medication administration errors. Nurses involved in medication administration, quality improvement initiatives, and those seeking evidence-based solutions to enhance medication safety can benefit from the resource, particularly as it enables them to develop interventions aimed at addressing the barriers. The resource is valuable for nurses in leadership positions who are responsible for creating and designing medication safety programs.

Al Mutair, A., Alhumaid, S., Shamsan, A., Zaidi, A. R. Z., Al Mohaini, M., Al Mutairi, A., Rabaan, A. A., Awad, M., & Al-Omari, A. (2021). The effective strategies to avoid medication errors and improving reporting systems. Medicines (Basel), 8(9), 46. https://doi.org/10.3390/medicines8090046 Journal of Patient Safety and Risk Management Essay

The article is a review that contains a summary of medication errors reporting culture, incidence reporting systems, and creating effective reporting methods. Also included in the article is an analysis of medication error reports and recommendations that would help to improve reporting systems for such errors. The goal is to highlight the importance of an efficient medication reporting system and discuss possible techniques that could be employed to reduce the likelihood of injury to patients. The resource is relevant to patient safety improvement as it addresses the critical issue of medication errors and emphasizes the essence of an efficient reporting system. Nurses and health personnel involved in patient safety initiatives could benefit from the insights provided in the article. Mainly, this is so since the review emphasizes the need for an active approach to medication error reporting and implementation of effective changes. The resource is valuable for nurses in leadership roles and those seeking evidence-based solutions to improve medication safety and reporting practices. Journal of Patient Safety and Risk Management Essay

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Hibbert, P. D., Stewart, S., Wiles, L. K., Braithwaite, J., Runciman, W. B., & Thomas, M. J. W. (2023). Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts. International Journal for Quality in Health Care, 35(4), 0. https://doi.org/10.1093/intqhc/mzad088

The article explores the perspectives of international patient safety experts in the identification of the nature and range of patient safety issues being addressed globally and aspects of patient safety governance and systems that contribute to patient safety improvements. Web-based surveys and in-depth semi-structured interviews were conducted and the findings presented as themes and a patient safety governance model was used to highlight some of the factors that influence patient safety outcomes. The resource is relevant to the subject on improving patient safety as it provides valuable insights from experts on patient safety issues and governance factors that yield positive patient outcomes. Healthcare professionals, policymakers, and researchers involved in patient safety initiatives can benefit from the proposed governance model in this article. The study can be used by nurses in leadership positions who are responsible for patient safety programs and those engaged in research linked to patient safety governance. The article is useful in contributing to a data-driven safety policy that could help in improving patient safety outcomes. Journal of Patient Safety and Risk Management Essay

References

Afaya, A., Konlan, K. D., & Kim Do, H. (2021). Improving patient safety through identifying barriers to reporting medication administration errors among nurses: an integrative review. BMC Health Services Research, 21, 1156. https://doi.org/10.1186/s12913-021-07132-z

Alingh, C. W., van Wijngaarden, J. D. H., Huijsman, R., & Paauwe, J. (2018). The influence of environmental conditions on safety management in hospitals: a qualitative study. BMC Health Services Research, 18, 313. https://doi.org/10.1186/s12913-018-3116-8

Al Mutair, A., Alhumaid, S., Shamsan, A., Zaidi, A. R. Z., Al Mohaini, M., Al Mutairi, A., Rabaan, A. A., Awad, M., & Al-Omari, A. (2021). The effective strategies to avoid medication errors and improving reporting systems. Medicines (Basel), 8(9), 46. https://doi.org/10.3390/medicines8090046

Dehdashti, A., Fatemi, F., Jannati, M., Asadi, F., & Kangarloo, M. B. (2020). Applying health, safety, and environmental risk assessment at academic settings. BMC Public Health, 20, 1328. https://doi.org/10.1186/s12889-020-09441-5

Hibbert, P. D., Stewart, S., Wiles, L. K., Braithwaite, J., Runciman, W. B., & Thomas, M. J. W. (2023). Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts. International Journal for Quality in Health Care, 35(4), 0. https://doi.org/10.1093/intqhc/mzad088

Jaam, M., Naseralallah, L. M., Hussain, T. A., & Pawluk, S. A. (2021). Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: A systematic review and meta-analysis. PLoS One, 16(6), e0253588. https://doi.org/10.1371/journal.pone.0253588

Johnson, A. M., Brimhall, A. S., Johnson, E. T., Hodgson, J., Didericksen, K., Pye, J., Harmon, G. J. C., & Sewell, K. B. (2023). A systematic review of the effectiveness of patient education through patient portals. JAMIA Open, 6(1), ooac085. https://doi.org/10.1093/jamiaopen/ooac085

Morgan, L., Flynn, L., Robertson, E., New, S., Forde-Johnston, C., & McCulloch, P. (2016). Intentional Rounding: a staff-led quality improvement intervention in the prevention of patient falls. Journal of Clinical Nursing, 25(21-22), 3250-3258. https://doi.org/10.1111/jocn.13401

Ojo, E. O., & Thiamwong, L. (2022). Effects of Nurse-Led Fall Prevention Programs for Older Adults: A Systematic Review. Pacific Rim International Journal of Nursing Research, 26(3), 417–431. https://doi.org/10.17795/pri5-838

Ricciardi, W., & Cascini, F. (2020). Guidelines and Safety Practices for Improving Patient Safety. In Textbook of Patient Safety and Clinical Risk Management (pp. 3–18). https://doi.org/10.1007/978-3-030-48372-9_1

Tan, K. H., Pang, N. L., & Fong, K. Y. (2019). Building an organizational culture of patient safety. Journal of Patient Safety and Risk Management, 24(6). https://doi.org/10.1177/2516043519878979

Vaismoradi, M., Tella, S., Logan, P. A., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ Adherence to Patient Safety Principles: A Systematic Review. International Journal of Environmental Research and Public Health, 17(6), 2028.  Journal of Patient Safety and Risk Management Essay

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