Two patient safety indicators that I became familiar with during my eight weeks of clinical at KU Rehab Center were postoperative deep vein thrombosis and decubitus ulcers. Spath (2011) reminds readers that patient safety indicators are events that are potentially preventable. As nurses it is our job to do everything we can to keep these issues to a minimum during every patients stay. During my time at clinical I watched nurses complete multiple pre-emptive measures to keep their patients…
announced their 2014 National Patient Safety Goal on clinical alarm safety due to the increasing amount of injuries and deaths that had occurred from ignoring alarms, turning alarms down…
glucose was undetectable. The patient never recovered from her coma. During the investigation, it was…
It is not necessarily all patient safety issues are attributed to failure to communicate between physicians, nurses, and other disciplines. For example, in the hospital where a nurse gives a wrong medication to a patient, this cannot be attributed to the failure in communication. This example is the nurse mistake for not checking the five rights of administering medication. However, a patient safety is compromised when staff failed to communicate properly with each other. Failure in…
The role of the nurse as a member of the patient safety team Nurses are at the forefront of patient care, and as such play a big role in patient safety. Patient safety is the patient being free from harm during care. According to Vaismoradi, Salsali, and Marck, nurses ensure patient safety by improving their performance through research and education. They also ensure safety by providing a safe environment through infection control, risk management, using medication safely, handling equipment…
In 2010, national attention to alarm safety was gained after and adverse event occurred in Massachusetts that involved the death of an 89-year-old man. This death was attributed to an alarm that had been inadvertently turned off; therefore, staff was unaware of the changes in his heart rate the ultimately lead to his death (Drew et al., 2014; ERCI Institute, 2013). According to The Joint Commission (TJC) Sentinel Event Database, from January 2009 through June 2012 there were 98 alarm related…
tactic for patients to prevent fall injury within a hospital stay. A study was conducted to in order to exemplify all of these aspects into place. It involved of an elderly woman that had multiple fall risk conditions such as an unsteady gait, multiple medications and impaired vision. The patient was placed near the nursing station, put into a bed with an alarm, and had a response time that would be no more than 10 seconds of a wait. Yet, once the nurse enters the room the patient is found…
Patient safety in nursing and the overall healthcare naturally stands out as a topic of great concern for nurses themselves as well as patients and their families. Focusing on patient safety is essential in order to establish a principle of safety throughout the entire health system, so that all will be aware of where, when and how to avoid errors and adverse events. I was assigned to a patient from 8am-1pm on September 16, 2016, who was admitted to Morristown medical center on September 15,…
goals known as the National Patient Safety Goals (NPSGs) program. The development of the NPSGs began with a panel of nurses, physicians, pharmacists, risk managers, clinical engineers and other professionals with adequate experience in the world of patient safety (“Facts about NPSGs”, 2015). This group of healthcare professionals collectively became the Patient Safety Advisory Group. Together, they worked with the Joint Commission to identify issues in patient safety and propose ideas on how to…
Entering any hospital as patient can lead to two ways either to be cured or put the patient in harm. It is very important to know how to prevent any errors or adverse effects might be happen, to gain trust to health care system. Patient safety is an important element of health care system and it becomes a serious public health issue. According to WHO patient safety defined as prevention of adverse outcomes or errors to the patient associated with medical care. Whereas from the patient point…