NR 529 Module 4 Assignment_Risk Management and Safety

Introduction: Importance ● Quality improvement and risk management correlate with safe patient care and successful organizations. ● Adequate staffing directly affects outcomes. ● The Joint Commission strives to guide organizations towards safe and quality practices. ○ Barriers exist that may impact accreditation ● Quality improvement models like Plan Do Study Act help leaders to implement positive change. ● Nurse leaders must be competent in a variety of skills to successfully implement healthy change. Safe Staffing Ratios Increased patient loads endanger both patients and nurses; negatively impacting quality of care, job satisfaction, and organizational success. ● Medical errors are the 3rd leading cause of death in the US. ● When providers are overwhelmed, there are decreased response rates and success of CPR. ● When adequately staffed, there are decreased rates of occupational hazards. ● Nurses seek employment in caring and healthier workplaces. ● Organizations are left to compensate and manage. The Joint Commission & Safe Staffing Defined area of intervention to improve safety (The Joint Commission, 2022). ● Appropriate staffing and workload ○ Lower patient mortality rates and medical errors ○ Improved patient satisfaction ○ Decreased turnover “...interventions to improve safety for patients often also improve safety for workers” (The Joint Commission, 2022). Since July 1, 2002, accredited organizations are required to base staffing ratios on specific clinical indicators (The Joint Commission, 2022). Variables ● Lack of defined standards Affecting JCO Compliance ● No current measurement on specified nurse to patient ratios. ● Specialities vs. general care needs. In terms of staffing ratios… Plan-Do-Study-Act Closed loop quality improvement Advantages: model ● Enhanced knowledge of ● Plan: team development, organizational improvement discussion of policies, processes. prioritization of needs, training. ● Objective of normal operations ● Do: implementation of and emphasized quality. ● changes. Study: analyze and ● Shared responsibilities and compare results, summarize interprofessional communication. and discuss areas that need ● Team members feel included and ● modified. knowledgeable. Act: implement modified plan or decide to restart process. Nurse Leader Collaboration Competencies ● Interprofessional communication ● Input from all specialities ● Communication with stakeholders ● Wide view of Evidence Based Practice ● Continued learning For promoting safe staffing… Nurse Leader Legal & Ethical Knowledge Competencies ● Awareness of organizational and professional policies ● Appropriate, efficient, and safe implementation of changes ● Leads team to practice ethically ● Patient and practitioner protection For promoting safe staffing… References Add references on reference slide in APA format/and cite each slide appropriately.