NUR 2058 Discussion Culture of Safety
NUR 2058 Discussion Culture of Safety
In this discussion, emphasis is on awareness of client quality and safety and in particular what is a “culture of safety.”
Based on the review of the following websites at the Institute of Healthcare Improvement and Agency for Healthcare Research and Quality answer the following questions.
What values ensure a culture of safety?
How can healthcare facilities establish a culture of safety?
What is the nurse’s role in maintaining a culture of safety?
Although the goal of a culture of safety is to lessen harm to patients and providers through both system effectiveness and individual performance (Cronenwett et al., 2007), numerous threats to patient safety remain and errors occur at all interfaces of care delivery. Common obstacles to a safe system include complex and risk-prone systems that produce unintended consequences; lack of
comprehensive verbal, written, and electronic communication systems; tolerance of stylistic practices and lack of standardization; fear of punishment which inhibits reporting; and lack of ownership for patient safety. Nurses need to be knowledgeable about system vulnerabilities and understand how knowledge, skills, and attitudes promoting the utilization of safety science will lead to higher quality care for patients and families.
It is important to recognize that errors can take place across the healthcare system. Latent failures, sometimes called the ‘blunt’ end, arise from decisions that affect organizational policies, procedures, and allocation of resources. One example would be the purchasing department’s ordering a new type of intravenous pump without input from front-line clinicians. Active failures occur at the interface of contact with the patient, for example during medication administration. These errors are sometimes referred to as the ‘sharp’ end. Organizational system failures, or indirect failures, are related to management, organizational culture, protocols/processes,
transferring of knowledge, and external factors, for example decisions regarding staffing and scheduling. Technical failures are the indirect failure of facilities or external resources.
he Institute of Medicine (IOM) has worked to move our emphasis from addressing errors to promoting safety through widespread system changes. The message in To Err is Human was to prevent, recognize, and mitigate harm from error, defined as, the “failure of a planned action to be completed as intended … or the use of a wrong plan to achieve an aim” (Kohn, Corrigan, Donaldson, 2000, p.28). Developing a culture of safety in learning organizations, understanding the limits of human factors, and appreciating the reasons for comprehensive reporting mechanisms are all essential components in the preparation of nurses to be participants in 21st Century healthcare (Berwick, Calkins, McCannon, & Hackbarth, 2006). Learning about both patient safety as a fundamental quality of patient care and system vulnerabilities needs to begin in pre-licensure programs and be an integral part of learning in all phases of nursing education and practice.
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Important information for writing discussion questions and participation
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Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource