Transforming Hospitals Designing for Safety and Quality Paper
Please watch the video, “Transforming Hospitals: Designing for Safety and Quality.”
Health care administrators evaluate risk in health care organizations in order to identify operational impact and develop actions plans. This is accomplished through assessment tools and application of methods using a systems-based approach to care.
After watching the video write a 1,000-1,250 word paper that focuses on the following:
- How is risk assessed in health care organizations today? What role does evidence-based design have in the risk assessment/planning process?
- Discuss at least two areas where process inefficiencies are present today (patient safety, patient satisfaction, quality outcomes, or workforce retention). What is happening in each of these areas that could cause concern for health care organizations?
- How can these areas of high risk be transformed through the use of risk assessment tools or effective work groups to manage and overcome inefficiencies?
- Using the system-based approach, what strategies could be used to improve or develop effective work groups?
Risk Management in Health Care Institutions-
Kavaler, F., & Alexander, R. (2014). Risk management in health care institutions: Limiting liability and enhancing care
(3rd ed.). Philadelphia, PA:Jones & Bartlett. ISBN-13: 9781449645656
Rather than continuing to try to measure the width and depths of the quality chasm, a legitimate question to be asked is how does one actually begin to close the quality chasm? One way to think about the problem is as a design challenge more from an engineering and systems approach than as a healthcare quality improvement challenge. It is time to move from reactive measurement to a more proactive use of proven design methods, and to involve a number of professions outside health care so that we can design out system failure and design in quality of care.
The current healthcare delivery system is provider centric, with the primary focus operating at the convenience of the provider rather than the patient. As noted by the Institute of Medicine (IOM): “In the current system, control over decisions, access, and information is typically in the hands of care givers and is ceded to patients only when caregivers choose to do so…. A common practice today is that control over the times and location of care and the information needed to make such decisions resides with professionals.” This provider centric system of health care has resulted in a fractionated loosely coupled collection of services provided by separate clinical silos both within and between components of the system, with limited to no continuity and coordination of care for the patient. As pointed out by the Institute of Medicine in Crossing the quality chasm: “Health care has safety and quality problems because it relies on outmoded systems of work. Poor designs set the workforce up to fail, regardless of how hard they try. If we want safer, higher quality care, we will need to redesign systems of care…”.
Some might argue that the concept of redesign is inappropriate because the current healthcare system was never designed in the first place, so the focus should be on design rather than (re)design. While the concept of design is integral to a number of professions—such as architecture, engineering, the arts, and education—with focuses on specific methods and formal training in design, the concept of design is generally lacking in health care. If design is taught at all, it is for research design rather than a formal discipline for the design of the healthcare system or any of its component
Important information for writing discussion questions and participation
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Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to
I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.
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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.
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!
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
- The is a great resource
Enhancing Quality and Safety Scoring Guide
|Explain factors leading to a specific patient-safety risk focusing on medication administration.||Does not identify factors leading to a specific patient-safety risk focusing on medication administration.||Identifies factors leading to a specific patient-safety risk focusing on medication administration.||Explains factors leading to a specific patient-safety risk focusing on medication administration.||Explains factors leading to a specific patient-safety risk focusing on medication administration. Makes reference to specific data, evidence, or standards to illustrate the safety risk.|
|Explain evidence-based and best-practice solutions to improve patient safety focusing on medication administration and reducing costs.||Does not identify evidence-based and best-practice solutions to improve patient safety focusing on medication administration and reducing costs.||Identifies evidence-based and best-practice solutions to improve patient safety focusing on medication administration and/or discusses reducing costs but not both.||Explains evidence-based and best-practice solutions to improve patient safety focusing on medication administration and reducing costs.||Explains evidence-based and best practice solutions to improve patient safety focusing on medication administration and reducing costs. Makes explicit reference to scholarly or professional resources to support explanation.|
|Explain how nurses can help coordinate care to increase patient safety with medication administration and reduce costs.||Does not identify how nurses can help coordinate care to increase patient safety with medication administration and reduce costs.||Identifies how nurses can help coordinate care to increase patient safety with medication administration and/or how to reduce costs but not both.||Explains how nurses can help coordinate care to increase patient safety with medication administration and reduce costs.||Explains how nurses can help coordinate care to increase patient safety with medication administration and reduce costs, providing specific examples related to a patient safety risk.|
|Identify stakeholders with whom nurses would need to coordinate to drive quality and safety enhancements with medication administration.||Does not identify stakeholders with whom nurses would need to coordinate to drive quality and safety enhancements with medication administration.||Identifies stakeholders, but their relevance to collaboration with nurses or their ability to drive quality and safety enhancements with medication administration is unclear.||Identifies stakeholders with whom nurses would need to coordinate to drive quality and safety enhancements with medication administration.||Identifies stakeholders with whom nurses would need to coordinate to drive quality and safety enhancements with medication administration, noting the relevance and potential importance of the stakeholders.|
|Organize content so ideas flow logically with smooth transitions; contains few errors in grammar or punctuation, word choice, and spelling.||Does not organize content for ideas. Lacks logical flow and smooth transitions.||Organizes content with some logical flow and smooth transitions. Contains errors in grammar or punctuation, word choice, and spelling.||Organizes content so ideas flow logically with smooth transitions; contains few errors in grammar or punctuation, word choice, and spelling.||Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar or punctuation, word choice, and free of spelling errors.|
|Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.||Does not apply APA formatting to headings, in-text citations, and references. Does not use quotes or paraphrase correctly.||Applies APA formatting to in-text citations, headings and references incorrectly or inconsistently, detracting noticeably from the content. Inconsistently uses headings, quotes or paraphrasing.||Applies APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.||Exhibits strict and flawless adherence to APA formatting of headings, in-text citations, and references. Quotes and paraphrases correctly.|