Summarize the key aspects of a plan to develop or enhance a culture of safety. Identify existing organizational functions, processes, and behaviors affec
speaker note
topic HAIs
Developing the Presentation
- Summarize the key aspects of a plan to develop or enhance a culture of safety.
- Identify existing organizational functions, processes, and behaviors affecting quality and safety.
- Identify current outcome measures related to quality and safety.
- Explain the steps needed to achieve improved outcomes.
- Create a future vision of your organization's potential to develop and sustain a culture of quality and safety and the nurse leader's role in developing that potential.
Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services to request accommodations.
Communication and Supporting Evidence
- Argue persuasively to obtain agreement with, and support for, a plan to develop or enhance a culture of safety.
- Support your main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using
PLANNING FOR CHANGE: A LEADER’S VISION
•Capella University
•NURS-FP6212 Health Care Quality and Safety Management
•Dr. DeAnna Beverly
•August 17, 2021
Fall Prevention
Mission Statement Making Safety a Priority at All
Times Culture of Safety
Falls are Preventable
Falls are Harmful to Patients Injuries Anxiety/Stress Longer Hospital Stay Death
Aspects Critical to Fostering a Culture of Safety
Fall Prevention Program
Enhance Middle Management Support
Adequate Staffing
Policies and Procedures
Full use of Electronic Health Record (EHR)
Existing Processes Impacting Safety Resolve xxxxxxxxx
Underlying Problems Inadequate Staffing Policies and Procedures
Inconsistent Use Employ Full Use of Electronic
Medical Record (EHR) Hierarchy and Intimidation
Communication Barrier
Unknowns, Missing Information, and Areas of Uncertainty
SENIOR LEADERSHIP
COLLABORATION POLICY AND PROCEDURE
COMMUNICATION
OUTCOME MEASURES
Proposal to Improve Fall Rates Video Monitoring
Redirect Patients Supervise Behavior Notify Nursing Staff of Face-
to-Face Intervention
Patient and Family Fall Education
Interprofessional Collaboration Physicians and Resident
Physicians
Nurses
Pharmacists
Medical Assistants
Physical Therapy
Occupational Therapy
Video Monitoring Technician
Lewin’s Change Model Will Promote Change at
xxxxxx
Three Step Model Unfreeze Moving Refreezing
Assumptions
Provide Best Possible Care
Positive Work-Life Balance
Future Vision
Systemic Change in Organizational Culture
Improve Leadership Strategies
Align Incentives with Patient-Centered Care
Nurse’s Role as Leaders Cross-Disciplinary Fall
education Program
Nurse Leaders as Fall Coach Experts
Nurse Led Evidence-Based Committee
Conclusion
Enhance Patient Safety and Care Quality
Improved Culture of Safety
Improved Patient Satisfaction
Lower Fall Rates
Improve Health Care Provider Retention
References
Braithwaite, J. (2018). Changing how we think about healthcare improvement. BMJ, k2014. https://doi.org/10.1136/bmj.k2014
Braithwaite, J., Herkes, J., Ludlow, K., Testa, L., & Lamprell, G. (2017). Association between organisational and workplace cultures, and patient outcomes: Systematic review. BMJ Open, 7(11), e017708. https://doi.org/10.1136/bmjopen-2017-017708
Calciolari, S., Prenestini, A., & Lega, F. (2017). An organizational culture for all seasons? how cultural type dominance and strength influence different performance goals. Public Management Review, 20(9), 1400–1422. https://doi.org/10.1080/14719037.2017.1383784
References Continued
NDNQI. (n.d.). National Database of Nursing Quality Indicators (NDNQI). Retrieved July 11, 2021, from https://nursingandndnqi.weebly.com/what-is-ndnqi.html
Sand-Jecklin, K., Johnson, J., Tringhese, A., Daniels, C., & White, F. (2019). Video monitoring for fall prevention and patient safety. Journal of Nursing Care Quality, 34(2), 145–150. https://doi.org/10.1097/ncq.0000000000000355
Shumba, C., Kielmann, K., & Witter, S. (2017). Health workers’ perceptions of private-not-for- profit health facilities’ organizational culture and its influence on retention in uganda. BMC Health Services Research, 17(1). https://doi.org/10.1186/s12913-017-2763-5
The Joint Commission. (2016). Sentinel Event Alert 40: Behaviors that undermine a culture of safety. https://doi.org/https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-top ics/sentinel-event/sea-40-intimidating-disruptive-behaviors-final2.pdf
References Continued
The Joint Commission. (2017). Sentinel Event Alert 57: The essential role of leadership in developing a safety culture. https://doi.org/https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topic s/sentinel-event/sea-57-safety-culture-and-leadership-final2.pdf
The Joint Commission. (2021). Sentinel Event Alert 58: Inadequate hand-off communication. Retrieved August 5, 2021, from https://www.jointcommission.org/resources/patient-safety-topics/sentinel-event/sentinel-event-aler t-newsletters/sentinel-event-alert-58-inadequate-hand-off-communication/
- Slide 1
- Fall Prevention
- Aspects Critical to Fostering a Culture of Safety
- Existing Processes Impacting Safety
- Unknowns, Missing Information, and Areas of Uncertainty
- Outcome Measures
- Proposal to Improve Fall Rates
- Interprofessional Collaboration
- Lewin’s Change Model
- Assumptions
- Future Vision
- Nurse’s Role as Leaders
- Conclusion
- References
- References Continued
- References Continued
,
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
· Competency 1: Analyze quality and safety outcomes from an administrative and systems perspective.
· Summarize the key aspects of a plan to develop or enhance a culture of safety.
· Competency 2: Determine how outcome measures promote quality and safety processes within an organization.
· Identify current outcome measures related to quality and safety.
· Competency 3: Determine how specific organizational functions, policies, processes, procedures, norms, and behaviors can be used to build reliability and high-performing organizations.
· Identify existing organizational functions, processes, and behaviors affecting quality and safety.
· Competency 4: Synthesize the various aspects of the nurse leader's role in developing, promoting, and sustaining a culture of quality and safety.
· Explain the steps needed to achieve improved outcomes.
· Create a future vision of an organization's potential to develop and sustain a culture of quality and safety and the nurse leader's role developing that potential.
· Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
· Argue persuasively to obtain agreement with, and support from, administrative leaders and stakeholders in an organization for a plan to develop or enhance a culture of safety.
· Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
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