NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit References :

Factors Leading to Patient Safety Risks with Specific Examples

Nakamura, K., Kanke, S., Ishii, A., Mori, F., Hoshi, G., Kanto, K., Toyoda, Y., & Kassai, R. (2023). Impact of general practice / family medicine training on Japanese junior residents:a descriptive study. Fukushima Journal of Medical Science, 69(2), 133–141. https://doi.org/10.5387/fms.2022-35

This research examines the effect of training and sheds light on the broader issues affecting patient safety in healthcare. The study highlights several key factors that contribute to patient safety risks. These include inadequate training and education, leading to diagnostic errors, incorrect treatments, and medication mishaps. Communication barriers within healthcare teams and with patients also pose significant risks that can result in critical misunderstandings and mistakes in patient care. Stress and burnout in the workplace among healthcare workers can negatively impact their decision-making and attention to specifics, thus raising the risk of mistakes. Insufficient staffing intensifies these risks by overburdening healthcare workers, leading to rushed procedures and inadequate monitoring. The lack of continuity in patient care can also contribute to inconsistent treatment and monitoring, compounding patient safety risks. Finally, technological issues, such as problems with healthcare IT systems, can result in incorrect or lost patient data, further jeopardizing patient safety. These factors underscore the importance of comprehensive training, effective communication, adequate staffing, and reliable technology in ensuring patient safety in healthcare settings.

Heng, H., Jazayeri, D., Shaw, L. (2020). Hospital falls prevention with patient education: a scoping review. BMC Geriatr 20, 140. https://doi.org/10.1186/s12877-020-01515-w

Patient education is a critical aspect of healthcare, significantly influencing patient safety. Two recent studies shed light on different dimensions of this relationship. A scoping review focused on hospital falls prevention through patient education revealed various interventions aimed at mitigating falls. This review comprehensively analyzed various studies, evaluating their design, the content of educational programs, and their effectiveness. The findings indicated that patient education is a crucial element in the diverse strategies for preventing falls in hospital settings. The modes of delivering this education varied, including direct face-to-face education, the use of educational tools like posters, and handouts. The importance of educating patients about fall risks and prevention strategies was emphasized, with some programs offering personalized education based on individual risk factors. This study underscores the importance of involving patients in their care and safety, particularly in a hospital setting where they are at increased risk of falls.

Zaitoun, R.A., Said, N.B. & de Tantillo, L. (2023). Clinical nurse competence and its effect on patient safety culture: a systematic review. BMC Nurs 22, 173. https://doi.org/10.1186/s12912-023-01305-w

An extensive analysis was undertaken to examine the link between clinical nurses’ skill levels and the culture of patient safety. This analysis involved a review of a range of studies that evaluated the competencies of nurses and how these affect the patient safety climate within healthcare institutions. The results indicated a strong correlation between nurses’ proficiencies in areas like communication, teamwork, and analytical thinking and the creation of an effective patient safety culture. The review also pointed out several methods to assess safety culture and nursing competencies, including instruments such as the Safety Attitude Questionnaire and the Hospital Survey on Patient Safety Culture. Enhancing nursing skills is crucial for fostering a conducive safety culture in healthcare environments. The study emphasized the importance of educating patients and healthcare providers to enhance the safety and quality of healthcare. Patient education plays a critical role in preventing hospital falls. At the same time, nurses’ competence directly influences the culture of patient safety, emphasizing the need for continuous professional development and training for healthcare providers.

Organizational Interventions to Promote Patient Safety

Świtalski J, Wnuk K, Tatara T, Miazga W, Wiśniewska E, Banaś T, Partyka O, Karakiewicz-Krawczyk K, Jurczak J, Kaczmarski M, (2022). Interventions to increase patient safety in long-term care facilities—umbrella review. International Journal of Environ

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