MHA 540 Module 3 - SLP RISK MANAGEMENT AND PATIENT SAFETY

Coursework Instructions:

Module 3 - SLP RISK MANAGEMENT AND PATIENT SAFETY Take some time to research the Patient Safety and Quality Improvement Act of 2005. This landmark piece of legislation continues to be a critical law for health care managers to follow. While promoting patient safety and quality of care, this act also caused (and continues to cause) some tension between improving the quality of care provided with acknowledging and reporting responsibility for error in the health care settings. Review the three types of patient safety events that are reportable under the Patient Safety and Quality Improvement Act, and locate an example of such an event that has occurred under one of the three reportable categories. Then: Clearly summarize the patient safety event. What (specifically) happened, what were the circumstances of the event, and what person(s)/position(s) was/were deemed to be at fault? What stakeholders were involved? What was the role of each? Often, these events involve several stakeholders, so consider all parties carefully. Articulate a specific plan for preventing this type of patient safety event from happening again. What (specifically) must change, be done differently, not be done, etc.? On the last page of your assignment, draft an email to communicate the prevention plan to your employees. Be clear and concise in what your expectations are, and who is responsible for all parts of the plan’s implementation and monitoring. SLP Assignment Expectations Conduct additional research to gather sufficient information to support your analysis. Provide a response of 3-5 pages, not including title page and references As we have multiple required items to be addressed herein, please use subheadings to show where you’re responding to each required item and to ensure that none are omitted. Support your paper with peer-reviewed articles and reliable sources. Use at least two references from peer-reviewed sources. For additional information on how to recognize peer-reviewed journals, see: Angelo State University Library. (n.d.). Library Guides: How to recognize peer-reviewed (refereed) journals. Retrieved from https://www(dot)angelo(dot)edu/services/library/handouts/peerrev.php and for evaluating internet sources: Georgetown University Library. (n.d.). Evaluating internet resources. Retrieved from https://www(dot)library(dot)georgetown(dot)edu/tutorials/research-guides/evaluating-internet-content You may use the following source to assist in your formatting your assignment: Purdue Online Writing Lab. (n.d.). General APA guidelines. Retrieved from https://owl(dot)english(dot)purdue(dot)edu/owl/resource/560/01/ Paraphrase all source information into your own words carefully, and use in-text citations. *** Required Reading/Viewing American Society for Health Care Risk Management. (2019).Different roles, same goal: Risk and quality management partnering for patient safety. Available at: https://www(dot)ashrm(dot)org/sites/default/files/ashrm/Monograph.07RiskQuality.pdf American Society for Health Care Risk Management. (2019). Healthcare risk management: The path forward. Available at: https://www(dot)ashrm(dot)org/sites/default/files/ashrm/Executive-Summary_Risks-Rewards-Healthcare-Reform_FINAL2.pdf American Society for Health Care Risk Management. (2019). The growing role of the patient safety officer: Implications for risk managers. Available at: https://www(dot)ashrm(dot)org/sites/default/files/ashrm/Monograph.PSO.pdf View: Bowman, C. L., De Gorter, R., Zaslow, J., Fortier, J. H., & Garber, G. (2023). Identifying a list of healthcare 'never events' to effect system change: A systematic review and narrative synthesis. BMJ Open Quality, 12(2), e002264. Retrieved from Trident university Library. Casaca, P., Schäfer, W., Nunes, A. B., & Sousa, P. (2023). Using patient-reported outcome measures and patient-reported experience measures to elevate the quality of healthcare. International Journal for Quality in Health Care, 35(4). Retrieved from Trident university Library. Irving, D. (2022, Oct 26). The impact of racism on patient safety. The Rand Blog. Retrieved from https://www(dot)rand(dot)org/pubs/articles/2022/the-impact-of-racism-on-patient-safety.html Santa, R., Borrero, S., Ferrer, M., & Gherissi, D. (2018). Fostering a healthcare sector quality and safety culture. International Journal of Health Care Quality Assurance, 31(7), 776-80. Retrieved from the Trident Online Library. Read Chapter 8, pp. 125-141, in: Spath, P., & Kelly, D. (2017). Applying quality management in healthcare: A systems approach (4th ed.). Health Administration Press. Retrieved from the Trident Online Library.

Coursework Sample Content Preview:

Risk Management and Patient Safety Name Institution Course Code and Title Instructor Date Introduction The quality of care and patient safety presents numerous challenges not only in healthcare institutions in the US but around the globe. The US Department of Health and Human Services (UDHHS) (n.d.) reveals that accessing quality medical services in healthcare institutions comes with a lot of risks and obstacles. Because of these risks, thousands of patients end up dying or grossly injured every year at the hands of the healthcare professionals tasked with the responsibility of protecting them. This occurs due to errors while administering care. Therefore, the passed Patient Safety and Quality Improvement Act (PSQIA) of 2005 was a remarkable milestone in reducing and managing the risks and ensuring the safety of patients (ASHCRM, 2019a). The PSQIA officially mandated that healthcare professionals report all of the medical errors that occur as a result of the monetary expenses and the human mistakes that affect the quality of patient safety and care. The initiative of recording medical mistakes or errors is vital to eradicate the mistakes, manage risks, and eventually achieve the goal of improving the overall quality of patient care (ASHCRM, 2019b). Three types of Patient Safety Events Reported under the PSQIA The three types of patient safety events reported in the PSQIA of 2005 include near-miss events, sentinel events, and adverse events. Near-miss events are the errors or mistakes of data omission- that were not provided or those that were inaccurate and could have eventually harmed the patient (Bowman et al., 2023). Secondly, the sentinel patient safety event is described as a mistake or error that eventually results in serious temporary harm, permanent harm, or even death of the patient. Ideally, sentinel safety events will trigger the urgent need for an immediate response or investigation to the cause of permanent harm or injury to the patients. Finally, adverse patient events are those that usually lead to prolonged stays at the hospital, physical disability, and even death (Irving, 2022). Summary of a Near Miss Patient Safety Event A near-miss safety event can occur because of errors when the wrong medicine or drugs are administered to the patient. Bowman et al. (2023) highlight that near-miss patient safety events usually occur when the nurse on duty mistakenly labels drugs with the wrong name of the true patient. In this case, the nurse was wrong for being distracted or failing to check the labels of the drugs before labeling them with the name of the patient because this error could have resulted in patient harm or injury (Casaca et al., 2023)....

Updated on June 2, 2024

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