5

Quality Improvement and Patient Safety

https://josieking.org/patient-safety-quality-improvement-modules/

The following are the topics you will learn about while completing the modules. You are encouraged to take notes about each topic while completing the modules:

What is Quality Improvement The How’s and Why’s of Chart Audits Culture of Safety The Evolution of Quality and Safety in Healthcare Anatomy of an Error Mistake Proofing Care
	Image: Quality and Safety in Nursing Education: The QSEN Project | Nurse Key

The Importance of Benchmarks

Comparing one healthcare organization to another allows for a level of a measurement called benchmarking (Davis, 2015). Agencies, such as The Joint Commission, establish patient safety goals which patient-care organizations are required to meet. The Center for Medicare and Medicaid Services assesses hospital readmission rates as a top benchmark (Davis, 2015). The collection of data that is reflective of nursing and healthcare contributions present a clear picture regarding the quality of care provided at an organization. For nursing, the data is a way to offer support and show where improvement might be needed (ACSs Can Benchmark, 2018). The benchmarks are used to establish evidence-based practice guidelines. management and leadership use these types of benchmarks to establish goals for nursing to work toward. Support from leadership and nursing is a requirement for nursing to meet specific goals. Through the allocation of resources and implementation of interventions, goals may be met thus leading to improved clinical outcomes and increased patient safety (Davis, 2015).

Change

The following link will take you to the assigned reading for the topic of change. Please use the outline below to take notes while you read.

https://leadershipandinfluencingchangeinnursing.pressbooks.com/chapter/chapter-9-common-change-theories-and-application-to-different-nursing-situations/

Learning Objectives from the Chapter

1. Explain why nurses have the opportunity to be change agents.
2. Identify how different theorists explain the change.
3. Discuss how the nursing process is similar to the change process.
4. Discuss the medicine wheel as a change model.
5. Describe the nurse leader’s role in implementing change and the call to action.
6. Differentiate among change strategies.
7. Recognize how to handle resistance to change.

The following sections should be addressed in your reading. You are encouraged to take notes about each topic while reading:

Introduction The Nurse Leader as Change Agent Theories and Models of Change Theories Lewin’s Theory of Change Planned Change Havelock’s six phases Innovation Diffusion Theory Chaos Theory The Nursing Process The Medicine Wheel The Nurse Leader’s Role in Managing Organizational Change Change Strategies Response and Resistance to Change Summary
	Image: Going Merry: Be the Change Minority Nursing Scholarship | December 2020 Retrieved from: https://www.google.com/search?q=change+in+nursing&tbm=isch&ved=2ahUKEwj5ooGs5tHyAhUGEVMKHUbqBUUQ2-cCegQIABAA&oq=change+in+nur&gs_lcp=CgNpbWcQARgAMgUIABCABDIGCAAQBRAeM

Organizational Readiness for Change

As you have read and studied, change is important to make new evidence-based practice guidelines to improve patient safety and quality of care. Two theories frequently guide an organization’s readiness for change. The Organizational level theory is focused on the relationships that influence members between the characteristics of the organizational structure. The individual-level theory is based on individual members’ perceptions (Benzer et al., 2017) During the COVID-19 pandemic there was a crisis point that caused an overwhelming and rapid drain on the entire medical infrastructure in the United States. The lack of supplies and equipment needed to care for the sick required rapid coordination between healthcare, design, community, and the organizations supporting the regulation of supplies and equipment (Rebola, 2020). The creation of innovative teams was important to facilitate the change necessary to provide needed supplies such as masks, gowns, and ventilators.

References

ASCs can benchmark with nursing indicators. (2018). Same–Day Surgery, 42(5) Retrieved from https://acproxy.ac.edu/login?url=https://www.proquest.com/trade-journals/ascs-can-benchmark-with-nursing-indicators/docview/2025259294/se-2?accountid=26255

Benzer, J., Charns, M., Hamdan, S., & Afable, M. (2017). The role of organizational structure in readiness for change: A Conceptual integration. Health Services Management Research, 30(1). 34-46. doi: 10.1177/0951484816682396

Davis, C. (2015). Let’s talk about benchmarking. Nursing Made Incredibly Easy!, 13(2). 4. doi: 10.1097/01.NME.0000460363.11541.5C

Rebola, C. B., Norton, R. M., Doehler, S. & Kubley, A. (2020). Tri-design: Coordination between healthcare, design, and regulatory communities. Strategic Design Research Journal, 13(3). 474-487. doi: 10.4013/sdrj.2020.133.14

Creative Commons License Information

Leadership and Influencing Change in Nursing edited and co-authored by Joan Wagner, and published by University of Regina Press (2018), is licensed under a CC BY 4.0 International License.

Download this book for free at www.opentextbooks.uregina.ca/lead