Patient Safety and Healthcare Cost Nursing essay

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Patient Safety and Healthcare Cost Nursing essay

Patient Safety and Healthcare Cost 

Healthcare professionals play a fundamental role in improving access and ensuring the delivery of quality health care for the patients or the community. Therefore, they provide various essential services that help in preventing diseases, enhance the delivery of quality health care services, and improve the well-being of the patients to individuals, families, and communities. For instance, healthcare leaders or administrators incorporate various measures such as IHI Triple Aim to optimize the strengths and skills of other healthcare professionals while aiming to improve patient experience, reduce healthcare costs, and enhance the populations’ overall health (Mery et al., 2017). The essay is a reflection of the practices that I will establish in nursing practice to improve patient experience, patient safety, and cost-effective quality care.

 IHI Triple Aim Initiative  Various frameworks have been developed in health care systems to optimize performance. One of them includes the Triple Aim. This model was developed by the Institute for Health Care Improvement (IHI) to help healthcare leaders to improve the health of the communities they serve (Merry, Shuker & Hamblin, 2017). The Triple Aim initiative comprises three principles that can be applied in acute care or long-term care setting to improve quality care delivery, patient safety, and patient satisfaction. The first principle of the initiative is the patient experience. The IHI Triple Aim initiative supports that healthcare systems need to improve the patient experience to enhance quality, safety, and satisfaction (Merry, Shuker & Hamblin, 2017). Thus, to improve patient experience in acute care or long-term care setting, I will assess the community’s overall health and identify their health needs. Then, I will then establish various initiatives such as effective communication and advanced healthcare information technology applications such as telehealth and electronic health records (EHRs) to improve interactions between patients and healthcare providers (Mery et al., 2017).

Secondly, I will track the impact of the changes on patient experience. I will utilize measures such as patient satisfaction surveys to assess the patients’ perceptions or attitudes toward the changes. Thus, enhanced patient experience will help improve satisfaction in acute care or long-term care setting. The second principle is the reduction and control of per capita cost (Merry, Shuker & Hamblin, 2017). The provision of affordable care in acute care or long-term care setting will help enhance patient satisfaction. I will embrace this principle in the healthcare facility to set up various initiatives to control costs of the care offered and reduce waste in all forms while increasing the quality. One of the measures that can help reduce the cost of care is the utilization of electronic health records (EHRs) in the healthcare facility (Mery et al., 2017). This healthcare technology will help increase practice efficiencies and costs savings in acute care or long-term care settings. Secondly, mobile technologies, such as mHealth applications will help reduce  inefficiencies in acute care or long-term care settings during care delivery. It promotes cost- effective measures such as self-care management. Patients managing chronic conditions such as  diabetes in the long-term care setting will be trained to use various mHealth applications to monitor their conditions and communicate with the healthcare providers easily. The third principle of the IHI initiative is population health. Triple Aim initiative supports that healthcare systems should establish various measures to promote the health of the population they serve (Merry, Shuker & Hamblin, 2017). Similarly, to enhance the health of the patients in acute care or long-term care setting, I will identify and address the risk in the community. This is because every individual living the community served by the health facility could potentially become a patient (Mery et al., 2017). Therefore, to embrace this principle in the  acute care or long-term care setting, I will encourage healthcare providers to involve patients and families when designing care models and improve patient education programs to enhance disease prevention and health promotion. 

Reflection on Future Roles in Healthcare 

Directors of nursing are responsible for executing various responsibilities in healthcare concerning nursing practice. The general responsibility is to manage and coordinate the services offered by the nursing personnel. Besides, they carry out various specific duties, which include supervising and reviewing the nursing staff, overseeing the department budgets, managing patient’s data and medical records, and interacting with doctors, patients, and families. These responsibilities affect patient safety, satisfaction, and the quality and the cost of the healthcare services offered by the nurses in the health facility in various ways. As a director of nursing, I will embrace various measures to improve the provision of cost-effective quality care, patient satisfaction, and patient safety. First, I will identify and control cases of overtreatment since they are can be expensive and harmful to patients. Such cases can arise due to ignorance among nurses. Thus, to handle this issue, I will inform the nursing staff and physicians about the regular, unnecessary treatments to avoid. Secondly, I will put measures to reduce clinical errors (Gorgich et al., 2016). Some of the mistakes committed by nurses while treating or offering health care services to patients can be life-threatening and expensive. Even though it is hard to eliminate all errors in nursing practice, enforcement of measurable practices such as replacement of paperwork with electronic health records (EHRs)  will help control various preventable errors (Gorgich et al., 2016).

Reduced cases of medical  errors can help improve patient satisfaction and safety.  I will also strengthen care coordination by encouraging nurses to improve their  interpersonal relationships with their fellow nurses and healthcare professionals from different  disciplines. Alternatively, I will ensure nurses have access to better technologies and practices  such as mobile technology, which can help improve their care efforts and tear down  communication barriers. Poor coordination among nurses and other healthcare professionals can  result in miscommunication. This can as well lead to other harmful mistakes such as improper  diagnoses. Thus, the enhanced care coordination strategy will help improve quality care delivery  and patient safety in the health facility. Lastly, I will ensure the nursing staff is well-trained and  motivated to consistently over quality care. The increase in technological advancements and the  emergence of new health issues in healthcare create the need for regular training programs to  equip nurses with new skills to enable them to offer quality care. Additionally, modern  healthcare settings are becoming more diverse as patients from different cultural backgrounds are  now able to access care. This has created the need for cultural competency training. This will  help enhance the provision of culturally competent care that improves patient satisfaction. 

Prevention of Medical Errors among Front-Line Nursing Staff 

Front-line nurses play a significant role in ensuring quality care delivery. However,  medical errors undermine their role. They include any preventable events experienced during  nursing practice that may lead to inappropriate medication use or patient harm. Thus, they may  arise during product labeling, packaging, dispensing, distribution, order communication, or when  prescribing (Gorgich et al., 2016). Besides, medication errors in nursing practice can occur due  to various factors associated with patients, health care professionals, and technologies involved  in care delivery. For instance, front-line nurses working in overcrowded healthcare settings may  be required to work for long hours and handle many patients. Thus, they might end up getting  fatigued. Increased incidence of fatigue among the front line nursing staff is associated with a  high rate of medical errors (Gorgich et al., 2016). Secondly, medical errors can arise when the  front-line nurse has inadequate knowledge of the patient’s condition. As a result, the patient may  end up taking the wrong medication, which might be harmful. Thirdly, front-line nurses may  experience mental health issues such as depression. This impairs their ability to make informed  clinical decisions regarding the patient’s health condition hence resulting in medical errors. 

Lastly, poor communication between front-line nurses or healthcare professionals and patients,  such as physicians, can also lead to medication errors (Gorgich et al., 2016).  On the other hand, there are various factors associated with patients, which lead to  medical errors. One of them includes the language barrier. This occurs when the healthcare  professional is unable to understand the language of the patient (Gorgich et al., 2016). In such a  scenario, the nurse may fail to get enough information regarding the patient’s condition. This can  result in medical errors. Also, in complex clinical cases, nurses sometimes find it hard to get  appropriate information regarding the patient’s health condition hence leading to wrong  diagnosis (Gorgich et al., 2016). Lastly, the use of more advanced healthcare technologies in  nursing practice is attributed to medical errors.  Prevention of medical errors in nursing practice helps in ensuring quality care. However,  it is hard to eliminate all medical errors in nursing practice. Thus, various practices can be  applied to minimize medical errors among the front-line nursing staff. One of them includes the  employment of language translators and interpreters to improve communication in nursing  practice (Pérez, Fuentes & García, 2019). This strategy will help reduce the medical errors that  occur in diverse healthcare settings, which comprises nurses from different cultural backgrounds. 

The language translators will enable front-line nurses to obtain enough and accurate information  from their patients. This will allow nurses to make a correct patient diagnosis, hence minimizing  medical errors. Secondly, the establishment of education programs in nursing practice will help  in reducing medical errors (Pérez, Fuentes & García, 2019). This practice will help enhance the  nurses’ or patients’ knowledge about the common causes of medical errors. Thirdly, the  implementation of medication reviews and reconciliation will help reduce the number of medical  errors in nursing practice. For instance, it is necessary for licensed physicians or pharmacists to  actively review prescriptions to ensure the patients are given the correct medication.

Fourthly,  the replacement of the paperwork system with computerized systems can help front-line nursing  staff minimize medical errors in nursing practice (Pérez, Fuentes & García, 2019). The use of  automated provider systems in nursing practice supports decision-making among healthcare  providers since they can access the information easily and conveniently as compared to the  paperwork system. Thus, it increases the chances of making appropriate medical prescriptions.  Conclusively, healthcare leadership plays a fundamental role in improving quality care  and patient safety and cost-effective care. Healthcare leaders embrace various strategies such as  the Triple Aim initiative in healthcare to improve quality, safety, and satisfaction. However, issue of medical errors impacts the quality improvements negatively. This problem can be  addressed through the establishment of education programs to inform the nurses and patients  about the common medical errors experienced, by automating nursing practice processes to  enhance efficiency, and through effective communication.


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