NRS 450 Benchmark – Culture of Patient Safety Case Studies
Grand Canyon University NRS 450 Benchmark – Culture of Patient Safety Case Studies– Step-By-Step Guide
This guide will demonstrate how to complete the Grand Canyon University NRS 450 Benchmark – Culture of Patient Safety Case Studies assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NRS 450 Benchmark – Culture of Patient Safety Case Studies
Whether one passes or fails an academic assignment such as the Grand Canyon University NRS 450 Benchmark – Culture of Patient Safety Case Studies depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NRS 450 Benchmark – Culture of Patient Safety Case Studies
The introduction for the Grand Canyon University NRS 450 Benchmark – Culture of Patient Safety Case Studies is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NRS 450 Benchmark – Culture of Patient Safety Case Studies
After the introduction, move into the main part of the NRS 450 Benchmark – Culture of Patient Safety Case Studies assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NRS 450 Benchmark – Culture of Patient Safety Case Studies
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NRS 450 Benchmark – Culture of Patient Safety Case Studies
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NRS 450 Benchmark – Culture of Patient Safety Case Studies
Culture of Patient Safety Case Studies
This assignment aims to create a culture of patient safety using information and communication technologies and informatic processes to deliver safe nursing care while promoting health.
Part 1: Creating a Culture of Patient Safety
Instructions: Please review the following scenario and answer each of the following questions in 150-200 words using one to two sources to support your ideas.
Michael is a nurse working on a busy medical-surgical unit. He is responsible for the care of five patients with complex medical needs. Michael checks on his first patient, Mrs. Wallace. She is lying in bed with the call light button within her reach. The identification armband is in place. Michael verifies that the IV is working and that the correct IV fluid is infusing. The monitor is on, and the limits/volumes are set appropriately.
Michael proceeds to check on his second patient, Mr. Baker. As he walks into the room, he finds Mr. Baker on the floor and alert. Mr. Baker tells Michael that he fell trying to get into the bed because the bed rolled away. Michael notes that the locks for the bed were not engaged. There is no call light in the room. The monitor is turned off. Mr. Baker does not have an identification armband on. There is an identification band on the bedside table, but it does not belong to Mr. Baker. Michael checks the IV fluid infusing and discovers that the name on the IV bag is the same as the identification armband on the bedside table.
| National Safety and Quality Standards Identify two sources and applications of national safety and quality standards to guide nursing practice. Describe two factors for Mrs. Wallace’s scenario that create a culture of safety. Support your ideas using one to two sources. |
| The American Nurses Association (ANA) provides two essential resources that establish standards and offer guidance for professional nursing practice in the United States: The Nursing Scope and Standards of Practice and the Code of Ethics for Nurses. The Code of Ethics for Nurses provides a foundational ethical structure for nursing practice in various roles, levels, and environments. Further elaboration on this topic can be found in the section titled “Legal Considerations and Ethics” within this chapter. The Nursing: Scope and Standards of Practice delineates the scope of practice for professional nurses, outlining the essential aspects of nursing practice. Additionally, it establishes eighteen criteria of professional conduct that all licensed nurses must adequately fulfill. Cultural safety is essential in establishing a connection with prospective patients. An organization’s activities, attitudes, and values about clinical excellence and safety at all levels are reflected in its safety culture, which prioritizes patient care. It is evident in the case study that Mrs. Wallace is in bed with the call light button accessible and wearing her identity bracelet. She also permits Michael to verify the functionality of the IV and ensure that the correct IV fluid is being infused. |
| Nursing Interventions Describe three nursing interventions for Mr. Baker to create a safety culture. Discuss the nurse’s accountability for reporting unsafe conditions, near misses, and errors to reduce harm. |
| Numerous nurse interventions may be implemented to establish a safety culture for Mr. Baker. Interventions involve implementing patient safety programs, utilizing non-punitive reporting systems for safety incidents, applying established safety principles like standardized equipment and processes, and conducting interdisciplinary team training programs. Nursing interventions enhance patient safety by performing preventative measures, such as protecting the safety of immobile patients via modifying their bed placements to avoid injury (Han et al., 2019). To notice changes in a patient’s symptoms, behavior, or mood, critical observation of the patient and monitoring of their vital signs are additional nursing interventions that support patient safety. A robust safety culture encourages all healthcare team members to recognize and mitigate patient safety risks by reporting errors and near misses for root cause investigation and risk elimination. Personnel often hide faults out of fear or shame in a culture of safety that is inadequately established and enforced. Nurses have historically been taught to strive for clinical perfection and to assume that competent nurses do not make mistakes. Errors are often attributed to carelessness, inattention, apathy, or misinformed judgments. Expecting high-performance standards is beneficial, but it may be harmful if it leads to an expectation of perfection that affects reporting mistakes and near misses. Experiencing embarrassment upon making a mistake might lead workers to conceal or disguise mistakes. Research shows that over 75% of errors are self-detected by the individuals who make them rather than being identified by external cues or other people (Han et al., 2019). Employees must be confident that they may disclose faults without being unfairly accused. |
| Interprofessional Team Members Identify the interprofessional team members who must be notified regarding Mr. Baker’s situation. Select three team members and explain their role in caring for Mr. Baker’s situation. Explain the nurse’s role within this interprofessional team in promoting safety and preventing errors and near misses. |
| All interprofessional team members contribute significantly to patient care. The interprofessional team members involved in Mr. Baker’s care may include an advanced practice registered nurse, physical therapist, occupational therapist, social worker, respiratory therapist, pharmacist, nutritionist, unlicensed assistive personnel, and physicians (Lipscomb & Zupec, 2020). The physician will screen patients for fall risks and any injuries they may have suffered. The physician will provide a prescription in case the patient needs further medicine. The nurse will monitor the infusion rate on both the primary and secondary IV tubing, confirm the infusion rate in the physician’s orders or drug administration record, help the patient get into a comfortable posture, set the call bell within reach, and raise the side rails on the bed according to agency regulation. The pharmacist will ensure the patient receives all necessary prescriptions in the appropriate dosage and strength. In terms of patient safety, a nurse’s duties include monitoring patients for signs of clinical deterioration, identifying errors and near-misses, understanding care procedures and weaknesses in particular systems, identifying and alerting patients to changes in their condition, and performing a plethora of other tasks to ensure patients receive the best care possible (Lipscomb & Zupec, 2020). |
| Basic Safety Design Principles Basic safety design principles help to reduce the risk of harm. Examples of these include error-proofing, safeguards, and training. Select one of the safety design principles and explain how it applies to Mrs. Wallace and Mr. Baker. Discuss the benefits of using reporting system processes to understand error causes and improve patient outcomes. Support your ideas using one to two sources. |
| Error-proofing is crucial in ensuring Mrs. Wallace and Mr. Baker’s protection. To prevent mistakes from having a more significant negative effect and to take remedial action sooner rather than later, mistake-proofing establishes many checkpoints that identify errors as soon as they occur. In Mrs. Wallace’s case, for example, Michael confirms that the IV is functioning and that the correct IV fluid is infusing; in Mr. Baker’s case, however, Michael observes that the bed’s locks were not engaged. The room is devoid of a call light. The screen has been turned off. There is no identifying armband on Mr. Baker. The bedside table has an identifying bracelet but not Mr. Baker’s. Michael notices that the name on the IV bag matches the identifying wristband on the bedside table as he checks the IV fluid infusion. Therefore, it will be necessary to develop appropriate nursing practice protocols to prevent such incidents in the future. A few of these procedures include letting the patient know where they are, having them show how to use a call light, keeping a call light handy, ensuring that the patient’s things are within safe reach, and securing hospital bed brakes (Wolf et al., 2020). Sharing accounts of mistakes and informing patients and significant others about actual errors and near misses can help mitigate the impact of mistakes and decrease the chances of future errors by alerting others to potential risks (Wolf et al., 2020). Reporting helps minimize future errors, reducing personal suffering and financial costs. On the other hand, disclosing errors is advantageous for patients and healthcare providers as it provides prompt information and helps minimize legal disputes. |
| References: Cite a minimum of two sources in APA format to complete this assignment. Sources must be: Published within the last five years. Appropriate for the assignment criteria. Relevant to nursing practice. |
| Han, Y., Kim, J., & Seo, Y. (2019). Cross-sectional study on patient safety culture, competency, and adverse events. Western Journal of Nursing Research, 42(1), 32–40. https://doi.org/10.1177/0193945919838990 Lipscomb, C. P., & Zupec, J. (2020). Use of telehealth experiences to facilitate interprofessional education. American Journal of Health-System Pharmacy, 77(10), 734–738. https://doi.org/10.1093/ajhp/zxaa033 Mihdawi, M., Al‐Amer, R., Darwish, R., Randall, S., & Afaneh, T. (2020). The influence of nursing work environment on patient safety. Workplace Health & Safety, 68(8), 384–390. https://doi.org/10.1177/2165079920901533 Wolf, L., Parker, S., & Gleason, J. L. (2020). Human factors in healthcare. In Springer eBooks (pp. 319–333). https://doi.org/10.1007/978-3-030-55829-1_20 |
Part 2: Delivering Safe Nursing Care Using Information and Communication Technologies
Instructions: Please review the following scenario and answer each question in 150-200 words using one to two sources to support your ideas.
A home health nurse, Stephanie, visits an older man, Mr. Turner, who lives with his daughter. Before the visit, Stephanie reviewed Mr. Turner’s electronic health record (EHR) and the clinical decision support tools. He has a pacemaker to help with his congestive heart failure. A module in his home sends information from his device to the cardiologist to monitor. During this visit, Stephanie will be assisting Mr. Turner and his daughter in sending a report to the cardiologist via the module connected to the internet. Mr. Turner also has type II diabetes using an insulin pump that is linked to an app on his phone. Due to the neuropathy of his feet, Mr. Turner’s gait is unstable, and he uses a walker to ambulate. He wears a senior medical alert button in case he should fall. Mr. Turner is also scheduled for a telehealth visit with his doctor during Stephanie’s visit.
Stephanie arrives at the home for the visit. As she started her assessment of Mr. Turner, the insulin pump was beeping, and there was an error message. Mr. Turner states that it has not been working for the last couple of days, and his daughter will try to fix it. He also tells Stephanie that he has stopped wearing the medical alert button because it kept beeping, and he could not get it to stop.
Also Read
NRS 450 Benchmark – Health Information Standards and Regulations
NRS 450 Benchmark – Information and Communication Technologies in Nursing
| Clinical Decision Support Tools Describe two examples of clinical decision support tools (CDST) for Mr. Turner. Evaluate how decision support tools impact clinical judgment and help provide safe patient care. |
| Clinical decision support tools offer timely information, typically at the point of care, to assist in making patient care decisions. Clinical decision support tools and systems help clinical teams by taking over routine tasks, warning of potential problems, or providing suggestions for the clinical team and patient to consider (Sutton et al., 2020). Mr. Turner benefits from clinical decision support tools such as a pacemaker for congestive heart failure and an insulin pump for type 2 diabetes to enhance care outcomes. Utilizing CDST is a common strategy to minimize medication errors. It is commonly reported that drug-drug interactions are frequent and avoidable, affecting as many as 65% of hospitalized patients who may be exposed to risky combinations. Computerized Physician Order Entry (CPOE) systems now incorporate drug safety software with features to prevent dosing errors, therapy duplication, and drug interactions (Sutton et al., 2020). Alerts generated by these systems are widely used for decision support. Studies have identified significant variability in the display of alerts for drug-drug interactions, their prioritization, and the algorithms employed to detect such interactions. Systems frequently display a range of irrelevant alerts, and there is no established protocol for effectively determining how to implement alerts for providers. |
| Performance Metrics Explain how CDST reports and monitors performance metrics on patient outcomes. Discuss two to three examples of healthcare performance metrics. |
| Clinical decision support tools assist in analyzing extensive digital data to recommend treatment options, notify healthcare providers of relevant information, and identify potential issues like harmful drug interactions. Frequently, CDST instruments are included in electronic health records. Personal Health Records and similar patient monitoring applications, such as CDST, can gather data from health devices and wearables to generate valuable insights for healthcare providers (Sutton et al., 2020). An exemplary illustration can be found in the field of diabetes care. This system involves a wearable glucose monitor that sends data to a mobile device. Providers can effectively monitor glucose trends in patients between visits and communicate with them via MyChart for follow-up or urgent recommendations. The preliminary investigation showed enhancements in provider workflow, patient communication, and overall quality of care. Several medical specialties are implementing comparable systems for monitoring that integrate PHR/EHR, wearable technologies, and CDSS. These fields include cardiology (heart failure) and hypertension, among others. Healthcare performance metrics are clearly defined measures used to monitor, analyze, improve, and change healthcare processes to enhance patient and provider satisfaction. One example is Average Hospital Stay, which monitors the average duration of patients’ hospital stays. Another illustration is Bed or Room Turnover, which monitors how patients transition in and out of the facility (Sutton et al., 2020). The hospital or clinic can enhance operational efficiency by optimizing these metrics, reducing operating expenses, and elevating patient satisfaction. |
| Technology Use for Care Describe how the technology used to care for Mr. Turner enhances the quality and safety of care. Identify two modalities that could be used to communicate care delivery for Mr. Turner. |
| Mr. Turner primarily uses a pacemaker for congestive heart failure and an insulin pump for type 2 diabetes to improve care outcomes. The implantation of a pacemaker is typically a safe procedure with minimal risk of complications. The pacemaker administers electrical pulses to regulate Mr. Turner’s heart rate and prevent bradycardia (Mao et al., 2020). If Mr. Turner experiences a slow heart rate, having a pacemaker can significantly enhance his quality of life. On the other hand, Insulin pumps have been demonstrated to offer improved glycemic control and quality of life for children and adults compared to multiple daily insulin injections. A provider’s primary responsibility in engaging and caring for patients is to ensure effective communication, which is critical for patient-centered care and shared decision-making. To communicate care delivery for Mr. Turner, providers and nurses may utilize secure text messaging. E-visits, which are non-face-to-face communications initiated by the patient via an online portal; Case-based teleconferencing, which facilitates the coordination of a patient’s services across multiple multidisciplinary providers; and Audio-only visits, which are patient visits conducted via telephone but without video, are additional modes of communication that apply to this patient (Mao et al., 2020). |
| Benefits of Emerging Technologies Select two emerging technologies that are used to improve healthcare delivery and clinical decision-making. Describe the benefit of these emerging technologies to improve the health promotion for this patient. |
| The Internet of Things (IoT) and artificial intelligence (AI) have rapidly advanced to enhance healthcare delivery and clinical decision-making. IoT in healthcare allows sensors to transmit and analyze data, automating the gathering of primary health-related data. This reduces the burden on clinicians to continuously profile health examination data (Agarwal et al., 2019). IoT enables healthcare practitioners to monitor patients’ vital signs, medication adherence, and well-being from a distance. This allows for the early identification of any irregularities or possible health hazards, resulting in prompt management and superior patient results. Healthcare AI systems may evaluate patterns in a person’s past medical records and present health data to anticipate prospective health hazards. This predictive capacity allows healthcare practitioners to deliver proactive, preventive treatment, improving patient outcomes and lowering healthcare expenses (Agarwal et al., 2019). Artificial intelligence optimizes several procedures at healthcare institutions. AI automation streamlines administrative tasks in healthcare, such as organizing appointments and processing insurance claims, enabling healthcare practitioners to prioritize patient care. This boosts the entire patient experience in addition to increasing operational efficiency. |
| Reporting System Processes and Functional Issues Identify the importance of reporting system processes and functional issues (error messages, misdirections, device malfunctions, etc.) according to organizational policies and procedures. |
| Establishing a reporting system is a valuable method for learning from errors. Reporting systems can fulfill two crucial roles. Providers can be held accountable for their performance, or information can be provided to enhance safety. In theory, these objectives align, but achieving both can be challenging in practice. Various reporting systems exist in healthcare and other sectors. Specific programs require reporting, while others are optional. Some programs collect reports from individuals, while others gather reports from organizations. For example, Medical Device Reporting (MDR) is a post-market surveillance tool utilized by the FDA to oversee device performance, identify possible device-related safety concerns, and aid in the benefit-risk evaluation of devices (Jabin et al., 2023). MDR aims to identify and manage adverse events associated with medical devices promptly. It allows physicians, healthcare facilities, manufacturers, and consumers to voluntarily report to comprehend the device’s safety and effectiveness after it has entered the market. Receiving reports from organizations indicates the institution’s dedication to implementing corrective system changes. Receiving reports from individuals allows for input from frontline practitioners. Reporting systems may differ in scope (Jabin et al., 2023). Existing systems in health care tend to have a narrow focus, such as medication-related errors, while there are comprehensive systems in other fields. |
| References: Cite a minimum of two sources in APA format to complete this assignment. Sources must be: Published within the last five years. Appropriate for the assignment criteria. Relevant to nursing practice. |
Agarwal, R., Dugas, M., Gao, G., & Kannan, P. (2019). Emerging technologies and analytics for a new era of value-centered marketing in healthcare. Journal of the Academy of Marketing Science, 48(1), 9–23. https://doi.org/10.1007/s11747-019-00692-4 NRS-450 Topic 4 DQ 1 Sample AnswerThe Overdose Prevention Framework, specifically the recent FDA approval of Narcan, a 4mg naloxone hydrochloride nasal spray for over-the-counter (OTC) use, exemplifies a pivotal policy impacting population outcomes, social justice, and health equity. “In 2023 the overdose death rate topped 112,000 in a 12-month period for the first time, according to the Centers for Disease Control and Prevention” (Mann, 2023, para. 19). opioid overdoses, primarily fueled by synthetic opioids like fentanyl, persist as a significant public health issue. “Through the FDA Overdose Prevention Framework, the agency remains focused on responding to all facets of substance use, misuse, substance use disorders, overdose and death in the U.S. The framework’s priorities” (Office of the Commissioner, 2023, para. 10). This policy addresses health equity by expanding access to a life-saving intervention for opioid overdose, potentially reducing fatalities. Making naloxone available over the counter ensures wider distribution, reaching individuals in various settings like drug stores, convenience stores, grocery stores, and gas stations. This move aligns with the FDA’s commitment to combat the overdose crisis by utilizing regulatory authority to enhance naloxone accessibility. However, there is room for improvement. Public health offices could partner with sponsors and give out free naloxone sprays in areas where drug use is high. Communication of this policy is crucial to its success. A suitable platform would be a comprehensive multimedia approach, including social media campaigns on platforms like Twitter and Facebook to disseminate information widely. Educational videos could be shared on YouTube, explaining the proper use of Narcan nasal spray. Partnerships with healthcare organizations and community outreach programs can facilitate in-person workshops and distribution in at-risk communities. This multifaceted communication strategy ensures that stakeholders, including the public, healthcare professionals, and retailers, are well-informed about the OTC availability of naloxone, promoting its equitable use and potentially saving lives across diverse populations. Mann, B. (2023, December 28). In 2023 fentanyl overdoses ravaged the U.S. and fueled a new culture war fight. NPR. https://www.npr.org/2023/12/28/1220881380/overdose-fentanyl-drugs-addiction#:~:text=%22I%20had%20been%20hoping%20after,for%20Disease%20Control%20and%20Prevention. Office of the Commissioner. (2023, March 29). FDA approves first Over-the-Counter Naloxone nasal Spray. U.S. Food And Drug Administration. https://www.fda.gov/news-events/press-announcements/fda-approves-first-over-counter-naloxone-nasal-spray |