Healthcare professionals are still afraid of corrective actions when reporting, including near misses
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Upon reviewing this week’s lesson, it involves patient safety and how healthcare providers delivery it. The Institute of Medication (IOM) designed a model for patients which involved effectiveness, safety, patient-centered, timely, equitable, and efficiency(Agency for Healthcare Research and Quality, n.d.). One problem I have found is reporting near misses that were caught but could have resulted in errors while delivering patient care. Healthcare professionals are still afraid of corrective actions when reporting, including near misses. The article I found, showed how reporting improves patient safety and how to improve the delivery of care (Howell et al., 2015). As a nursing leader, I would encourage my staff to report near misses along with actual occurrences. I would explain that by reporting near misses it helps future patients by learning from the near misses. Patient safety should be an expected value, not something that hospitals deal with after something happens (Laureate Education, 2012i). At my work, we have safeguards that we can do anonymously. We can also fill out our name to report safety issues. As a nursing leader, I would meet with staff to remind them to choose the anonymous tab when reporting safeguards for patient safety if they were still concerned about corrective actions. I would explain that it is not about them getting in trouble but continuing improving safety to protect patients.
Agency for Healthcare Research and Quality. (n.d.). Model public report elements: A sampler. Retreived from http://archive.ahrq.gov/professionals/quality-patient-safe-ty/quality-resources/value/pubrptsample2b.html#Presentation
Howell, A., Burns, E. M., Bouras, G., Donaldson, L., Athanasiou, T., & Darzi, A. (2015, December 9). Can Patient Safety Incident Reports Be Used to Compare Hospital Safety? Results from a Quantitative Analysis of the English National Reporting and Learning System Data. Ebsco, 10(12), 1-15.
Laureate Education (Producer). (2012i). Quality improvement and safety. Baltimore, MD: Author.