Ensure Quality and Patients Safety in Healthcare Case Study 2022

Title
Name
Student’s id
Date

Introduction
Keeping patients safe in healthcare settings is a fundamental goal to achieve a high-
quality care. All the healthcare providers are committed to ensure quality and patients’ safety
while providing care. Quality of care is a key component which is a route to dignity as well
as equity. In order to achieve universal health coverage it is essential to deliver health
services that meet the criteria of quality (Sollid et al., 2019). Being a registered nurse (RN), I
have also experienced some situations in my clinical settings where patients’ safety and
quality of care played a significant role. The learning of the experience is related to NSQHS
standards. Here, I am going to reflect my two different experiences using the Gibbs’
reflective cycle.
Standard 1: Medication Safety
Description
In my clinical settings, once I had responsibility to take care of a post-operative
patient who was at a risk of getting infected easily. Therefore, providing medicine was crucial
for that patient as wrong medication usage might create the risk of having infection.
Therefore, I had to be more cautious, but initially I was not careful and I was also going to
give an inappropriate medicine to the patient, however, my senior assistant stopped me and it
reminded me of the NSQHS standards I learned in my theoretical practice.
Feelings
I feel, delivering health care that minimizes the risk and harm includes reducing
medication error and a hygienic practice. NSQHS standards are extremely supportive for the
freshly recruited nurses to work appropriately. I was also going to take a wrong step but I

would have followed NSQHS standard strictly then the risk of taking any wrong decision
could have lessened.
Evaluation
On evaluation, I can say that this experience was quite helpful for me as it helped me
to practically utilize my knowledge of NSQHS standards I learned in theory. There are
various researches regarding the safety of patients which is the greatest concern for all the
healthcare organizations and the study of Institute of Medicine (IOM) reported that almost
98000 people die annually due to medication errors (Johnson, 2016).
Analysis
According to fourth NSQHS standard describes medication safety as an essential part
of nursing practice. This standard describes the system and strategy that ensures the clinician
is prescribing a medicine safely, and it is also being properly administered and monitored by
the nurses. Several studies indicated the role of medication review to prevent any adverse
drug effects and it is considered as the priority of evaluation (Nguyen et al., 2017). Also, a
study on the perception of nurses produced the fact that insufficient training and knowledge
about the essential nursing standards can cause medication error. In this case also, initially I
forgot my theoretical knowledge and did not verify the medication safety (Ludin, Ariffin &
Ilias, 2019).
Conclusion
This incident was like an eye-opening to me and it made me realized about the
importance of medication safety.
Action plan