Evidence Based Practice on Patient Safety Protocols

Running Head: Evidence Based Practice 1
Evidence Based Practice on Patient Safety protocols in Care Settings
YOUR NAME
NURS-FPX4020
Capella University
Month, Year

Evidence Based Practice 2
Introduction
Quality improvement is an essential aspect of care practice and processes. There is a need
for improving care quality for patients in the care processes, this promotes and enhances patient
safety process. Nurses comprise of staff play an essential role in the care process. Based on best
practices and evidence-based protocols there is a need for the adoption of safety practices in the
care setting. This annotation offers evidence of practice which enhances and strengthens quality
care in the care setting.
Analyze the elements of a successful quality improvement initiative
Bognár, A., Barach, P., Johnson, J. K., Duncan, R. C., Birnbach, D., Woods, D., ... & Bacha,
E. A. (2008). Errors and the burden of errors: attitudes, perceptions, and the culture of
safety in pediatric cardiac surgical teams. The Annals of Thoracic Surgery, 85(4), 1374-
1381.
This article elaborates on the occurrence of clinical errors during preoperative care which
has an impact on negatively affecting the care process of the patient. this study assessed the
perceptions and attitudes of surgical teams towards committal of errors, its impacts and the
safety of culture. A survey was conducted at three academic hospitals with key aspects focussing
on safety culture, team process, stress recognition and the impacts it has on making clinical
errors. The results of the study showed that safety aspects were influenced by majorly on safety
concerns. Issues of concern entail staffing levels, availability of equipment, production pressures,
and hectic schedules. The study suggested that safety aspects among health care members have
an impact on performances. There is a need to address safety aspects to improve overall patient
care outcomes.

Evidence Based Practice 3
Colligan, L., Guerlain, S., Steck, S. E., & Hoke, T. R. (2012). Designing for distractions: a
human factors approach decreasing interruptions at a centralized medication station.
BMJ Qual Saf, 21(11), 939-947.
As an avenue of analyzing elements of successful quality improvement, the need for
designing distractions on the human aspect as a way of decreasing interruptions is key. the
objective of this study was to lower interruptions in the centrally located open pediatric center.
The methodology employed used various human factor approaches to assess the medication
administration process. Various processes were assessed in this study. The results demonstrated
that beneficial inexpensive barriers were established which were likely not to lead to errors.
Sightlines were employed and showed improved and preserved access on nurses, minimizing
interruptions. This study demonstrated that targeted barriers play a fundamental role in an
interruptive and chaotic hospital set up.
Lee, B. T., Tobias, A. M., Yueh, J. H., Bar-Meir, E. D., Darrah, L. M., Guglielmi, C. L., ... &
Moorman, D. W. (2008). Design and impact of an intraoperative pathway: a new
operating room model for team-based practice. Journal of the American College of
Surgeons, 207(6), 865-873.
The team-based model has been a critical tool for improving the safety and efficiency
process. Challenges have been observed during long period operating procedures. This study
assessed a novel team-based practice model for improvement in efficiency on breast
reconstruction procedures. The key outcomes measured entailed operative time, complications,