Quality Improvement in Patient Safety

Running head: QUALITY IMPROVEMENT IN PATIENT SAFETY
QUALITY IMPROVEMENT IN PATIENT SAFETY
Name of the Student
Name of the University
Author Note

1QUALITY IMPROVEMENT IN PATIENT SAFETY
Introduction
Quality improvement is a methodical disciplined approach to the analysis of cultured
performance and genuine efforts to enhance performance. Now a hospital quality
improvement is constituted by four types of tools such as act, plan, check and do. The paper
has aimed to shed light on discussing the critical skills related to the quality improvement. It
can be said that the quality improvement can be measured directly by estimating the
percentage of quality outcomes (Graban, 2018). Quality improvement model is a key factor for
increasing the hospital revenue effectively. Now the purpose of this paper is that as a
manager of nurse unit what should be done to improve patient safety and secure the fame and
prosperity of a hospital. Medical errors may develop in handling large patient services,
however it must be notified that those errors should not create any pressure in patient safety
( Morello et al., 2013). Different nurse and staffs should be involved in different wards. In case
of emergency and critical care unit only skilled and experienced nurse should be appointed.
Hence, any kind of professional harassment can be ignored by servicing in well planned
manner and also by making a partnership formula with every patient (Rennke et al., 2013).
Discussion
Patient security is a counter part of the hospital security. Now it becomes more
challenging than over all organizational security. However, any hampering of the patient
security directly gives a contraindicated effect on the whole organizational safety. Patient
security is highly informative in nature. The maintenance of the patient safety requires highly
skilled and qualified people. Now, medical errors when get a devastated structure than it can
be said that patient safety is in high risk ( Wagner et al., 2013). However not a single individual
is at fault for the medial errors. Whole management team should be encountered by several
question due to serious errors by the hospital authority. Hence, as a unit manager a nurse
should be more conscious about the critical care unit as well as outdoor unit. There are
certain processes to prevent the adverse situation from happening in the hospital.
Prevention of blood stream infection
In the blood collecting unit daily several people come to give blood for the
determination of various physiological test. Here central venous catheter is inserted for the
blood collection. The needle of the catheter should be discarded in each time of needle

2QUALITY IMPROVEMENT IN PATIENT SAFETY
insertion. Because, blood are the essential medium for transferring of disease from one
individual to another individual (Marschall et al., 2014).. Hence, each time a new catheter
should be used for the prevention of blood transfusion disease. Also chlorhexidine should be
used to clean the skin of the patient before introduction of the needle. Femoral lines must be
avoided. Hence, all these steps should be maintained to reduce the unnecessary deadly
infection. Otherwise major number of healthy people will suffer from new coming diseases ,
that may be take their life. These types of unnecessary hazards can be removed by involving
certain educated and skilled people for taking the blood from every individual.
Re-engineering hospital discharges
Patients are admitted in the hospital for having physiological disorders which may be
simple or chronic. Now in case of simple disease they are released from the hospital in one
week. However in case of severe disease or any critical surgery cases a patient may be
admitted in the hospital for 15 days to one month. As a result two types of discharge plan will
be created by the hospital. One who is admitted for one week and other who is admitted for
three week or more. Because, the expenditure will be different in the two cases. Now it must
be necessary that both the discharge bills should be simple and easy to understand by the
patient and patient’s family (Berkowitz et al., 2013). In the both cases the discharge report should
contain a proper medication schedule. In case of one week report the medication schedule
will be simple and easy to understand, however in case of one month report the medication
schedule will be more complicated and long. That cannot be understand at first by the patient.
Hence the nurse who involve in the caring of that patient should tell all about the prescribed
medicine list and also the administration time and process. As a result it can be simplified for
the individual. Not only that but also a list of all upcoming medical appointments should be
provided on that discharge report ( Mitchell et al., 2016). Also the name and phone number of
the caring unit or the hospital helpline is provided on it. Because, if any problem arises then
the patient will call on that specific number for any enquiry and readmission.
Prevention of venous thromboembolism
Venous thromboembolism is caused by blood clot into the deep vein in lower legs or
in thigh. VTE is generally caused after surgery. If a patient is admitted for a normal surgery
then after it there is a chance of VTE when certain thing changes or retards the flow of blood
in the legs (Kakkos et al., 2016). This type of disorders generally attack older people and the
people who are obese. The older people after having a surgery become week much than a