*NURSING > DISCUSSION POST > NR-532 Week 4 Graded Discussion 2 – Patient Safety (All)
NR-532 Week 4 Graded Discussion 2 – Patient Safety
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The number of malpractice claims at your facility has doubled in the last quarter. Discuss a strategic plan to reduce the number of claims. Be specific with your example and explanation. Malpractic... e occurs when a healthcare professional or organization causes harm to a patient through not following standards of care or negligence. If the number of claims have doubled in a quarter, this would indicate a serious concern for lack of quality care, patient safety, and satisfaction. The first strategy I would implement is to perform a root cause analysis (RCA) on each claim to determine why and how the standards of care were not met. Through this analysis, an action plan would be created to correct the errors so they would not be repeated. The second strategy I would focus on is educating and creating a “just culture” environment with the goal to move towards being a high reliability organization (HRO). Just culture is a mechanism to evaluate if an error occurred due to human error, reckless behavior, or at-risk behavior (Ulrich, 2017). Using this mechanism helps hold people accountable and determine what type of corrective action is needed. Establishing a “just culture” environment supports the movement towards a HRO by creating a safe culture for reporting errors that does not focus on placing blame (Quigley & White, 2013). It acknowledges that errors do happen and helps the organization address and prevent the same error from happening again. A HRO is an organization that is high-risk, dynamic, turbulent, and potentially hazardous, yet operate nearly error-free. To become error-free, an organization must know what their errors are and be able to drill down on each one of them. So, it is essential to create a culture and environment where every error, regardless of the severity, is reported [Show More]
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