Introduction
This resource toolkit contains twelve resources that I consider critical for the audience for the developed safety improvement plan. The toolkit aims at enabling nurses to implement and sustain patient safety improvement measures in healthcare settings. The resources have been categorized into three, with each category containing four annotated sources. In total, there are 12 resources in this toolkit. The categories are listed below:
- Medication errors and safety
- Environmental risks relating to the safety of the patient
- Best practices for improving patient safety for nurses
Medication Errors and Safety
Krzyzaniak, N., & Bajorek, B. (2016). Medication safety in neonatal care: a review of medication errors among neonates. Therapeutic Advances in Drug Safety, 7(3), 102-119.
This source describes a study conducted to explain the medication errors in patients who have been hospitalized. The study compares medication errors in neonates with those across the age spectrum. The study reviews a total of 58 articles, with medication errors being documented in each of the patient groups. The results show that the most common mistakes are prescribing and administration errors. This source can prove useful to the nurses in understanding medication errors and their origins. The source highlights that each step of the medication-use process is prone to error across the age spectrum.
Bowdle, T. A., Jelacic, S., Nair, B., Togashi, K., Caine, K., Bussey, L., ... & Merry, A. F. (2018). Facilitated self-reported anesthetic medication errors before and after the implementation of a safety bundle and barcode-based safety system. British Journal of Anesthesia, 121(6), 1338-1345.
This source gives a review of medication errors; it focuses on anesthetic medication administration errors; the material is a study conducted between 2002 and 2018—an increasingly enhanced self-reporting of errors conducted in the years 2002 and 2003. The activity was also conducted in 2014. The article can be an essential source to nurses as it highlights the most common anesthetic medication errors in the health sector. Further, it gives some strategies that can be used to reduce these medication errors. Nurses must go through this sector to get a grip on the knowledge it contains regarding medication errors and possible remedies.
Kavanagh, C. (2017). Medication governance: preventing errors and promoting patient safety. British Journal of Nursing, 26(3), 159-165.
This article highlights how significant medication errors are. It identifies the potential issues regarding the safety of the patient in the health sector and the support systems that are required. The article emphasizes that medication errors involve a variety of health professionals, with nurses being one of those. The article emphasizes the role of the nurse in reducing medication errors. This source can be of great importance to the nurse; it helps the nurse understand his or her role in preventing medication errors.
Dhawan, I., Tewari, A., Sehgal, S., & Sinha, A. C. (2017). Medication errors in anesthesia: unacceptable or unavoidable? Revista Brasileira de Anestesiologia, 67(2), 184-192.
This journal gives a detailed description of medication errors highlighting the most common risk factors and causes, the cost of medication errors, and what can be done to prevent them. The article describes the financial burden of medication errors and then adds that medication errors are preventable. The journal then gives possible solutions to these medication errors. Because the source focuses on the financial burden of medication errors, the nurses can get a glimpse at the financial implications of these errors on the health sector.
Environmental Risks Relating to the Safety of the Patient
Kwon, E., & Choi, K. (2017). Case-control study on risk factors of unplanned extubation based on patient safety model in critically ill patients with mechanical ventilation. Asian Nursing Research, 11(1), 74-78.
The source illustrates research carried out to help in the recognition of various risk factors. The risks are normally discovered and identified in unplanned extubation among patients in the Intensive Care Unit. The patients usually undergo mechanical ventilation with the use of a patient safety model. The results of the study categorize this unplanned extubation as technologies, people, tasks, organizational factors, and environmental factors. The study proposes that risk factors associated with unplanned extubation that relate to the components of the safety model should be recognized. It helps minimize the risks they pose. This source allows nurses to understand work-related risks associated with the safety of the patient.
Chatziioannidis, I., Mitsiakos, G., & Vouzas, F. (2017). Focusing on patient safety in the Neonatal Intensive Care Unit environment. Journal of Pediatric and Neonatal Individualized Medicine (JPNIM), 6(1), e060132.
This source also looks at the safety of the patient in the ICU environment. The journal primarily focus on Neonatal ICU (NICU). It states that NICU is a highly sensitive and technologically-driven environment. For that reason, it is prone to mistakes and errors that are hazardous to the patient. The paper reviews patient safety issues in the NICU; this can help nurses understand these issues and risks and strategize ways of preventing them.
Pickering, C. E., Nurenberg, K., & Schiamberg, L. (2017). Recognizing and responding to the “toxic” work environment: Worker safety, patient safety, and abuse/neglect in nursing homes. Qualitative health research, 27(12), 1870-1881.
This source is a study conducted to examine the existing relationship between the worker, specifically the nurse, the work environment, and the safety of the patient. The research focusses on Certified Nursing Assistant (CAN), how the CAN understands and responds to bullying at the workplace. The results of the study suggest that if the work environment is safe, then the safety of the patient is likely to be assured.
Joseph, A., Henriksen, K., & Malone, E. (2018). The architecture of safety: An emerging priority for improving patient safety. Health Affairs, 37(11), 1884-1891.
This article also relates to the relationship between the work environment and the safety of the patient. The report suggests that the design of the built environment could reduce the risks for both the healthcare providers and the patients. The report provides a narrative review that puts in summary key results that link targeted safety outcomes to the design of the work environment. This article will help the audience understand that the design of the work environment also plays a role in the safety of the patient.
Best Practices for Improving Patient Safety for Nurses
Siman, A. G., & Brito, M. J. M. (2017). Changes in nursing practice to improve patient safety. Locus UFV
The source details a case study conducted at an inpatient unit with healthcare professionals from the patient safety center together with a nursing team; the total number of participants of the study is 31. The research involves the collection of data using interviews, observations, and documentary analysis. The study aims to identify changes in the nursing practice that can improve the quality of care provided by nurses and improve the safety of the patient. The significance of this source is that it can help the audience understand the best practices that can enhance the safety of the patient.
Noviyanti, L. W., Handiyani, H., & Gayatri, D. (2018). Improving the implementation of patient safety by nursing students using nursing instructors trained in the use of quality circles. BMC nursing, 17(2), 53.
This source is unique in that it focuses on nursing students. The article recognizes the fact that the skills instilled in nursing students concerning the safety of the patient are still optimal. The paper suggests that nursing students should be taught by competent clinical instructors who will instill the best practices when it comes to the safety of the patient. The article describes the effect that quality circles have on improving the skills and competence required in nursing students to ensure the safety of patients. The significance of this article to the audience is that it shows that the safety of the patient should be emphasized at all levels.
Soltis, L. M. (2015). Role of the clinical nurse specialist in improving patient outcomes after cardiac surgery. AACN advanced critical care, 26(1), 35-42.
This source highlights the best practices in improving the patient’s safety outcomes. One of the many suggestions that the paper provides for best practices is early extubation after open-heart surgery has been completed. If this is done, the article says that it reduces or may reduce the development of complications in pulmonary. The paper further highlights the importance of Clinical Nurse Specialists (CNS) in ensuring the best practices with regard to the safety of the patient.
Bowrey, S., & Thompson, J. P. (2014). Nursing research: ethics, consent, and good practice. Nursing Times, 110(1-3), 20-23.
This source describes the roles and responsibilities that research nurses have in clinical trials; it also explains how the safety of the patient is maintained. The article describes the role of nurses in clinical research and the regulatory framework that underpins these roles. It further looks at the process of improving the safety of the patient and the ethical principles involved. The paper claims that the aim of nursing education must be to equip practitioners with the best skills required to challenge the existing skills and evaluate their role in improving patient safety. Reading this article can help nurses understand their roles in maintaining the patient’s safety.
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