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Essay / Research Paper Abstract
A 9 page paper discussing organizational-level efforts to reduce the incident of postoperative infection. The paper discusses building a culture of safety; benchmarking; sentinel events; quality and progress indicators; and the implications of extended hospital stays resulting from infection. The recommendation is that the facility adopt the Patient Safety Indicators software offered by the Agency for Healthcare Research and Quality (AHRQ) and take steps to build a greater culture of safety within the organization. Bibliography lists 8 sources.
Page Count:
9 pages (~225 words per page)
File: CC6_KSmedInfTskFrc.rtf
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Unformatted sample text from the term paper:
bowel resections." After discussion among "the Director of Case Management, the Director of Risk Management, the Infection Control Nurse, and the Vice President for Patient Care Services," the unit
manager will take the matter to the multidisciplinary task force. Following is additional information discussing building a culture of safety; benchmarking; sentinel events; quality and progress indicators; and the
implications of extended hospital stays resulting from infection. The recommendation is that the facility adopt the Patient Safety Indicators software offered by the Agency for Healthcare Research and Quality
(AHRQ) (Patient Safety Indicators Overview, n.d.) and take steps to build a greater culture of safety within the organization. Culture of Safety Kohn,
Corrigan and Donaldson (2000) illustrate the need to create a "culture of safety" in which safety is a top-level consideration in all actions rather than an afterthought. They say:
Unsafe acts are like mosquitoes. You can try to swat them one at a time, but there will always be others to take their place. The only effective remedy is
to drain the swamps in which they breed (Kohn, Corrigan and Donaldson, 2000; p. 155). The swamps that need to be drained are
myriad. They can range from poorly designed equipment to overwork; poor communication to lack of safeguards (Kohn, Corrigan and Donaldson, 2000). The list of potential "swamps" is a
long one "but all of these latent factors are, in theory, detectable and correctable before a mishap occurs" (Kohn, Corrigan and Donaldson, 2000; p. 155). The same authors call
for regulatory and overseeing groups and professional associations to set standards; discuss safety; focus on patient safety; and collaborate across disciplines to create a culture of safety (Kohn, Corrigan and
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