Patient Safety

 

Every day in Canada, patients’ safety is threatened by potential harms that nurses have the professional and ethical responsibility to minimize or prevent. These safety concerns can be referred to as incidents, adverse events, unsafe acts, errors, and harms. Nurses play a significant role in improving patient safety and minimizing patient harm. The purpose of this paper is to identify patient safety concerns and strategize ways that nurses, health care teams, and health care organizations can mitigate these concerns.
• Examine the significance of patient safety principles in nursing practice
• Analyze the implications of high risk behaviours and unsafe practices in health care
• Identify strategies to ensure that health care providers are better positioned to provide safe, effective, efficient, and quality care
• Compose an academic paper with critical reasoning and application of relevant nursing concepts, principles, and professional standards

1. Compose an academic paper that addresses the following:
• Identify a practice error/issue/concern that you have encountered or observed. This could be related to your role as a student nurse, patient, family member, or member of a health care team.
o Clearly state the problem or event
o Define the problem as a pattern and not just as an isolated event
• Conduct a root cause analysis to determine why this issue may have occurred
o Ask “why” at least five times until you reach the root cause of the problem
• Identify three strategies that nurses can implement to solve the problem or subsequent changes that can be made in their daily nursing practice to prevent practice errors and increase patient safety

2. Demonstrate critical reasoning by providing rationale and evidence to support your thoughts
• Utilize the resources found in Canvas or external resources
• Examples from professional practice may be provided as long as privacy and confidentiality are maintained (patient, health care team, and organization) to strengthen thoughts

 

Sample Solution

A mature health system takes into account the increasing complexity in health care settings that make humans more prone to mistakes. For example, a patient in hospital might receive a wrong medication because of a mix-up that occurs due to similar packaging. In this situation, a lack of standard procedures for storage of medications that look alike, poor communication between the different providers, lack of verification before medication administration and lack of involvement of patients in their own care might all be underlying factors that led to the occurrence of errors. Patient safety aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care. A cornerstone of the discipline is continuous improvement based on learning from errors and adverse events. Patient safety is fundamental to delivering quality essential health services.

Transient memory is the memory for a boost that goes on for a brief time (Carlson, 2001). In reasonable terms visual transient memory is frequently utilized for a relative reason when one can’t thoroughly search in two spots immediately however wish to look at least two prospects. Tuholski and partners allude to momentary memory similar to the attendant handling and stockpiling of data (Tuholski, Engle, and Baylis, 2001).

They additionally feature the way that mental capacity can frequently be antagonistically impacted by working memory limit. It means quite a bit to be sure about the typical limit of momentary memory as, without a legitimate comprehension of the flawless cerebrum’s working it is challenging to evaluate whether an individual has a shortage in capacity (Parkin, 1996).

 

This survey frames George Miller’s verifiable perspective on transient memory limit and how it tends to be impacted, prior to bringing the examination state-of-the-art and outlining a determination of approaches to estimating momentary memory limit. The verifiable perspective on momentary memory limit

 

Length of outright judgment

The range of outright judgment is characterized as the breaking point to the precision with which one can distinguish the greatness of a unidimensional boost variable (Miller, 1956), with this cutoff or length generally being around 7 + 2. Mill operator refers to Hayes memory length try as proof for his restricting range. In this members needed to review data read resoundingly to them and results obviously showed that there was a typical maximum restriction of 9 when double things were utilized.

This was regardless of the consistent data speculation, which has proposed that the range ought to be long if each introduced thing contained little data (Miller, 1956). The end from Hayes and Pollack’s tests (see figure 1) was that how much data sent expansions in a straight design alongside how much data per unit input (Miller, 1956). Figure 1. Estimations of memory for data wellsprings of various sorts and bit remainders, contrasted with anticipated results for steady data. Results from Hayes (left) and Pollack (right) refered to by (Miller, 1956)

 

Pieces and lumps

Mill operator alludes to a ‘digit’ of data as need might have arisen ‘to settle on a choice between two similarly probable other options’. In this manner a basic either or choice requires the slightest bit of data; with more expected for additional complicated choices, along a twofold pathway (Miller, 1956). Decimal digits are worth 3.3 pieces each, implying that a 7-digit telephone number (what is handily recollected) would include 23 pieces of data. Anyway an evident inconsistency to this is the way that, assuming an English word is worth around 10 pieces and just 23 pieces could be recollected then just 2-3 words could be recalled at any one time, clearly mistaken. The restricting range can all the more likely be figured out concerning the absorption of pieces into lumps.

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