Development of a Safety Score Improvement Plan

Developmentof a Safety Score Improvement Plan

Developmentof a Safety Score Improvement Plan

Thissafety improvement plan for Health Delivery Inc. that is located inthe state of Michigan is aimed at setting the policies that theorganization needs to make in the next three to five years. Thisprogram is mainly related to the safety and quality of servicesprovided since it will be building on the quality improvement workthat already exists (Maxsonet al., 2016).The safety improvement plan will identify the initiatives for safetyand quality that will be implemented to reduce the harm presented tothe patients.

PatientSafety Issues

Someof the cross-cutting patient safety issues include the cross-cuttingsystems. For instance, there are several incidences of patient healthdeterioration. These are mainly experienced within the maternitywards as they are linked to the birth environments as well as thecare that is provided to the patients on how to take care ofthemselves and the babies after delivery. In particular, there hasbeen an increased rate of sepsis among the mothers and babies. Thisinfection has been associated with the presence of Staphlococcusaureus.To avoid this, it will be important to minimize the incidences ofinfections within the related wards. These mainly include thematernity ward, labor wards and the nursery areas in relation to thelevel at which hygiene is maintained (Shahmansouri et al., 2014).

(Maxsonet al., 2016)

Effectof Nursing Leadership in Driving Needed Changes

Itmakes it necessary for the nurses to organize, coordinate, and teamup their activities in various departments. In essence, there is ahigh necessity for the hospital to establish proper communicationtactics between the nurses and the patients. As a result, effectcommunication will enable the lowering of incidences and the likelyharm that is caused by the wrongful birth processes. Most of thesequality and safety issues should be specific to the disease throughthe ability to recognize and initiate the treatment for patients withsepsis using the certified national standards.

HowCurrent Policies and Procedures Affect the Safety Issue

Themain aim for the development of this safety score improvement plan isto reduce any chance of potential harm by at least 50%. Theimplementation should take place before December 15, 2017. This willbe done through the quality improvement programs that relate to theareas of infections and re-infections on the mothers and babies inrelation maternity events (Shahmansouri et al., 2014). Currently, themain SIP involves themes cut one disease-specific area. This shouldagree to that, which has been set-up by the national guidance orprinciples. Moreover, the themes should be identified mainly throughthe process of prioritization, which involves the review of thesafety measurement and the ability to monitor data.

RecommendingEvidence-Based Strategy to Improve Safety Issue

Thelikelihood of sepsis as a result of S. aureus infection in thematernity wards is largely associated with poor sterile and hygienetechniques. Therefore,there are some safety specifics, which will need to be applied inorder to eliminate the likelihood of exposing the patients to some ofthe harms listed in this document (Trippet al., 2014).For example, there is a need to work with the maternity events. Theyinclude the need to change the ordinary hand washing soap to a morevaluable hand disinfectant such as Winthrop among other methods ofimproving hygiene.

Strategyfor Collecting Information about the Safety Concern

Whilevarious healthcare facilities collect information, the data does notflow in a standardized and cohesive manner. Entities in thehealthcare system, such as HealthDelivery Inc. Healthcare encounter challenges while gathering datafrom respondents, patients, enrollees, and members. Clearlyexpressing the logic for data collection at Health Delivery Inc.might enhance the situation (Shahmansouri et al., 2014). Indirectestimation methods, when used by the facility with a comprehension ofthe probabilistic state of the information, can supplement directefforts of data collection. Therefore, addressing healthcaredifferences requires the total involvement of Health Delivery Inc.Healthcare, which has a current infrastructure for qualityimprovement and measurement.

Howto determine sources of the problem

Itwill be possible to identify the sources of the problem by conductinga mini research between the maternity wards and other wards. Forinstance, the kind of hand wash may be varied to help identify thiscause. In addition, different gloves and detergents may be used toclean the environment and handle the patients to determine whether itis the cause of infection.

Planfor Implementing Recommendation and Monitoring outcomes

Thisplan is highly committed towards the involvement of the patients andthe caregivers in the delivery of the projects that have beenoutlined in the SIP to reduce health deterioration in the maternitywards. This will form part of the wider engagement through theinclusion of patient safety briefing. Mainly, it will include theadvice given to patients concerning the need for them to stay at thehospital in the bid to reduce avoidable complications (Trippet al., 2014).With this, it would be probble for the nurses to observe theirhygiene habits and ensure that they are able to keep themselves andthe babies out of danger.

Useof Quality Indicators

Innovationand improvement strategies should be supported in order to facilitatethe two breakthrough series. These should involve the collaborativeprograms that are associated with work that relates to the patientdeterioration. In the this collaborative plan, some of the commonthemes that arise from the serious incidents of deterioratingpatients include the lack of reliability that is involved during therecording of the vital signs, such as the (National Early WarningScores) NEWS scores that provide observable requirements. It hasalso been related to the lack of proper communication across theteams as well as the handover between the shifts that regard thepatient condition. They are also linked to the delays in theperformance of the appropriate response and escalation.

Monitoringof Outcomes

Therefore,it will be vital to make use of this collaborative as a catalyst thatwill engage the team of ward members. With this, it will be necessaryto focus further on the capability to build the collaborative withthe wider team members (Shahmansouri et al., 2014). It will benecessary to create some change on the package that had initiallybeen developed by the faculty to detail the successful interventionsthat should be tested in a few of the relevant wards that will beused as the pilot ward regions. This change package should beimplemented in the collaborative, and a plan will later be developedto determine how this package can improve and spread across theentire collaboration.

Policiesand Procedures to be Changed

Thesafety issue in this case is related to poor hygienic conditions bythe nurses and the patients. Thus, the main policies and proceduresto be changed involve those associated with the cleaning materials.In addition, cleaning techniques and routines should also be review(Maxsonet al., 2016).Moreover, the communication protocols should be enhanced tofacilitate effective coordination between patients and nurses.

Nursesneed no Training

Theinvolved changes will not require additional training on the part ofthe nurses. This is because it forms part of their training. However,since it is a new policy, a meeting to update them on the changeswill be necessary.


Inaddition to the information provided, there will be a need forreminder posters to be placed for both the nurses and the patients.


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Tripp,A., Prison Legal Services of Michigan, Inc., &amp American FriendsService Committee. (2014). Toleratingfailure: The state of health care and mental health care delivery inthe Michigan Department of Corrections.Ann Arbor, MI: American Friends Service Committee, Michigan CriminalJustice Program.