The Institute for Healthcare Improvement (IHI) Module PS 101: Introduction to Patient Safety
The Institute for Healthcare Improvement (IHI) Module PS 101: Introduction to Patient Safety lays the groundwork for understanding patient safety’s critical role in a healthcare setting. The module’s central theme was high reliability. When employees share a central belief that a healthcare organization supports root cause analysis in patient care, this creates a culture of safety (Leape, 2021). It is a significant theme that humans are prone to error, and it is critical to developing systems and a safety culture to provide a safe patient environment. It is critical to creating systems that track and analyze errors as they happen to improve future outcomes by designing safer systems.
People are most valuable when interacting with the healthcare system. In 2018, the number of people killed by medical errors was equivalent to a daily jumbo jet crash (Leape, 2021). Our society would not tolerate one plane crash per day, but there is frequently a place whose purpose is to heal hurts. Even though humans are prone to error, it is critical to developing policies, procedures, and phycological safety in order to increase safety when people seek healthcare. A high-reliability organization commits to incorporating safety into policy and procedures and fostering a culture of phycological safety (HRO).
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Staff education and empowerment are critical components of physical building safety. Haley and Fritz (2019) used an education and empowerment framework to reduce urinary tract infections (UTIs) in a long-term care (LTC) facility. According to Haley and Fritz (2019), evidence-based signs and symptoms were not consistently used in obtaining urine samples to diagnose UTIs. A culture of safety examination revealed areas for improvement. Education and empowerment were implemented to improve the signs and symptoms used to initiate obtaining a urine sample (Haley & Fritz, 2019). Phycological safety is a critical foundation within an HRO and is critical to improving patient safety. It is critical for an organization’s central theme to be a root cause analysis of errors in order to improve future outcomes. Haley and Fritz (2019) sought out areas for improvement and altered systems to improve patient outcomes.
T. Haley & S. Fritz (2019). Use patient safety to reduce urinary tract infections and overuse of urine culture in long-term care. S8 in the American Journal of Infection Control. https://doi.org/10.1016/j.ajic.2019.04.148
L. L. Leape (2021). Making healthcare more secure. Springer International Publishing, doi:10.1007/978-3-030-71123-8.