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Quality Series: Safety First - Culture and Patient Impact
A ‘culture of safety’ is an often-heard term in clinical settings. Most patients require complex care, with many interprofessional teams working together. Large patient volumes, an expectation for rapid delivery of care, the consumer’s ability to choose providers, and government reimbursements all drive acute care facilities to invest in preventing or reducing errors. Improving safety is beneficial to the patient primarily, with less risk of injury or death, but also to the facility and staff, improving retention and job satisfaction, with the added benefit of extensive cost-savings.
Describe the identifying factors and benefits to a culture of safety.
Discuss organizations responsible for driving patient safety changes on a national level.
Evaluate barriers to patient safety, and how these can be reduced or eliminated.
Reducing Medical Errors in the OR
The OR is a complex environment. Highly trained individuals interact in a specialized setting with sophisticated and technically complicated devices, instruments, and equipment. There are also substantial differences among team members related to education, experience, skill level, influence, and formal and informal power. This course will inform nurses and surgical technologists of the evidence-based steps to take to create a culture of safety in the OR.
Identify the communication processes that aid in reducing medical errors and review recommendations for the safe transfer of patient care information.
Name organizations that are helping to create a culture of patient safety and their recommendations to meet this goal.
Determine the components of a just culture that promote trust and accountability and recall a 10-step process for creating a culture of safety in the OR.
Responding to Employee Incidents
The Bureau of Labor Statistics (BLS) reported that in 2019, 5,333 work-related injuries resulted in death. These numbers show a 2% increase over 2018 figures and represent the most significant one-year increase since 2007 (BLS, 2020a). This course discusses the story behind the statistics. The key to reducing incidents and injuries in your organization is to prevent incidents from happening. To prevent incidents, you must understand what causes them. This course will help you to understand the significant role you play in incident investigation and prevention.
Describe the importance of workplace safety.
Explain the process in investigating an incident.
Identify the importance of timely, accurate, and through incident investigations.
Sexual Assault and Rape for Healthcare Professionals
Survivors of rape and sexual assault will experience a variety of physical and emotional comorbidities as a direct result of their experience. This means survivors will enter the healthcare system through a variety of specialty clinics in addition to their primary care provider. It is important healthcare providers of all disciplines, be familiar with the signs that a patient may have been raped or sexually assaulted in their past. This course will provide the legal aspects of rape and sexual assault, the emotional and physical trauma associated with the experience, and how to identify and care for survivors.
Recall important aspects of sexual assault and its impact on the survivor.
Indicate the role of the healthcare provider in identifying and caring for survivors of sexual assault.
Strategies for Decreasing Medical and Treatment Errors in Behavioral Health
Behavioral health professionals are involved in multiple disciplines, all of which are responsible for the safety of the clients in their care. Although each discipline has its own set of ethics to guide practice, they are generally similar in terms of the importance of avoiding harm to the client.
Client safety requires careful planning and consistent vigilance. Any behavioral health professional can jeopardize client safety by committing a medical or treatment error. While it is unrealistic to think that you can prevent all errors, there are steps you can take to reduce occurrences.
Discuss types of medical and treatment errors in behavioral health.
Describe the causes and consequences of medical and treatment errors.
Identify strategies to address an error and reduce the risk of future errors.
Stroke Care: From Onset to Rehab
This course provides a comprehensive understanding of stroke care from onset to rehab. Details of stroke care in the acute care setting and rehabilitation for stroke are reviewed. Stroke prevention strategies are explained.
Apply knowledge of assessment, diagnosis, and treatment for stroke in the hyperacute and acute phase.
Identify secondary prevention strategies, including lifestyle changes and drug therapies.
Recall interventions for rehabilitation from stroke in the acute and post-acute setting.
Suicide Prevention: At-Risk Populations Assessment, Treatment, and Risk Management (WA)
This multi-lesson module provides suicide training according to the state of Washington requirements. The four lessons cover:
Lesson 1: Assessing and Screening for Suicide Risk: provides skills to identify individuals at increased risk of suicide
Lesson 2: Overview of Evidence-Based, Suicide-Specific Interventions: provides knowledge about evidence-based, suicide-specific interventions
Lesson 3: Community-Based Interventions to Reduce Suicide Risk: provides information about community-based, upstream suicide prevention approaches
Lesson 4: Preventing Suicide Among Veteran Populations: provides skills in assessment and intervention to reduce suicide risk among veterans
Recognize three risk and three protective factors for suicide.
Discuss how to effectively screen to identify individuals at risk for suicide.
Identify three components of a comprehensive suicide assessment.
Recall the factors you should consider when determining what interventions may be needed for suicidal individuals.
Describe three evidence-based interventions for treating individuals at risk for suicide or who have made a recent attempt.
Summarize the process for completing a safety plan and reducing access to lethal means. E
Explain what upstream suicide prevention means and why it is important.
Describe how fostering life skills and resilience can help to prevent suicide.
Summarize the impact of connectedness as an upstream suicide prevention approach.
Identify three factors that specifically increase suicide risk in veterans.
Recall screening and assessment strategies to identify veterans at risk for suicide.
Define three effective ways to intervene to reduce suicide risk among veterans.
Supervisory Skills: The Basics
Healthcare supervisors and managers are presented daily with challenges. These challenges present as process failures or those surrounding staff behaviors. An organization’s management team maps a path to support their supervisor’s success in dealing with these challenges. The approach is defined by proven characteristics, skills, and experiences. This course discusses the basic tools needed for supervisors and managers to be successful in their roles.
Identify two qualities of good leaders, motivators, and coaches.
Describe at least three approaches used to enhance communication.
The Dangers of Alarm Fatigue
This course provides nurses with information regarding safety concerns associated with alarm fatigue along with evidence-based research strategies to reduce the fatigue.
Describe the national patient safety goals set by The Joint Commission as they relate to alarm management.
Discuss evidence-based strategies to reduce alarm fatigue.
The Role of Risk Management: A Quality Perspective
The role of risk management has a significant impact on the quality outcomes of acute care organizations. It includes systems and validated processes aimed at assessing and developing interventions to mitigate risk factors and optimize quality outcomes. HCPs are stakeholders in the risk management process and can benefit from understanding risk management strategies and objectives. In this course, you will learn about risk management in the acute care setting.
The goal of this course is to provide healthcare professionals in acute care settings with information to enhance their understanding of the role they play in risk management along with proven strategies for ensuring quality outcomes in their professional practice in acute care settings.
Identify the importance of risk management, the processes, and tools used in risk management in the acute care setting.
Identify at least two concrete strategies for enhancing quality outcomes.
The Use of Root Cause Analysis
Within any healthcare organization, there are systems, policies, and procedures that can be improved or events that could have been prevented. A root cause analysis is a tool that helps healthcare organizations improve their systems by using a team process of discovery. When you understand how to use a root cause analysis, you can apply it to create better solutions, prevent adverse events, and create more effective and efficient systems. This course discusses what a root cause analysis is and how to use it.
Describe how a root cause analysis can be used proactively and reactively.
Understanding Domestic and Intimate Partner Violence
This course provides information about the dynamics of intimate partner violence, or IPV, risk factors, safety concerns, screening measures, and how staff can be the most helpful in these situations.
The goal of this course is to help administrative staff, general staff, and direct care staff in all healthcare settings gain a basic understanding of the dynamics of intimate partner violence.
Define domestic and intimate partner violence.
Describe risk factors for intimate partner homicide, including guns and strangulation.
Identify at least two screening measures used to identify persons who have experienced IPV.
Understanding Human Trafficking
Human trafficking victims are often concealed by their traffickers; however, studies show that many victims interact with healthcare professionals while they are being victimized. This places healthcare professionals in a unique position to recognize the signs and risk factors of human trafficking and take steps if they suspect a person may be a victim of human trafficking.
The goal of this course is to provide healthcare staff with critical steps to recognize and respond to human trafficking.
Identify the two major types of human trafficking.
Explain how force, coercion, and fraud relate to human trafficking.
Discuss federal laws regarding human trafficking.
Describe at least three barriers to identifying human trafficking.
Identify at least three signs that someone may be a trafficking victim.
Discuss steps to take if you suspect a person is being trafficked.
Wellness Strategies that Support Addiction Recovery
Substance use is linked to millions of deaths worldwide each year (Ritchie & Roser, 2019). Supporting individuals’ long-term recovery from substance use can help save lives. Recovery is a lifelong process that aims to keep an individual substance-free while improving their overall quality of life. Wellness strategies enhance recovery outcomes by focusing on optimal health across all dimensions of an individual’s life.
Discuss how wellness approaches can positively impact recovery from substance use disorders.
Recognize the eight dimensions of wellness.
Identify wellness strategies to facilitate long-term recovery from substance use disorders.
What Managers Need to Know About Sexual Harassment
This course is designed to provide greater awareness of sexual harassment in the workplace, steps to take to prevent it, and methods to deal with it if it does occur. The course will focus on federal laws, liability issues, harassment policies, employee rights, supervisor responsibilities, and investigation procedures.
Describe the laws regarding sexual harassment and the investigation process of a sexual harassment claim. Explain the differences between the types of sexual harassment. Identify both employee and non-employee rights regarding sexual harassment. Recognize your role in preventing, recognizing, investigating, and taking corrective action concerning sexual harassment in the workplace.
Working with Difficult Individuals
There are many reasons that it can be difficult working with certain people. There may be communication breakdowns, personality clashes, or conflicting work habits. You may not like everyone you work with, but you do have to respect everyone. By learning ways to reduce conflicts, you’ll likely become more respected, too. In this course, you’ll learn strategies to calmly address misunderstandings before they become actual conflicts. Professional relationships can improve when you know how to deal with differences, communicate clearly, and listen respectfully.
Apply appropriate interventions to help manage high-risk or crucial situations that can lead to difficulties in communication and workflow with coworkers.
Writing Incident Reports
Writing incident reports is an important part of providing direct support services. Your reports help the person's support team respond effectively to their needs and keep them safe in the future.
The goal of this course is to teach DSPs in IDD settings the key elements of an incident report, why they are important, and how to write them effectively.
Recall the purpose and key elements of an incident report.
Identify strategies used to document and report incidents effectively.
Differentiate between effective and ineffective incident reports.