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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.
Social and Community Context as Social Determinants of Health
Health outcomes are influenced in myriad ways by an individual’s social environment and their community. For example, community is linked to such outcomes as body mass index, homicide rates, and suicidal behavior (Diez Roux & Mair, 2010; Bharmal et al., 2015; Centers for Disease Control and Prevention [CDC], n.d.). Due to these strong influences on health outcomes, the U.S. Department Health and Human Services Healthy People 2030 campaign identifies social and community context as a domain of the social determinants of health. Social determinants of health are external conditions which exist with the potential to affect a patient’s current and future health, often beyond a patient’s direct control. Of particular importance, however, is how this domain fits into the larger picture of the social determinants of health. The elements in the social and community context have been shown to help negate potentially negative consequences of the other social determinants of health (Bharmal et al., 2015).
Define the components of social and community context in the social determinants of health.
Recognize how components in the social and community context affects overall health outcomes.
Identify problems related to the social and community context in the social determinants of health.
Social Determinants of Health: Healthcare Access and Quality
Nearly 10% of U.S. population does not have health insurance (U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion [ODPHP], n.d.a). Healthy People 2030 is a national population and public health initiative endorsed by top U.S. government health agencies, setting health goals for the U.S. healthcare system to improve the overall wellbeing of patients in their communities. This course provides an in-depth and interactive analysis of one of the five Healthy People 2030’s domains of social determinants of health (SDOH), healthcare access and quality, and its impact on patient outcomes.
Review what SDOH are and how they impact both healthcare access and quality of care.
Identify barriers to healthcare access and care quality, how these barriers negatively impact patient outcomes, and some strategic interventions to improve these patient outcomes.
Social Determinants of Health: Impact and Quality of Education
Education access and quality is a pillar of the social determinants of health for Healthy People 2030 (U.S. Department of Health and Human Services, n.d.). This course outlines the effects of education on an individual’s health. The four components of education access and quality include early childhood education and development, high school graduation, enrollment in higher education, and language and literacy.
Identify the components of education access and quality and their effects on health.
Recall patient care and education related to education access and quality.
Social Determinants of Health: Neighborhood and Built Environment
The physical environment in which individuals live has a direct impact on their health and wellness and their ability to access healthcare. Healthy People 2030 identifies neighborhoods and the built environment as a domain of the social determinants of health tied to health outcomes. This course provides an in-depth analysis of this domain and how it affects the health and well-being of patient populations. The four components of neighborhood and built environment include access to healthy foods, quality of housing, crime and violence, and environmental conditions. Clinicians can leverage this knowledge to improve treatment planning for patients and health outcomes.
Identify the four components of neighborhood and built environment domain of social determinants of health.
Recall how neighborhood and the built environment affect overall health outcomes.
Define how clinicians can address issues related to the neighborhood and built environment.
Social Determinants of Health: Overview
Social determinants of health impact the daily delivery, accessibility, and engagement of health improvement efforts. Healthcare professionals must learn how to increase awareness and interest in the determinants and find ways to engage patients, stakeholders, and other clinicians in addressing social determinants of health.
Describe how social determinants of health impact health inequities and inequalities.
Identify strategies to assess social determinants of health that may be affecting the patient population.
Discuss the five domains of social determinants of health.
Structured Communication for Healthcare Providers
This lesson will describe, in detail, 1 of the structured communication strategies that is used frequently in high-stakes situations: The ISBAR+R method. Appropriate use of this method can help healthcare providers avoid preventable errors by improving the effective communication of timely, accurate, and pertinent information among all members of the healthcare team.
Define the steps of ISBAR+R. Outline the benefits of structured communication tools.
Explain the inherent risks of poor communication among healthcare teams. Identify barriers to effective communication.
Organize patient information using the ISBAR+R format in routine, urgent, and emergent situations.
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.
Wrong-Site Surgery: Prevention
Wrong-site surgery (WSS) has been consistently ranked among the top four most reported sentinel events in the U.S. healthcare system for 5 years in a row, as reported in the Joint Commission’s annual sentinel events report in 2023. Despite being classified as a "never event," the occurrence of WSS is still alarmingly high. These events are both shocking and damaging to the public's trust in the healthcare system.
This course provides physicians, nurses, and surgical technologists with knowledge of evidence-based practices for preventing wrong-site surgeries.
Identify risk factors that can lead to wrong-site surgery. Recall the steps of the Universal Protocol and the components of the World Health Organization's Surgical Safety Checklist. Summarize evidence-based strategies for preventing wrong-site surgeries.