Please replies to A should be at least 200 words in length.
A
National Patient Safety Goal 07.01.01 is to reduce the risk of healthcare associated infections with the mandate to follow the most recent hand hygiene guidelines from the Centers for Disease Control and Prevention (CDC) and/or the latest World Health Organization (WHO) hand hygiene guidelines (The Joint Commission, 2021). The rationale behind this goal is more apparent than ever with the spread of the Covid-19 Omicron variant ravaging our country in addition to the already millions of Americans who contract illness while receiving care, treatment, or services from health care organizations, per the CDC. As a result, healthcare associated infections (HAIs) are a patient safety concern that affects all areas of healthcare and the community. Improving the hand hygiene compliance of healthcare workers is one of the most significant approaches to battling HAI’s.
Hand hygiene recommendations have been established by the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) with the goal of increasing healthcare worker compliance with hand hygiene guidelines to decrease the transfer of infectious organisms from staff to patients. The WHO (2021) has developed a health care specific education campaign entitled “Five Moments for Hand Hygiene”. This directive establishes the five standard times when a healthcare employee must perform hand hygiene measures: before touching a patient, before a clean or aseptic procedure, after a body fluid exposure risk or task, after touching a patient, and after touching a patient’s environment. The CDC outlines the same 5 moments with the addition of a sixth, specific to immediately after removing gloves. The Joint Commission indicates that healthcare organizations should review their com0pliance with CDC and/or WHO guidelines through a complete program that develops a hand hygiene policy, creates a culture of hand hygiene compliance, tracks adherence to the guidelines, and provides feedback to guarantee organizational compliance with this National Patient Safety Goal (The Joint Commission, 2021).
The benefits of implementing NPSG 07.01.01 are related to patient safety in the reduction of healthcare-associated infections for which several studies suggest that simple infection-control techniques like using an alcohol-based hand rub can greatly reduce HAI’s, save lives, decrease morbidity and lower health care expenditures (Haque et al., 2018). Routine educational interventions for health care providers can aid in changing their hand hygiene habits and preventing the spread of infection, thus reducing negative patient outcomes by minimizing and reducing the incidence of infection. Despite the advancement of various high-tech procedures, handwashing with soap and water or the use of alcohol-based hand rub still remains the most effective way to maintain personal hygi9ene and prevent the spread of HAI’s. HAI’s; however, still remains one of the leading causes of death in many countries, owing to the growth of antibiotic-resistant bacteria and a reluctance among certain health care staff to apply best practice infection management measures. As a result, strategic, policy, and education activities must continue to focus on treating and reducing these mainly avoidable illnesses.
REFERENCES
Centers for Disease Control and Prevention (2020). Hand hygiene in health care settings. https://www.cdc.gov/handhygiene/index.html
Haque, M., Sartelli, M., McKimm, J. & Abu Bakar, M. (2018). Health care associated infections: An overview. Infection and Drug Resistance, 23(1), 2321-2333.
The Joint Commission. (2021). National patient safety goals. https://www.jointcommission.org/standards/national-patient-safety-goals.
World Health Organization. (2021). WHO guidelines on hand hygiene in health care: First global patient safety challenge. https://www.who.int/publications/item/9789241597906.
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Replies to B should be at least 200 words in length.
B
The National Patient Safety Goals (NPSG) are standardized guidelines that assists in improving patient safety and focus on the problems in health care safety within a facility, as well as, how to solve those problems (National Patient, n.d.). Nurses in particular, impacts an individual’s life across a spectrum, where nurses assist from hospital admissions, communicating between the doctor and other disciplines regarding the plan of care, to returning the patient to their prior or highest level of function. The National Patient Safety Goals (NPSG) provide methods for nurses to better organize patient care, prevent medical errors, and improve patient outcomes (Yang, 2021).
One of the main nursing duties that nurses carry on in the health care facility, is to administer medications to those in need. To accomplish this task, there a re multiple steps that must be taken. To prevent medical errors, the Joint Commission created steps to prevent nurses from jeopardizing the patient’s health and safety. These goals that are in place focus on issues that affect’s the individual’s safety and bring recommendations to prevent any harm to those being served. This is not only exclusive to nurses but to other medical professionals such as doctors, pharmaceutical personnel, medical engineers, researchers, information technologists, and much more. These groups revise issues presented in healthcare organizations that are negatively influenced, and bring solutions to reduce these problems (Behavioral Health, n.d.).
Benefits by utilizing the National Patient Safety Goals (NPSG) include, access to patient care information with no delay, reduced medication errors, and improvement in patient outcomes. Although, the National Patient Safety Goals (NPSG) improve the well-being and safety of the patient, unfortunately, there is still leaves room for mistakes which can occur at any given moment. For example, as we currently face shortages in health care workers, most workers are faced with more duties and work to fill the gaps in delivering care to patients. This can result in burnout and leaves room for workers to make mistakes. Especially workers who are at entry-level and are not properly trained and educated on their role and responsibilities, therefore, resulting in medical errors. The application of the National Patient Safety Goals (NPSG) is now compromised due to mismanagement of employees, carelessness, work overload, inadequate patient to healthcare worker ratio, lack of education and training, and etc. In addition, lack of literacy, language barriers, and comorbidities, can cause limitations in preventing medication errors (Wu et al., n.d.).
The National Patient Safety Goals (NPSG) creates a protocol for medication reconciliation and interdisciplinary communication in an effort to improve patient safety when administering medication, decreasing medication errors, and reducing medication waste. In addition, many patients are either confused about medication scheduling, or become noncompliant with their prescriptions. For example, patients and family are advised to bring all medications taken, including over the counter medication, to physician offices for reviewing (Uhlenhopp et al., 2020). Not only medication errors are a part of the goals but also patient identification, infections, safety risks, and much more. Applying and performing the elements of each goal ensures that the patient’s needs and goals are met in a safe environment that ensures optimal patient outcomes.
References:
Behavioral Health Care and Human Services: 2022 national patient safety goals. The Joint Commission. (n.d.). Retrieved from https://www.jointcommission.org/standards/national-patient-safety-goals/behavioral-health-care-national-patient-safety-goals/
National Patient Safety Goals. The Joint Commission. (n.d.). Retrieved from https://www.jointcommission.org/standards/national-patient-safety-goals/
Uhlenhopp, D. J., Aguilar, O., Dai, D., Ghosh, A., Shaw, M., & Mitra, C. (2020). Hospital-wide medication reconciliation program: Error identification, cost-effectiveness, and detecting high-risk individuals on admission. Integrated Pharmacy Research and Practice, Volume 9, 195–203. https://doi.org/10.2147/iprp.s269857
Wu, Y., Wu, G., & Jiang, H. (2021). Research on application and effect of nursing risk management in improving patient safety goals. Web of Proceedings – Francis Academic Press. Retrieved 2021, from https://www.webofproceedings.org/proceedings_series/article/artId/19651.html
Yang, Y. K. (2021). Development of a Patient Safety Care Activity Scale for Clinical Nurses in Korea. https://doi.org/10.21203/rs.3.rs-146004/v1
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