OM 004 Walden University Improving Patient Safety and Quality of Services Paper


For your Competency Discussion, select a performance measure that is particularly important to you or your current healthcare organization. Next, research credible websites, and select a resource that you think would be most effective for gaining information for this metric.

To begin this Competency and meet your required engagement, post in the Discussion area a brief description of the performance metric you selected and explain why it is important to you or your organization. Then, identify the resource you selected that would be effective for gaining information for this metric. Finally, explain why you selected this resource.

Part I: Analysis of Patient Safety and Quality of Services in a Hospital

In an increasingly consumer-driven healthcare system that is focused on safety and quality of services, patients and healthcare professionals alike are able to access reliable data about the quality and safety records of organizations. Healthcare administrators can look at how their organizations are faring within specific categories and compare results with those of other institutions. As part of this Assessment, you will analyze this data to determine areas within a healthcare organization in need of additional improvement.

For this Assessment, select a hospital you work for or one that has been awarded the Baldridge Performance Excellence Award. In preparation for developing a patient safety plan, use data found on websites, such as the Leapfrog Group Hospital Safety Grade; Hospital Compare, maintained by the Centers for Medicare & Medicaid Services (CMS); and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Hospital Survey, to review the wide range of issue-specific data aligned to patient safety, quality of services, and patient satisfaction.

In a 1- to 2-page analysis: 

  • Analyze three safety and quality results you found for the hospital such as: HCAHPS, pneumonia care, and emergency room treatment times.

Describe the process and procedure used to access the data including a description of at least two websites that provide the data used.

Part II: Failure Mode and Effects Analysis

Complete the FMEA (Failure Mode and Effects Analysis) Template, the fourth PDF under the “Download Documents” heading located at the bottom of the Institute of Healthcare Improvement website. To access the actual tool, you must complete an IHI registration (no cost). Use the tool to look for a weak link in the quality chain. Look beyond direct care for things that could contribute to the error. Think organizationally to trace the problem back to the original cause. Rate possible events that could go wrong.

Part III: Patient Safety Plan Proposal

Based on the results of Part 1 and Part 2, select three areas related to patient safety or quality in need of additional training or support. Then, create a 3- to 5-page proposal in which you: 

  • Design a patient safety plan to address three areas of focus from the results of the FMEA.
  • Describe an evaluation method to assess whether the patient safety plan is successful.

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