Culture of Safety

By Day 3
One of the issues facing nursing practice is that of accountability. Nurses are increasingly held accountable for errors in an effort to improve patient safety and quality-care delivery. Throughout this degree program, this issue has been presented. Reflect on what you have read about quality and safety and the many presentations on this important issue. Consider the ANA’s Code of Ethics and its application to patient safety and quality-care delivery. You may also want to review some of the earlier media presentations including that of Dr. Don Berwick in NURS 3005, Dr. Lucille Joel in NURS 3000, and the media presentations for this week. With these thoughts in mind, read the following scenario and respond to the questions below.
Tower 4 West is a 36-bed medical unit. The nurse leader, Renee, is a new leader, and her performance is evaluated based on the number of medication errors reported on her unit. As a result, she has told everyone very clearly that she will tolerate no errors and that she wants the unit to have zero medication errors each month. When an error does occur, she meets individually with the nurse, writes up the nurse’s error, and puts a report in the nurse’s performance review files. She has put two nurses on performance probation. As a result, the nurses on the unit are afraid to report when an error occurs, and they have begun to cover for each other and not report errors. You are a staff nurse on the unit, and you want to serve as a leader in creating a blame-free environment.
What’s wrong with Renee’s approach to medication errors?
What first steps would you take to change the culture?
How do you think the ANA Code of Ethics applies, or does not apply, to this situation?
Support your response with references from the professional nursing literature.

 

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Which of the following statements is True? O If markets are …

Which of the following statements is True? O If markets are strong-form efficient, it's impossible for a stock manager to outperform the S&P 500 in any given year. k-form efficient, skilled managers using fundamental analysis should consistently outperform the S&P 500, while managers using technical analysis should not ficient, stock managers that outperformed the market over a long period of time must have used insider If markets are semi-strong information to achieve such results O O If markets are semi-strong efficent, then only the smartest and most skilled fundamental managers would be able to find outperform the S&P 500 over time.

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intro to healthcare

Part I:
The PPACA is considered the most comprehensive federal law on health care since the inception of Medicare and Medicaid.
Examine three key elements of the act that you believe will be the most positive for the country (in your examination, you must include reasons behind your selection of these three elements).
Examine three key elements of the act that you believe will be the most negative for the country (in your examination, you must include reasons behind your selection of these three elements).

Part II:
Examine the future of health care in the United States.
Look back to your own definition of the healthcare system posted in Week One. How would you define it now after studying health care throughout this course? Post both definitions and examine the differences.
Examine where you see the U.S. healthcare system in the next 5 or 10 years.
Describe any potential reforms, research, suggestions for improvements, etc.

Note: The ACA is not considered a potential reform. It is already law. The reforms to be described in Part II should be those that have not yet occurred.

 

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5. (20 Points) Both Bond Sam and Bond Dave have 7 percent co…

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