Promoting Safety and Quality Essay

Promoting Safety and Quality Essay

Promoting Safety and Quality

How has the emphasis on quality of care, patient safety, and clinical care outcomes been impacted by specific standards emanating from TJC and/or CMS?

The function of quality management (QM) efforts is to improve care quality, patient safety and clinical care outcomes through analyzing data and identifying root causes (the independent variables of the never events). The QM efforts are addressed through adopting evidence-based medicine, and objectively measuring and tracking data to determine how to improve quality and whether quality has been delivered. QM emphasizes process measurement, monitoring and control with these measures based on specific standards emanating from TJC and CMS. These standards have a regulatory effect on certain facets of health care quality delivery as they focus on the functions essential for providing safe, high quality care (Vana & Tazbir, 2021). Promoting Safety and Quality Essay


Care for patients with acute myocardial infarction is discussed as an example. Quality measures include how well the facility is staffed by medical personnel who can diagnose the condition and provide initial management, as well as how well the facility’s laboratory is staffed and equipped to provide diagnostic and intervention services. The quality process factors would include the behaviors that enable the patients to receive care, measured in terms of time taken between patient arriving at the facility and receiving the appropriate care. For instance, looking at the door-to-wire measure (time between patient arriving at facility and ending of coronary artery catheterization) has a suggested standard of 90 minutes. The quality outcome measures would look at the success rate of care interventions, such as 24-hour mortality rate, or cardiac output as measure of cardiac function improvement (Tubaro & Vranckx, 2021).

What is the impact of the nurse’s role in clinical outcomes for the organization?

Nurses play a role in ensuring that there is effective utilization of health care workforce while ensuring high quality and cost effective care delivery. This occurs in four specific ways. First, ensuring appropriate staffing levels by taking on some of the responsibilities of other medical personnel thereby addressing short staffing concerns. Second, they create and support a culture of safety by using safety improvement tactics (such as goals setting and reports) as a guiding principle for improving outcomes. Third, supporting collaborations with other medical personnel to deliver collaborative care that significantly improves patient outcomes. When nurses work together with other medical personnel, they make fewer mistakes. Fourth, implement value-based nursing are strategies that focus on keeping patients healthy, for which they are rewarded, instead of seeing as many patients as possible (Murray, 2022).

Discuss nurse-specific challenges in influencing change in quality improvement.

There are four nurse-specific challenges that influence change in quality improvement. First, nurses may feel overworked and underpaid considering what is being asked of them in the workplace, especially when they have to take on additional change responsibilities. Second, nurses face demand and busy shifts that create a reluctance to participate in change efforts. Third, stress and professional burnout from working back-to-back shifts and long hours. Fourth, lack of the necessary skills to engage in change activities (Cherry & Jacob, 2019). Promoting Safety and Quality Essay

How does this influence the ability of the organization to achieve its strategic agenda?

The nurse-specific challenges hinder nurses from engaging in change activities, especially changes that influence their workflow. This ends up hindering the organization from achieving its strategic agenda as nurses would be resistant to change because of the challenges (Cherry & Jacob, 2019).


In the article “Managing to Improve Quality: The Relationship Between Accreditation Standards, Safety Practices, and Patient Outcomes,” the authors discuss the growing trend by medical insurance companies to eliminate reimbursement for Never Events. As these types of mistakes should be easily preventable, hospitals have developed protocols to lessen or extinguish the occurrence of these events. In addition, The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS) have developed core measures to guide health care providers’ efforts in improving patient safety and the quality of care delivered. Health care organizations have developed strategic agendas to help meet these standards and reduce the incidence of Never Events. Nurses significantly influence the overall quality of health care provided and play a pivotal role in improving patient outcomes. For this Discussion, you will consider the standards that are in place for nurses and how they can be used to improve quality of care. To prepare for this Discussion: Review the information at the Joint Commission and Centers for Medicare & Medicaid Services websites on the core measures and standards presented in this week’s Resources. Consider the nurse’s role in supporting the organization’s strategic agenda as it relates to improving clinical outcomes. Conduct an Internet search for either a Never Event or a core measure and select one to address in your post. By Day 3 Respond to the following: How has the emphasis on quality of care, patient safety, and clinical care outcomes been impacted by specific standards emanating from TJC and/or CMS? Cite your selected core measure or Never Event in your response. What is the impact of the nurse’s role in clinical outcomes for the organization? Discuss nurse-specific challenges in influencing change in quality improvement. How does this influence the ability of the organization to achieve its strategic agenda? Support your response with references from the professional nursing literature. Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old). Promoting Safety and Quality Essay


Cherry, B., & Jacob, S. R. (2019). Contemporary Nursing: Issues, Trends, & Management (8th ed.). Elsevier, Inc.

Murray, E. (2022). Nursing Leadership and Management for Patient Safety and Quality Care (2nd ed.). F.A. Davis Company.

Tubaro, M., & Vranckx, P. (Eds.) (2021). The ESC Textbook of Intensive and Acute Cardiovascular Care (3rd ed.). Oxford University Press.

Vana, P. K., & Tazbir, J. (Eds.) (2021). Kelly Vana’s Nursing Leadership and Management (4th ed.). John Wiley & Sons, Inc. Promoting Safety and Quality Essay

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