Health care has changed dramatically over the past few decades ranging from technological to normative ones, all asking for increased efficiency. The nurse’s responsibility in patient safety can be described from both organizational perspective and a human perspective. Improvements in the safety and outcomes of hospitalized patients have been slower than expected. Team-based and evidence based standardization, risk management protocols could promote patient safety and outcome. (Sevdalis et al., 2012). The worldwide need for quality of care and patient safety was first discussed during the World Health Assembly (WHO) in 2002. The work began with the launch of the World Alliance for Patient Safety, in 2004, and has evolved over time. According to a recent report published in WHO, medical errors are the third leading cause of death in the United States. In the United Kingdom, recent estimations show that on average, one incident of patient harm is reported every 35 seconds. The most common adverse safety incidents are related to surgical procedures (27%), medication errors (18.3%) and health care-associated infections (12.2%). (WHO 2017) .
Institute of medicine IOM (2004) defines patient safety is the prevention of harm caused by errors of commissions and omissions. An error of commission is the action that leads to patient harm and an error of omission is doing the task incorrectly. The quality of patient care is defined as promoting, implementing and evaluating standards and quality of practice (McSherry 2004). Quality care is safe, effective, patient centered, timely, efficient and equitable thus safety is the foundation upon which all other aspects of quality care are built (IOM 2001). Risk management includes the processes concerned with risk management planning, identification, analysis, response, monitoring, and control. The aim is to increase the probabilities and impacts of positive events and to decrease the probabilities and impacts related to adverse events. Risk management has been adopted to cover all healthcare risks, both clinical and non clinical ones. (Cagliano_et_al_SS_2011)
This assignment will critically discuss a quality project on the topic “The Productive Operation Theatre” also known as the TPOT, which was implemented in two operating rooms in one of the largest teaching hospitals in Ireland. The assignment will further focus specifically on how the project improved the quality of care. The assignment will also address on quality and Patient safety and risk management. The quality initiative implementation will be justified through relevant health policy and research. A discussion of how the initiative was planned and implemented, will be presented using quality tools and techniques. A clear direction will be given regarding obstacles to introducing this initiative, the measures taken to reduce resistance to change.