Safety quality issue in a health care setting and identify a quality improvement (QI) initiative.

by | Jan 8, 2025 | Healthcare

 

Analyze a safety quality issue in a health care setting and identify a quality improvement (QI) initiative.

•Explain factors leading to a specific patient-safety risk in a health care setting.
Explain evidence-based and best-practice solutions to improve patient safety and reduce costs.
Explain how nurses can help coordinate care to increase patient safety and reduce costs.
Identify stakeholders with whom nurses would coordinate to drive safety enhancements with a specific safety quality issue.

 

Sample solution

Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.


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God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.

 

References

Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies, 4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.

Absolutely, here’s an analysis of a safety quality issue in a healthcare setting, focusing on medication errors:

Safety Quality Issue: Medication Errors

Medication errors are a significant patient safety concern in healthcare settings. They can lead to adverse drug reactions, prolonged hospital stays, and even death.  

Factors Leading to Medication Errors:

  • Communication breakdowns: Poor communication between healthcare providers, including nurses, physicians, pharmacists, and patients, can lead to misunderstandings about medication orders, dosages, and administration times.  
  • Distractions and interruptions: Busy healthcare environments can create distractions and interruptions during medication administration, increasing the risk of errors.  
  • Lack of standardized procedures: Inconsistent procedures for medication administration and reconciliation can lead to confusion and errors.
  • Poorly designed medication systems: Complex medication systems, such as those with numerous look-alike/sound-alike medications, can increase the risk of errors.
  • Staffing shortages: Inadequate staffing levels can lead to increased workload and stress for healthcare providers, increasing the risk of errors.  

Evidence-Based and Best-Practice Solutions:

  • Standardized protocols: Implementing standardized protocols for medication administration, reconciliation, and prescribing can reduce errors and improve safety.  
  • Technology solutions: Utilizing technology such as electronic health records (EHRs) with built-in safety checks, barcode scanning, and automated dispensing cabinets can help prevent medication errors.  
  • Medication reconciliation: Conducting thorough medication reconciliation at admission, transfer, and discharge can help ensure medication accuracy.  
  • Improved communication: Implementing standardized communication tools and techniques, such as SBAR (Situation, Background, Assessment, Recommendation), can improve communication between healthcare providers.  
  • Staff education and training: Providing regular training on medication safety and error prevention can help improve knowledge and skills among healthcare providers.  

Role of Nurses in Coordinating Care and Reducing Costs:

Nurses play a crucial role in medication administration and patient safety. They can:  

  • Act as patient advocates: Nurses can advocate for their patients by ensuring that medications are administered correctly and safely.
  • Coordinate care: Nurses can coordinate care with other healthcare providers, such as physicians and pharmacists, to ensure medication safety.  
  • Identify and report errors: Nurses can play a key role in identifying and reporting medication errors, which can help to prevent future errors.  
  • Educate patients: Nurses can educate patients about their medications, including their purpose, dosage, and potential side effects

Absolutely, here’s an analysis of a safety quality issue in a healthcare setting, focusing on medication errors:

Safety Quality Issue: Medication Errors

Medication errors are a significant patient safety concern in healthcare settings. They can lead to adverse drug reactions, prolonged hospital stays, and even death.  

Factors Leading to Medication Errors:

  • Communication breakdowns: Poor communication between healthcare providers, including nurses, physicians, pharmacists, and patients, can lead to misunderstandings about medication orders, dosages, and administration times.  
  • Distractions and interruptions: Busy healthcare environments can create distractions and interruptions during medication administration, increasing the risk of errors.  
  • Lack of standardized procedures: Inconsistent procedures for medication administration and reconciliation can lead to confusion and errors.
  • Poorly designed medication systems: Complex medication systems, such as those with numerous look-alike/sound-alike medications, can increase the risk of errors.
  • Staffing shortages: Inadequate staffing levels can lead to increased workload and stress for healthcare providers, increasing the risk of errors.  

Evidence-Based and Best-Practice Solutions:

  • Standardized protocols: Implementing standardized protocols for medication administration, reconciliation, and prescribing can reduce errors and improve safety.  
  • Technology solutions: Utilizing technology such as electronic health records (EHRs) with built-in safety checks, barcode scanning, and automated dispensing cabinets can help prevent medication errors.  
  • Medication reconciliation: Conducting thorough medication reconciliation at admission, transfer, and discharge can help ensure medication accuracy.  
  • Improved communication: Implementing standardized communication tools and techniques, such as SBAR (Situation, Background, Assessment, Recommendation), can improve communication between healthcare providers.  
  • Staff education and training: Providing regular training on medication safety and error prevention can help improve knowledge and skills among healthcare providers.  

Role of Nurses in Coordinating Care and Reducing Costs:

Nurses play a crucial role in medication administration and patient safety. They can:  

  • Act as patient advocates: Nurses can advocate for their patients by ensuring that medications are administered correctly and safely.
  • Coordinate care: Nurses can coordinate care with other healthcare providers, such as physicians and pharmacists, to ensure medication safety.  
  • Identify and report errors: Nurses can play a key role in identifying and reporting medication errors, which can help to prevent future errors.  
  • Educate patients: Nurses can educate patients about their medications, including their purpose, dosage, and potential side effects

Stakeholders for Collaboration:

  • Physicians: Collaborating with physicians to ensure clear and accurate medication orders.  
  • Pharmacists: Collaborating with pharmacists to review medication orders, identify potential drug interactions, and ensure medication safety.  
  • Hospital administration: Collaborating with hospital administration to implement and support safety initiatives, such as technology upgrades and staff training.
  • Patients and families: Involving patients and families in medication education and safety discussions.  

By working together, healthcare providers can implement effective strategies to reduce medication errors, improve patient safety, and reduce healthcare costs.

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