For this assessment, you will develop a Word document or an online resource repository of at least 12 annotated professional or scholarly resources that you consider critical for the audience of your safety improvement plan to understand or implement to ensure the success of the plan.
Annotated Bibliography for Safety Improvement Plan
Introduction
A successful safety improvement plan hinges on the availability of high-quality resources that inform and guide its implementation. This annotated bibliography includes 12 professional or scholarly resources that are critical to understanding and executing a safety improvement plan. These resources cover a range of topics, including evidence-based practices, regulatory guidelines, and best practices in patient safety.
- Agency for Healthcare Research and Quality (AHRQ). (2022). Patient Safety Network (PSNet).
URL: AHRQ PSNet
This resource offers a comprehensive collection of peer-reviewed articles, safety alerts, tools, and research on patient safety. AHRQ PSNet is an essential repository for understanding the latest developments in patient safety and evidence-based practices that can be incorporated into a safety improvement plan. - Institute for Healthcare Improvement (IHI). (2021). IHI Global Trigger Tool for Measuring Adverse Events.
The IHI Global Trigger Tool is widely used for measuring adverse events in healthcare settings. This resource provides a systematic approach to identifying and analyzing adverse events, which is crucial for developing and refining safety improvement initiatives. - National Patient Safety Foundation (NPSF). (2015). RCA2: Improving Root Cause Analyses and Actions to Prevent Harm.
URL: RCA2 Guide
This guide emphasizes the importance of thorough root cause analyses (RCA) and action plans to prevent harm. It provides detailed instructions on how to conduct effective RCAs, making it a vital resource for teams aiming to identify and mitigate safety risks. - World Health Organization (WHO). (2021). WHO Patient Safety Curriculum Guide: Multi-professional Edition.
The WHO Patient Safety Curriculum Guide offers educational modules designed to enhance patient safety knowledge and practices among healthcare professionals. This resource is useful for training staff and ensuring a common understanding of safety principles across the organization. - Joint Commission. (2020). National Patient Safety Goals.
URL: National Patient Safety Goals
The Joint Commission’s National Patient Safety Goals are designed to address specific areas of concern in patient safety. Familiarity with these goals is essential for aligning safety improvement efforts with established standards and expectations. - Pronovost, P. J., & Sexton, J. B. (2005). Assessing Safety Culture: Guidelines and Recommendations. Quality and Safety in Health Care, 14(4), 231-233.
This article discusses the assessment of safety culture within healthcare organizations and offers guidelines for measuring and improving it. Understanding safety culture is crucial for fostering an environment that supports continuous safety improvements. - Grol, R., & Wensing, M. (2004). What Drives Change? Barriers to and Incentives for Achieving Evidence-Based Practice. Medical Journal of Australia, 180(S6), S57-S60.
This resource provides insights into the barriers and incentives that influence the implementation of evidence-based practices in healthcare. It is essential for understanding the challenges that may arise during the execution of a safety improvement plan and strategies to overcome them. - Sorra, J., Gray, L., Famolaro, T., et al. (2016). AHRQ Hospital Survey on Patient Safety Culture: User’s Guide.
URL: AHRQ Survey Guide
This guide offers comprehensive instructions for administering and interpreting the AHRQ Hospital Survey on Patient Safety Culture. The survey results can provide valuable insights into the current state of safety culture within an organization, informing targeted improvement efforts. - Vincent, C., Burnett, S., & Carthey, J. (2013). Safety Measurement and Monitoring in Healthcare: A Framework to Guide Clinical Teams and Healthcare Organisations in Maintaining and Improving Patient Safety. BMJ Quality & Safety, 22(6), 512-522.
This article presents a framework for safety measurement and monitoring in healthcare. It outlines key components such as safety culture, risk management, and incident reporting, which are critical for the ongoing assessment and improvement of safety practices. - Hughes, R. G. (Ed.). (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Agency for Healthcare Research and Quality.
This handbook provides a comprehensive overview of evidence-based practices in patient safety and quality. It covers a range of topics relevant to nursing practice, making it an essential resource for nurses involved in safety improvement initiatives. - Leape, L. L., & Berwick, D. M. (2005). Five Years After To Err Is Human: What Have We Learned? JAMA, 293(19), 2384-2390.
This article reflects on the progress made in patient safety since the publication of the landmark report “To Err Is Human.” It discusses lessons learned and ongoing challenges, offering valuable perspectives for those involved in safety improvement planning. - Reason, J. (2000). Human Error: Models and Management. BMJ, 320(7237), 768-770.
Reason’s work on human error is foundational in understanding the role of human factors in patient safety. This article provides models and management strategies for mitigating errors, making it a crucial resource for designing effective safety improvement plans.
Conclusion
This annotated bibliography provides a solid foundation of resources that are critical for understanding and implementing a safety improvement plan. Each resource offers valuable insights into different aspects of patient safety, from evidence-based practices and safety culture to regulatory guidelines and error management. By leveraging these resources, healthcare teams can enhance their knowledge and skills, leading to more effective and sustainable safety improvements.