Online CPHQ Questions Video

The preferred culture in promoting patient safety is one that promotes learning from mistakes and fosters collaboration. This is because a culture that promotes learning from mistakes encourages a non-punitive environment where individuals feel safe to report errors and near misses. This openness allows for the identification of systemic issues that can be addressed to prevent future errors1.

On the other hand, fostering collaboration is crucial in patient safety as it encourages open communication and teamwork among healthcare professionals. Collaboration ensures that all team members can contribute their expertise to patient care, which can lead to improved patient outcomes23.

References:

Clinical nurse competence and its effect on patient safety culture: a systematic review1

Patient safety culture: a systematic review by characteristics of Hospital Survey on Patient Safety Culture dimensions2

Key drivers of promoting patient safety culture from the perspective of3

The most logical sequence for the phases of shifting from top-down leadership to participatory management is to start with making the commitment, then gathering baseline data, implementing the program, and evaluating effectiveness and improvement.

Making the commitment is the first step because it involves creating a shared vision, setting goals and objectives, and securing support and resources for the change process12. Without a clear and strong commitment, the other steps may not be feasible or successful.

Gathering baseline data is the second step because it helps to assess the current situation, identify the gaps and needs, and establish a baseline for comparison and measurement13. Data can be collected from various sources, such as surveys, interviews, observations, and records, and can cover aspects such as organizational culture, performance, quality, satisfaction, and costs13.

Implementing the program is the third step because it involves putting the plan into action, engaging and empowering the staff and stakeholders, and monitoring and adjusting the process as needed14. Implementation can be done in phases, pilots, or trials, depending on the scope and complexity of the program14.

Evaluating effectiveness and improvement is the fourth step because it helps to measure the outcomes, impacts, and benefits of the program, compare them with the baseline data and the goals and objectives, and identify the strengths, weaknesses, and areas for improvement15. Evaluation can be done using quantitative and qualitative methods, such as indicators, metrics, feedback, and stories, and can be conducted at different levels, such as individual, team, and organizational15.

References: 1: Participatory Leadership for Health 2: Quality improvement and person-centredness: a participatory mixed methods study to develop the ‘always event’ concept for primary care 3: Why healthcare leadership should embrace quality improvement 4: PARTICIPATIVE MANAGEMENT IN HEALTH CARE SERVICES 5: [Utilization of Improvement Methodologies by Healthcare Quality Professionals During the COVID-19 Pandemic]

Human factors in healthcare refer to the study of how humans interact with elements in a system, such as equipment, tasks, and environment, and how these interactions affect their behavior and performance12. The goal of human factors engineering is to optimize human performance, health, and safety2.

In the context of the question, the causes of the error identified during the root cause analysis are all related to human factors:

Fatigue and stress leading to inattention: This is a psychological factor that can significantly affect a person’s ability to perform tasks effectively and safely. Fatigue and stress can impair cognitive functions such as attention, decision-making, and reaction time1.

Pressure to accomplish more tasks in the same amount of time: This is an organizational factor that can create a stressful work environment, leading to rushed work, shortcuts, and mistakes1.

The equipment was designed for right-handed staff: This is a design factor that can affect the usability and safety of equipment. If equipment is not designed to accommodate the needs of all users, it can lead to errors and accidents1.

These factors are all part of the human factors framework, which emphasizes the importance of designing systems and processes that take into account human capabilities and limitations2.

References:

1: Human Factors in Healthcare - NHS England

2: Human Factors in Healthcare | SpringerLink

4: Certified Professional in Healthcare Quality Detailed Content … - NAHQ