Safety score improvement

Develop a 3-5 page safety score improvement plan.

” Identify the health care setting and nursing unit of your choice in the title of the mitigation plan. For example, “Safety Score Improvement Plan for XYZ Rehabilitation Center.”

” You may choose to use information on a patient safety issue for the organization in which you currently work, or search for information from a setting you are familiar with, perhaps from your clinical work.

o Demonstrate systems theory and systems thinking as you develop your recommendations.

Organize your report with these headings:

Study of Factors

” Identify a patient safety issue.

” Describe the influence of nursing leadership in driving the needed changes.

” Apply systems thinking to explain how current policies and procedures may affect a safety issue.


” Recommend an evidence-based strategy to improve the safety issue.

” Explain a strategy to collect information about the safety concern.

o How would you determine the sources of the problem?

” Explain a plan to implement a recommendation and monitor outcomes.

o What quality indicators will you use?

o How will you monitor outcomes?

o Will policies or procedures need to be changed?

o Will nursing staff need training?

o What tools will you need to do this?

Additional Requirements

” Written communication: Written communication should be free of errors that detract from the overall message.

” APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.

” Length: The plan should be 3-5 pages.

” Font and font size: Times New Roman, 12 point, double-spaced.

” Number of resources: Use a minimum of three peer-reviewed resources

Write a 3-5 page safety score improvement plan for mitigating concerns, addressing a specific patient-safety goal that is relevant to quality patient care. Determine what a best evidence-based practice is and design a plan for resolving issues resulting from not maintaining patient safety.

Quality improvement and patient safety are health care industry imperatives (Institute of Medicine’s Committee on Quality of Health Care in America, 2001). Effective quality improvement results in system and organizational change. This ultimately contributes to the creation of a patient safety culture.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

” Competency 1: Identify nursing leadership priorities using a systems perspective.

o Identify a patient safety issue.

” Competency 2: Apply systems theory and systems thinking to facilitate health care delivery and patient outcomes.

o Apply systems thinking to explain how current policies and procedures may affect a safety issue.

o Explain a strategy to collect information about the safety concern.

o Explain a plan to implement a recommendation and monitor outcomes.

o Recommend an evidence-based strategy to improve the safety issue.

” Competency 4: Evaluate how power relates to health care organizational structure, behavior, and leadership.

o Describe the influence of nursing leadership in driving the needed changes.

” Competency 5: Communicate in a manner that is consistent with the expectations of a nursing professional.

o Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

o Correctly format citations and references using current APA style.

Suggested Resources

The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.

Capella Media

Click the link provided below to view the following multimedia piece:

” Systems Theory and the Fifth Discipline | Transcript.

Library Resources

The following e-books or articles from the Capella University Library are linked directly in this course:

” Dolansky, M. A., & Moore, S. M. (2013). Quality and safety education for nurses (QSEN): The key is systems thinking. Online Journal of Issues in Nursing, 18(3), 71-80.

” Kim, D. H., & Senge, P. M. (1994). Putting systems thinking into practice. System Dynamics Review, 10(2/3), 277-290.

” Sullivan, D. T. (2010). Connecting nursing education and practice: A focus on shared goals for quality and safety. Creative Nursing, 16(1), 37-43.

” Burke, K. M., & Hellwig, S. D. (2011). Education in high performing hospitals: Using the Baldrige framework to demonstrate positive outcomes. The Journal of Continuing Education in Nursing, 42(7), 299-305.

” Squires, M., Tourangeau, A., Laschinger, H. K. S., & Doran, D. (2010). The link between leadership and safety outcomes in hospitals. Journal of Nursing Management, 18(8), 914-925.

” Morath, J. (2011). Nurses create a culture of patient safety: It takes more than projects. Online Journal of Issues in Nursing, 16(3), 2.

” Gagnon, M-P., Desmartis, M., Labrecque, M., Car, J., Pagliari, C., Pluye, P., . . . Légaré, F. (2012). Systematic review of factors influencing the adoption of information and communication technologies by healthcare professionals. Journal of Medical Systems, 36(1), 241-277.

” Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Kaplan, L. (2012). The state of evidence-based practice in US nurses: Critical implications for nurse leaders and educators. The Journal of Nursing Administration, 42(9), 410-417.

” Stimpfel, A. W., & Aiken, L. H. (2013). Hospital staff nurses’ shift length associated with safety and quality of care. Journal of Nursing Care Quality, 28(2), 122-129.

Course Library Guide

A Capella University library guide has been created specifically for your use in this course. You are encouraged to refer to the resources in the BSN-FP4008 – Organizational and Systems Management for Quality Outcomes Library Guideto help direct your research.

Internet Resources

Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.

” Hospital Safety Score. (n.d.). What is patient safety? Retrieved from

” Agency for Healthcare Research and Quality. (n.d.). AHRQ. Retrieved from

” National Academy of Medicine. (n.d.). Retrieved from

” Centers for Medicare & Medicaid Services. (n.d.). Hospital-acquired conditions. Retrieved from

” American Nursing Informatics Association. (n.d.). ANIA. Retrieved from

” HIMSS. (n.d.). Nursing informatics. Retrieved from

” Chao, S., Anderson, K., & Hernandez, l. (2009). Toward health equity and patient-centeredness: Integrating health literacy, disparities reduction, and quality improvement: Workshop Summary (2009). Washington, DC: The National Academies Press. Retrieved from

” The Joint Commission. (n.d.). National patient safety goals. Retrieved from

” AHRQ. (n.d.). Quality and patient safety. Retrieved from

” AONE. (n.d.). Retrieved from

” National Academies: Health and Medicine Division.

” American Nurses Association. (n.d.). NursingWorld. Retrieved from

” American College of Healthcare Executives. (n.d.). Retrieved from

” Institute for Healthcare Improvement. (n.d.). Retrieved from

” U.S. Department of Health & Human Services. (n.d.). HHS.Gov. Retrieved from

” National Institutes of Health. (n.d.) Retrieved from

” NCQA. (n.d.) Retrieved from

” QSEN Institute. (n.d.). Retrieved from

” Agency for Healthcare Research and Quality. (2009). Hospital survey on safety culture: 2009 comparative database report. Retrieved from

” Hospital Safety Score. (n.d.). Retrieved from


Refer to the Capella library and the Internet for supplemental resources to help you complete this assessment, a safety score improvement plan.

Consider the hospital-acquired conditions that are not reimbursed for under Medicare/Medicaid. Among these conditions are specific safety issues such as infections, falls, medication errors, and other safety concerns that could have been prevented or alleviated with the use of evidence-based guidelines. Hospital Safety Score, an independent nonprofit organization, uses national performance measures to determine the safety score for hospitals in the United States. The Hospital Safety Score Web site and other online resources provide hospital safety scores to the public.

Read the scenario below:


As the manager of a unit, you have been advised by the patient safety office of an alarming increase in the hospital safety score for your unit. This is a very serious public relations matter because patient safety data is public information. It is also a financial crisis because the organization stands to lose a significant amount of reimbursement money from Medicare and Medicaid unless the source of the problem can be identified and corrected. You are required to submit a safety score improvement plan to the organization’s leadership and the patient safety office.

Select a specific patient safety goal that has been identified by an organization, or one that is widely regarded in the nursing profession as relevant to quality patient care delivery, such as patient falls, infection rates, catheter-induced urinary infections, IV infections, et cetera.

Deliverable: Safety Score Improvement Plan

Safety Score Improvement Plan Scoring Guide

Identifies a patient safety issue and explains why the issue is a primary concern for nursing.

Describes the influence of nursing leadership as a driving force for changes that affect patient safety and quality outcomes, and provides a specific example of driving a needed change.

Applies systems thinking to explain how current policies and procedures may affect a safety issue, and includes a discussion of how staff could monitor systems and implement safeguards.

Explains a strategy to collect information about the safety concern and how it could be implemented, and identifies possible obstacles to obtaining information.

Recommends an evidence-based strategy to improve the safety issue, and identifies potential limitations of the strategy.

Explains a plan to implement a recommendation and monitor outcomes, and specifies quality indicators and accountable staff.

Writes clearly and logically, with correct use spelling, grammar, punctuation, and mechanics, and uses relevant evidence to support a central idea.

Correctly formats citations and references with no errors.