Organizational Functions, Processes, and Behaviors Affecting Quality and Safety NURS FPX 6212 Assessment 4 Planning for Change: A Leader’s Vision

It is essential to identify the organizational function, processes, and behaviors to manage the quality and safety of the organization. Within the organizational functions, the need for more communication and interprofessional collaboration is one of the critical lagging aspects. The lack of communication and discussion of the case resulted in the unskilled professionals, inability to anticipate the infection rate or postoperative complications (Dencker et al., 2021). This lack of communication between the team leads to a lack of competence in assessing the risk of complications during and after the surgery, which affects the patient’s satisfaction with the hospital services while increasing the risk of readmission due to postoperative complications.

Similarly, the organizational processes that we identified as impeding the organization’s quality and safety were the lack of hygiene protocol adherence, which impacts healthcare outcomes as these lax protocols lead to surgical site infections and also increase the risk of hospital-acquired infections. Moreover, the lack of accountability of healthcare professionals is one of the leading causes that affects how the professionals view their medical duties and how vigilant they professionals are during their practice. Similarly, the lack of preoperative hygiene management, such as the lack of commitment to cleaning, the use of alcohol-based antiseptics, and unsterilized tools further increases the risk of complications and the infection rate. 

NURS FPX 6212 Assessment 4 Planning for Change: A Leader’s Vision

Lax protocols and casual and unskilled staff are examples of behaviors that can affect the quality of care provided to patients and their safety. These behaviors have the potential to influence the staff’s attitude toward care and quality practices, which in turn could result in unsafe surgical procedures, a lack of accountability, and a lack of treatment options. However, there are a few areas of uncertainty that call for more effective involvement, such as the training of inter-professional teams. This lack of training leads to unskilled professionals. Medical literacy and education can help improve the professional skill set, improve the treatment evaluation process, and reduce further complications and risks.

Similarly, other unknown factors include the leadership style that might work effectively, the role of the leaders in the safety enhancement and detailed information on the baseline data regarding why the organization has such lax protocols and other organizational factors that may have increased the risk of infection and a further complication in care management. Therefore, it is essential to be mindful of the change and evaluate and modify the plan per the requirements. 

Current Outcome Measures and Their Strengths and Weaknesses 

The current outcome measures within the organization were the frequency of unsafe surgical procedures, postoperative complications, patient readmission, surgical site infections, and patient satisfaction. These outcome measures are significant in driving improvement and fostering a culture of quality and safety through diligently working on patient safety indications, hospital-acquired infections, and patient satisfaction (Braun et al., 2020). These outreach measures foster inter-professional collaboration and influential culture that enhances patient safety, improves surgical expertise, and provides better quality care through ensuring adherence to hygiene protocols, taking preoperative measures seriously, encouraging team discussions such as case conferences and surgical team preoperative analysis, anticipating the possible risk and postoperative complications, and developing a plan for the complication; furthermore, providing clear guidance and wound care and management to the families to reduce surgical site infections.

Thus, utilizing these strategies and effectively monitoring and evaluating these outcome measures can foster a culture that is based on patient-centered care and quality improvement.  The outcome measures for the organization’s quality and safety have their strengths and weaknesses, such as the surgical site infection rates, which measure the effectiveness of infection control practices in operative procedures, highlighting the organizational commitment to infection prevention (Troughton et al., 2019). Furthermore, hospital-acquired infection rates can provide an incidence of infection in the hospital during and after surgery, facilitating healthcare providers’ identification of infection-prone areas and implementing protocols accordingly. However, variability in the surveillance and a few unavoidable infection risks may impact the accuracy of the measure. Similarly, the readmission rate measures the success of post-discharge care. It re