Conversely, negative impacts on outcome measures arise from poorly developed processes, resulting in unsafe surgical procedures, increased readmission rates, and elevated resource allocation for reimbursement and readmission management. Ineffective communication, unsupportive environments, and complex processes contribute to heightened medical errors and strained patient-provider relationships (Tiwary et al., 2019). Organizational and structural changes, including hygiene safety protocols and comprehensive learning modules, coupled with open communication, can balance positive and negative outcomes, fostering quality improvement (Irshad et al., 2021).

Quality and Safety Outcomes and Measures

Unsafe surgical care procedures constitute significant quality and safety outcomes, warranting attention for improvement efforts. Strategies such as alcohol-based antiseptics, preoperative sanitized protocols, and diligent infection control practices can reduce surgical site infections and postoperative complications, enhancing preoperative strategies and surgical diligence (Ling et al., 2019; Dharap et al., 2022). Effective management of health conditions at home, coupled with patient education and proper discharge planning, can minimize readmission rates and enhance patient satisfaction (Pugh et al., 2021). Focusing on these outcomes and measures facilitates meaningful evaluation and analysis, with optimization of preoperative measures and infection control protocols leading to improved outcomes.

Performance Issues or Opportunities

Performance issues related to unsafe surgical care procedures stem from professional competency gaps, unskilled staff, inadequate collaboration, and ineffective leadership. Addressing these issues requires organizational changes, continuous learning, and benchmarking against high-performing standards. Strict adherence to infection control procedures, enhanced team communication, and effective preoperative assessment can mitigate risks and improve outcomes (Balance et al., 2023). While uncertainties persist regarding effective checklist implementation and human factors’ impact on performance, capitalizing on opportunities for learning and collaboration can yield positive effects.

Strategy Using PDSA

The Plan-Do-Study-Act (PDSA) model offers a suitable framework for iterative improvement efforts. Planning involves identifying issues and planning strategies to mitigate risks, such as enhancing infection control protocols and preoperative management (Ling et al., 2019). Implementation entails executing planned strategies, including training sessions and protocol implementation, while analysis involves evaluating data and feedback to assess success and identify areas for improvement. Lastly, action involves refining strategies based on continuous monitoring and evaluation, emphasizing training, education, and collaborative efforts to improve outcomes.

Conclusion

Addressing organizational functions, processes, behaviors, and outcome measures is crucial for enhancing patient safety and quality of care at Alignment Healthcare. Implementing strict infection control protocols and preoperative strategies, coupled with comprehensive staff education, can elevate care standards and foster a culture of safety and quality. Effective communication and transformational leadership are essential for nurturing this culture and ensuring adherence to protocols.

References

Andersen, B. M. (2018). Prevention of postoperative wound infections. Prevention and Control of Infections in Hospitals: Practice and Theory, 377–437. https://doi.org/10.1007/978-3-319-99921-0_33

Ariyo, P., Zayed, B., Riese, V., Anton, B., Latif, A., Kilpatrick, C., Allegranzi, B., & Berenholtz, S. (2019). Implementation strategies to reduce surgical site infections: A systematic review. Infection Control & Hospital Epidemiology40(3), 287–300. https://doi.org/10.1017/ice.2018.355

Buljac-Samardzic, M., Doekhie, K. D., & van Wijngaarden, J. D. (2020). Interventions to improve team effectiveness within health care: A systematic review of the past decade. Human Resources for Health18(1), 1-42. https://doi.org/10.1186/s12960-019-0411-3

Balane, J. A. L., Yap, C. D. D., Villanueva, C. A. G., Palileo-Villanueva, L. A. M., & Tamondong-Lachica, D. R. (2023). Predictors of readmission in a medical department of a tertiary university hospital in the Philipp


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