Quality and Safety. Health, Medicine, Nursing Research Paper

Quality and Safety
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Institution
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Quality and Safety
Introduction
The concept of quality improvement (QI) is considered as a central part of the work of medical practitioners within the health care system. This is since it is conducted under clear scientific principles that provide a valid way of identifying and measuring change including having valid theories of reliability alongside human factors that act as the basis for various interventions. In this case, the Neonatal Intensive Care Unit (NICU) provides a highly complex adaptive system that can easily provide a platform for the application of Quality Improvement principles (Harriman et al., 2018). This calls for the development of a safety culture that requires continuous improvement. However, the process requires that those working in NICU be taken through training in various cases such as patient safety and principles of QI. There are various challenges associated with the implementation of good practice owing to the development of new interventions capable of improving results for children in the NICU in the case where it is applied reliably. Such complex adaptive systems in health care such as NICU apply the concepts of high reliability being aware of the existing inherent risks to safety and their prevention mechanisms. From the perspective of the NICU, such perspectives would entail the involvement of Anticipation of events happening in real-time alongside the prevention of any form of unsafe events. In this case, the concepts of Anticipation encompass preoccupation with various potential as well as actual failures at any point in the process in the pursuit of delivering care before and after events happen. This requires the medical professionals to take into consideration the root causes, mechanisms of running NICU, the challenges and mitigating mechanisms. In this case, dealing with the existing challenging events alongside high-risk situations requires high-level organizational learning for the purposes of developing resilience (Harriman et al., 2018).
Current practice and potential areas of improvement at NICU
The whole concept behind this scenario involves an attempt to adapt the theory into the existing complexity in the health care system which entails different events and occurrences. These may involve different babies, variable service delivery and involving health care professionals not trained in theories involving patient safety. Resiliency in healthcare is developed through adaptation to the nature of variability while delivering the required reliability in care. However, the solution points towards consideration of standardization of processes to help obtain less variable results. In this case, the need of patients should be taken care of by the standardization process, therefore, resulting in reliable care. At the same time, having a high degree concerning safety awareness, a clear vision on better performance and cohesive teamwork is a necessity for achieving excellence in NICU. This requires a thorough assessment of safety within every environment that associates with the NICU and development of a culture that promotes and enhances safety in line with Quality improvement principles (Harriman et al., 2018).
The various in...