The Healthcare system has changed significantly over the past few decades ranging from technological to normative ones, all demanding for enhanced performance. The responsibility of a nurse in safety culture can be described from both organizational outlook and a humanitarian outlook. Improvement in the safety and the outcome of hospitalized patients have been slower than expected. Team-based and evidence-based standardization, risk management protocols could promote safety and bring out the positive outcome. (Sevdalis et al., 2012). The universal requirement for quality and safety was first voiced by the World Health Organization (WHO) regarding patient care in the year 2002. The same effort started all the way through the establishment of the World Alliance for Patient Safety, in 2004, and has developed over the years. According to the WHO, adverse events in hospitals are the third leading cause of death in the United States of America. In the United Kingdom, latest evaluation predicts that one incident of patient harm is reported every 35 seconds. The majority of common undesirable safety incidents are associated with surgical procedures (27%), medication errors (18.3%) and hospital-acquired infections (12.2%). (WHO 2017).
Institute of medicine IOM (2004) defines patient safety as the avoidance of injury caused by errors of commission and omission. An error of commission is an act that leads to patient harm and an error of omission is performing the task incorrectly. The quality of patient care is defined as promoting, implementing and evaluating values and quality of practice (McSherry 2004). According to (IOM 2001), Quality care is safe, effective, patient centered, timely, efficient and equitable thus safety is the foundation upon which all other aspects of quality care are built. The World Health Organization (WHO) has defined quality in health care into six dimensions. These dimensions require health systems to be well-organized, efficient, available, patient centered, fair and most importantly safe (WHO 2006). Risk management includes the processes concerned with risk management planning, identification, analysis, response, monitoring, and control. The aim is to enlarge the probability and impact of positive measures and reduce the probability and impact correlated with adverse events. Risk management has been adopted to cover all healthcare risks, both clinical and non-clinical ones. (Cagliano_et_al_SS_2011)
This assignment will critically discuss a quality project on the topic “The Productive Operation Theatre,” known as the TPOT, which was implemented in two operating rooms in one of the largest teaching hospitals in Ireland. The Productive Operating Theatre (TPOT) project was introduced to our unit to improve the theatre utilization, team performance and staff wellbeing overall enhance patient safety. The article will focus specifically on how the project improved the quality of care. The assignment will also address on quality and Patient safety and risk management. The quality initiative implementation will be justified through appropriate health policy and research. A discussion of how the initiative was planned and implemented, will be presented using quality tools and techniques.