Discuss The Effects of To Err Is Human in Nursing Practice.The 1999 landmark study titled To Err Is Human: Building a Safer Health System highlighted the unacceptably high incidence of U.S.

The 1999 landmark study titled To Err Is Human: Building a Safer Health System highlighted the unacceptably high incidence of U.S. medical errors and put forth recommendations to improve patient safety. Since its publication, the recommendations in To Err Is Human have guided significant changes in nursing practice in the United States.

In this Discussion, you will review these recommendations and consider the role of health information technology in helping address concerns presented in the report.

To prepare:

Review the summary of To Err Is Human presented in the Plawecki and Amrhein article found in this weeks Learning Resources.
Consider the following statement:
The most significant barrier to improving patient safety identified in To Err Is Humanis a lack of awareness of the extent to which errors occur daily in all health care settings and organizations (Wakefield, 2008).
Review The Quality Chasm Series: Implications for Nursing focusing on Table 3: Simple Rules for the 21st Century Health Care System. Consider your current organization or one with which you are familiar. Reflect on one of the rules where the current rule is still in operation in the organization and consider another instance in which the organization has effectively transitioned to the new rule.

Week 1: Nursing Informatics and Patient Safety
In 2011, Mason General Hospital was named by Hospitals & Health Networks magazine as one of the Most Wired hospitals in the United States. What makes this particularly significant is that Mason General is a small, 25-bed, rural hospital in the state of Washington. It credits its success to nurse Eileen Branscome, director of clinical informatics. Under her leadership, the hospital adopted such innovations as visual smart boards where real-time patient information is always available. According to the magazine, those hospitals designated as Most Wired show better outcomes in patient satisfaction, risk-adjusted mortality rates, and other key quality measures through the use of information technology (IT) (Mason General Hospital and Family of Clinics, 2012).

Developments in information technology have enabled patients and health care providers to collaborate for quality improvement at an unprecedented level, and nurses have consistently been at the forefront of these efforts. This week you focus on the IOM report To Err Is Human and consider how health information technology has helped to address the issues of patient safety and quality health care.

References:

Weinstock, M., & Hoppszallern, S. (2011). Health cares most wired 2011. Hospitals & Health Network Magazine, 85(7), 2637.

Mason General Hospital and Family of Clinics. (2012). MGH&FC named most wired – Again! Retrieved from https://www.masongeneral.com/most_wired.html

Learning Objectives
Students will:
Analyze the utilization of health information technology to address issues raised in the IOM report To Err Is Human
Assess the role of informatics in improving health care safety
Photo Credit: Angela Schmidt/iStock/Getty Images

Learning Resources
Note: To access this weeks required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings
American Nurses Association. (2015). Nursing informatics: Scope & standards of practice (2nd ed.). Silver Springs, MD: Author.

Introduction
This portion of the text introduces nursing informatics and outlines the functions of the scope and standards.

McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones and Bartlett Learning.

Chapter 1, Nursing Science and the Foundation of Knowledge
This chapter defines nursing science and details its relation to nursing roles and nursing informatics. The chapter also serves as an introduction to the foundation of knowledge model used throughout the text.

Chapter 2, Introduction to Information, Information Science, and Information Systems
In this chapter, the authors highlight the importance of information systems. The authors specify the qualities that enable information systems to meet the needs of the health care industry.

Wakefield, M. K. (2008). The Quality Chasm series: Implications for nursing. In R. G. Hughes (Ed.), Patient safety and quality: An evidence-based handbook for nurses (Vol. 1, pp. 4766). Rockville, MD: U. S. Department of Health and Human Services.

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