Assignment: NSGCB 468 Reflection 1

Assignment: NSGCB 468 Reflection 1

Assignment: NSGCB 468 Reflection 1

This reflection is comprised of 2 sections, collectively totaling a minimum of 500 words. This activity is meant to help you build your knowledge in preparation for the competency assessment.

Complete your reflection by responding to all prompts.


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1) Quality and Patient Safety

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What is the difference between quality and patient safety? While responding to this question, make sure to address the following:

Describe the difference.

Explain your rationale.

Cite specific examples from practice or literature.

2) Chasing Zero

Watch Chasing Zero: Winning the War on Health care Harm to see the patient’s perspective on the importance of quality and safety during care.

As you watch, think about the profound effect the care these families received had on the future of so many people.

Thoughtfully reflect to answer the following:

How do you positively or negatively affect the quality and safety of the care your patients receive?

Think of 2 specific cases or examples you or your organization may have experienced or might experience.

What actions have you or could you take in your organization to avoid the situation(s)?

Note: Although references are not required, if you do use references, please follow APA guidelines for in-text citations and references. Use the APA Style Guide, 7th Edition.

Submit your reflection.

Assignment: NSGCB 468 Reflection 1 Sample

Patient care practices are usually focused on ensuring that patients have improved health outcomes. In recent years, various parameters have been used to reflect the effectiveness and efficiency of care offered in patient care settings. Two of those parameters are quality and patient safety. While the two terms are commonly used in the patient care environment, they have different meanings and applications. According to the Agency for Healthcare Research and Quality (AHRQ), quality refers to carrying out the right thing at the right time for the right person and targeting the best possible outcome (Nguyen et al.,2018). Therefore, every care action in the patient care setting has to be done in the right way to ensure that the results obtained are the desirable ones. Therefore through such actions, care becomes equitable, efficient, timely, patient-centered, and effective.

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Comparatively, patient safety refers to preventing adverse effects and errors associated with healthcare and ensuring that patient practices are carried out in a manner that protects the patients from preventable or accidental harm connected with the provision of healthcare services (Rubin, 2020). In modern times, patient safety is enhanced by ensuring that practitioners adhere to evidence-based practices since evidence-based practice is known to boost patient outcomes and lower costs incurred. The rationale for the differences discussed is based on the patient outcomes and experiences. Patient outcomes and experiences can both be used to measure the level of patient safety and the quality of care offered in the hospital setting. An example of quality is the use of CAUTI bundles to help reduce the rates of CAUTI infections among patients. On the other hand, an example of safety is the use of a barcoding system to ensure that patients are protected from medication errors.

Chasing Zero

Chasing Zero: Winning the War on health care harm is an important video for those who care about the quality and safety of patients in the care environment. It shows the patient’s perspectives on quality and safety. The kind of care these families received had a substantial effect on the future of several individuals. As an individual who offers care to patients in the care environment, I always strive to positively affect the quality and safety of the care my patients receive. I ensure that I follow the established clinical practice guidelines, which have been shown to improve patient safety and quality of care (Ricciardi & Cascini, 2021). I am also always on the outlook for potential hazards which can cause harm to the patients in the care environment. As part of the work, I also ensure that patients who visit the facility and under my care receive the care they need at the right time and ensure that the right medication is given to the right patient.

An example that my organization may experience is the need to reduce the rates of hospital-acquired infections to help improve quality. The hospital-acquired infections may have adverse outcomes such as the death of a patient and longer hospital stays, hence a need to reduce such (Serra-Burriel et al.,2021). Another example is the need to offer preventive care as a way of reducing patient harm and improving safety. For example, elderly and dilapidated patients may need to use the most current technologies to prevent the development of pressure ulcers. The events or situations that put a patient’s life at risk and lower quality should be prevented. For example, in the case of healthcare-acquired infections, the facility can adopt evidence-based strategies for prevention, such as effective handwashing, effective wound care, and reduction of the rates of catheterization. The development of pressure ulcers can be prevented by using pressure ulcer bundles with proven strategies for preventing pressure ulcer development.


Nguyen, M. C., Moffatt-Bruce, S. D., Van Buren, A., Gonsenhauser, I., & Eiferman, D. S. (2018). Daily review of AHRQ patient safety indicators has important impact on value-based purchasing, reimbursement, and performance scores. Surgery, 163(3), 542-546.

Ricciardi, W., & Cascini, F. (2021). Guidelines and safety practices for improving patient safety. Textbook of patient safety and clinical risk management, 3-18.

Rubin, R. (2020). New AHRQ patient safety guidance. JAMA, 323(16), 1542-1542. Doi: 10.1001/jama.2020.5603

Serra-Burriel, M., Keys, M., Campillo-Artero, C., Agodi, A., Barchitta, M., Gikas, A., … & López-Casasnovas, G. (2020). Impact of multi-drug resistant bacteria on economic and clinical outcomes of healthcare-associated infections in adults: Systematic review and meta-analysis. PloS one, 15(1), e0227139.

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