Health Care Environment

Each year, nearly 444,000 individuals die due to avoidable hospital errors. Fortunately, care providers, support staff, and consumers acting in unison can improve patient safety outcomes.

The RCN is also a member of Health Care Without Harm (www.noharm.org), an international coalition of healthcare organisations and professionals. The coalition strives to influence the healthcare sector to develop policies and services that do no harm and that aim to prevent disease and promote the health of people and the environment. Guidelines for Environmental Infection Control in Health -Care Facilities (2003) Last update: July 2019 5 of 241 Centers for Disease Control and Prevention Healthcare Infection Control Practices Advisory.

Through safety focused team initiatives, organizations can improve team performance. Patient safety involves avoiding errors, limiting harm, and reducing the likeliness of mistakes through planning that fosters communication, lowers infection rates, and reduces errors.

Care providers, patients, and support staff share the same goal; the best possible treatment outcome. The following seven principles outline tips that some health organizations implement to achieve this goal.

Tip 1: Establish a Safety and Health Management System

The Assessment Tool for Hospitals, published by the Occupational Safety and Health Administration (OSHA), suggests that care providers should formulate guidelines that determine enterprise safety and health management system performance. [1] To encourage compliance with safety protocols, it is important that administrators include all managers and employees in appropriate decision-making processes and perform regular organizational performance reviews. Regular reviews provide a dynamic indicator of whether an organization has achieved intended outcomes. Furthermore, administrators can use this information to adjust organizational policies as needed.

Tip 2: Build a Rapid Response System

To aid organizations in planning rapid response systems (RRSs), the Agency for Healthcare Research and Quality (AHRQ) has developed TeamSTEPPS™, or Team Strategies & Tools to Enhance Performance & Patient Safety. [2] Rapid response teams (RRTs) comprise one vital part of an RRS. The AHRQ suggests that health organizations determine the overall RRS framework using STEP Assessment:

Status of the patient
Team members
Environment
Progress toward goal

TeamSTEPPS™ also outlines appropriate decision-making models for varying scenarios, such as Failure Modes and Effect Analysis (FMEA), Probabilistic Risk Assessment (PRA), and Root Cause Analysis (RCA).

Tip 3: Make Sure That Employees Know and Understand Safety Policies

Employees and employers must understand their roles in organizational safety. [1] In addition to training each new employee about hospital safety, administrators should update staff members regularly about related policy changes. Additionally, employees must understand the duties involved with upholding patient safety. Furthermore, every medical organization should clearly outline safety policies and procedures.

Employees must feel safe to voice concerns. Therefore, along with a clearly outlined procedure for managing and reporting issues, effective safety training includes reassurance that administrators will receive information with impartiality.

Tip 4: Develop a Safety Compliance Plan

Hospital administrators continually monitor and evaluate how employees follow established policies. Institutional governing boards and boards of directors use this information to adjust organizational policies as needed. [3] Compliance programs benefit health organizations in many ways, including but not limited to:

● Building community trust as a responsible organization
● Developing compliance standards suitable for the community and organization
● Establishing a framework to evaluate employee and vendor compliance
● Maintaining insurance claim integrity
● Mitigating or eliminating illegal activity
● Promoting positive treatment outcomes
● Providing a centralized compliance outlet

By developing and maintaining a safety compliance plan, organizations—small and large—promote safe treatment environments.

Tip 5: Practice Patient-Centered Care

Patient-centered care is a hot topic among debates about service quality. [4] Health administrators, hospital media communication, and legislators use the catch phrase often. In fact, insurers linked payouts, in part, to the degree that care facilities adopted patient-centered care well before the implementation of the Affordable Care Act.

Health Care Environment Issues

In the past, health advocates worried that the philosophy might undermine efforts to provide evidence-based treatments. Today, however, evidence-based treatment supporters view patient-centered care as a critical framework for establishing and promoting desired wellness outcomes.

Tip 6: Communicate Safety Information to Patients

Historically, consumers played a passive role in their recoveries and, with vague comprehension, followed treatment plans unquestioningly. [5] In this environment, patients placed absolute trust in care providers. Today, however, practitioners understand that educated patients can assist in reducing medical errors. Additionally, with the wealth of information available online, it is important that patients understand what health-related facts apply to their unique circumstances.

Contemporary patients increasingly participate in their own recovery planning. As educated consumers, they receive safer treatment, because care providers and health advocates have empowered them with the ability to ask the right questions and notice potential problems.

Tip 7: Incorporate Safe Hospital Design

Environment Of Care In Healthcare

Traditional hospital design focused on operational efficiency rather than patient safety, designating interconnected work areas in close proximity. [6] However, patient-centered building design includes structural characteristics such as air quality, critical information proximity, noise dampening, and standardized feature locations, as well as fixtures that reduce contagion spread, such as employee hand sinks, in all treatment areas. Additionally, engineers design modern hospitals with wiring that supports advanced technology that reduces errors, with extra emphasis placed on areas designated as drug dispensaries. Most importantly, safe building designs incorporate planning to measure and benchmark facility conditions and characteristics, such as ease of information access, noise levels, scalability, and other factors.

Patients, employees, and administrators can eliminate most hospital errors by working as a team. However, it takes planning, commitment and work to maintain a safe hospital environment.

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Health Care Environment Definition

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Sources:

[1] Occupational Safety and Health Administration
[2] Agency for Healthcare Research and Quality

[3] Office of the Inspector General
[4] US National Library of Medicine National Institutes of Health
[5] National Center for Biotechnology Information

[6] Agency for Healthcare Research and Quality – Creating a Culture of Patient Safety

What else is driving the change?

Currently many hospitals and other healthcare facilities, such as long-term care facilities are being constructed to replace those at the end of their life and to meet the demand as the baby boomer population grows older. Many of these are designed according to a new understanding of the healing environment and the research behind evidence-based design.

Clinics are also beginning to change, not least because the American healthcare system can no longer afford a system that focuses on disease-based care. Healthcare is beginning to recognize the central place that wellbeing of mind, body, and spirit plays in health.

Springing from this, clinics are realizing that a healing environment can contribute greatly to the wellbeing of patients coming in for procedures or to manage a chronic disease.

In addition, as healthcare consumers become more aware of their choices, healthcare organizations hope to attract their business with a welcoming environment. The physical setting is the patient's first impression of a healthcare facility and one of the most important factors in the patient's perceptions of the quality of care and their overall satisfaction.