Strengthening patient safety in transitions of care

The Issue of Patient-Centered Care

The issue of patient-centered care is a modern work-related challenge that has to be thoroughly examined. The problem stems from the medical community's unilateral decisions on the quality of care and kind of medication provided to individuals suffering from various medical ailments. All patients should have the right to receive information on viable pharmaceutical alternatives that are appropriate for their healthcare needs. As a result, the sort of medication and care provided to many patients must be consistent with his or her value system. There are various and varying factors that have a direct and significant impact on the provision of a quality acre to many patients. First is the emotional support that needs to be granted to all the patients undergoing various health conditions in the medical facilities (Purpora Blegen & Stotts, 2015). Many patients, the elderly in particular, are likely to go through depression while in hospitalization, thus, calling for the need to integrate high-quality levels of care to all the patients. Second, the management of the workplace takes preference on the information that they derive from the patients with little information obtained from the friends and the family members. However, there is need to intensely involve the family members in ensuring that the level of care responds to the needs of the patients. The family members and friends also play a role in providing the medical history of a given patient and could help the patient to consent to any medical procedure that needs to be undertaken.

IBP Model

The problem that the above paragraph discusses is a recipe for the changes that ought to take place within the workplace. The utilization of evidence-based practice in effecting change within the organization is the fundamental way and means of making the proposed change (Purpora Blegen & Stotts, 2015). PICOT is the IBP model that needs to be explored in realizing the changes. The use of PICOT is the tolerable decision that guides the implementation of the modification. PICOT is an acronym used in the field of healthcare to mean population, intervention, comparison, outcome and time. PICOT is a model that one can use in the evaluation and implementation of the change that is proposed in enhancing the patient care quality and attention. Patient-centered care is the change that needs to be realized within the health facilities to ensure that adequate and appropriate care is achieved in health centers. The change, that is, patient-centered care, fits within the intervention category of the model. The population is the patient admitted to the health centers. The comparison is then made between the implementation of the patient-centered care and the conventional means and ways of taking after patients within the health centers. Through the model, one can determine the outcome of the change that is being instituted through the intervention. The issue is crucial in drawing the evaluation of the proposed change based on its efficacy. The time in the model lays reference to the duration of the study. Therefore, the use of the model in the evaluation and implementation of change calls for collection of data before the commencement of the study and after the observation duration, thus, aiding writing of the final assessment report.

The Patient-Centered Care Process Breakdown

The patient-centered care also needs to go through a process breakdown that takes into consideration the needs that could be existent in the society. The process begins with the increases access to quality healthcare for all the patients. The second process in the involvement of the family members and close friends or guardians in the course of rolling out support and care to the patient. The third methods are the provision of emotional and physical support to the patients and address the psychosocial needs that may be related to the health conditions through which the patient may be going through in their lives. Next, the patient needs to be informed of the type of treatment that he or she is to undergo and be educated about the consequences and justification of each possible treatment option. Finally, the preferences of the patient have to be respected to ensure that the patients also plays a significant role in making a decision regarding the most appropriate treatment option that he or she is to go through. The process breakdown that has been discussed above has the primary intent of ensuring that the intervention or change process that has been proposed above takes into consideration the specific needs of the organization.

Team Knowledge

All health institutions often strive to offer high-quality healthcare to the target audience and the population that they serve. As a result, medical facilities often endeavor to provide high quality and elevated levels of health care provision to the community that they serve. However, the conventional means of providing care to the patients only delves on the delivery of physical care to the different health conditions that are facing the multiple patients (Kongsvik, Halvorsen, Osmundsen & Gjøsund, 2016). The organization knowledge regarding the quality of attention and support that is granted to the patients further affirms that health promotion, forging of partnerships and poor communication between the hospital and the patient is the greater hindrance to rolling out of the patient-centered care. The organization knowledge is rich on information that regards the quality of attention and support that is granted to the patients.

Interprofessional Team

An interprofessional team needs to be put in place to ensure that the change that is proposed is efficient and addresses the problem that is at hand. An interprofessional team with the capability to address the issue needs to constitute the service providers, health workers, and the policy makers. The service providers are the hospital management who have regular interaction with the government officials and also have information on what needs or ought to be done to accomplish a given framework in the society. Additionally, the health worker is a blanket term that integrates the roles of the nurses and doctors in documenting the efficacy of the conventional ways of treatment of patients. The physicians and the nurses play a crucial role in evaluating the patient-centered approach through a collection of data during the implementation of the proposed intervention within the PICOT model (Kongsvik, Halvorsen, Osmundsen & Gjøsund, 2016). The policy makers play the role of amplifying the findings of the evaluation of the patient-centered care and recommending it as a practice that all the medical facilities have to use in the course of service delivery to the patients.

Current Evidence

The relationships between the physicians and the medical personnel play a significant role in the recovery process of many patients. Researchers have proven that the relationship between the doctors and the patients is only limited to the time of diagnosis and provision of healthcare services (Saggar, 2015). As a result, there is no connection between the two parties, thus, compromising on the need for the patients having concern over the level of healthcare provision that has to be provided to the patients. Additional researchers have also proven that the delivery of patient-centered care improves the quality of health services that emanates from the medical facilities and significantly lowers the cost of healthcare that a patient is compelled to incur (Saggar, 2015). A patient-centered care enables the doctor and the patient to forge healthy and sustainable relationships that significantly reduce the need for diagnosis and referrals that the hospital facility has to make. The physician or the medical practitioner does not have the exclusive rights to preside upon the improvement of the quality of health, but the patient also plays a significant role in attending to the needs of the patient. A doctor and the entire medical personnel need not measure up their experiential knowledge and train with the positive result that could occur when taking care of the patient.

Plan for Improvement

The method for improving the quality if medical care is to institute the principles of patient-centered care in the routine operations of all the health facilities. First, the training of the medical personnel needs to lay emphasis on the need to respect patients and use the PICOT model in the treatment of all the patients. Second, the doctors need to understand that there is an obligation to take care of the patients that they are attending to in the course of duty. Third, patient-based care and the evidence-based approach have a common ground of improving the quality of medical attention and safety of the patients. Notably, the two approaches have a common denominator, that is, the population that they attend to in the course of health care provision and delivery in the healthcare system. Nurses and all the medical staff have an obligation to do what is safe and benevolent of a patient and such decision need to integrate the concerns and the views of the patient.


Patient-centered care plays a significant role and steps enhancing the patient care quality and safety. The use of an evidence-based program model in rolling out the patient-centered care program within the health care system is crucial to improving the quality of medical care. PICOT is the evidence-based model that is used in evaluating and implementing the proposed change, that is, patient-centered care. An interprofessional team needs to be instituted constituting the healthcare stakeholders to address the needs and the concerns that may be existent with the proposed intervention. The current evidence asserts that the integration of patient-centered care serves to improve the quality of healthcare provision and significantly lowers the cost of healthcare since the incidences of referrals are reduced. The plan for improvement is to ensure that the medical personnel show respect to the patients and integrate them in the decision-making process regarding the treatment method and process that they have to go through.


Kongsvik, T., Halvorsen, K., Osmundsen, T., & Gjøsund, G. (2016). Strengthening patient safety in transitions of care: an emerging role for local medical centres in Norway. BMC Health Services Research, 161-9. doi:10.1186/s12913-016-1708-8

Purpora, C., Blegen, M. A., & Stotts, N. A. (2015). Hospital staff registered nurses' perception of horizontal violence, peer relationships, and the quality and safety of patient care. Work, 51(1), 29-37. doi:10.3233/WOR-141892

Saggar, S. K. (2015). Critical Aspects in Patient Safety. ASCI Journal Of Management, 44(2), 1-8.

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