Critical thinking can be the difference between keeping patients safe and putting them in harm's way. But as a student nurse, you may find that mastering these skills is challenging, and you may lack confidence in assessing a patient's health.
Case studies are a common, beneficial learning approach, but some are more effective than others. Traditionally, they present information upfront, with the patient's status predetermined. But that isn't realistic, as a patient's health can often take an unexpected turn. Unfolding case studies provide new information over time, teaching you to think critically and apply what you've learned in nursing school to real-life situations you'll face on the job.
This second edition includes three new chapters providing case studies on approaching the patient interview, assessing vital signs, and assessing mental status.
Welcome to the instructor's guide for the second edition of High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. This guide is designed to be a resource for educators in a variety of academic settings in courses focused on patient safety or quality management in nursing, health services administration, or clinical programs. This instructor's guide is divided into three sections:
This guide provides suggestions to guide faculty, nurse leaders, clinical staff nurses, quality and safety staff, or other healthcare professionals who are teaching others about the application of HRO principles to patient safety and quality problems using the second edition of High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. For academic faculty, the chapter-by-chapter learning activities will help facilitate student learning about application of high reliability to patient safety and quality and can be used as part of a patient safety and quality course at a variety of academic levels.
The student workbook contains the same chapter-by-chapter learning activities found in the instructor's guide. The instructor's guide contains supplemental materials including learning activity implementation strategies and student evaluation sections. There are several completed examples of fill-in responses or answers for instructors as well. A summative learning activity is included that gives instructors the opportunity to assess student ability to translate high reliability principles into practice.
ABOUT THE STUDENT WORKBOOK
As a student in a healthcare profession, you have probably heard of the concept of high reliability as a means to reduce harm, enhance quality, and improve outcomes. Patient safety and quality are of increasing importance to consumers, payers, providers, and organizations. As a large majority of the workforce, nurses are on the front lines of the delivery and provision of safe and effective care. The quest for high reliability must permeate an organization by way of leadership commitment, a culture of safety, continuous quality improvement, and every person's focus within the organization. This student workbook is designed as a companion to the primary textbook, High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality (2nd ed.), which explains how high reliability contributes to organizational quality and safety, recommends quality and safety activities based on high reliability principles, and integrates high reliability principles into healthcare practice.
PURPOSE AND STRUCTURE
The purpose of this workbook is to provide learning activities that relate to each chapter in the book. These learning activities introduce students to high reliability, explain the concepts of high reliability and high reliability organizations (HROs), provide examples of what the concepts would look like in
everyday practice, and describe the information and tools nurses and other healthcare providers need for the organization to become an HRO. The first 26 chapters provide one accompanying learning activity, whereas the last five chapters provide context for the summative or final learning activity.
Every learning activity reflects the content of its accompanying chapter. Students should read the chapter and supplemental materials and, if specified, focus on certain sections within the chapter prior to completing an exercise. Students may complete all these learning activities, but some instructors may choose only one or two from each chapter that meet the objectives of a particular course. Each learning activity begins with objectives, contains accompanying resource material or additional external resources, and has learning activity exercise-specific instructions. Nurses represent the majority of healthcare workers and are on the front lines of delivery and provision of safe and effective care. As a result, nurses are ideally situated to drive the mission to achieve high reliability in healthcare. It is our hope that the student workbook will prepare you to apply HRO principles to patient safety and quality problems in your place of practice because we all benefit from a safer healthcare environment.
Critical thinking can be the difference between keeping patients safe and putting them in harm's way. But as a student nurse, you may find that mastering these skills is challenging, and you may lack confidence in assessing a patient's health.
Case studies are a common, beneficial learning approach, but some are more effective than others. Traditionally, they present information upfront, with the patient's status predetermined. But that isn't realistic, as a patient's health can often take an unexpected turn. Unfolding case studies provide new information over time, teaching you to think critically and apply what you've learned in nursing school to real-life situations you'll face on the job.
This second edition includes three new chapters providing case studies on approaching the patient interview, assessing vital signs, and assessing mental status.