Sample Essay on Quality and Patient Safety by Setting

Patient safety can be described as the deterrence of injury to patients. It is freedom from unintentional or avoidable harm created by healthcare. Patient protection practices are those that minimize the threat of unfavorable events linked with exposure to health treatment across different diagnoses (Wachter, 2012). The quality and safety of patients is linked with different factors inside systems, clinics, and their work settings. The combination of these factors has an effect on the type of quality and safety of care offered by nurses (Wachter, 2012). This article seeks to look at the advantages and challenges of patient safety-related with a private clinic. The privatized health care structure in America has created decentralized quality enhancement approaches and an inadvertent outcome has been uncertainty concerning who is accountable for quality and the scope of stakeholders’ responsibilities.

A considerable numbers of patients suffers injuries in private clinics, either resulting in lasting injury, lengthy stay in the clinics, and also death. These unpleasant events take place not because bad physicians deliberately harm patients, but rather that the system of private clinics nowadays is so intricate that the successful treatment for every patient relies on different factors, not just the capability of an individual health-care giver. Patients are not simply harmed by the mishandling of technology but also ineffective communication among various health-care givers (Robert Wood Johnson Foundation 2008). Patient safety is an extensive matter integrating the healthcare technology such as prescribing electronically and restructuring clinics appropriately and being a team player. Majority of the aspects of patient protection do not entail financial resources, but to a certain extent, they involve dedication of stakeholders to practice carefully. Improved patient safety practices can also save expenses since they reduce the harm imposed on patients. When errors are identified and analyzed, they can assist identification of the major contributing features. Understanding these features that result to errors is necessary to devise adjustments that will prevent errors from recurring.

One of the challenges regarding quality and patient safety for a private clinic is the repetition of errors. These clinics’ services are provided to patients in a setting with intricate interactions in the midst of many factors, such as the ailment procedure itself, clinicians, technology, rules, measures, and capital. When these intricate factors integrate, injurious and unexpected errors can take place. When errors arise, the “deficiencies” of health care providers, for example inadequate training and limited experience, are manifested as faults, contraventions, and ineptitude (Wharam, & Sulmasy, 2009). The other challenge is that majority of private clinics do not meet the principles of high-reliability institutions. Nurses perceive various and intricate work setting factors that have an effect on nurse and patient outcomes. These factors include leadership quality, staff income, workload, job pressure and nervousness, teamwork, and efficient communication.

Individual physicians and nurses in private clinics can enhance patient safety by using various strategies. Firstly, they should maintain communication with patients, learn from errors, and maintain efficient communication with the healthcare team. Also redesigning the system and structure in private clinics would enhance quality patient safety (McFadden, Stock, & Gowen, 2006). This is because many private clinics do not meet the standards of high-reliability institutions in health care.  Such activities can also save costs since they reduce the danger imposed to patients. Nurses are vital to the surveillance and synchronization that lessen such unpleasant outcomes. The major function of communication or communication lapses in the commission of error lies upon the nurse as a major communication link in every healthcare setting (McFadden, Stock, & Gowen, 2006).


McFadden, K. L., Stock, G. N., &Gowen, C. R. (2006). Exploring strategies for reducing hospital errors. Journal of Healthcare Management, 51(2), 123–135

Robert Wood Johnson Foundation. (2008). The current state of health care quality.

Wachter, R. M. (2012). Understanding patient safety. McGraw Hill Medical.

Wharam, J. F., & Sulmasy, D. (2009). Improving the quality of health care: who is responsible for what?. JAMA, 301(2), 215-217.