A Culture of Patient Safety

Read this article:

Sammer C. & James B. (2011 September 30). Patient safety culture: The nursing unit leader’s roleOJIN: The Online Journal of Issues in Nursing16(3) Manuscript 3.

In the Hospital Hope scenario what do you think was the most important factor that led to the change in practice in the SICU?,

If you worked in a facility that needed a practice change what framework would you use and why?,

Assignment Expectations:

Length:1000 to 1250 words in length

A Culture of Patient Safety



The Hospital Hope scenario is a hypothetical case study that describes how a hospital that  lacked a culture of patient safety and how the hospital leaders should have responded to the  patient safety issues that were experienced during patient care delivery. Thus, the case study  involves a 73-year-old female patient who was admitted to the hospital for diagnosis and  treatment after she experienced two episodes of passing out and minimal exertion. During her  hospital stay, the elderly patient developed other preventable health problems, which included  hospital-acquired pneumonia, a central line infection, and also experienced three episodes of  hypoglycemia. The issue of hospital-acquired illnesses affected the patient in different ways. For  instance, the health issues prolonged her hospital stay and recovery, increased the costs  associated with her care, and even led to psychological stress for the patient and her family.  Besides, the subsequent section of the case study presents various measures that the hospital  should have taken to respond to the issue as exhibited by the SICU nurse manager. 


There various driving factors that facilitated the change in practice in the SICU. They  included leadership, evidence-based practice, effective communication, learning culture,  teamwork, and just culture, and a patient-centered culture (Sammer & James, 2011). Despite the  role of these driving factors in the hospital’s SICU change, leadership was the most important  driving factor. Leadership is crucial for the successful implementation of change in any  organization. A leader plays various roles to implement change. For instance, a change leader  creates and promotes a change vision, develop and implement a change plan, and motivate the  employees to embrace change (Sammer & James, 2011). Similarly, in the case study, the Hospital Hope leadership improved the hospital’s mission by transforming evidence-based  organization. Besides, the Hospital Hope leadership plays a significant role in ensuring other  driving factors were executed effectively.


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