NU_503_Assign_2: Health Policy Brief II

NU_503_Assign_2: Health Policy Brief II

Patient safety outcomes remain a core aspect of quality care delivery for providers in different health care settings. The world is currently battling the emergence of the novel Coronavirus disease 2019 (Covid-19) pandemic and enhancing the safety of patients ensures that health care workers are also safe. Based on the premise that patient safety is an essential part of the delivery of quality care, healthcare organizations and stakeholders should establish comprehensive patient safety programs, campaigns and efforts aimed at attaining better outcomes (AHRQ, 2021). As such, based on the health policy brief on the issue of patient safety, this paper identifies and compares two health campaigns that offer possible solutions and advocacy efforts on the issue. The paper also examines the developed plan to ascertain how it should be enacted. In its final part, the paper discusses methods to influence legislators in supporting the plan like advocacy and potential resistance or opposition.

Nurses will feel empowered to perform when their nurse leaders show confidence in their

NU_503_Assign_2 Health Policy Brief II

NU_503_Assign_2 Health Policy Brief II

abilities to do a good job. The reason for this is that nurses feel significant inside the company since they have the ability to make choices, propose and participate in activities without having to seek clearance from higher ups. Nurses’ work lives are improved when leaders demonstrate confidence in their job, are able to reward their organizations by increasing retention and improving the capacity to give higher quality care (Hughes, 2019). Good communication between nurses and their supervisors is essential in the development of these partnerships. Effective nurse performance has been shown to be associated with positive interpersonal ties amongst staff.

Campaigns Providing Possible Solutions on Patient Safety

Effective patient safety measures require establishment and implementation of a culture of safety that include core elements like a shared belief that despite its high-risk nature, delivery processes should be designed to mitigate failure and harm to stakeholders, especially patients. Secondly, organizational committees should detect and analyze patient injuries and near misses. Thirdly, the health entities should create an environment which creates a balance between the need for reporting and taking disciplinary measures (Lawton et al., 2018). The implication is that using organizational committees in healthcare settings is an approach to seeking potential solutions on patient safety. These committees in different facilities need to integrate patient safety measures through a multi-phased approach that starts with the detection of injuries and near misses and ends with an effective mechanism for ascertaining that improvements are consolidated and sustained for long-term outcomes. They should have a model based on effective ideas emanating from evidence-based practices and best practices across various settings.

A safety culture entails an integrated pattern of individuals and organizational behavior based on shared beliefs and values that continuously seek to reduce harm that may come from processes of care delivery. One such culture is patient safety awareness as illustrated by the Leapfrog Hospital Safety Grade. The score is an effort to rate how well

NU_503_Assign_2 Health Policy Brief II

NU_503_Assign_2 Health Policy Brief II

healthcare facilities protect their patients from errors, infections and injuries. The campaign is a collaboration between Boyden and Youngblutt (B&Y) (2018) to conceptualize, design and launch an internal patient safety model that entails a patient-centered message and accountability tools to help in development of robust healthcare teams. The goal of the campaign is to reduce rates of infections, place checks to mitigate mistakes and ensure that strong communication lines exist among hospital staff, patients and their families. While it is an internal effort and campaign to enhance patient safety, it illustrates the commitment that entities can show with other stakeholders to improve safety across the care continuum and reinforce the idea that each person has a role in keeping patients from any harm, especially when in the healthcare facilities. The campaign focuses on educating and engaging each member of the health system as a catalyst for critical dialogue and encouraging staff to take necessary actions to improve the safety of patients.

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The second campaign on patient safety is by the Pan-American Health Organization (PAHO) that was launched to enhance the safety of health workers as a means of attaining patient safety in healthcare facilities. The campaign places emphasis on health worker’s safety as a priority to attaining improved safety of patients, especially in the light of the Covid-19 pandemic that has claimed many healthcare professionals across the world (PAHO, 2020). The campaign aligns with the World Health Organization’s (WHO) need to improve international understanding of patient safety and increased public engagement in safety of health care while promoting global actions on the issue. Through messages from health workers, the campaign aims on providing solutions from within the different stakeholders. For instance, it emphasizes messages like safety starts with the healthcare providers and the need for one to protect their safety and that of the individuals they care for through effective training and awareness creation on infection prevention, control and implementation of appropriate measures. The campaign also notes the need for proactive contribution to the building and strengthening of safety culture at work, improving knowledge, skills, and competencies on safety in healthcare.

The third campaign on safety is by the World Health Organization called World Patient Safety Day (WHO, 2021). The day is marked on September 17 each and was established in 20189 by the 72nd World Health Assembly after adoption of the resolution WHA72.6 dubbed “Global Action on Patient Safety.” The resolution recognizes patient safety as an international health priority and promotes the objectives of the day that include increasing public awareness and engagement, enhancing global understanding, and spurring both solidarity and action to improve patient safety.

These initiatives illustrate the importance of patient safety, highlight possible solutions among stakeholders to reduce harm, and increase public awareness and participation on how to address the issue. The campaigns have similar goals: to reduce patient harm and enhance public education and awareness. These initiatives also recognize the critical and integral roles that nurses and other healthcare providers play in information dissemination and advocacy.  For instance, the PAHO and B&Y initiatives focus on the increased role of nurses and other providers in reducing harm and developing a culture of safety in the workplace for better experiences and outcomes.

Enactment of the Plan in Paper I

The developed plan in paper had two objectives that included the need for communication of critical information leading to changes in legislation based on Congressional bills on patient safety; especially the participation of stakeholders at multiple levels and from different sources and settings. The plan also includes imploring organizations and providers to develop safety cultures using evidence-based practice interventions and providing awareness to their health workers as the critical aspects of achieving patient safety and improving overall care.

Based on these aspects and goals, the plan can be enacted through a modification of existing law or regulations. The current Congressional bill by Senator Whitehouse that mandates regulatory agencies and departments to take actions concerning healthcare associated infections, injuries and harms should incorporate increased participation of healthcare providers as critical components of healthcare delivery. The legislation should implore organizations to use evidence-based practice interventions in developing their safety cultures and increase their engagement with patients (Congress.GOV., 2021). Further, the legislation should incorporate aspects from the World Health Organization’s Patient Safety Day concepts and mandate that healthcare entities observe the day as a way of creating public awareness and training their employees on the need to be the first to observe patient safety rules.

Methods to Influence Legislators to Support the Plan

Changes to existing bills before Congress can happen through effective lobbying and seeking audience with various stakeholders, especially the sponsor of the bill and the respective committees that will handle it. In this case, the first method is to lobby for the passage of the bill after amendments by presenting the petition to the sponsor and the two committees that will review it; the health committee and the budget appropriations committee and even the Budget Office in Congress. Lobbying will ensure that the sponsor gets support and requisite numbers in both Senate and the House to pass the bill. Advocacy will entail efforts at grassroots to support the bill and have individuals sign petitions for increased funding to cater for training of healthcare workers and creating public awareness on patient safety as the best way to attain quality outcomes and experience.

Opposition to the changes in the bill may arise from hospitals and healthcare systems that may find it costly to implement some of the proposed measures like staff training and increased public awareness through patient education and media campaigns. To address the opposition, the plan will entail increased public and sectorial participation and engagement focused on enumerating the benefits that will come from the law and increased patient engagement. There will also be stakeholder forums and media campaigns to ensure that the planned changes get more support from all areas of society. While it is true that costs associated with these changes are expensive, it is worth to invest in these initiatives to help save lives and billions wasted each year due to medication errors (Lawton et al., 2018). The initiatives will ensure that the public participates and understands the intricacies of the issue and the need to generate long-term and sustainable solutions.


Patient safety remains a critical health issue that requires effective and sustainable interventions to address and improve overall care quality. Existing campaigns and advocacy efforts as illustrated by this paper show that many stakeholders are incorporating safety cultures through broad engagement and participation of all stakeholders. Therefore, all should participate through effective information dissemination to attain these goals for better patient outcomes and experiences.


Agency for Healthcare Research and Quality (AHRQ) (2021). Nursing and Patient Safety.

Boyden & Youngblutt (2018 November 13). Improving patient safety: a tall order for a single


Congress.GOV. (2021). S.3380 – Patient Safety Improvement Act of 2020.

Lawton, R., O’Hara, J. K., Sheard, L., Armitage, G., Cocks, K., Buckley, H., … & Wright, J.

(2017). Can patient involvement improve patient safety? A cluster randomized control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention. BMJ quality & safety, 26(8), 622-631. doi: 10.1136/bmjqs-2016-005570

Pan-American Health Organization (PAHO). (2020). PAHO launches health worker safety

campaign on World Patient Safety Day.

World Health Organization (WHO) (2021). World Patient Safety Day.