Environmental audits and quality assurance practices should be incorporated to ensure environmental hygiene within the organizations, and 4) training and educating healthcare professionals to integrate these changes within their practices is essential for continuous improvements. Weekly in-service training sessions for nurses, doctors, and nursing assistants will be beneficial to encourage staff to implement the practice changes, reduce healthcare-associated infections, and improve the quality of care and safety of patients. 

This proposal is based on the assumption that infection control practices within a healthcare organization play a critical role in minimizing the risks of infections for patients. These practices are generally associated with improved hygiene, enhanced healthcare safety, and positive patient outcomes. 

Prioritization of the Proposed Change Strategies 

Although every proposed change strategy is essential for reducing the risk of HAIs, the hand hygiene practice and education of healthcare professionals should be prioritized. By effectively utilizing these guidelines, the organization can radically improve infection control practices and prevent hospital-acquired infections. The rationale behind prioritizing hand hygiene practices is that hands are considered to be the source of germ transmission. Moreover, CDC claims that proper utilization of hand hygiene techniques inhibits the transmission of antibiotic-resistant infections. Hence, prioritizing hand hygiene and constantly encouraging healthcare workers to practice the guidelines is vital for patients’ safety in terms of HAIs. 

Quality and Safety Culture and its Evaluation 

 The suggested change strategies help in improving the quality of care and developing a safety culture for the patients by progressing healthcare practices. These improvements will be successful if inter-professional collaboration and communication are encouraged and a mindset of continuous improvement is developed. Preventing nosocomial infections improves the quality of care, reduces financial burden, decreases the length of stay, minimizes the chances of complications, and ultimately enhances patient satisfaction level and safety. It is significant to evaluate these quality and safety improvements. The evaluation metrics include:

  1. A continuous prevalence survey is important to analyze the data and identify the number of cases within the organization which will help in assessing the effectiveness of the strategies and bring further modifications, if necessary (Sun et al., 2021). 
  2. Measuring patient satisfaction levels to ensure the purpose of the change strategies is achieved, which is patient-centered and safe care. Patients who are satisfied with the care always report improvement in quality of life and this feedback helps organizations to further improve their practices (Baumbach et al., 2023). 
  3. Assessing staff knowledge and understanding of the prevention of HAIs will help in keeping the change strategies sustainable for a longer period. Overall, these evaluation metrics will help an organization to access the effectiveness of the proposed change strategies and evaluate the improved quality and safety culture that is established within the healthcare organization.

Organizational Culture Affecting Quality and Safety Outcomes 

Adverse outcomes on quality and safety within a healthcare organization can be impacted by the organization’s culture and hierarchy. Lack of communication lines can impair the process of identification of these adverse events (HAIs) thus affecting the quality. Improved communication among inter-professional teams, nurses, nurse leaders, and physicians can assist healthcare professionals in showing adherence to quality practices (Bearman et al., 2019). Another important aspect is limited staffing. The inadequate staff-to-patient ratio is considered one of the factors which increases the risks of healthcare-associated infections as the workload imposes various challenges to performing effective infection control (Mitchell et al., 2018).

NURS FPX 6212 Assessment 1 Quality and Safety Gap Analysis

Finally, a lack of accountability and blaming culture reduces the ability of the organization to identify the risk factors and also promotes healthcare workers to remain unaccountable for their actions thus, reducing the quality of care and hindering patients’ safety (Wolvaardt, 2019). The assumption on which this analysis is based is that a motivating and positive culture within any organization helps the employees to work for the betterment of the company as well as together the goals and vision of the organization are fulfilled. Particularly for healthcare stings, teamwork, and a c


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