Understanding the pressures of quality improvement

I’ve had a unique opportunity to reflect on the complex system in which we deliver care. The complexities of the broader U.S. healthcare system and intricacies of individual facilities make eliminating medical errors and adverse events an extraordinary challenge. Fortunately, I have retained close operational access to multiple facilities. It allows for a great perspective to peer into the workings of driving safe and effective care at the bedside. I have found that, often, the delivery of safe care depends on the vast amount of operational and procedural change frontline caregivers, specifically nurses, are required to understand and apply each time they arrive for a shift. 

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