Pre-Module Assessment: Patient Safety

This article covers Pre-Module Assessment: Patient Safety.

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Pre-Module Assessment: Patient Safety

Key Organizations

Two healthcare organizations considered for this essay on medical safety competency are the Mayo Clinic and Mount Sinai Hospital. The 2020/21 ranking of the USA’s best hospital facilities ranked these hospitals and their branches among the top providers of unrivalled patient care (Fiore, 2020). Mayo Clinic’s mission is to inspire hope and promote health by integrating clinical practice, education, and research (Mayo Clinic, n.d.).

The primary value at Mayo Clinic is patient first. The organization upholds respect, integrity, compassion, healing, innovation, excellence, stewardship, and teamwork. The hospital’s purpose is to establish a healthcare environment free from individual differences. Mt. Sinai Hospital’s mission is to provide compassionate care by facilitating unravelled collaboration and advancing clinical practice in the community through training, research, and outreach (Mount Sinai Health System, n.d.-a). The organization upholds the values of safety, agility, teamwork, and empathy. The hospital’s purpose is to establish a race-free healthcare and learning facility where everyone has a sense of belonging.

Organizational Resources

From the considered organization, Mt. Sinai Hospital is picked for further patient safety evaluation. The organization shows a deep concern for the patient safety concept in all its activities and system process. In its statement of patient safety, the organization argues that its workforce is committed to providing the safest care for all patients and that patient safety is their priority (Mount Sinai Health System, n.d.-b). The organization has various resources established to achieve patient safety. The first establishment is the training programs and opportunities for its employees.

The organization trains employees on the mechanism of providing an optimal patient experience. The institution is continuously upgrading its systems and programs to help keep patients safe so that they heal and recover in an environment that embodies care, empathy, and teamwork (Mount Sinai Health System, n.d.-b).

Secondly, the organization has established an effective leadership that facilitates reporting adverse events (Mount Sinai Health System, n.d.-b). Besides, the leadership embodies clear and regular communication to establish the medical team’s safety status and the patients. The hospital has case management officers who ensure that caregivers are guided on patient safety issues and events and coordinate care delivery.

The organization has also established pharmacological, therapeutic, and technological approaches in ensuring patient safety. For instance, the organization uses antibiotics when necessary to void resistance; ensures blood products’ safety to avoid contamination; fall reduction program to ensure incapacitated patients are, cybersecurity systems and patient health electronic health records systems (Mount Sinai Health System, n.d.-b). These approaches ensure that patients are protected from any unwanted harm or injury arising from medication or system lapses.

Healthcare Risks

Like any other healthcare provider, Mount Sinai Hospital has been short in achieving 100% patient safety. In 2016, the hospital was accused of staffing shortages which cause heart attacks among patients and delayed admission time for patients who needed emergency care (Bean, 2019). Equally, other adverse effects the hospital was accused of included its inability to control infections and maintaining patient safety, albeit its core value.

Bowden (2019) reported that some patients taken to Mount Sinai hospital had a heart attack without the clinicians’ awareness. In the end, the physicians were blamed for some of this death, leading to guilt, anxiety, and even depression on those who were deemed immediately responsible. As a result, some physicians resigned from their position citing, among other staffing shortage issues and inadequate patient units.

Risk-coping strategies

Coping strategies for patient safety and medical errors. The Institute of Medicine’s To Err is Human, and Quality Chasm reports provided recommendations on patient safety at the turn of the century that most health facilities have consistently adopted to ensure they achieve safe care. Borrowing from these reports, I recommend reporting safety concerns and incidences, standardizing and simplifying healthcare processes, and adopting healthcare technologies as effective strategies. According to Donaldson et al. (2000), healthcare providers must provide adequate resources to analyze incidental reports and establish follow-up frameworks to hold the organization accountable.

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Pre-Module Assessment: Patient Safety
Pre-Module Assessment: Patient Safety

Donaldson et al.’s (2000) report highlighted the importance of providing non-discriminatory systems to enable physicians to report and analyze errors within the organization. In this sense, medical personnel will get the necessary psychological support to overcome mental health effects associated with medical errors (Bari et al., 2016). The consistent improvement in deliberate reporting actions should be encouraged as it’s a significant safety program component.

Furthermore, Baker’s (2001) report recommended healthcare providers redesign the care delivery system by changing the structures and processes with which care is carried out. This involves the use of healthcare information technology to transform healthcare operations. For instance, telehealth systems can help hospital administration decongest health facilities and offer care remotely while having in-person attendance to the most critical situations. Besides, information technology is critical in managing patients’ clinical information necessary in identifying novel ways of responding to patient safety concerns.

The statement, “those who make errors that harm patients are themselves, victims.”

The meaning to this statement is that is common for the human being to commit mistakes. Second victims refer to medical personnel who have been directly involved in medical errors. In most instances, medical personnel is at the centre of adverse medical events. Consequently, often suffer mental health issues arising from guilt, blame, and embarrassment following medical errors (Grissinger, 2014). The opponents of the “second victims” concept argue that the concept is trying to disassociate caregivers from the accountability of their mistakes by placing medical care needs above that of the injured patients. In contrast, the proponents of the concept argue that it offers caregivers another chance rather than punishing them, yet it is natural for human beings in every employment setting to make errors.


Baker, A. (2001). Crossing the quality chasm: a new health system for the 21st century (Vol. 323, No. 7322, p. 1192). British Medical Journal Publishing Group.

Bari, A., Khan, R. A., & Rathore, A. W. (2016). Medical errors; causes, consequences, emotional response, and resulting behavioral change. Pakistan journal of medical sciences32(3), 523. https://doi.10.12669/pjms.323.9701 

Donaldson, M. S., Corrigan, J. M., & Kohn, L. T. (Eds.). (2000). To err is human: building a safer health system. https://doi.0.17226/9728

Fiore, K. (2020). U.S. News & World Report Hospital Rankings & Ratings. (2021). Retrieved 1 April 2021, from   

Grissinger, M. (2014). Too many abandon the “second victims” of medical errors. Pharmacy and Therapeutics39(9), 591.

Mayo Clinic. (n.d.). Mayo Clinic Mission and Values.

Mount Sinai Health System. (n.d.-a).Our Mission. Retrieved 1 April, 2021, from

Mount Sinai Health System. (n.d.-b). Patient Safety. Retrieved 1 April, 2021, from


The Module Pre-Assessment is your opportunity to practice applying module content before submitting the final Competency Assessment. In the Final Assessment, you will be asked to create a memo to the executive board of a healthcare organization you select that analyzes the organization’s current status of quality, medical errors, and safety.

To prepare for your Final Assessment, select an organization on which to base your memo. You may use your current organization or one where you desire to work in the future. Next, consider how the key objectives and impacts of the Institute of Medicine’s To Err Is Human: Building a Safer Health System and the follow-up report Crossing the Quality Chasm impact the organization you selected. Then, reflect on an adverse safety event that became an impetus for systems changes related to patient safety, including the systemic failure that allowed the event to occur, system changes that were made as a result, and the outcome of those changes. Finally, think about how that event, the failure that caused it and the changes that followed apply to your organization.

For this Module Pre-Assessment, create a draft of your memo to the executive board of the organization you selected. Be sure to review the Final Assessment Instructions for more guidance.


The Module Pre-Assessment is your opportunity to practice applying module content before submitting the final Competency Assessment. As mentioned previously, in the Final Assessment, you will be asked to create a memo to the executive board of healthcare organization you select that analyzes the organization’s current status of quality, medical errors, and safety.

To prepare for your Final Assessment, select two organizations associated with the area of patient safety and with their mission, purpose, and values. Next, consider how their resources can be used to achieve the safety goals of the organization you selected. Then, reflect on two risks to medical, clinical, and other organizational staff as second victims when medical errors occur and what specific strategies the organization can implement to assist its internal stakeholders to cope when medical errors do occur. Finally, evaluate the statement, “those who make errors that harm patients are themselves victims”, and consider the pros and cons of this statement.

For this Module Pre-Assessment, continue drafting the memo you started in the Module Two Pre-Assessment. Be sure to review the Final Assessment Instructions for more guidance.

Related FAQs

1. What is the pre-assessment and patient preparation module?

The Pre-assessment and Patient Preparation module provides a practical approach, that will help you and your team to identify all the key elements required to ensure every patient is fully prepared for their endoscopy procedure, both physically and psychologically.

2. What are the patient safety problems in pre hospital care?

the patient safety problems in pre-hospita l care [8]. It is context. What makes pre-hospital care so unique is that the care is provided far away from medical support. The onment. The pre-hospital health-care providers assess which sometimes have a high degree of acuity.

3. How do we measure and monitor safety in prehospital care?

There is no single method of measuring and monitoring safety in prehospital care. Arguably, most safety monitoring systems have evolved, rather than been designed. This leads to safety blindspots in which information is lacking, as well as to redundancy and duplication of effort.

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Cathy, CS