It's a Crime to Risk Patient Safety

Saturday, 16 November 2013: 3:15 PM

Angelita M. Cook, MSN, RNC, c-EFM
Family Birthing Center, Mercy Health, Fairfield, OH
Wendy M. Chastain, BSN, RNC-CCE, c-EFM
Family Birthing Unit, Mercy Heatlh Fairfield Hospital, Fairfield, OH
Marie E Leist-Smith, MSN, RNC-OB, c-EFM
Family Birth Center, Mercy Health-Fairfield Hospital, Cincinnati, OH

Learning Objective 1: The learner will be able to identify two learner centered teaching methods utilized with in the Crime Scene Investigation for patient safety educational program.

Learning Objective 2: The learner will be able to describe the implementation process of the Crime Scene Investigation educational program for patient safety.

Purpose for the program:

Creating a culture of safe patient care is leading the health care industry in terms of quality of care, medical reimbursement, patient outcomes, patient satisfaction, and nursing education. The purpose of this innovative education is to enhance the critical thinking skills of direct care nursing staff on patient safety hazards with the intent to decrease adverse patient outcomes.  The “Crime Scene Investigation” (CSI) education program was implemented to improve an overall safe environment that reduces the rate of adverse obstetric safety events.

Proposed change:

Traditional nursing education includes self-study packets, written exams, on-line learning modules, didactic oral presentations. A CSI room was created to have the direct care nurses physically identify safety hazards with a patient room utilizing critically thinking and psychomotor skills.

Implementation, outcomes and evaluation:

 A patient’s room was simulated into a “crime scene” using low fidelity mannequins.  The “CSI” scene included 35 patient safety hazards included but not limited to invasive lines, wound care, sepsis, respiratory, blood administration, medication, safety and falls. The nurses received information about the crime scene through a case study and then enter the room to investigate for patient safety hazards.  The investigating enhanced critical thinking skills and awareness of patient safety hazards. Direct care nurses were able to identify patient safety hazards and through debriefing implement ideas for quality and process improvement.

 Implications for nursing practice:

The CSI project impacted nursing care because it created a new type of learning environment that enhanced critical thinking skills and psychomotor skills.   Minimal cost was associated with the project as everything was performed on the unit during the staff’s scheduled shift. This CSI education project is adaptable to any health professional education.  Avoiding preventable injuries to patients improves patient’s outcomes and is on the forefront of staff education and awareness.