INTRODUCTION dimensions require health systems to be well-organized, efficient,


The Healthcare system has changed significantly over the past few decades which ranges from technological to normative ones, all demanding expertise in quality. The responsibility of a nurse in safety culture can be described from both organizational outlook and a human outlook. Improvement in the safety and the outcome of hospitalized patients have been slower than expected. Team-based and evidence-based standardization, risk management protocols could promote safety and bring out the positive outcome. (Sevdalis et al., 2012) The worldwide requirement for quality and safety was first voiced by the World Health Organization (WHO) regarding patient care by the year 2002. The same effort started all the way through the establishment of the World Alliance for Patient Safety, in 2004, and has developed over the years. According to the  WHO, adverse events are the third leading cause of mortality in hospitals in the United States of America. In the United Kingdom, the latest survey predicts that one incident of patient harm is reported every 35 seconds. The majority of common undesirable safety incidents are associated with surgical procedures (27%), medication errors (18.3%) and hospital-acquired infections (12.2%).  (WHO 2017).

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Institute of medicine IOM (2004) defines patient safety as the prevention of injury by errors of commission and omission. An error caused by the commission is said to be an act performed which results in patient harm and an error of omission is said to be an act performed inaccurately. The quality in relation to patient care is further defined as promoting, implementing and evaluating values and quality of practice. (McSherry 2004). According to (IOM 2001), Quality care is a safe, effective, patient-centered, timely, efficient and equitable thus safety is the foundation upon which all other aspects of quality care are built. The World Health Organization (WHO) has defined quality in health care into six dimensions. These dimensions require health systems to be well-organized, efficient, available, patient-centered, fair and most importantly safe (WHO 2006). Risk management is a process of planning, identification, analysis, response, monitoring, and control of a situation. Risk management department targets to expand the possibility and impact of positive measures and diminish the likelihood and impact correlated with adverse events. Risk management has been brought into practice to cover up all sort of risks associated with health care, both clinical and non-clinical ones. (Cagliano_et_al_SS_2011)

This assignment will critically discuss a quality project on the topic “The Productive Operation Theatre,” known as the TPOT, which was implemented in two operating rooms in one of the largest teaching hospitals in Ireland. The Productive Operating Theatre (TPOT) project was introduced to our unit to improve the theatre utilization, team performance, staff wellbeing and overall to enhance patient safety. The article will focus specifically on how the project improved the quality of care. The assignment will also address on quality and Patient safety and risk management. A discussion of how the initiative was planned and implemented, will be presented using quality tools and techniques. The quality initiative implementation will be justified through appropriate health policy and research.