Your System and Patient Safety

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Your System and Patient Safety

Your System and Patient Safety
Horace Smith
University of South Alabama

Your System and Patient Safety
I work in ambulatory surgery, preoperative and postoperative department in Charlie Norwood VA Medical Center. Patient safety is the safety from accidental injury (Nelson Batalden, & Godfrey, 2007). The clinical microsystem refers to a group of staff and clinicians that work together to provide patient care. The priorities of patient safety of my microsystem include improved patient identification using patient’s name and date of birth; reducing healthcare associated infection risk; medication safety through appropriate medication labeling and using the nine rights of medication administration; and prevention of mistakes in surgery by ensuring that the right surgery is done on the right patient and on the right place on the body of the patient (The Joint Commission 2016a).

The patient safety priorities of my mesosystem include prevention of infection; improving effective communication among healthcare providers; medication safety; appropriate and accurate handover of patients; and appropriate patient identification. The patient safety priorities in my macrosystem include safe use of alarms, safe use of medication, correct identification of patients, improved staff communication, infection prevention, and prevention of mistakes in surgery (The Joint Commission 2016b).

The patient safety priorities in my microsystem, mesosystem, and macrosystem are congruent. All these systems focus on improving safety by preventing avoidable injuries or accidents, which are often due to human error. There is congruence among these systems in regard to prevention of infection, appropriate patient identification, and medication safety. The model of patient safety used in my organization is the Joint Commission (The Joint Commission, 2016b). The complexity principles evident in my microsystem include coexistence with various other microsystems, effective collaborative relationship, interdependence of the care team, staff focus, process improvement, focus on performance results, and emphasis on education and training.


Nelson, E.C., Batalden, P.B., & Godfrey, M.M. (2007). Quality by design: A clinical microsystem approach (1st ed.). Jossey-Bass.

The Joint Commission. (2016a). Ambulatory Care National Patient Safety Goals. The Joint Commission. Retrieved from

The Joint Commission. (2016b) Hospital National Patient Safety Goals. The Joint Commission. Retrieved from

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