Patient Safety


“Patient Safety Indicators (PSIs) are 26 Indicators in healthcare set by the Agency for Healthcare Research and Quality to provide information on safety related issues that often occur in hospitals after a surgery, childbirth or other procedures” (AHRQ, 2018). Patient safety indicators aim to ensure that nurses maintain and improve the quality of their care standards. The development of the 26 PSIs involves an expert clinical panel who reviews them, perform the implementation of risk adjustments and provides an empirical analysis of the indicators. PSI are typically administrative data used to identify and prevent potential in-hospital complications following the treatment process. Collaborative activity PSIs are essential because they help nurses maintain high-quality patient care standards and guide nurses in their daily patient care activities. They are found in the hospitalization discharge records, and nurses need to ensure that the discharged patient meets the 26 indicators. The development of the 26 PSIs follows the ICD-9-CM codes and includes 18 provider-level indicators. The provider-level indicators are the nursing quality indicators. They are the quality indicators in nurses that show they can or have insured patient safety and followed all the indicators. This executive summary proposal aims to analyze the milestones that can improve patient quality indicators within this organization. This executive summary will analyze various nursing quality for patient safety indicators to help develop the proposals to enhance nursing quality for patient safety indicators within this organization. After working with this hospital, the nursing quality patient indicator that this proposal will focus on is a collaborative activity. However, to develop an appropriate proposal for improving collaborative activity as a patient safety indicator, it is crucial to understand the patient safety indicator’s meaning and importance.

Collaborative Activity for PSI

Collaborative activity is an essential nursing quality for patient safety indicators. A nurse with the quality to collaborate with the other nurses to ensure patient safety can ensure patient safety. In today’s complex hospital environment, collaborative activity is crucial to the patient treatment process’s success and in ensuring patient safety because a patient interacts with multiple numbers of nurses during a 4-days stay in a hospital. The nurse on the first day may not see the patient again. Still, their ability to collaborate and prevent any hazards such as after surgery hazards depends on their ability to work collaboratively. Therefore, collaborative activity is a significant nursing quality for patient safety indicator because it shows that a nurse or nurses within an organization can work together to ensure the patient’s safety.

Collaborative activity typically involves professional communication and team collaboration in performing organizational duties in the hospital. Since lack of communication creates situations in which medical errors can occur, professional communication ensures that all nurses and team members involved in shifts, care processes, or patient care cycles communicate all information and respectfully to ensure patient safety (O’Daniel & Rosenstein, 2018). 

Collaborative practice ensures that professional nurses communicate appropriately to prevent hazards caused by failure to communicate and may put patient safety at risk. The collaborative activity also involves team collaboration. In essence, they are working together with fellow nurses to put the patient’s interest first and ensure that all treatment procedures are followed. However, the greatest weapon for effective team collaboration is professional communication. Therefore, significant collaborative activity in nursing quality for patient safety indicators involves professional communication and team collaboration.


Importance of Collaborative Activity PSI

The complex road to ensuring high patient safety standards and completing medical processes has come down to collaboration among nurses, clinicians, and other complex decision-makers in the healthcare systems. In today’s world, patient hospital visits have scaled up to almost between one and nine yearly. The patient interacts with different organizations, clinicians, and various nurses (Rosen Et al. 2018). This calls for the need for complex collaborative activity systems that ensure patient data and treatment information is shared across organizations. This high level of coordinated activity increases patient safety by preventing errors in the treatment process due to a lack of communication.

The collaborative activity also involves bringing together different players in the care for the patient, including the family, the specialized care providers, and the diverse team of nurses and other professionals. Bringing all these people together through collaborative activity ensures exemption care to a patient and improve their healing process. Collaborative activity has remained the fundamental and most significant way to ensure effective healthcare and patient safety because today’s organizations have become very robust and involve multidisciplinary activities. Through collaborative activity, nurses can begin to learn to work in teams with proper communication to ensure patient safety across organizations and other potential boundaries. This means that a patient diagnosed with cancer in Hospital A can start Chemotherapy in Hospital B through collaboration activity. Therefore, this proposal will analyze this organization and determine the improvement opportunities available before developing proposal initiatives to improve collaborative activity.


AHRQ. (, 2018). Fact Sheet on Patient Safety Indicators. Toolkit for the AHRQ Quality Indicators,file:///C:/Users/David%20Kikuyu/Downloads/Documents/a1b_combo_psifactsheet.pdf.

O’Daniel, M., & Rosenstein, A. H. (2018). Professional communication and team collaboration. In-Patient safety and quality: An evidence-based handbook for nurses. Agency for Healthcare Research and Quality (US).

Benishek, L. E., DiazGranados, D., Dietz, A. S., Pronovost, P. J., Thompson, D., Rosen, M. A., & Weaver, S. J. (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. American Psychologist73(4), 433.