Gap Analysis: Patient & Family Communications | National Patient Safety Foundation

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Gap Analysis: Patient & Family Communications

A gap analysis should be conducted to assess the gaps in the current state versus future state. It is recommended that the flow charting be completed along with the gap analysis for most favorable future state. A confluence of process, provider practice and product application are imperative for creating optimal standards of safe care.

Process Reviewed

	EXAMPLE: Patient Upset Due to Early Morning Fire Alarms
Current State	Fire alarms went off in the early morning, resulting in loud noise. Staff walked around closing doors and performing safety checks. Received several patient complaints and concerns; they felt worried and uninformed, One patient fell trying to get out of their room.
Future/Ideal State	Keeping patients informed by communicating current state to all patients.
Gap Y/N	Y
Actions Taken to Close Gap	Assign staff to specific areas and task them with the responsibility of informing patients within their assigned area. First communicate with the patient before closing door Create a standard / consistent script between nurse and patients.
Responsible Person/Team	Nursing Director / Chief Nursing Executive
Completion Date
Comments / Notes

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