Preview

Safe Patient Care Case Study Essay

Powerful Essays
Open Document
Open Document
1402 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Safe Patient Care Case Study Essay
Case Study 19-1 titled “Organizational and Cultural Change for Providing Safe Patient Care”, on page 382 through 383, is about a Department of Medicine (DoM) in an urban academic medical center where in the past 2 years there has been cases where patients had needlessly suffered serious harm. Even though the cases were far and in betweeen, and most of the employees were comfortable with the status quo however, “the chairperson’s view of patient care safety meant that there was no place for such incidents.” Incidentally, the patient safety incidences occurred inspite of the fact that the medical center had three department meant to address patient safety. Given that the DoM was responsible for making decision in the patient care process, the chairperson felt the responsibility of addressing the issues more directly. The chairperson solution was to create a committee of “change agents” pulled from various departments at the medical center, and tasked with examining “lapses and problems in the delivery of safe patient care and identify trends and clusters that merited action”. The following knowledge concepts, though covered in class, are not applicable to the selected case study: Intercultural perspectives, Practices of Effective Behavior across cultures – Individual and Group, Multicultural teams, …show more content…
Leaders in an organization play an active role in defining the culture of the organization. The extent to which the original culture remains in the organization will depend on the original primary and secondary reinforcers of the cultural norms that are in place, as well as the investment made by leaders in influencing the organization 's culture. In this case study, the chairperson was able to lead the medical center in solving a patient safety concern without alienating employees, but by creating a better organizational

You May Also Find These Documents Helpful

  • Good Essays

    Discuss three patient safety issues that are present in the scenario. 1) Sara signed off medications on the MAR but she did not actually witness the patient taking the prescribed medications. 2) Sara left the medications unattended at the bedside. This is a careless practice. She should have carried them back to the nurse’s station and reattempted to administer the meds after the patient finished bathing.…

    • 469 Words
    • 2 Pages
    Good Essays
  • Good Essays

    The purpose of the National Patient Safety Goals (NPSG) is to improve patient safety via the application of evidence based practice in areas of medical care that have been identified as high risk for resulting in patient harm (Mascioli & Carrico, 2016). The organization is extremely focused on meeting the NPSGs, however, there has not been a formal assessment of the organization’s culture of safety. The hospital focuses on the individual goals, collects data, and, based on the statistics, puts into place measures to address deficiencies. Executives within the organization are sponsors of specific NPSGs and are required to write action plans for those measures for which the hospital is not meeting the target. Dr. Farber, my preceptor, rounds…

    • 302 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Appointed and chaired the Patient Safety Steering Committee (PSSC) which comprised various parties such as physicians, doctors, nursing union leaders and parents. Through PSSC, common goals of safety initiatives were set; inputs were invited from the various participants of the PSSC. Multiple points of view were encouraged and the participants identified the problems and challenges and found solutions for them, such as the Patients Safety Report and Focused Event Analysis. PSSC also reviewed the findings from accident inquiries and monitored the progress of safety initiative.…

    • 2540 Words
    • 11 Pages
    Good Essays
  • Satisfactory Essays

    Upon ensuring the patient’s safety culture, it is also considered as prevention for causing additional harm or injury to the patient. And so health care team should consider this as their primary role because they are the one who is in contact with the patient.…

    • 348 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Patient Safety

    • 416 Words
    • 2 Pages

    Write a paper outlining the most valuable learnings in the 16 courses. You may be surprised at some basic knowledge that IHI focuses on. At times your learning will be about knowledge that is not yet firmly established in our industry. Please also identify any course you did not think was worth the time.…

    • 416 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Patient Safety

    • 735 Words
    • 3 Pages

    The purpose of this paper is to identify and describe the model of nursing care used in my facility, and how it relates to the American Nurses Code of Ethics (ANA) and patient safety guidelines. The hospital I worked for is a catholic based nonprofit organization, which uses Patient Centered Nursing Care model in most of the areas of nursing within the hospital, except for specialty areas such as the operating room where Functional Nursing model is utilized. Since I work in the operating room , I focus my on the descriptions of Functional Nursing model as implemented in this arena, how the model as practiced relates to respect for human dignity, relationships to patients, the relationship of nurse to patients, and the relationships to other personnel working within the perioperative setting.…

    • 735 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Patient safety forms the foundation of healthcare delivery. The United States health care system is an extremely complex unit ensures patient safety and requires focused efforts of people's in health care organizations. Safety is defined as freedom from psychological and physical injury in an health care systems. Health care provided in safe culture and environment are essential for patient survival and well-being. A safe environment reduces the risk for injury and illness and helps to decrease the cost of health care by preventing extended lengths of stay or by hospitalization, improved patient 's functional status and increasing the patient's sense of well-being. The Institute of Medicine’s report “ To Err Is Human: Building a Safer Health…

    • 316 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Improving Patient Safety

    • 450 Words
    • 2 Pages

    Subsequently, since as nurses we spend a good sum of our shift time with our patients, we tend to impact the outcome of the patients more than other interdisciplinary team members. Factors that can prevent medical errors include providing an effective and safe patient care, monitoring quality indicators such as length of hospital stay, re- admission rate and conducting risk assessment. I also agree with you that leaders should play an important role of supporting their associates by putting in place safety measures that will reduce and completely eradicate unnecessary errors in the hospital facilities. According to Ammouri et al., 2014, In order to create a patient safety culture, many factors must be present and these include effective therapeutic communication about medical errors, appropriate staffing, procedure compliance, safe hazard free environment, and ongoing orientation and training for both new and other staff members (Ammouri et al.,…

    • 450 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    Patient Safety

    • 1454 Words
    • 6 Pages

    It is estimated that 1 in 10 patients will experience a nosocomial infection (Biddle, 2009). With this staggering fact, patient safety and infection prevention is at the forefront of healthcare. Many changes have occurred in this area since the 1840s. This is when Semmelweis, a Viennese obstetrician, made the observation, that women giving birth in an institutional setting 20% of them died of a febrile illness, whereas only about 1% in the home setting. He suggested that somehow a toxin was being spread from patient to patient on the hands of the care providers. This led him to demanding that physicians and nurses involved in obstetrical delivery wash their hands between patients (Biddle, 2009). Patient safety goals as described by American Association of College of Nurses, is to minimize risk to patients and providers as well, through an effective system of care or individual performance (Graduate level Quality and Safety Education for Nurses competencies knowledge, skills, & and attitudes, 2012). With the changes to the Centers for Medicaid and Medicare changing reimbursement policies, it is no wonder why we are going to even greater lengths to educate and implement new procedures to prevent hospital acquired infections. The purpose of this paper is to describe the issues of infection control in the surgical area and efforts that are being made to prevent surgical site infections.…

    • 1454 Words
    • 6 Pages
    Better Essays
  • Good Essays

    Essay On Patient Safety

    • 614 Words
    • 3 Pages

    Patients can be harmed from health care, resulting in permanent injury, increased lengths of stay in hospital and even death. Over the past 15 years, adverse events occur not because people working in medical professions intentionally hurt patients, but rather due to the complexity of health-care systems, where treatment and care depend on many factors, in addition to the competence of health-care providers. When so many and varied types of health-care providers, such as dentists, dieticians, doctors, midwives, nurses, surgeons, pharmacists, social workers, and others are involved, it can be difficult to ensure safe care, unless the system is designed to facilitate the delivery of quality and safe services. Patient Safety is defined as the reduction of risk of unnecessary harm associated with health care to an acceptable minimum (1).…

    • 614 Words
    • 3 Pages
    Good Essays
  • Good Essays

    There are several factors that are important to health care safety, one of the most critical factors being good communication. When someone thinks about the requirements needed to be a nurse, he or she may think of the need for scientific knowledge. However, to be a nurse one has to have more than just scientific knowledge. Nurses need to possess other skills, one of those being the ability to communicate effectively. Communication is like breathing, we do it so much, many times without thinking, that it seems natural and effortless. However, communication is a skill that some execute well and others poorly. A nurse not only has to have good communication with his or her patients,…

    • 1419 Words
    • 6 Pages
    Good Essays
  • Satisfactory Essays

    Patient Safety Essay

    • 539 Words
    • 3 Pages

    Alarms have their advantages and disadvantages. However, we could not thrive in nursing without alarms because they save lives. Are they annoying at times, yes they do. In the ICU, alarms are never shut off or turned down; they are set specifically to the patients’ parameters. (Hebda & Czar, 2013, p. 14) stated that “Patient safety is a priority for the health systems, professionals, and consumers around the world.” In the scenario given regarding working in a sterile environment and having my cell phone ringing; I would be truthful and tell my patient that I am doing a sterile procedure and cannot touch the phone at this time. For example, there are several times when doctors and I are doing a sterile procedure and his or her phone or beeper rings, what do they do? In reality, the doctors ask another nurse who is in the sterile environment, but is not a part of the procedure to answer the phone or beeper.…

    • 539 Words
    • 3 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Safe Patient Care

    • 127 Words
    • 1 Page

    Good initial post for this week's discussion. I like that you included mentor traits and study groups in your plan to develop essential skills for safe patient care. Another essential skill that is necessary to provide safe patient care is open communication. Having open communication will aid in collaborating with other health care workers. Also, it can help you establish therapeutic relationships with your patients. Use communication techniques to assist clients with coping and problem solving (Harrington & Terry, 2013, p. 205). When a patient sees that you are attentively listening and actively interacting with them, this will help build a trusting bond. I would like to add to your essential skill independence. You can be independent…

    • 127 Words
    • 1 Page
    Satisfactory Essays
  • Satisfactory Essays

    Patient Safety

    • 317 Words
    • 2 Pages

    When working in an acute care setting such as a hospital, safety is the number one priority. A safe environment greatly reduces the risk for illness or injury. It’s not only for the patient; it’s also for the healthcare provider. For a nurse, it begins when she/he meets the patient. She must assess the room and make sure there is no debris littered on the floor, that all IV tubing is untangled and not on the floor, and that the patient’s bed is down in the lowest position with both side rails up. One mistake that has been committed is having the patient’s bed in a high level in order to prevent back strain, but then remembering that they forgot the linens and leave the room with the patient basically “in the air”. The problem with this is that is the patient is drowsy, or groggy, or is incapable of walking and ends up rolling and falling off. The patient could also be of a different height and assume their feet will touch the floor and instead end up falling off the side of the bed. This is why before you leave a room you must make sure to lower the bed back to its original position, low. Although the bed has four side rails you can only keep two up at a time unless ordered by a physician for the patient’s safety, otherwise it is considered false imprisonment. In order to avoid this easily avoidable error we must remember to finish what we complete with the patient and then to lower the bed and make sure the side rails are raised. If by chance we forgot something outside of the patient’s room, stop and lower the bed, and when you return, raise it again. Without these cautionary details, a patient could fall and end up remaining hospitalized for an extended…

    • 317 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Change Management

    • 673 Words
    • 3 Pages

    2. Culture represents collective norms and behaviors – It’s hard enough to change one person’s behavior — how can you change the behavior of an entire organization?…

    • 673 Words
    • 3 Pages
    Satisfactory Essays