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reflection on patient safety
reflection on patient safety
patient safety
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There is currently overpowering confirmation that significant amounts of patients are harmed from their health care providers bringing about perpetual harm, expanded length of stay in doctor's facilities and even death (Hellings, J. 2010). We have learnt in the course of the most recent decade that adverse occasions happen not on account of terrible individuals deliberately harm patients but instead that the arrangement of health care today is complex to the point that the effective medication and result for every patient relies on upon an extent of elements, not only the ability of an individual healthcare provider. At the point when such a variety of individuals and diverse sorts of healthcare providers are included this makes it exceptionally troublesome to guarantee safe consideration, unless the arrangement of care is intended to encourage opportune and complete data and considerate by all the health professionals. Patient safety is an issue everywhere that conveys health services, whether they are privately financed or specially made by the government (Singla, A. 2006). Ordering antibiotics without respect for the patient's underlying condition and whether anti-microbial will help the patient, or managing numerous medications without thoughtfulness regarding the potential adverse drug reactions, all have the potential for damage and patient harm. Patients are not just hurt by the misuse of technology, they can also be harmed by poor communication between different healthcare providers or postpones in getting medication (Bates, D. 2013). Patient-physician communication is a necessary some piece of clinical practice. Patients, who comprehend their specialists, are more inclined to recognize health issues, comprehend their medi...
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...s, C. B., Hackbarth, A. D., Goldmann, D. A., & Sharek, P. J. (2010). Temporal trends in rates of patient harm resulting from medical care. New England Journal of Medicine, 363(22), 2124-2134.
Keller, V. F., & Gregory Carroll, J. (1994). A new model for physician-patient communication. Patient education and counseling, 23(2), 131-140.
Nieva, V. F., & Sorra, J. (2003). Safety culture assessment: a tool for improving patient safety in healthcare organizations. Quality and Safety in Health Care, 12(suppl 2), ii17-ii23.
Singla, A. K., Kitch, B. T., Weissman, J. S., & Campbell, E. G. (2006). Assessing patient safety culture: a review and synthesis of the measurement tools. Journal of Patient Safety, 2(3), 105-115.
Sutcliffe, K. M., Lewton, E., & Rosenthal, M. M. (2004). Communication failures: an insidious contributor to medical mishaps. Academic Medicine, 79(2), 186-194.
Communication is cited as a contributing factor in 70% of healthcare mistakes, leading to many initiatives across the healthcare settings to improve the way healthcare professionals communicate. (Kohn, 2000.)
By definition a safety culture is the common and general accepted way people behave in the workplace. But in the true sense there is no single definition of a safety culture. What one may view as the best standard to safety is turned upside-down and inside out to reform their own “definition” of a safety culture. In simpler terms, a safety culture is an atmosphere within a company or organization where safety is understood and also accepted as the top priority.
Communication plays a vital role in all areas of healthcare, yet its importance is often overlooked. Whether it is a doctor talking to patients about treatment options, or strangers comforting one another in a waiting room, communication is happening everywhere and almost always, we underestimate how important it is and how it truly affects our medical experience. In the movie The Doctor, this is exactly what happens, causing a whirlwind effect of emotions and learning.
In a culture of safety and quality, all employees are focused on upholding quality in providing safe care. In order to promote patient safety in the hospital setting there should be an exhibition of teamwork irrespective of the different leadership positions. However the leaders show their obligation to quality and safety, and set capacities for their employees to perform a committed and critical role in assuring patient safety.
“Physicians and other health care professionals all agree on the importance of effective communication among the members of a health care team. However, there are many challenges associated with effective interprofessional (between physicians and other health care providers) communication, and these difficulties sometimes lead to unfavourable patient outcomes” (Canadian Medical Protection Association, 2011 p. 11).
Institute for Healthcare Improvement. (2011). Introduction to the Culture of Safety (Educational Standards). Retrieved from IHI open school for health professions: http://www.ihi.org
Understanding that all patients needed to be treated justly and given the opportunity to make decisions in their care is important. Not causing harm and preventing them from harm is also the duty of health care workers. These ethical principles are essential to keep in mind with interdisciplinary communication. Ineffective communication has been associated with medical errors, patient harm, and increase length of stay. Failure to communicate properly has been associated with 79% of sentinel events (Dingley, Daugherty, Derieg & Persing, 2008). Good communication has been shown to improve patient satisfaction, increase in patient safety, as well as a decrease in health care costs (Paget et al.,
This article points out many of the techniques that were talked about in the IPE Tegrity lectures. Some interventions that are used to increase communication skills are provide effective interprofessional communication are the SBAR, team huddles, and multidisciplinary rounds using daily goal sheets. To briefly describe each, the SBAR is a standardized means for communication in patient situations. It asks these four questions, “What is going on with the patient,” “What is the clinical background or context”, “What do I think the problem is”, and “What do I think needs to be done for the patient”(Dingley, 2008). This is used by all health care disciplines, hereby ideally eliminating hierarchy between the physician and the other disciplines. Team huddles are quick pow wows that set the flow of the rest of the day. In the article, it states that these team huddles result inlet interruptions during the rest of the day and immediate clarification of issues (Dingley, 2008). They have specific guidelines to make sure that they run as effectively as possible as well. Lastly, multidisciplinary rounds increase patient-centered communication and include any and all providers involved in the patient’s care. These are primarily focused on open communication, decision making,
It is nearly impossible to motivate people to do what is right without exception. Patient safety officers create an environment that encourages to identify and report errors and “near misses”, all while having a supportive staff. The problem is there are not bad people in healthcare; the problem is that good people are working in systems that need to improve safety. By recording reports, it offers a strategy in raising the level of patient safety in healthcare, and it also explains how patients themselves can influence the quality of care they receive. Patient safety officers carry out activities to spread improvements across, reinforcing “Just Culture.” Patients along with the hospital staff need to be recognized and appropriately rewarded for their efforts and be able to work within a culture of trust. To bring about these much needed changes in healthcare administration and practice, it is important to focus on the conditions that allow positive events to propagate within a culture of safety.
Without communication, there is no discussion or exchange of idea. This community grows and members gain knowledge only by “active and engaging communication that results in action” (Yamin). Health professionals practice many forms of communication, but there are three important types that every member practices to keep this community functioning. One, they communicate between health facilities and share information. Second, they communicate within their own health facility to provide general care and treatment to the patients. Third, they communicate among one another to provide each individual patient with the care they need. “Communication between physicians, paramedics, and/or nurses must be clear, concise, and contain no ambiguity” (The Analysis of Medical Discourse Community). The patient’s history and care provided need to be accurately documented, either on paper or electronically. It is important that mistakes do not occur in the chain of communication between different medical professionals or it could lead to consequences. These different communication methods work together to make sure a patient receives proper treatment and care.
Patient safety one of the driving forces of healthcare. Patient safety is defined as, “ the absence of preventable harm to a patient during the process of healthcare or as the prevention of errors and adverse events caused by the provision of healthcare rather than the patient’s underlying disease process. (Kangasniemi, Vaismoradi, Jasper, &Turunen, 2013)”. It was just as important in the past as it is day. Our healthcare field continues to strive to make improvement toward safer care for patients across the country.
Despite the frequency of verbal interactions, miscommunication of patient information occurs that can lead to patient safety issues. . . . ‘Effective communication occurs when the expertise, skills, and unique perspectives of both nurses and physicians are integrated, resulting in an improvement in the quality of patient care’ (Lindeke & Sieckert, 200...
The rate of errors and situations are seen as chances for improvement. A great degree of preventable adversative events and medical faults happen. They cause injury to patients and their loved ones. Events are possibly able to occur in all types of settings. Innovations and strategies have been created to identify hazards to progress patient and staff safety. Nurses are dominant to providing an atmosphere and values of safety. As an outcome, nurses are becoming safety leaders in the healthcare environment(Utrich&Kear,
Keeping patients safe is essential in today’s health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled ” To err is human, building a safer health system”(Wakefield & Iliffe,2002).This report found that approx-imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency coordination task force with the help of government agencies. These government agencies are responsible for making health pol-icies regarding patient safety to which every HCO must follow (Schulman & Kim, 2000).
Street, Richard, MD. (1992). “Analyzing Communication in Medical Consultations: Do Behavioral Measures Correspond to Patient’s Perceptions?”. Medical Care, 30, 976 - 987