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Patient safety and risk management
Patient safety and risk management
Patient safety and risk management
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The unhealthy hospital case is about a hospital named Blake Memorial that has been in a very bad shape, lacks in providing the best quality of care, is in debt, and financially imbalanced. It is important for a health care set up to maintain an equal balance in the financial system so the stakeholders the organizations who run the hospitals and customers who are the patients their interests are met. If the hospital is lacking in providing the best quality of care for its community and the community is in higher needs of the care than the CEO’s of the hospital need to make a change. The patients (customers) look for getting the best services and better results from a hospital and the stakeholder’s looks for better profitable gain from their Barnabas and Blake Memorial which is on the east side. There are lots of downfalls in this case because this hospital needs to get renovated to at least give it a look of a decent hospital where people can get the right treatment. In the reading it says, “Blake needed to expand its neonatal ward; the chief of surgery wanted another operating theater; the chief of radiology was demanding a magnetic resonance imaging (MRI), and etc.”(Kovner, p. 136). If some of these investments weren’t made, the patients who were paying for their services wouldn’t be attracted and would not come to Blake for getting the care. Bruce Reid was chosen as the CEO of Blake Memorial Hospital and his main focus was to improve the quality of care and balance the financial records of the hospitals spending. This hospital wasn’t competitive compared to St. Barnabas because Blake Memorial was lacking in providing the best care to its patients in many of its health fields. Reid was trying to fix the downfalls in this hospital so the people in the community could use this hospital for their medical needs. He tried to talk to the CEO of St. Barnabas but he said, “Competition is the only way to survive” (Kovner, p. He also thought closing down the clinic 's would give a great boost to the financial condition of Blake Memorial leading to provide a better quality of care for the patients. But there was a debate about closing the clinics because the director of clinic 's of Blake Dr. Susan Russell didn’t want the clinics to shut down. She argued that the patients that visit the clinics they wouldn’t visit the hospital even if they were getting free transportation provided. Reid was confused about how he should improve the quality of care and manage the financial records of his hospital that were in charge of. He asked Dr. Russells to send him the report of clinics records to see what kind of patients come in and for what
Mary recently brought her child to the Express Clinic at their Big Market Basket Food Store. This convenience clinic is staffed by a nurse practitioner from 8:00 A.M. until the store closes at 9:00 P.M., 7 days a week. The nurse practitioner did an exam and prescribed a prescription for an inner ear infection. Mary had it filled in the pharmacy and returned home. Shortly afterwards, she started to have second thoughts, “Should I have just waited and brought my daughter to the pediatrician?” she wondered? Two days later she got a newsletter from the Express Clinic. On the cover page she saw a story headline that said “In a recent survey, 97% of the mothers we surveyed were extremely satisfied with the care they received for their children at Express Clinic.” What strategy was being implemented by Express Clinic? What was the organization trying to counter?
Problem Statement: Should Dr. Roger Mahon, Pate Memorial Hospital (PMH) administrator, take action, if any, to compete with the newly established clinic, located five blocks north of PMH’s clinic?
“Hospitals today are growing into mighty edifices in brick, stone, glass and marble. Many of them maintain large staffs, they use the best equipment that science can devise, they utilize the most modern methods in devoting themselves to the noblest purpose of man, that of helping’s one’s stricken brother. But they do all this on a business basis, submitting invoices for services rendered.”
Perhaps the greatest problem faced throughout this tale was that of miscommunication. The Merced Community Medical Center or MCMC for short was the place where Lia was being treated. This hospital was the Merced county's only hospital and unlike most rural county hospital it is state of the art, ."..42,000-square foot wing ... that houses coronary care, intensive care, and transitional care units; 154 medical and surgical beds...."3 This was a teaching hospital made up of interns mostly, but also with some great doctors like Peggy Philp and Neil Ernst. Peggy and Neil are married and have children. They graduated together at the top of their class, and have created quite a practice for themselves. Although MCMC is a great rural hospital, it also has the same problems as most rural hospitals do which is the health care crunch, where most of the money goes to the urban hospitals and then the leftover money is spread among th...
The staff, physicians and board members were not ready to fail. They didn’t want to abandon all those who depended on their services, but they also knew closing the hospital's doors would hurt
Today, there are so many legal dilemmas dominating trial for the courts to make a sound legal decision on whose right in a complicated situation. Despite the outcome of the case, the disagreement usually has a profound effect on the healthcare organization, and the industry as a whole. Many cases are arguments centered around if the issue is a legal or moral principle. Regardless what the situation maybe, the final decision is left to the courts to differentiate between the legality issues at hand opposed to justifying a case based on moral rules. According to Pozgar (2012), an ethical dilemma arises in situations where a choice must be made between unpleasant alternative. It can occur whenever a choice involves giving up something good and suffering something bad, no matter what course of action is taken (p. 367). In this paper, I will discuss cases that arose in the healthcare industry that have been tried and brought to justice by the United States court system.
In this movie, Martin E. Blake, a medical student transfer to Southern California Hospital to start his residency. Dr. Martin Blake is an individual who wants to be respected by people around him in the profession he is in. He wants to be respected often and he choose this career so that he can earn the respect he always expected. He begins to feel frustrated when he did not obtain the respect he wanted from a nurse who is supposed to obey him and be respectful towards him. He also begins to become conscious about his performances and his role about being a good doctor. He was blamed by the nurse for a patient’s allergy reaction as he was not responsible instead it was another nurse’s mistake who had messed vancomycin to be patient who was vancomycin allergy. Sooner, he begins to have low self-esteem about himself
Ms. Phillips met us in the waiting area and walked us through the very spacious building to the elevator, taking us to her office on the third floor. She explained to us that the building was once a hospital (W. Phillips, personal communication, October 4th, 2013). This explained the wide doorways, spacious halls, drab atmosphere, and considerable amount of walking it takes to get from one place to the next. Ms. Phillips’ office had very welcoming in décor. Pictures of her child and what seemed to be his artwork, and the work of other children, decorated almost every available wall space. Because the room was once a hospital room, the layout was very strange for an office. Visitors have to sit perpendicular to Ms. Phillips’ desk. Because Ms. Phillips provides in home services, I do not believe this would aff...
Hospital A before the merger was a for-profit hospital, relatively new facility, in east side of town. It consisted of 110 hospital beds, 8 of which were reserved for transitional care. Services provided were: general surgery and same day surgery, full-service rehabilitation department and radiology department. Other services included kidney dialysis center, on-site retail pharmacy, blood bank, women’s center e...
HCA, after following a conservative financial policy since its establishment, has entered the new decade preparing to make some changes in order to realign their financial strategy and capital structure. Since establishment, HCA has often been used as a measure for the entire proprietary hospital industry. Is it now time for the market to realign their expectations for the industry as a whole? HCA has target goals which need to be met in order to accomplish milestones in the future. The problem arises as to which area holds priority to the company. HCA must decide how the key components of their financial strategy and policy should my approached in order to meet their future goals.
Perhaps the most conspicuous example of the hospital environment’s detrimental impact is Billy Bibbit’s suicide after Nurse Ratched threatens to tell his mother about his night with Candy, the prostitute McMurphy brings onto the ward (Kesey 302-304). While this event can be interpreted as merely a tragedy between a manipulative nurse and an overwrought patient, it can also be interpreted as a representation of the harm that can result from an economy that encourages
Health care system is a prominent subject all over the world. Every country wants to provide the best health facilities and services to their people. Even than there are so many lapse in the health care field? As regard to U.S there are also so many short comings in the health care organizations. I have gone through and studied the background of the health care system being run by clinics, primary health care centers, and hospitals etc. People has to pay very high charges on every visit to the doctor or surgeon for medical treatments, follow-up and as indoor patients. Theses health care organizations demand plenty money and other hidden expenditures from the patients which is some time beyond the reach of the patients.
Mona Counts works in the village of Mt. Morris, Pennsylvania. It is a medically underserved area and a HPSA (health professional shortage area). The town has an extremely poor economic base and majority of Mona’s patient population are poverty level. Mona is not worried about the money and will tell a patient to come in for a check up, regardless of whether or not they have health care. One patient said, “she is old-fashioned, she talks to you and tells you what you nee...
The hypotheses in this study indicated that the use of comorbidities along with severity of injury in trauma patients as compared with a severity score alone would help to determine the hospital ranking. The null hypothesis was accepted in this case as there was no difference in the comparison.
Hospitals, long term care facilities, and mental health all serve as healthcare arenas serving the population in various ways. The hospital provides the most critical type of care, for the seriously ill. Hospitals originally served the poor and ill, but over time with the progression of technology and medical service specialties, they have grown to become healthcare meccas with many outlets. Over the past 30 years the degree of rigor of clinical practice and the scope of scientific knowledge has escalated greatly, and the hospital has become a center of high standards, scientific applications, and advanced technological capability (Williams & Torrens, 2008). The increasing shift of services to an ambulatory care arena facilitated by technological advancement itself has left the hospital with an evermore complex base of patient care, higher acuity, and higher costs (Williams & Torrens, 2008). Markets have changed, pricing pressures have increased, and consumer and payer expectations have evolved for hospitals, changes are constant in the medical arena, and hospitals are no exception.