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Factors to consider for effective communication
Factors to consider for effective communication
Solution for effective communication
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There are several errors that can be observed in the case provided. The first is the absence of notes and test results from the referring clinic. The patient is not proficient in English, and a qualified Spanish interpreter was not utilized. The patient was then taken for an unnecessary x-ray, before being seen by a doctor, while his blood sugar was low. The student providing transport for the patient back to FAI was not aware of the patient’s situation. TeamSTEPPS can provide simple solutions for these observed problems. While the patient handoff was not conducted in person, the referring clinic should have sent notes to the FAI that included the elements of I PASS THE BATON. Without a proper handoff, SBAR could have occurred to improve communication.
The case study is about a 64-year-old man, Mr. Londborg with a history of seizure, who was admitted to the hospital due to difficulty breathing. The patient has hypertension and chronic obstructive pulmonary disease (COPD). During his visit in the emergency room, he acquired an infection and his routine blood work shows elevated creatinine, which can indicate kidney problems. The client’s problem with breathing and his kidney was resolved. Although, the overseeing physician did not prescribe a prophylaxis for DVT, know that the patient will be in bed and not moving. Unfortunately, the patient got a blood clot; it was treated, but it made Mr. Londborg stays in the hospital longer than usual. In addition, the patient takes a few medications for seizure, but during his hospital stay the nurse was not able to administer one of them because it was not available. The nurse did not notify the doctor or the pharmacy regarding the missed seizure medication. The patient was found unconscious on the floor by the hospital housekeeper. Mr.
Aspect of quality care in this case is care must be safe. Patient safety is very important to providing high quality care and it should be provided in a manner which minimizes risks and harm to the patient. Dr. Brown should have used a qualified interpreter to communicate with Arturo’s mother. In this case, safe quality care was not delivered due to lack of communication between the provider and the patient’s mother, which lead to the drug overdose of the
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for gastroenterological and surgical procedures. In 1993, 2,500 cases where approximately performed and extensive maintenance of the equipment where needed before and after each of those cases. Despite the appropriate care of the scope, repair requirement where still needed. The total cost of repair that year was $60,000 and the repair services where done by an original equipment manufacturers in Ontario.
...iately discovered and the patient was fine, but had there been proper communication between the healthcare staff, such blunders could have been avoided altogether (Dolanksy, 2013).
In conclusion, Leonard, M et al (2004) point out that The complexities of patient care, coupled with the inherent limitations of human performance, make it critically important that the multi-disciplinary teams have standardised communication tools. looking back over Mrs X’s journey along this pathway. It was unquestionably the exemplary teamwork and communication, that were so fundamental in providing the holistic care that Mrs X needed. The responsibility and roles of the multi-disciplinary team were varied and often overlapped within the theatre suite. The team members had differing and varying levels of experience and expertise, but combined these when working together to care for Mrs X.
The practice of using inter-professional teams in delivering care is not a new concept but current health policy requires professionals work within a multidisciplinary team Department of Health (2001) and entrenched in the Nursing and Midwifery Council (2008) Code. The principle focus of this essay is to discuss the importance of inter-professional collaboration in delivering effective health care and what challenges and constraints exist. The integration of a case study will give an insight into inter-professional collaboration in practice.
A medical error is not reasonably expected result of normal course of action, unsafe practice of medicine, or an outcome that was not anticipated. Medical errors can happen everywhere in the hospital, here are some examples; a patient on a low-salt diet given a high salt meal, treating the wrong patient, surgical equipment, being left inside the body during surgery, and even wrong site surgery. Errors also happen when doctors and their patients have problems communicating. For example, a recent study supported by the Agency for Healthcare Research and Quality (AHRQ) found that doctors often do not do enough to help their patients make informed decisions (Saintsing 354). Uninvolved and uninformed patients are less likely to accept the doctor 's choice of treatment and less likely to do what they need to do to make the treatment work (Saintsing 356,357). Errors are all too frequent in medicine, Building a Safer Health System estimated that as many as 98,000 deaths, due to a medical error, occurs in the United States (Laure 770).
It’s very difficult to blame someone when mistakes occur in an environment in which we hope learning and improvement will take place. But eventually someone has to take blame for the mistake. Errors can occur anywhere but when it comes to the healthcare field there are more possibilities.It would include acute care, ambulatory care, outpatient clinics, pharmacies, and patient homes. Many people assume that medical errors involve only wrong medications administered or the wrong surgery performed (Dovey, Kuzel, Phillips, and Woolf, 2004). However, there are many other types of errors such as wrong diagnosis, equipment failure; sometimes patients are given the wrong blood (Dovey, Kuzel, Phillips, and Woolf, 2004). As much as the healthcare employees try to prevent medical errors, they still can happen. It is necessary to recognize the medical error in order to provide proper care to the patient, report the error and then take an action to prevent the error from happening again (Dovey, Kuzel, Phillips, and Woolf, 2004).
A ward handover is a continuous and effective process to circulating essential information about a patient which is necessary to ensure the promotion of safe patient care. Ward handovers require effective communication to ensure correct clinical care delivery to all patients. This takes the form of both verbal and non-verbal communication and requires valuable leadership skills. Following a specific communication model or framework can result in a successful handover and therefore, continuity of care for each individual patient, overall ensuring high quality patient care. Ward handovers are essentially used to improve communication through the sharing of patient information between professionals, improve patient safety by certifying reliable care and improving quality and productivity, this will help reduce inaccuracies in information sharing and the quality of patient care. There is also a growing recognition within ward handovers that enhanced training to ensure effective handovers are crucial in maintaining high standards of clinical care. To ensure that an effective handover takes place all healthcare areas must have a handover policy and compliance to this policy must be ensured.
The xiphoid and patient’s vitals needed to be properly documented and assessed constantly. This is considered a breach of duty by the nurse. It was her job to make sure this was being done. Had the patient’s vitals and status been checked more thoroughly upon his arrival, his vomiting and hypoxia could have been resolved, and possibly prevent his subsequent death. This lack of patient care is considered malpractice. In the case of a nursing malpractice situation it is defined as negligence which is “doing something or failure of doing something a reasonably prudent person would or would not do. It is the failure to use ordinary or reasonable care” (Ashley,
When the doctor or hospital made an error or some type of omission during a medical procedure, consultation, diagnosis, surgery or other types of healthcare, they commit a Medical malpractice. Although it can be stated that the doctors are negligent in performing their duty, it is not a mere negligence. Medical professionals are usually held to higher standards of performance according to the local customary practices and training. Medical professionals can be held liable of the medical malpractice, if they provide medical services below the accepted standards, which, in its turn, leads to severe injuries or even death of the patient. In addition, the wronged patient has to prove that the result of the medical care or surgical intervention was not foreseeable or necessary.
Teamwork is an important part of a healthcare team. In order to achieve it, the clinical team in this situation should be able to work with each other. Teamwork also shows how well the performance of each part of the organizational team. (Welp, A., & Manser, T. 2016). If the team are disorganized, it may cause a strain on their overall well- being which can cause a poor quality of care. On the other hand, enhancing the team work of this dysfunctional group may help save the clinic, and will be able to provide better care. Starting with teamwork understanding, everything will fall into place. Such as, adhering to the rules and regulations and knowing the roles and responsibilities of each member of the team, can create a positive
The liability of a doctor arises not when the patient suffers injury but when the injury results due to the conduct of the doctor, which was below reasonable care. Hence once there exist a duty which has to be established by the patient, then the next step is to prove breach of such duty and the causation.
D-The patient arrived on time for his session. Upon meeting with the patient, he immediately reports he is stable on his dose and then informed the patient about the need to reschedule appt. due to an appt. with CT works with his job coach. This writer asked the patient for any proof of documentation and his response was no. This writer strongly advised the patient that in the near future, if he has to end the session for any reason due to another appointment to either call this writer the day before to reschedule during the same week and also, provide proof of documentation. The patient reports that he wasn't asked for any documents before with his prior counselor and how he is good with appointments. This writer addressed with the patient
Most individuals will encounter teamwork in their academic and working lives. The input, perspectives and skills of multiple people provide the extended knowledge and experience required to produce the best possible outcome (Mitchell et al. 2012). As such, teamwork is immensely important in healthcare; it can however be a disadvantage if not coordinated effectively (Wiles & Robinson 1994). The ability of nurses and other health professionals to collaborate can ultimately determine a patient’s outcome. Poor teamwork can compromise the quality and safety of patient care, including delayed tests or treatment, and conflicting information (Manser 2009). The ultimate goal is to minimise these issues and maximise positive patient outcomes. This