1 COMMUNICATION FOR SAFETY Introduction: Patient safety is considered one of the cornerstones of the high quality healthcare. When the safety of the patients is not ensured, it results in harming the health of the patient along with negative outcomes such as mortality and morbidity. Moreover, lack of quality in ensuring healthcare services results in longer stays at hospitals and readmission of the patents affecting the quality of life of the patients. Healthcare professionals are therefore critical for the surveillance as well as coordination of the healthcare services for reduction of the adverse outcomes. To be more specific, safety in healthcare is mainly defined as the attribute that helps in residing the risk if unnecessary harm to the patient to an acceptable minimum level. On the other hand, quality in the healthcare mainly refers to the best possible health outcomes given under the available circumstances as well as resources that are consistent with the person centred care. The Australian Commission on Safety and Quality in Health Care (the Commission) had therefore collaborated with the with the Australian Government, states and territories, the private sector, clinical experts, patients and carers to develop the National Safety and Quality Health Service (NSQHS) Standards.The main aim of this document was to protect the public from harm as well as to develop the quality health-service provisions, so that the every citizens experience the best health (ACSQHC, 2017).This assignment would mainly be focused on one of the main standards like communicating for safety and would help to enlighten the ways about how this standard has been proven to be significant indicators in maintaining quality and safety of patients.
2 COMMUNICATION FOR SAFETY Quality and safety in the Australian health care system: Patient safety as well as quality is seen to go hand in hand. Researchers are of the opinion that safety of the patients is mainly considered to be an important component of quality and therefore the practices that are designed in the Australian healthcare system to develop the safety care of the patients actually lead to improvements of the overall quality of the care of patients. The Australian healthcare systems are mainly seen to promote three important attributes in order toensurethatthequalityofcareprovidedtopatientssatisfiesthemthefirstoneis appropriateness (Sherwood & Barnstein, 2017). These three attributes ensure that the care or the services that are provided to the patients by the healthcare professionals are indeed appropriate to the needs of the client or the patient as well as to the patient group or the population. The second attribute is the effectiveness. Researchers are of the opinion that care or the services that are provided help in producing the desired outcomes for the patient as well as the client. The third attribute that is also followed the healthcare systems of Australia is that the care provided to patients are also based on the fact of efficiency (Leslie et al., 2014). With the help of efficiency, the healthcare professionals should ensure that the services they are providing provides the best maximum output at the lowest cause. In every if the actions that the professional take, there remains high chance for the occurrence of errors as well as miscommunications that might bring out potential impacts on the patient. Therefore, the healthcare organisations in the nation of Australia provide great importance of the organisational culture that has huge impacts on the safety and quality of care for the patients. Researchers are of the opinion that organisational culture where the professionals act should values certain important aspects (Martin et al., 2015). The culture should influence teamwork among the professionals. There are indeed studies that have shown that more effective the teamwork among the healthcare professionals, the better is
3 COMMUNICATION FOR SAFETY the quality of care provided to the patients and safer the patients feel. Better, the teamwork better would be the bonding and reliance of the professionals on each other and this would result in the reduction in power struggles and ego clashes. This human factor would thereby ensure effective communication among the members that would reduce errors in the care provided and increase safety. Moreover, an environment within the organisation of Australia promotes effective feedback from the professionals as well as speaking up that in turn encourages reporting of unprofessional practices, medication errors, lack of resources, improper documentation, lack of knowledge and education, requirement of training and many others (Carayon et al., 2014). All these ensure that the expertise that the healthcare professionals would develop would ensure not only quality but also safety of the patients. In order to ensure maintenance of safety as well as quality of the patients, the National Safety and Quality Health Service (NSQHS) Standards had been proposed that had identified eight important standards for the ensuring of the safety of patients and developing the quality of the care provided to patients (Ruciman, Merry & Walton, 2017). These are the clinical governance, collaborating with the consumers, prevention and controllingof thehealthcareassociatedinfectionandmedicationsafety.Italso involves comprehensive care, communicating for safety, blood management, recognising, and responding to acute deterioration. Clinical care activity: Communication is one of the most important aspect of safe healthcare and this had been supported by many researchers over time. Ineffective communication has the capacity to affect safe delivery of healthcare by making different types of errors such as during the time of delegation. While delegating task properly to a fellow healthcare professionals, it is expected of the professional to provide detailed information in a documented as well as verbal ways (Arnold
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4 COMMUNICATION FOR SAFETY et al., 2015). Infective listening, fast speaking, fidgety body language and many others have the capability to miss out information and this missing of information may result in potential wrong treatment of improper care delivery that may affect the safety of the patient. Proper medical backgrounds, present condition of the patients, observation of the nurses, proper medication plan and care plan of the professionals should be communicated in details so that the service provided to patients is not only of high quality but also of higher safety. Effective communication among the team members have the capability to develop transparency among the professionals where they tend to put the safety of the patients as their priority and effectively engage themselves information sharing about the health of the patient as well as the discuss the risk factors associated with the health of patients (Gausvik et al., 2015). This would be mainly helping in the effective sharing of information and thereby the professional gathering complete knowledge about the health of the patient and them planning their own approach to treat the patient. The organisations should take up initiatives by which they can ensure that communication among the inter as well as intradepartmental members would help to develop a working climate where the safety of the patients would be provided the highest quality and initiatives for maintaining the qualityofcarethrougheffectivecommunication(Johnstonetal.,2015).Effective communication is indeed helpful in maintaining safety of the patients as it helps in the flow of information among the members that might have important impact on the health of the person both physically as well as mentally. This could be explained with the help of information. Often it is seen that clinical handover may incorporate important information like the symptoms of patients, conditions of patients, vital signs, deteriorating as well as developing health of patients and many others. Therefore, when one professional does not do documentation properly, the information may not be well communicated to the other professional who may come in the next
5 COMMUNICATION FOR SAFETY shift (Mckean, 2016). Therefore, the steps that the latter needs to take for caring for the patient may not be known and the interventions thus provided may affect the safety of the patient. In order to provide examples about howimproper quality of care can affect dissatisfaction due to ineffective communication among the professionals may be also described. Studies have shown ineffective communication among members may result in flow of different information, which might also affect the autonomy, and dignity of patients (Gausvik et al., 2015). When a patient has already told one professional that he or she has separate cultural preferences and traditions, it is the duty of the professional to circulate and communicate the information among the team members. When such communication is not ensured, it might not directly create a risk on the health of the patient affecting his safety but is may disrupt the quality care to patients (Sacks et al., 2015). This would lead to poor quality care services where the patients might feel that his or her concerns are not provided importance and that her autonomy and dignity had been breached by the healthcare team. Therefore, ineffective communication by one member of the team may lead to loss of trust of the patient over the entire team of professionals that would affect the brands and reputation of the patient. Process and outcome data: Every healthcare center should develop effective ways for evaluating the communication proceduresandaccordinglydevelopingstrategiesthatwouldhelptodevelopeffective communicationintheworkplaceforensuringsafety.Aquestionnairesurveyshouldbe developed and circulated among the healthcare professionals. This would be done to assess their feelingsregardingcertainaspectsassociatedwithhealthcareandcommunication.The questionnaire would first be judging the relationship among the team members to find out whether nay power struggles are present or not. This is important as this aspect may disrupt
6 COMMUNICATION FOR SAFETY smooth communication among the members that might result in increasing the risk of the health of the patient impairing safety. This questionnaire would be such that it would help to understand the transparency maintained in the organizational culture as well as in the feedback receiving and giving of the professionals. The results obtained in each if the category can easily show whether effective communication can be ensured or not in the organization. Another important evaluation that should be conducted is the analysis of the documentation procedure(Gausvik et al., 2015). It has to be taken care of that whether the nursing professionals are following proper methods to fill up the documents about the information of the patients. It has to be seen that whether they are filling the documents carefully or are not aware of the importance of the proper filling of the information. The better the skills of documentation of the information, there would be less chances of ineffective communication and there would be better safety and quality of care to the patients. Another very important aspect is the organizational culture. It is very important of every organization to ensure that the culture that they are maintaining in their organization is open and in turn influences effective communication. The evaluation would also be done on the strategies that the organization had taken up to ensure effective communication among the members as well as between the higher authorities and the working processionals(Carayon et al., 2014). The organization would ensure an environment where professionals should be able to provide effective feedbacks to each other’s, do not develop work burden, develop clarity in their job role, understand the importance of effective communication and thereby ensure that quality and safe care are provided to patients. Evaluation committee would be set for every organizations where they would be mainly conducting surveys, take up observational studies about the attitudes and behaviorsoftheprofessionalabouteffectivecommunicationonsafetyandmanyothers (Ruciman, Merry & Walton, 2017). Following these evaluation, the healthcare authorities and
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7 COMMUNICATION FOR SAFETY the evaluation committee can put forward a number of initiatives. Depending upon the result, policies could be established with the help of policy makers where effective communication strategies for maintaining safety and quality of care can be proposed. The professionals can follow these and thereby develop the care they provide. Moreover, training sessions and workshopscanbealsoestablishedthatwillinturnensurethattheprofessionalsare understanding the importance of communication among team members, clinical handover and documentation techniques. The better they develop ideas and are trained, the better they will be able to maintain safety and quality in organizations. Conclusion: From the entire discussion above, it is seen that quality and safety of the patients are two interconnected aspects of healthcare delivery in the healthcare industry of the nation of Australia. Every patients have the human rights to get effective service delivery from the healthcare professionals that would not only satisfy them through the quality but would also prevent them from any potential negative effects through proper safe practices. The National Health and Safety standards have provided delight important arenas that ensure proper maintenance of safety and qualityinhealthcarecenters.Oneofthemostimportantwaysistoensureeffective communication in healthcare that would ensure safety of patients. Proper evaluation and implementation strategies should be taken up by the authorities so that safety and quality is ensured by organization,. These would help the citizens to live high quality life.
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