Reflective Report and Development Plan of Participation in a Mistake of a Patient's Treatment or Safety

Reflective report and development plan of involvement in a mistake of patient’s treatment or safety Introduction 3 Part 1 3 Reflectivereport on mistake of a Patient’streatment and safety 3 Part 2 5 Development Plan 5 References 9 Introduction The mistakes of treatment and caring process in health care usually occur due to the lack of communication, lack of awareness about technology and equipment. Part 1 REFLECTIVE report on mistake of a PATIENT’S TREATMENT and safety Three months ago, I was working as

REFLECTIVE REPORT AND
DEVELOPMENT PLAN OF
INVOLVEMENT IN A MISTAKE OF
PATIENT’S TREATMENT OR
SAFETY
1

TABLE OF CONTENTS
Introduction................................................................................................................................3
Part 1..........................................................................................................................................3
Reflectivereport on mistake of a Patient’streatment and safety.............................................3
Part 2..........................................................................................................................................5
Development Plan..................................................................................................................5
References..................................................................................................................................9
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INTRODUCTION
The mistakes of treatment and caring process in health care usually occur due to the lack of
communication, lack of awareness about technology and equipment. Lack of experience to
work under a team is also regarded as one of the reasons behind the mistakes in health care
(Herlitz, 2016). I was working as a caring practitioner for 6 months in St Peter Baptist
Hospital. There I had made some mistakes which lead to the wrong treatment and death
issues of patients. I was not the only one who made mistakes during the incident as the
hospital authorities also made mistakes in their management procedure. I had made those
mistakes due to my lack of communication, lack of knowledge about technology and working
with an interdisciplinary team. However, I was trying to reduce the risks and errors even after
the occurrence of those problems in the hospital. To resolve my problem and develop my
communication, collaboration and technological skills I had to undergo some courses too.
PART 1
REFLECTIVE REPORT ON MISTAKE OF A PATIENT’S TREATMENT AND
SAFETY
Three months ago, I was working as a care practitioner at St Peter Baptist Hospital,
Paddington. I was an employee of the hospital for a period of 6 months where I had faced a
case of a mistake in treatment and care of patients. That mistake has made a big impact on the
health and treatment procedure of the hospital’s patients. The issues caused the death of 22
people and wrong treatment of more than 100 patients. There were many reasons behind the
mistreatment issue such as caring quality of nurses, doctors or medical experts. The hospital’s
lack of management skills, the supply of medicine and medical equipment was also denoted
as causes behind this issue. I was also responsible for this issue. As a caring practitioner of St
Peter Baptist Hospital, I was not able to maintain the quality of care, provide medicine and
assistance to the patients. Maintenance of caring quality, providing medicine to the patients
are some of the basic duties of a caring practitioner which I was not able to maintain during
my working (Kramer, et al., 2015).
But still, I was trying to control the damage of the situation after its occurrence by mitigating
the errors and risks done by myself. I think the main reason behind this is my lack of
experience about providing care support to patients and skills to tackle emergency
circumstances of a clinic as that was my first job as a caring practitioner in a clinic.
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I also realise that to provide a better quality of service and medicine to the patients at that
time of mistake in St Peter Baptist Hospital I should have had knowledge about ethics of
health care and used my own judgement power during emergency situations. I should have
had the basic awareness about primary skills of a caring practitioner like proper utilisation of
technology, identification of risks and errors, application of practical experiences and
working under an interdisciplinary team (Schön, 2017). I was primarily avoiding issues in the
utilisation of technology, usage of practical practices and working with an interdisciplinary
team while providing treatment and care to the patients of the hospital. So I think I should
have provided a better quality of service to the patients. Still, during the occurrence of
mistake in the hospital, I performed well in the identification procedure of risks and errors.
By measuring the hazards and errors, I provided quality service and appropriate medication to
the patient during the occurrence of mistake.
Utilisation of technology is a skill which I was required to perform well during my work as a
caring practitioner. The utilisation of technology is about ensuring proper communication,
reducing the amount of error and ensure support to the hospital’s management. The incident
of mistake in St Peter Baptist Hospital occurred due to the lack of communication between
the hospital’s authority and the medical practitioner. In my case, I faced problems while
trying to communicate with other employees of the hospital, as I was entirely new in the
hospital during the incidence of mistreatment and care. So I was not comfortable in
interacting with others. To reduce the error, I needed to use the technology of the hospital
properly. Lack of using the technology of the hospital was also a reason behind the mistake
of treatment and care. During that period, I did not use technology or informatics of the clinic
properly which lead towards the mistake in the clinic. Similarly, while communicating with
other members of the hospital I was not able to use the informatics or technology of the
hospital properly. Utilisation of the hospital’s technology was necessary while taking any
vital decisions regarding the care and treatment of patients (Jones, et al., 2015). Management
Authorities of St Peter Baptist Hospital did not use their technology at the time of decision
making for the purpose of treatment and care. Moreover, I did not consult with other medical
experts and/or management authorities of the hospital at the time of providing care and
treatment to the patients of the hospital. So, I think this was one of the areas wherein I could
have performed better during the treatment and care of patients.
During my work as a caring practitioner at St Peter Baptist Hospital, I was not able to gather
any knowledge and practical experiences. The reason behind this is my lack of knowledge
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and competence about evidence-based practical practices as this was my first job as a caring
expert. So during the emergency situation in the hospital, I was not able to use any sort of
previous practical experience. So I think if I had more experience of practical circumstances
then maybe I would have been better off in using that experience during the incidence of
mistake. Similarly, persuasion issue was a problem which I faced during my work as a caring
practitioner at St Peter Baptist Hospital. This issues occurred due to the lack of
communication, integration and cooperation between the team of medical experts and
hospital authority. The management and medical professionals of the hospital were not
interacting with each other during work. Working in a group or team is very much required in
the hospital for ensuring reliable and constant treatment and care of patients (Holloway &
Galvin, 2016). Similar to the other two issues I also need to develop my working with an
interdisciplinary team as this is one of the basic necessities to work better in a clinic.
But I observed that during my work as a caring practitioner I was capable of identifying and
measuring the hazards and errors of treatment. Understanding of risk and faults are very
much required to take precaution and design the principles of safety for patients (Wears, et
al., 2015). The designing procedure of principles includes simplification and standardisation
of treatment and caring process. After the incidence of the mistake issue in St Peter Baptist
Hospital, I was trying to solve those problems by measuring the number of errors and risks.
For that procedure, I assisted the other employees of the hospital. To provide safety and
better quality of service to the patients I was trying to get help from other hospitals too. I
could use their workforce and experience for the superior quality of treatment and care.
PART 2
DEVELOPMENT PLAN
Required
Developmental
Area
Action Plan Objectives Timescale
Technical
knowledge
Maintaining a
Professional diary or
journal
To reduce error, support
decision of hospital’s
management and gain
knowledge about the
4 Months
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hospital’s resources
Ethical values of
working in a
workplace
Following Professional
guidelines for CPD
To work according to the
ethics of the hospital
4 Months
Working in an
interdisciplinary
team
Using Human Resource
Appraisal Frameworks
To communicate, collaborate
and integrate under a team
4 Months
At the time of the incident in St Peter Baptist Hospital I observed that I have issues regarding
usage of technology in the hospital. That problem created a lot of barrier for me while trying
to provide good quality of treatment and care to the patients of the hospital. I think I have to
solve this issue otherwise I will face more problems in working procedure. To solve this
problem, I will maintain a professional diary or journal so that I can gather data about the
hospitals resources and regular working procedure. I will maintain the diary for 4 months on
constant basis so that I can note down the data and information which will assist me to
develop my issues. Furthermore, I can learn use the technology of any hospital or clinic. With
the help of maintaining a diary or journal I can review my performance on a daily basis by
evaluating those performances and I can set new aims for my professional succession
(Spradley, 2016). I can note down ideas about using technology in the journal. I can also note
down ideas about e reducing faults and any kind of decision in the diary. Maintaining a diary
or journals also provides psychological guidance to people who maintain it (Venz, et al.,
2018). Additionally, writing about resources of the hospital can help me to be familiar with
the hospital’s resources. That can help me in emergency situations to get equipment in
quickly.
By keeping a diary, I can also refer to a past situation of similar type and compare the present
situation thereby getting assistance from my previous insights and solutions. Maintenance of
a diary can also assist me to improve perception and self-expression during emergency
situations in the hospital (Baethge, et al., 2016). In short, keeping a diary or journal and
writing it on a daily basis can help me to solve problems which Ares related to use of
technology. Writing a diary about one’s own problems provide a clear view and reflections of
our personal life (Derks & Bakker, 2014). This can reward me in future while offering
treatment and care to the patients. Furthermore, writing a diary or journal on a regular basis
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would make me more responsible about using the technology of health care. It will help me
to take proper decisions about the hospital and its service to the patients by gathering
knowledge and data from other incidents. To take any appropriate decision, I can also use the
knowledge about my six months’ written data, information and knowledge.
I was also handling issues of practical experience during my work at St Peter Baptist Hospital
as I was not familiar with the emergency situation like this. That effected o the service to the
patients of the hospital as I was not able to provide better quality of care and treatment to the
patients due to my omission of following ethical rules of the hospital. To solve this problem, I
am planning to work according to the professional guidelines of Continuing Professional
Development (CPD). CPD is very much useful to gather experience and knowledge for
people who are starting their career (Megginson & Whitaker, 2017). My case was also
occurred at the start of my care. Soo I think if I had gone through the CPD for six months
then I could have developed myself and got familiar with the treatment and care procedure
as per the ethics of the hospital. Furthermore, by following the guidelines I can work as per
the recent trends of care and treatment methods. I will also gain the assistance of these
guidelines by being aware of the international and nation laws related to the standardisation
of health care (McConnell, et al., 2015). Following the guidelines can also help me to be
aware of new products and emerging risks which are associated with the healthcare sector
(Ryan, 2015). The Continuing Personal Development guidelines can be helpful for myself to
be aware and up-to-date about new techniques of cure and care. I am also planning to
undertake a course of CPD so that I can work according to the guideline of the model.
With the help of Continuing Professional Development, I can be aware of the limitations and
shortages of curing procedure which is required to develop the quality of service to the
patients (Kitto, et al., 2018). To follow a CPD I need to plan and reflect on myself as it is
very much required to work on the basis of practical experience in the healthcare sector. My
one of the major problem during the incident in St Peter Baptist Hospital was working on the
basis of ethics of the hospital. This can be solved by the guidelines of the model as it is very
much useful for practical based situations. These measurement guidelines would be also
helpful for me to work as per my capability and work on a daily basis by following the ethics
of a caring practitioner. Furthermore, the guidelines of CPD can assist me to think about the
questions related to professionalism in challenging situations (Ridgway, 2015). For
maintaining the professionalism in healthcare I also need to follow the ethics of healthcare
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sector. Ethics is very much required in the healthcare sector in order to deal with problematic
issues and apply values associated with the treatment and care process.
Working in a group was also a problem for me during the incident of St Peter Baptist
Hospital. The reason behind this is my lack of experience as that was my first job, so I was
not able to collaborate, cooperate and communicate with other group members during my
work as a caring practitioner. To resolve these issues, I want to follow the Human Resources
framework as the model is very much helpful for building communication, collaboration and
integration with a team. The term human resources are about the bringing characteristics like
knowledge and enthusiasm in a workplace (Navimipour, et al., 2015). Those characteristics
would be helpful for me to communicate and collaborate with other group members so as to
provide a better quality of service while working with a team (Baum, 2016). So, while
working with a team, I have to develop my communication and collaboration skills so that I
can work properly with the interdisciplinary team.
Proper communication between the groups is one of the basic requirement for me to work
with unity and provide superior quality of treatment or care to the patients (Blais, et al.,
2015). Similar to the other two developmental problems, I am planning to undergo a course
of human resources framework. The course will take six months for me to solve the issues of
working with an interdisciplinary team. During the following of human resource framework,
I will also follow the competency framework as it can help me to improve my behaviour
skills of working in a team, as behaviour skills are one of the basic necessity of any job
(Farmer, et al., 2017). Furthermore, with the help of this framework, I can measure my
performance as a caring practitioner. I have to follow this framework to improve or develop
my contribution towards interdisciplinary teams. This is also required to ensure the quality of
treatment and care under a hospital (Embo, et al., 2015). To improve my communication
skills, I am also planning to learn about communication through instant messaging app and
email so that I can interact with the teams any time. Furthermore, if I go through this process,
then I can develop both my technological and communication skills.
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REFERENCES
Baethge, A., Müller, A. & Rigotti, T., 2016. Nursing performance under high workload: a
diary study on the moderating role of selection, optimization and compensation strategies.
Journal of advanced nursing, 72(3), pp. 545-557.
Baum, T. e., 2016. Human resource issues in international tourism. 1 ed. London: Elsevier.
Blais, K., Hayes, J., Kozier, B. & Erb, G., 2015. Professional nursing practice: Concepts and
perspectives. 1 ed. NJ: Prentice Hall.
Derks, D. & Bakker, A., 2014. Smartphone use, work–home interference, and burnout: A
diary study on the role of recovery. Applied Psychology, 63(3), pp. 411-440.
Embo, M., Driessen, E., Valcke, M. & van der Vleuten, C., 2015. Integrating learning
assessment and supervision in a competency framework for clinical workplace education.
Nurse education today, 35(2), pp. 341-346.
Farmer, E., Van Rooij, J., Riemersma, J. & Jorna, P., 2017. Handbook of simulator-based
training. 1 ed. London: Routledge.
Herlitz, A., 2016. The limited impact of indeterminacy for healthcare rationing: how
indeterminacy problems show the need for a hybrid theory, but nothing more. Journal of
medical ethics, 42(1), pp. 22-25.
Holloway, I. & Galvin, K., 2016. Qualitative research in nursing and healthcare. 1 ed.
London: John Wiley & Sons.
Jones, C. et al., 2015. Supporting clinical trials through healthcare informatics. Trials, 16(2),
p. O67.
Kitto, S. et al., 2018. Uncharted territory: Knowledge translation of competency-based
continuing professional development in family medicine. Canadian Family Physician, 64(4),
pp. 250-253.
Kramer, G., Kinn, J. & Mishkind, M., 2015. Legal, regulatory, and risk management issues in
the use of technology to deliver mental health care. Cognitive and Behavioral Practice, 22(3),
pp. 258-268.
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McConnell, K., Delate, T. & Newlon, C., 2015. The sustainability of improvements from
continuing professional development in pharmacy practice and learning behaviors. American
Journal of Pharmaceutical Education, 79(3), p. 36.
Megginson, D. & Whitaker, V., 2017. Continuing professional development. 1 ed. London:
Kogan Page Publishers.
Navimipour, N., Navin, A., Rahmani, A. & Hosseinzadeh, M., 2015. Behavioral modeling
and automated verification of a Cloud-based framework to share the knowledge and skills of
human resources. Computers in Industry, 68(1), pp. 65-77.
Ridgway, T., 2015. Continuing Professional Development. South Dakota medicine: the
journal of the South Dakota State Medical Association, 68(9), pp. 383-383.
Ryan, M., 2015. Continuing professional development. Ethos: Official Publication of the
Law Society of the Australian Capital Territory, 236(1), p. 46.
Schön, D., 2017. The reflective practitioner: How professionals think in action. 1 ed.
London: Routledge.
Spradley, J., 2016. Participant observation. 1 ed. London: Waveland Press.
Venz, L., Pundt, A. & Sonnentag, S., 2018. What matters for work engagement? A diary
study on resources and the benefits of selective optimization with compensation for state
work engagement. Journal of Organizational Behavior, 39(1), pp. 26-38.
Wears, R., Hollnagel, E. & Braithwaite, J. e., 2015. Resilient health care. 1 ed. London:
Ashgate Publishing, Ltd.
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