(PDF) Human Factors in Patient Safety
Added on 2021-04-24
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Running head: HUMAN FACTORS IN PATIENT SAFETYHUMAN FACTORS IN PATIENT SAFETYName of the student;Name of the university:Author note:
1HUMAN FACTORS IN PATIENT SAFETYHuman factors are considered as the organizational, environmental and job factors alongwith different human and individual characteristics that affect the health and safety at theworkplace and influence behaviors of individuals at work. Communication and effectiveleadership skills of the head nurses have huge importance as they are directly associated with thewellbeing of the patients and their family members (Carayon, 2016). These human factors haveinfluence on another factor called the safety culture. The safety culture of an organization can beconsidered as the product of individual as well as group values. It also comprises of properattitudes, competencies and perceptions of nurses that along with proper patterns of behaviorensure proficiency and safety management successfully (Carayon et al., 2014). The assignmentwill mainly show how communication error and failure of proper leadership will result affect thesafety culture of the organization and hence patient safety is affected.A patient was transferred from the emergency ward to the rehabilitation ward after shewas admitted to the former following an incidence of stroke. The patient named Mrs. Samantha(name changed) was 65 years old. She was suffering from type-2 diabetes. She was alsosuffering from obesity that had limited her movements. While she was having a walk in hergarden, she suffered a stroke that made her fall flat on the ground. After admitting to theemergency ward, it was seen that she had suffered a fall that had affected her knee leading toswelling. She also had many bruises all over her body that were bleeding. She was immediatelyattended and treated with care. The physician on charge had advised for her transfer to the rehabcenter where she needs attendance from physiotherapy, speech therapy, diabetes educator andproper care of the nursing professionals. After her transfer to the rehabilitation center, hercondition began to deteriorate which was quite shocking to her family members and doctor incharge. The care coordinator of the team was asked for justification where he stated a number of
2HUMAN FACTORS IN PATIENT SAFETYfacts that resulted in this situation. It was seen that the nursing professionals had complex issuesthat affected their communication. The junior and the senior nurses did not communicate witheach other properly for which medication error took place in case of the patient. Although theeffect of the medication error was nullified but the patient had become anxious which hadaffected her health. Ineffective communication also existed between the healthcare professionalsand it was evident from the fact that both the physiotherapist and the speech therapists arrived atthe same time in the patient’s cabin that resulted in a conflict about who would be attending thepatient. Such a situation resulted in stress among the patient who thereby complained this to herfamily members. The care coordinator failed miserably to properly lead the multidisciplinaryteams. He was unsuccessful in developing a working climate where members trusted on eachother and there was good relationship and bonding among the members. Moreover, as the carecoordinator did not encourage a feedback giving and receiving session, the healthcareprofessionals never got a scope of sharing their concerns and issues (Diller et al., 2014). Theywere highly demoralized and suffered from stress and fatigue. One of the issues also noticed wasthat the healthcare specialists and the nursing professionals never had meetings together wherethey could discuss the health of the patient, her present situation, new care requirements of thepatients, suggestions of the others and many others. One of the main activities of themultidisciplinary team is to discuss their concerns and suggestions together and collaborativelycome to a decision-making situation. This had been the result of improper leadership of the care-coordinator. This is because he failed to conduct team sessions and could not lead his teamproperly (Proctor & VanZandt, 2018). Therefore, ineffective communication and improperteamwork leadership are the two human factors that resulted in affecting patient safety. It wasalso noticed that carelessness of the healthcare professionals, their internal complexes and
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