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Improving the quality of healthcare: a case study

   

Added on  2019-10-18

16 Pages4838 Words207 Views
Improving the quality of healthcare

Table of ContentsIntroduction.................................................................................................................................3Strengths and limitations of Ishikawa’s Fishbone..........................................................................3Analysing causes from the above scenario.....................................................................................6Strategies to reduce causes identified from Fishbone.....................................................................7Role of Lewin’s Force Field analysis for helping staff to change the practice..................................8Clinical governance strategies.......................................................................................................9Importance of SMART standards...............................................................................................11Role and methods of Audit used for monitoring change...............................................................11Conclusion.................................................................................................................................12Page 1 of 17

IntroductionClinical governance is defined as the process used for continuously improving overall processfor improving quality (Adepoju et al. 2015) in a health care organisation. It is used forsafeguarding the interests of the people admitted at the hospitals and maintains a qualityenvironment in the clinical organisation. It is used for providing top quality and satisfactionservice for the patients admitted at the (Wong et al. 2016) hospitals. The study on the quality ofhealth care focuses on implementing the correct strategies required for improving the overallstaff practices at the organisation. The study provides a brief overview of the relevant conditionsat the hospital by using Ishikawa’s Fishbone framework. The use of the framework in theunderlined scenario helps to analyse causes for leaving of nurse from the hospitals in HongKong. It helps to measure possible causes and helps to improve overall quality process at thehealth care organization. Nurses at Hong Kong leave due to problems of overcrowding. Nursesget disturbed both physically and mentally. They move out of exhaustion. Patients and doctorsget stretched up to the point breaking. Stressful situations cause nurses to move out of thehospital premises.The study helps to implement correct strategies for understanding overall problems regardinghandling staff at the hospitals. The various strategies used for reducing overall problem inmaintaining staff at the hospital is by creating quality circles and improving complaintsmanagement process for the hospitals. It helps to shed light on analysing role of clinicalgovernance and improving overall health care environment process. The study provides a briefanalysis of the audit process used for monitoring overall change process in the management ofthe hospitals. It helps to analyse weakness in the functions of the management of the hospitalsand provide quality service to the patients at the hospitals. It is necessary for maintaining qualityprinciples by staff at the hospital and improving overall process in the future. The study focuseson establishing correct smart standards and developing the process by providing solutions forimplementing change in the management. A change is necessary for maintaining long termquality standards and reducing overall issues in the health care management process.Page 2 of 17

Strengths and limitations of Ishikawa’s FishboneCause and effect diagrams or the Ishikawa’s fishbone diagram has proven to be real handy toolswhile seeking the cause of some kind of an effect. Such diagrams help in the exploration of thedifferent causes followed by the display of such causes in the form of proper structures (Vetter etal., 2016). The role of the fishbone diagram is to bring about the relationship that exists betweenthe cause and the effect and presents such a relation in the form of graphical representation ordiagrams. The representations explain the causes that lead to the effects and the bond that makesit all happen. The fishbone diagram is a very important tool to that actually play important rolesin the identification of the many dormant factors that otherwise lay hidden and leads toinsufficiency in the healthcare services. The complete treatment procedures transparency of eachand every single bit of information related to the cause of the problem to be dealt with. Fishbonediagrams do its part to reflect the dormant facts that stand as obstacles hindering the progress ofthe efficient and uninterrupted procedures of treatment (Gartlehner et al., 2017). Fishbone diagramsserve as a medium enabling the team in action to focus their attention over the areas that demandstrict improvements and other progressive procedures for serving people better. The areas thatdemand improvements are brought into light via the graphical representations made via thefishbone diagrams. It acts as a great tool for the teams who demand emergent information forstrict implementation of actions without any kind of delay. The diagram is so designed that eacharm of the diagram is the result of some kind of a contribution by the members who areassociated with the team in action. Each arm of the diagram is informative, that is, it hassomething in particular to deliver, as in some kind of information (Rodgers and Oppenheim, 2019).The generation of such kind of information is the result of some real brain-cracking actions, thepain of which is taken up by the various members involved with the team identifying the causeand the effect of a problem. For example the right people with right skills would be needed tosort situations out. The problem needs to be discussed and clarity is to be attained to acquiresolutions.Fishbone acts as the most effective tool when implemented via the combined efforts and actionsof a team in action (Wong et al., 2016). The problem arises when the team does not work as astrong and single unit united by a sense of purpose and determined to seek the answer thequestion that starts with a why. Page 3 of 17

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