Maintenance of Quality and Safety in Healthcare
Added on 2020-03-23
9 Pages2305 Words47 Views
Healthcare and Research
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Running head: PROMOTING CLINICAL EXCELLENCEPromoting Clinical ExcellenceName of the Student:Name of the University:Author Note:
1PROMOTING CLINICAL EXCELLENCEAssessment task 2In today’s healthcare sector, it is imperative to abide by certain protocols and principlesso that the optimal service delivery may be rendered to the healthcare recipients. Maintenance ofquality and safety in healthcare is a crucial step to foster the quicker recovery and wellbeing ofthe patient. In this connection for allowing greater insight about the topic pertaining to qualityand or safety of healthcare, a case study as appeared in a relevant literature may be cited. Gluyasand Morrison (2014) in their work have represented the incidence that described the death of anursing home resident in addition to medication error that preceded the death. The articleprovided a sneak peek into the issue of cognitive functioning that is related with the thoughts andprocessing of information capability for the concerned person. The cause of death for theresident was attributed with the underlying pathogenesis of the disease rather than anyinvolvement of any person. However, on closer examinations, it was revealed that the attendingnurse who was in charge of the patient was responsible for a medication error occurring a fewhours before the resident’s death in which 25mg of morphine instead of 2.5mg wassubcutaneously administered.The utility of applying a definite framework for analysis of the care and contextualfactors in patient safety is of paramount importance in clinical sector. The London Protocol hasbeen put in place to streamline the recognition of the patient safety issue in a suitable mannerthrough root cause analysis (Ahmed et al. 2014). According to the propositions made in theLondon Protocol, clinical practice that might lead to causation of an incident in turn may beinfluence by certain contributing factors. The types of contributing factors might include patientfactors, task and technology factors, individual factors, team factors, work environmental factors,
2PROMOTING CLINICAL EXCELLENCEorganizational and management factors in addition to institutional context factors. Among theseidentified factors, individual, team and work environmental factors are of particular relevance inthe give case scenario. The wrong dose of subcutaneous administration of morphine asperformed by nurse may be stated as the individual factor that lead to the incident although thepatient factor due to criticality of the underlying disease have been attributed to the ultimatelycause in death. It has been reported that the nurse was a newly graduate nurse who wasperforming her duty as a registered nurse for the second time in that shift along with other threeextended care assistants or nursing assistants. Despite the fact that these nursing assistantsconstantly reminded the nurse regarding the administration of the prescribed morphinemedication as long overdue, it felt short of their sight as well when the nurse asked the one whowas with her on duty while administering the medication to check the dosage of medication.Quality of work seems to be hampered often under the influence of nursing burnout because ofworkload (Van Bogaertet al. 2014). Thus, team factor contributed to the causation of theincident. Further, unfamiliarity with morphine administration, skipping of the orientation coursefor the new staff in nursing home beside the excessive workload due to large number of patientsand need to collaborate extensively with other healthcare personnel outside the organizationcontributed to chaos and work pressure for the nursing professional. Thus, in this case the workenvironmental factor due to tremendous workload as opposed to meant for a newly appointedregistered nurse resulted in causing the incident. Therefore, the patient experience of undergoingwrong dosage of medication as found on the second place while administering the medicationmay be identified to have occurred because of interaction of multiple factors that encompassedindividual, team and work environment.
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