Bundaberg Hospital Nursing Research Paper 2022

Running head: NURSING
Nursing
Name of the Student
Name of the University
Author Note

1NURSING
Introduction
The following paper aims to illustrate critical analysis of the case study of Dr. Jayant
Patel in the Bundaberg hospital based on the two parameters: quality and safety and
organizational culture.
Quality and Safety
Quality and Safety holds prime importance in a health care organization. However,
from the analysis of the case study it can be highlighted in Bundaberg Base Hospital in
Queensland there is a gap in maintaining adequate safety and quality measures. Jayant Dr.
Patel lacked the required skills for the conduction of the surgery and even after his repeated
mistake; he was successful in continuing his tenure in the hospital for 24 months. There were
at least 20 complaints lodged against him still no prompt action was taken by the hospital
authority. The first strategy that might have been undertaken in order to improve the safety
and quality of the patients’ health include credentialing. According to the Australian
Commission on Safety and Quality in Healthcare [ACSQH] (2015), credentialing is defined
as a process by which the eligibility of a person for a particular job is ascertain or examined
before that individual is selected finally for the duty. However, no such cases was undertaken
in this case because, Dr. Patel was appointed as the Director of surgery by Dr Nydam (acting
director of medical services in the Bundaberg Base Hospital). However, fortnight after Dr.
Patel’s joining; Dr. Keating was replaced by Dr. Nydam as the Director of Medical Services.
Both Dr. Keating and Dr. Nydam failed to access the competency skills of Dr. Patel. Thus
none of the senior professionals access the credentials of Dr. Patel. According to ACSQH
(2015) stated that every organization must have a particular framework from assessment of
credentials of the people who are recruited as fresh and this framework must be strictly
followed for each and every individual irrespective of the hierarchical position. Hon Geoffrey

2NURSING
Davies (2005) further stated healthcare is a specialised profession. Thus, qualifications or
experience of professionals are confined to a particular area of healthcare. Physicians are
engaged in a ‘craft’ and, wherever possible, it is acceptable that proceedings are carried out
by individuals who have the knowledge in recent advances and this comes with regular
involvement.
The second approach for health and quality assessment include reporting and acting
upon the near missed and incidents. Okafor et al. (2015) stated that having a user-friendly,
voluntary and non-punitive reporting system helps in increasing reports of errors under the
hospital system. Such non-punitive reporting system must be electronic where the reports will
be stored in the cloud server of the hospital organization and this will help in easy yet
confidential access of the report by the hospital administrative board. The third strategy
includes accreditation and benchmarking. Accreditation means recognizing someone as
having particular status or skills for conducting any professional task. Benchmarking is
defined as evaluation of any particular action based on the established standards. Ehteshami,
Raeisi and Rashedi (2018) stated that benchmark for the surgical practice is same irrespective
of any healthcare organization. However, having an official benchmark framework in every
healthcare organization helps to highlight the gaps in practice easily and thus helping to take
necessary actions. For example when any particular surgical procedure is failing to extract
any desired result, having a proper benchmark will help to quickly access what went wrong in
practice and thus helping to identify the defaulter easily. Last approach for health quality and
safety is monitoring and responding to complaints. Complains were raised against Dr. Patel
for his miss-deed in practice however, he avoided the process of scrutiny by taking help of
his hierarchical superiority. The presence of proper supervisor for checking and escalating the
complains might have prevented Dr. Patel is escaping the scrutinizing process. Hospital must