Quality Management in Health - Assignment
Added on 2021-05-31
16 Pages4752 Words31 Views
Running head: QUALITY MANAGEMENT IN HEALTH 1Quality Management in HealthStudent’s NameInstitutional Affiliation
QUALITY MANAGEMENT IN HEALTH 2Quality and Safety issuesThe family reports of errors in the medication of the father. The nurses at the health facility are responsible for the mistakes. The father of the advocate gets two bugs related to the hospital. Additionally, the carelessness by the nurses makes the father develop chest infractions. The physicians at the emergency wards fail to prescribe the dosage to the father. Other doctors write an incomplete prescription to the elderly patient. The doctors fail to write all the conditionsof the patient on the charts. Nurses at times do not read the treatment charts appropriately. Vital care information is missing from the charts. Nurses cannot understand the doctor's instruction on how to handle patients. Some nurses only look at the first page of the charts but fail to study the proceeding pages as well.Occasionally, the nurses failed to handover the chart in good time. At times, nurses go home without administering the drugs to the patient. Nurses fail to read the drug container appropriately. Therefore they can give wrong medicine to the patient. Nurses misplace the charts of patients. Thus, the following nurse cannot find the lost table. The nurses are disorganized and spend a lot of time in retrieving a missing chart. In various occasions, the medical staff mixes up the medications, therefore, confusing the patient and the wife. The management of the hospital has assured the daughter of the elderly patient that changes are imminent to correct the errors. Unfortunately, the nurses and the doctors keep on repeating the mistakes. The doctors at the facility lack medical records of the patients. Additionally, the physicians do not interrogate the patients about their records. The doctors fail to tell the type of medications that the incoming patients are on. The patients do not know the identity of the dosage that they receive from the hospital. Doctors at times fail to offer medication printouts to the patients.
QUALITY MANAGEMENT IN HEALTH 3Causes of the medical errorsThe hospital management should share the blame on the mistakes. The administration hasnot been strict on the nursing staff. Nurses’ carelessness leads to the clinical errors. The doctors are the other victims as they fail to write down all the medications (Norman et al., 2017). The doctors at times fail to write down the medication. Thus the patient fails to take medicine in the right dosage. The nurses carelessly handle the patient's chart hence misplacing them. The clinicians cannot read the prescriptions. At times, the nurses cannot understand the bottles that contain the drugs (Ryan et al., 2014). The medical administration promises to rectify the errors but fail to do so. The doctors fail to print out the medical records of the patients. Nurses take more extended hours to recover a misplaced chart. Doctors write unclear prescription notes. Thus, the nurses cannot read them to the patients.Contributing factorsThe nurses are making the countless mistakes when handling the elderly patient because they fear her advocate daughter. The hospital lacks electronic system hence cannot keep electronic records. There is no nurse to move about with a trolley to give out medication to the patients (Patel, & Bergl, 2017). Nurses lack regular training on the issuance of drugs. The doctors do not write clear prescription statements. The nurses are careless with patient's charts. Moreover, the management is not strict enough and do not closely supervise the staff members.The frequency of the occurrencesThe errors generally occur almost on a daily basis. The prescription of drugs is a daily affair hence improper order happens daily (Chawla, Goswami, Tayal, & Mallika, 2015). The mother of the advocate visits the husband daily to prevent the human errors. Moreover, the errorsare numerous and affect almost all patients in the hospital.
QUALITY MANAGEMENT IN HEALTH 4Preventive actionsThe hospital administration should provide regular training to the nurses to sharpen their medication skills. In training, the trainers should remind the nurses to avoid the errors in prescription. Nurses need specialized training to enable them correctly read the containers of medication (Goldsworthy, & Waters, 2017). The clinicians should go through the entire patient's chart instead of looking at the first paper only. Nurses should safely store the charts without misplacing them. Moreover, the doctors should write clear prescriptions of the drugs. Furthermore, the nurses should seek clarifications from the doctor if they don't understand a given medical note. The hospital should use electronic means to process the prescription for patients (McKean, 2016). Additionally, nurses should read all the prescription information without omitting any details. The hospital executive should regularly supervise the nurses’ activities. Moreover, a nurse should be mandated to go around the ward to give medications to the patients.Analysis of safety culture in hospitalsThe case scenarioAny health facility should enact a safety culture to the employees to enable the nurses to offer quality services to the patients. The senior management delegates follow-up team to the wards. The functions of the unit are to oversee the duties of nurses in caring for the admitted patients (Marshall et al., 2017). Moreover, the group ensures that diagnosis and treatment are error-free (Thomas, Ashcroft, Parker, & Phipps, 2015). The family members of the patient do notunderstand the procedures at the hospital. Besides, the relatives of the elderly patients have high expectations about the hospital. The expectations follow the critical situation of the patient.
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