RTT Task 2 Establishing a root cause analysis (RCA) especially in a healthcare situation is a fundamental step to avoid future cases of patient negligence as noted with the unfortunate death of Mr. B. The step leads to proper problem solving and identifying faults especially in training and skills transfer amongst health practitioners. However, in consideration of causative factors that lead to a sentinel event such as a patient’s outcome, there are issues worth revisiting. First, it is imperative to describe the problem or define the event through the inclusion of quantitative and qualitative attributes. In the given case study, for instance, future provision of moderate sedation and additional backup must remain a mandatory exercise.
RTT1 Task 2 Jake McKee Western Governors University RTT1 Task 2 Root Cause Analysis (RCA) that led to sentinel event Root cause in this scenario appears to be a combination of things. Most significantly, staff did not safely adjust to rapidly increasing demands of their patient acuity and census. The infrastructure did not allow simultaneous monitoring of two patients in crisis. The department is at high risk of inundation, being staffed with only one RN and one LPN, one secretary, and one emergency department physician. Secondly, balance in the monitoring of high-risk patients was inadequate.
This study presents policy analysis issue with an aim of demonstrating some of the challenges administrators face today in regards to decision-making. In doing so, the focus is placed on the “Physician Delegation of Prescriptive Authority,” which represents the authoritative decisions made by the government to direct the behaviors, decisions or actions of others on healthcare and its determining factor. Importantly, these decisions are arrived at after the proceeds of rules, laws and operative decision by the stakeholders involved. In this policy analysis, this work demonstrates that the stakeholders involved such as nurses and the doctors view the policy differently in Texas. For example, the nurses, more so nurses in charge think that going
Alarm Fatigue in Health Care: A Concept Analysis Chamberlain College of Nursing NR-501: Theoretical Basis for Advanced Nursing Practice Alarm Fatigue in Health Care: A Concept Analysis Alarm fatigue in health care has grown to be an ever-growing concern in the health care arena, especially when looking at patient safety concerns. There must be an understanding of the problem before we can develop policies and effective strategies to counter this problem. The concept of alarm fatigue in health care will be evaluated utilizing the method developed by Walker and Avant (2010) that identifies and gives the significance of the attributes, antecedents, and end-consequences of alarm fatigue in health care. This will be developed based off of literature review, along with the use of model and contradictory cases to emphasize the data discovered in the review stage. Key words utilized during the search include alarm, fatigue, alarm fatigue, nursing, interruptions, & distractions.
Root Cause Analysis of a Case Study Alice Holliday Western Governors University Organizational Systems and Quality Leadership RTT1 Root Cause Analysis of a Case Study Healthcare presents numerous opportunities for patients to be helped by healthcare personnel. Unfortunately, there are also numerous opportunities for patients to be failed by healthcare personnel. When patients are failed by healthcare personnel, it is required by the Joint Commission for hospitals to carry out a Root Cause Analysis in order to understand the systems within the organization that failed so that improvements can be made and the failures can be prevented from happening in the future. (Cherry & Jacob, 2011) This paper will describe how a Root Cause Analysis (RCA) can be used following the death of a patient, and how Change Theory and Failure Mode and Effects Analysis (FMEA) can be utilized to come up with ways to prevent the failure from being repeated. A. Root Cause Analysis A Root Cause Analysis is an organized process used to determine the processes that lead to sentinel events.
Nursing Documentation and Malpractice Law HCS/545 Health Law and Ethics May 31, 2010 Mary Nell Cummings Nursing Documentation and Malpractice Lawsuits Proper medical documentation can prevent liability issues and malpractice lawsuits. The focus on my paper will concentrate on nursing documentation and malpractice lawsuits. I presently work for a home health care agency. The entire staff throughout the company was recently informed of increased Medicare denials and possible lawsuits as results of inadequate documentations. A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation.
In accordance to David Hunter (2014), he states “The future public health leaders need to be politically astute, able to communicate with different audiences, form collaborative relationships that enable things to get done, and assemble the business case for investing and disinvesting in public health using evidence from NICE and elsewhere”. Moreover, Koh (2009) expresses the distinctive and perplexing nature of public health problems—and offers the unique chances of resolving them. The process engenders much ‘inspiration, frustration and fascination’. He highlighted that public health leaders need to be dedicated to tackle difficulty problems, to involve with several stakeholders and to carry out this action in the community, ready for inquiry and open discussion at every period. However, successful leaders must move beyond passion.
Opposition will also challenge the capability of hospitals to connect in cross-point, again within the community and cites throughout the U.S. is the key to health care delivery system. Hospitals are here when Americans die, have a chronic illness or give birth. Community memorial Hospitals react to the health care dispute within the community, if the issues are syphilis, SARS, influenza, obesity, or anthrax (Levit,
‘Someone to Watch Over Me’ In recent years the role of the health professional has vastly changed and the expression ‘prevention is better than cure’ has become central in many new public health agendas. According to Linsley et al (2011) this adjustment of how public health care is conveyed is because there is now greater importance on promotion of preventative health and increasingly people are being cared for in a primary care setting rather than hospital. As a result of this, the nurses’ role has changed so that they not only look after the sick but also promote a healthy lifestyle. According to the World Health Organisation (1946) the definition of health is as follows: ‘Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’. The WHO definition of health is just one of many, as everyone’s perceptions of health vary, making it a difficult concept to define in unlimited terms.
Communication Opinion Paper Daronza Harris HSC 320 January 12, 2015 Tricia Tran Communication Opinion Paper There is a gap in communication between health care professional and consumers, there are cultural diversities that surely affect health care because there is a breakdown in health care communication and there have been studies done supporting and proving there is a communication breakdown. The conversion of the idea into words is known as encoding (Cheesebro, 2010). Communication is a process of passing information and understanding from one person to another. Communication aids in bridging the gap between societies who have a misinterpretation, or knowledge deficit. The basic elements of communication involves the transfer and processing of messages that are sent and received.