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.
Recently growth has been restricted, due in part to recent fines from state and government agencies for poorly kept records for both clients and employees. Recently APremium has not been able to respond to the staffing demands of the newer clients in remote regions, their employee lists have become overwhelming and very difficult to filter through in time to be useful in responding to staffing deficiencies on short notice. The field staff has been complaining that payroll is always late and many of the skilled laborers are threatening to leave. APremium is seeking another contract with a very delicate group of clients who require premium care and attention to code. This contract can increase their business by 75%.
The organisation could also be fined by not complying with the law which would have a negative effect with exposure in the media. Organisations would have a reduction in patient and public confidence and so their reputation would be affected and patients would choose to have their care else where. Members of staff would also have a decrease in confidence with the organisation and their stress levels will increase. On the individual: This could cause further complications to their primary condition increasing their recovery time and possibly giving them a lengthy stay in a hospital setting. Patients may be forced to stay off work which will lead to a loss of earnings putting more stress on the individual and their families, possibly leaving a patient needing treatment for depression.
Task D Stafford Hospital A report on the failings, poor management and standards of care. Over the years there have been a number of failings resulting in a great number of deaths, this resulted in the public becoming extremely concerned due to the amount of relatives that have died due to the abuse and neglect of the staff at Staffordshire hospital. Numerous reports were made by relatives all of which were ignored, one particular relative demanded a meeting with the head of staff after writing numerous reports on their findings of the failings outlining the bad practice and poor standards of care of a particular department and was given a meeting which lasted no more than 10 minutes. During this meeting the person was made to feel that they were a nuisance and the report they made was untrue. Patients also made formal complaints, due to contracting C-diff, E-coli, Mrsa and severe pressure sores.
Spaeth career path has given him different views on issues in healthcare and therefore giving him a broad understanding of healthcare business. One of the biggest challenges today, he states is the changing structure of health care and a declining work. The declining workforce is seeing stress on the worker as the skilled and educated employee doesn’t want to work more than eight hours or on the week-ends in a 7- days- a- week, 24- hours- a- day hospital setting. Another major issue is that hospitals are becoming more specialized where top dollar reimbursement can be achieved which leaves a gap in the traditional services. Lastly, the issues of senior leaders not spend enough time mentoring younger leaders (Grazier, 2005).
This fire has come unexpected to the community and has effects on the community’s hospital, senior center, school, and the Bley Household. The hospital is overloaded with patients suffering from many respiratory issues. With having so many patients that are requiring an inpatient status, this is putting pressure on the staff to have to work more hours, and pick up mandatory overtime shifts to help aid in the care of these patients. The stress of such an influx of patients is showing itself when it comes to the moral of the employees. With moral being low, the drive to work extra hours falls as well.
MHA 624 Week 6 Final Paper Click Link Below To Buy: http://hwcampus.com/shop/mha-624-week-6-final-paper/ Executive Summary Ashford General Hospital has been face with a nursing shortage due to retirement, low retention rates, nurses feeling exhausted and overworked. This nursing shortage is not only affecting Ashford General Hospital, it is also affecting many hospitals within the United States. Nursing shortages has not only affected the safety of the nurses that are being overworked, the shortage has also affected patient satisfaction which could potentially cause a financial burden for the organization as well as human resource issues. In order to doctor this nursing shortage and possible future crisis, a proposal for change has
Some of the deficiencies that were noted during the annual license and certification survey were the call light buttons were placed out of the reach of patients, issues with gastric feeding tubes, falls from beds and wheelchairs as well as lack of evaluation to prevent reoccurring falls. There were also problems when it came to transferring patients using mechanical lifts, improper maintenance of respiratory equipment, there was insufficient 24-hour nursing staff, failure to distribute and store food in a sanitary manner and there was also improper handling of medications and failure to maintain sanitary medication rooms. In the Winchester House they violated many of the rules and regulations and put the quality of care for the patients at risk because they were not providing adequate in service training for certified nursing assistants and they were not following the infection control standards when it came to hand washing and changing their gloves. Another current issue that long-term care is facing is staffing. When there is not enough staff in long-term care facilities this can cause issues because assistance can go unanswered for long periods of time and this can be a serious problem for patients who have to wait for assistance when it comes to needing to go to the
This could cause poor commitment to work such as failing to respond to phone calls, emails, being late for meetings, they would have trouble concentrating and become disorganised as morale will be low due to lack of self esteem and feeling of unworthiness which could lead to sub-standard performance resulting in disciplinary action. It could also cause and increase in mistakes which may lead to complaints from clients and customers. Stress in a couple of people can adversely impact on others in the team e.g if one team member is off on long term sick leave with a stress related illness, this can have a big impact on the workload and morale on the rest of the team. 6. List symptoms of stress in the workplace.
They felt as if they did not have enough time to spend with their patients. Most health care workers had more patients and less help, which meant that some patients fell through the cracks. As a result of managed care, and the lack of time spent with patients, many patients eventually died because they could not get the care they needed in time, or at all. Speaking from a providers’ perspective (as a former nurse) managed care made it very difficult to care properly for the patients entrusted to you because there was so much more to do with much less. Patients who were admitted came to the hospitals much sicker, and you had more folks to care for at the same time, with less help.