On the other hand, the physical is trained to diagnose and plan the treatment for the patient. In the consideration of who should have the authority to make a prescription, the administrator is caught in a fix to decide on the position to go by. One of the resultant effects is that the process would take so long while making consultations from time to time. Just as has been indicated herein, the different position by the two factions is a good case study to demonstrate that indeed administrators face significant challenges in decision-making concerning policy formulations. Because the stakeholders must be involved, the administrator must seek a harmonious ground to have the parties agree.
In the scenario, Emergency department staff members were likely shaken by this poor outcome of Mr. B., and would be motivated to change to a safer model just to avoid a repeat in the future. Staff members may be reluctant to change because of established habits in patient flow. This reluctance to change would be an identifiable restraining force, which opposes process improvement. Implementing a model which allows for rapid, safe adjustment to increasing acuity would help avoid poor outcomes in the future. Follow-up is
That one receptionist can change the whole mood of the patient, which continuing on into the visit with the physician. This can make it hard for the physician to treat the patient because the patient may feel closed off now or less receptive to advice from the physician. So I would find interdependence very important knowledge to have in any health care field. Sensitivity is something that is necessary to have when dealing with others. In the health care field one needs to be aware of others feelings
The nest step in a root cause analysis is to look at the “why” it happened. This is a complex question. Human beings are all unique and figuring out the why in a situation is sometimes difficult for the individual but we can look at a situation and find the things that stand out as being most likely causes. In this situation there are some pretty obvious things that stand out. The first thing that I would look at is the staffing mix in this emergency room.
There are three factors that need to be considered by Nicholas Jacobs at Windber Medical facility: what is the level of follower readiness, what task needs to be completed, and which leadership style will best for his personal style. Jacobs took over the role of president of the Windber Medical facility and realized that there were many issues that were causing the facility to decline. The employees were being paid less than other comparable jobs in the area, the infrastructure and facilities were not sufficient to meet current needs, and the financial resources were declining. According to Hughes, Ginnett, & Curphy (2012) the follower readiness in this case is likely to be moderate and at an S3 level (2012, p. 550). Jacobs began implementing developmental interventions and he transitioned to a delegating style in the effort to increase follower development on specific tasks.
This, inadvertently, causes delays and disruptions in patient-centric care, compromising continuity of care and patient population’s safety. According to ONC (2013) many providers cite that the significant challenges of EHR implementation and transition periods include workflow changes and personnel training, which detract from the time that would otherwise be spent on tending to
In the given case study, for instance, future provision of moderate sedation and additional backup must remain a mandatory exercise. Second, involves gathering of data and available evidence as a means of highlighting the occurrence of events, a behavior, or even condition (Clark &Taplin, 2012). According to most hospital regulations and ethics, when a patient begins to exhibit complications, it is upon the nurse and the ED physician to note the symptoms and offer appropriate treatment. Further examination of this scenario reveals a number of hazards/errors, i.e., shortage of qualified nurses, unfamiliar with appropriate medication dosages, the current procedure for conscious sedation was not followed, and the most fundamental hazard is the inability of the staff to prioritize and inform the administration (Nursing Supervisor) of the situation in the ED. The emergency department still failed to abide by medical ethics of practice.
The health care environment has to change practice and tactics to remain viable by using evidenced-based business practice models to remain relevant. The tool assists leadership to deliberate issues and effectively distributes resources to areas in demand to mitigate financial loss resulting in poor quality of care. Currently the United States health care system is enduring significant nursing shortages that will have severe health care consequences on the Baby-Boomer generation.
People have reported that since electronic medical records have come to surface, that just as crashing with computers occur that medical records as well can be lost or permanently not recovered. Being without records of medical histories can cause riffs between the Hospital and the patients as well as loss of money within the practice itself. Doctors often complain that the electronic systems are clunky and time-consuming. Time consumption is within learning the system configurations and formatting itself amongst the staff and medical doctor. It’s said that Doctors using the computer to input data then interviewing the patient will cause them to hasten their pace and not read a true diagnosis for proper treatment.
Especially in the workplace where feelings of grief can undermine one’s productivity, organizational change must be dealt with utmost care and with careful deliberation. With that in mind, the first part of the book offers an understanding on the origin and impact of organizational change. As change in the workplace abounds, usually because of driving factors such as technological improvements, industry expectations and new competitors, employees feel threatened as their idea of what once was a “home” is replaced by a new, and