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View the scenario called "Critical Decision Making for Providers" found in the Allied Health Community media (http://lc.gcumedia.com/hlt307v/allied-health-community/allied-health-community-v1.1.html)
In a 750-1,200 word paper, describe the scenario involving Mike, the lab technician, and answer the following questions:
What were the consequences of a failure to report?
What impact did his decision have on patient safety, on the risk for litigation, on the organization's quality metrics, and on the workload of other hospital departments?
As Mike's manager, what will you do to address the issue with him and ensure other staff members do not repeat the same mistakes?
A minimum of three academic references from credible sources are required for this assignment.Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this assignment to LopesWrite. Refer to the directions in the Student Success Center. Only Word documents can be submitted to LopesWrite.
1
Unsatisfactory 0-71%
0.00%
2
Less Than Satisfactory 72-75%
75.00%
3
Satisfactory 76-79%
79.00%
4
Good 80-89%
89.00%
5
Excellent 90-100%
100.00%
80.0 %Content20.0 %Scenario Description
Description of scenario is not provided.
Description of scenario is provided but is incomplete.
Description of scenario is provided.
Description of scenario is clear and accurate.
Description of scenario is clear, accurate and comprehensive.
60.0 %Discussion of Impact and Consequences of Failure to Report
Discussion of the failure to report is not provided.
Discussion of issues, their impact on the organization, and consequences is provided but is incomplete.
Discussion of issues includes a brief description of organizational impact and consequences.
Description of issues includes detailed information regarding organizational impact and consequences.
Comprehensive and compelling discussion regarding the failure to report includes consequences with recommendations to address the issue with employees.
15.0 %Organization and Effectiveness5.0 %Thesis Development and Purpose
Paper lacks any discernible overall purpose or organizing claim.
Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.
Thesis and/or main claim are apparent and appropriate to purpose.
Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.
Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.
5.0 %Paragraph Development and Transitions
Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.
Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.
Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.
A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.
There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.
Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
Writer is clearly in command of standard, written, academic English.
5.0 %Format2.0 %Paper Format (Use of appropriate style for the major and assignment)
Template is not used appropriately or documentation format is rarely followed correctly.
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
Template is used, and formatting is correct, although some minor errors may be present.
Template is fully used; There are virtually no errors in formatting style.
All format elements are correct.
3.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)
No reference page is included. No citations are used.
Reference page is present. Citations are inconsistently used.
Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.
Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and style is usually correct.
In-text citations and a reference page are complete. The documentation of cited sources is free of error.
100 %Total Weightage
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| Subject | Nursing | Pages | 5 | Style | APA |
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Answer
Critical Decision Making for Providers
Decision-making is critical to proper health care. Primarily, physicians face challenging situations that emerge within short timeframes daily. As such, they have to make quick and effective decisions that will promote patient wellness by enhancing safety and quality care delivery. According to Bittner-Fagan, Davis, and Savoy (2017), wrong decision making in healthcare does not only lead to the admission of wrong treatment and other series of medication errors, but it can also lead to loss of life. Moreover, ineffective decision-making is regarded as one of the main causing factors for Failure to Rescue incidences. The discussion presented here focuses on Mike’s case study where the impacts of his decisions are evaluated.
Case Study
Mike is a lab technician at a health care facility. Recently, he has had issues with timekeeping where he has reported late for work on several occasions. Consequently, his manager has warned him that coming late could lead to his dismissal. Mike values his job, as it is his only source of livelihood and would do whatever it takes to keep it. One day, while arriving at work almost late, he notices a spill on the hospital floor. However, since he was late and did not want to risk losing his job. He ignores the spill and clocks in on time. Later, a woman patient slips over the spill and breaks her hip.
Consequences of Failure to Report
The fall occurred because of Mike’s failure to report the problem. In this regard, even though Mike was late and the spill was in another section of the hospital, he was in a position to either deal with the problem by cleaning the spill or reporting to the management so that another person responsible for housekeeping in that area could clean it. Therefore, the first consequence of failure to report is a decrease in patent safety at the healthcare facility. Fundamentally, not reporting the problem increased the risk of exposure to falls for patients (Cooper et al., 2017). Therefore, their safety was in doubt. Consequently, the failure affected the objectives of the hospital, which aims at promoting patient wellness, safety, and provision of quality care.
Impact of Mike’s Decision
The decision by Mike not to clean the spill or even report it to the housekeeping section could affect many sections within the hospital. Ideally, it touches on the core values of the hospital regarding proper patient care. Moreover, it can also lead to legal issues for the organization.
On Patient Safety
The decision by Mike lowers the patient safety standards of the hospital. In this regard, the decision increased the likelihood of patent failure, and this could result in injury. Primarily, patient safety considerations ensure that all elements that could lead to injury within a healthcare facility are eliminated which was not the case based on Mike’s decision.
On Risk of Litigation
The patient who fell asked if the hospital had programs in place to minimize incidences failure due to preventable reasons. Therefore, she believes that as a healthcare facility, the organization should not expose patients to elements that could lead to their injury. Therefore, she can decide to sue the hospital for negligence. Moreover, even though the spill might have been a mistake, the video capturing Mike walk past it after pausing could be used as evidence that the organization has employees that neglect patient safety. Therefore, the hospital could lose in a litigation case.
On Quality Metrics of the Organization
Mike’s decision to neglect the spill is against the quality metrics of the hospital. According to Swift (2017), quality in healthcare is reflected in high standards of patient safety, reduced stay at a hospital by admitted patients, and maintenance of high ethical standards. Therefore, the fact that the patient had to be re-admitted after her fall means that the quality standards of the hospital are low. Moreover, the decision by Mike is not informed by the desire to maintain quality at a hospital but by his fear of losing his job.
On Workload of Other Hospital Departments
Mike’s decision could lead to an increase in the workload of other hospital departments. Ideally, they could not spot the spill in their section for a very long time until it caused injury to a patient. Therefore, they need to be assigned more observational duties to ensure that such a problem does not go unnoticed for a relatively long time again.
Addressing the Problem
Mike’s problem emanates from his decision-making processes. Ideally, most of his decisions are informed by a personal fear to lose the job. Therefore, he prioritizes activities that will limit his chances of being fired. Therefore, in addressing the problem, the first factor to change will be Mike’s focus and priority areas. As such, he has to be coached on the understanding that the hospital’s values, goals, and objectives should be prioritized. Fundamentally, the primary goals are promoting quality care by ensuring high safety standards for patients. After that, whether late or not, within the hospital settings or outside, Mike ought to prioritize patient safety and quality medical care delivery.
In conclusion, the case study indicates how finite elements that appear simple can affect the whole organization. Ideally, in a healthcare facility, any factor occurring could influence patient safety and medical outcomes. Therefore, all staffs should make decisions that promote safety in line with the established organizational objectives.
References
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Bittner-Fagan, H., Davis, J., & Savoy, M. (2017). Improving Patient Safety: Improving Communication. FP Essentials, 463, 27-33. Cooper, J., Edwards, A., Williams, H., Sheikh, A., Parry, G., Hibbert, P., & Carson-Stevens, A. (2017). Nature of blame in patient safety incident reports mixed methods analysis of a national database. The Annals of Family Medicine, 15(5), 455-461. Swift, J. Q. (2017). Patient Safety and the Malpractice System. Oral and Maxillofacial Surgery Clinics, 29(2), 223-227.
Appendix
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