Part V: Evaluation

 

This assignment has two parts.

 

Part 1:

 

Quality Improvement program related to Surgery.

 

Write a 2–3 page evaluation of the quality improvement program that you have created. This should be the annual summary of the hypothetical data. Make sure your hypothetical data are credible.

 

Part 2:

 

As you may recall from Week 1, your Course Project was to prepare a total quality improvement program related to high-risk area related to Surgery. Continuous quality improvement covers many areas.

 

Throughout the course, you have learned about the attributes that constitute a quality improvement team and what questions this team attempts to answer. The assignments toward this project that you completed each week can now be assembled into a single instructional document.

 

Make necessary adjustments to your document so that each segment flows smoothly into the next. Evaluate your project using the criteria given below.

 

1  Are the indicators and their measurements appropriate to the high-risk area? Do the indicators capture the risk?

 

2  Are the fictional incidents realistic and plausible?

 

 

3  Is the filled chart consistent with the fictional incident?

 

4  Is the plan of correction feasible? Will it prevent the occurrence of the incident in future?

5  How do you know the plan worked? What measures will you use to identify effectiveness?

 

Risk Management

Risk is something that seems to be fluid. You can prevent many types of incidents

but the facility is still at risk. It is imperative to identify risks with the aim of preventing

as many of them as possible. As communication lines are opened and staff feels

free to discuss issues, many risks are brought to light and can be prevented.

Some trial-and-error is unavoidable in any healthcare organization, but the goal is

to eliminate as many errors as possible.

 

Risk management is often thought of in terms of reducing liability.

One of the key areas that risk managers address is hospital-liability insurance

premiums. Facilities commonly face the problem of insurance premiums increasing

from year to year. These premiums are partially based on past years' claims.

If a facility reduces risk in one year, it may be able to lower premiums the following

year.

 

Therefore, it is necessary to monitor risk on an ongoing basis.

In addition to hospital-liability insurance, an organization may shift a part or all of its

liability for an adverse event to a contractor. Take the case of medical equipment.

If some equipment malfunctions and a patient suffers an injury, the healthcare facility

is liable. However, this liability may be transferred to the manufacturer of the

instrument through contract.

 

 

 

 

Grading Criteria

 

 

Analyzed all indicators monitored and measured in the performance improvement project.

 

 

Included specific, realistic hypothetical data to evaluate the improvement of chosen indicators.

 

 

Explained indicators, measurements, and fictional incidents.

 

 

Provided valid values in the chart that are consistent with the fictional incident.

 

 

Explained in detail a feasible plan of correction, as well as its capacity for preventing other incidents.

 

 

Presented a structured document free of spelling and grammatical errors.

 

 

Cited sources using the APA format.

 

 

 

 

Risk Management Topic: Surgery

Week 1 assignment for reference only

 

Surgery is one of the areas of health in which preventable medical errors and near misses could occur. Additionally, most of the patients are very encouraged with the results of the surgery. However, there are some risks that are involved in the surgery process. It is therefore crucial to understand the limitations   that are associated with the surgery. In this case, I decided to choose surgery as one of the high-risk areas in my project because I think it has become a burning issue in the HealthCare system (Kavaler, 2014). The paper is intended to identify, classify, and describe the nature of these risks with relation to the healthcare providers and healthcare facilities. In this case, the paper will look at different ways through which wrong-site, wrong-procedure, and wrong-patient surgery can affect various disciplines.

In some cases, wrong-site errors normally lead into devastating injuries to the patients in the process if not in the future. For example, there was an incident whereby a boy was left psychotic and experienced brain damage at the same time. These are some of the problems, which occur as a result of the surgery errors. The errors occur as a result of failure to have quality management as well as proper risk management guidelines within the health facilities. Moreover, increased pressure to turn over operation rooms quickly has interfered with the patient’s safety. Additionally, there are common complications that are associated with the wrong- site or wrong-procedure surgery. Some of the postoperative complications include atelectasis, wound infection, fever, deep vein thrombosis, and embolism. The risks are vigilant in the first or the third day after the operation.

Errors are all too frequent in the medicine and in particular during the surgery. Whenever these medical errors occur, the healthcare professionals are always there to struggle with the aftermath (Hollingsworth, 2005). For example, there was a case whereby a family practitioner and obstetrician misdiagnosed a viable pregnancy as a result of the miscarriage. In this case, the thought came that the Doctor’s patient had lost her child due to the error committed by the physician. This made him feel both the guilty and angry. Therefore, in most cases, mistakes committed in the surgery normally have an emotional impact to the health professionals. In most cases, they have the tension since there are possibilities that the mistakes they have committed will be disclosed to the patients.  Most of them are therefore left with adverse emotional experiences because they elevate themselves to be at the risk of the lawsuits. Furthermore, surgery errors may as well increase the risks of depression, suicide, and substance abuse among various health professionals.

              Moreover, there are various risks that are exposed to the healthcare facilities as a result of medical errors (surgery). One of the problems is that there is loss of physicians who might decide to quit their professionalism after the incident. This is already a liability to the facility and probably quality improvement of the system might fail (Imhof, 2013). Additionally, the healthcare facility may experience complete burnout as a result of the poor results in the surgery. Senior healthcare agencies might be in a position to understand that the healthcare operations in the respective organization are not safer for the patients. As a result also, there is likelihood that the facility would seduce low number of consumers in the future.

             In the conclusion, emotional impact that occurs as a result of wrong-site and wrong-procedure surgery could adverse effects. It may limit the success of the healthcare facility and the satisfaction of the workers, patients and the medical staff.


References

Kavaler, F., Alexander, R. S., &Kavaler, F. (2014).Risk management in healthcare            institutions: Limiting liability and enhancing care. Burlington, MA: Jones & Bartlett        Learning.

Hollingsworth, S., Primedia Workplace Learning., Trinity Workplace Learning., & Trinity             Healthforce Learning. (2005). Universal protocol for preventing wrong site, wrong         procedure, wrong person surgery. Carrollton, TX: Primedia Workplace Learning.

Imhof, M., &Blondel, C. (2013).Malpractice in surgery: Safety culture and quality             management in the hospital. Berlin: De Gruyter.

 

 

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