week 2 DQ 1

DQ 1 Response 3

According to the article, bedside shift report is an important and crucial component of preventing adverse events and “near misses”. This phenomenon is gaining favor in evidenced based practice and shows decrease in adverse events and “near misses” when enacted correctly. Not only do the clinicians effectively communicate current conditions of the patients, but if the patient is of sound mind, the patient partakes in coordination of care. It is beneficial in attempts to combat “near misses” and adverse outcomes, while raising HCAP scores simultaneously. Pressing on, the author also mentioned the lack of teams without a purpose can attribute to unnecessary costs and wasting of funds. The healthcare team needs clear directions and goals to attain in order to progress in patient satisfaction and minimizing errors. To this extent, the healthcare team is a unique body of like-minded individuals that have patient care at the core and visions to minimize adverse outcomes and “near misses” no matter the cost. Accountability in the healthcare team should be ascertained and team members should all be on the same page when it comes to the mission for the organization. For example, in my organization in an attempt to hold nurses accountable, when the ongoing and off-going nurse are finished with handoff report the off-going nurse signs his or her name and then the ongoing nurse does the same thing. This process ensures that bedside handoff was performed and each nurse is informed of patient status.

 

References:

Mitchell et al., 2012. Core principles & values of effective team-based health care. Discussion paper. Retrieved from: file:///C:/Users/scharron91/Downloads/VSRT-Team-Based-Care-Principles-Values.pdf

Reponse 4

When it comes to health care, team based health care system is necessary for the best of the patient outcomes. Team based health care can improve the quality of the care, better understanding of patient situation. It also helps to improve the patient satisfaction and thereby reduced the medical care cost. 

Hospital-based “multidisciplinary teams” often involve all levels of “staff” on the treatment pyramid including aides, nurses, physician assistants, physical therapists, social workers, anesthesiologists, and attending physicians. These “teams” are consistently more effective than randomly assigning staff to the emergency room (ER), the floors, the Intensive Care Unit (ICU), the operating room (OR), or other locals. 

 

Current research indicates that ineffective communication among health care professionals is one of the leading causes of medical errors and patient harm.A review of reports from the Joint Commission reveals that communication failures were implicated at the root of over 70 percent of sentinel events.When asked to select contributing factors to patient care errors, nurses cited communication issues with physicians as one of the two most highly contributing factors, according to the National Council of State Boards of Nursing reports (Dingley,n.d.).

 

Reference:

Dingley, C. (n.d.). Improving Patient Safety Through Provider Communication Strategy Enhancements. Retrieved October 04, 2017, from https://www.ncbi.nlm.nih.gov/books/NBK43663/

Response 5

 The perils that the author has described in the article is a topic that all management should be discussing in their settings of work. The detailed and thoughtful discussion of this by the author discussed handoffs where main errors are made. According to the author, here you find near misses which can lead to a less quality care provided which is also unsafe. The author wrote about communication that is not strong or enough in those handoffs between team members. IF the team has a purposeless goal that is not collaborated well can lead to “unnecessary waste and cost” (Mitchell et. al., 2012). Many errors lead to a prolonged duration of care which involved additional treatments, which can be prevented with a good handoff report. Strong communication between interdisciplinary team members can prevent adverse events by giving one another every bit of valuable information needed to provide safe and a high quality care to patients. This also means to provide details on changes and other interventions needed for those changes. If these are not communicated well, can lead to near misses or complete errors.  Mitchell, P., Wynia, M., Golden, R., McNellis, B., Okin, S., Webb, C. E., … Von Kohorn, I. (2012). Core principles & values of effective team-based health care. Institute of Medicine of the National Academies.