Discuss About The Quality Management In The IVF Laboratory.

The Communication Gap among Hospital Staff

Discuss About The Quality Management In The IVF Laboratory.

• General background (establishing context, understanding and why this is a topic of interest).
• Introduction to subject matter of the assignment (more specific information on the matter being discussed).
• Introduction to contents of essay (an outline of what is ahead for the reader – “signposting”).
• 2-3 paragraphs (maximum 1-1.5 pages).
• Please refer to the RCSI Student Handbook, Appendix A: Academic Writing Guidelines.

• Teams should read the heading carefully – the key word here is “importance”.
• This heading should present a fully evidence-based (referenced), critical discussion (review and debate all aspects of the issue presenting evidence-based reasons forand against the management being proposed) of the “importance” of evidence-based healthcare quality, safety and governance frameworks to healthcare.
• As a guide, Team narratives should consider (all supported by the evidence base!):
• Defining what are healthcare quality, safety and governance frameworks.
• Why they are important.
• To whom they are important.
• Benefits, challenges and limitations.
• Provide examples, with guidance, on practical use/implementation.
• Teams may consider appropriate use of tables, figures and diagrams in this heading (remembering all tables, figures and diagrams MUST be correctly titled and referenced – and MUST be referred to from the narrative!).

As the scenario progresses it can be noticed that most of the staffs in the hospital are not at all serious about the patients. There is a huge lack in the communication process of the entire hospital starting from the situation when Dr Small called up the elderly people healthcare department, the senior official shows a reluctant attitude towards the words of the doctor and doesn’t even write down the things told by the doctor. After the patient arrived the hospital it can be seen that none of the officials pays proper attention to the requirements of the patient(YouTube, 2018). After the patient is transferred to her bed, it can be seen that no care is been taken for the patient, also the patient is unable to call for any help as she is not able to speak anything due to her illness. The medial staff is totally ignorant about the fact that the patient does not have the ability to call for help or do any task of her one. Lack of proper communication lead to many mistakes for the patient (Mortimer and Mortimer 2015). Further it can be seen that the nurses are not responding to her when she tries to call them for the issues of the natural call. Even when the nurse notices the issue is resultant and takes no immediate action against it. Her call for every communicating signal is just being ignored and not steps are being taken. When the service nurse comes to give her water or tea, she fails to have it. At her situation someone must help her for taking her drinks, but the nurse is unaware of this fact and is not taking any step to help her, this is because of the lack of communication and proper transparency between the staffs of the hospital.

The environment of the hospital seems to be inappropriate as the site where the patient is changing the clothes is not very personal and the privacy of the place is not well maintained. People are sent o be peeping from the windows during the course of chancing clothes of the patients.  There needs to proper care for the patients like this but the hospital is not able to give any service and not even proper healthcare (McNeil, Frey and Embrechts 2015). When the daughter of the patient calls for the patient and wants to know about the health condition the ward boy is unable to give any information about the same , also the ward boy does not even calls for someone who can provide proper information to the kin of the patient , further when the daughter of the patient informs the ward boy that the patient is allergic to wheat substance and there can be dangerous out come if provided , the ward boy misinterpreted the allergy to be celiac disease which is something entirely different(Runciman, Merry and Walton 2017) .

The Importance of Effective Quality Management in the IVF Laboratory

From the above case study, it is visible that the transparency n the cmmunication process is not efficient in nature as the communication gap is prevailed among the staffs of the hospital. The data that was shared by Dr. Small was misinterpreted and wrong information was distributed among the staffs of the hospital.  This miscommunication came out to the most dangerous thing the done. One the other hand there is not help provided to the patient for going to the washrooms. While coming back to her bed again she falls down and breaks her leg, further damaging her health (Kalilet al. 2016). The hospital took a decision of surgery, and when the senior doctor who was going to do the task provided information, but it was not follows, also proper inspection of the fracture was not done as it was marked left leg instead of the right leg. The concern would go unnoticed if the warden would not have intervened. After the operation it can be seen that the doctors are not concerned for the patient but to go to a pub. After the completion if the surgery the patient seemed to be in pain. To decrease the pain of the patient the patient was supplemented with medicines that had wheat as its main constituent. This fat of supplementing wheat in the patient body caused the reason that endangered the life of the patient.  This was due to huge miscommunication between the staffs and the ignorance of the Doctors and the nurses towards the patient. It can be said that the life of the patient came to danger due to the lack of communication, ignorance and casual attitude towards patients. It was the mistake of the hospital which took the life risk of the patient.

• Critical, evidence-based introduction and definition of what this step is in the Team’s risk management activity (should include the evidence-based methodology used to execute the Team’s risk estimation) – minimum 1 x paragraph (Seeland, et al 2015)
• The selected evidence-based risk estimation supporting resources (for example matrices for impact and likelihood of occurrence) should be presented in the Appendices of the assignment and appropriately referred to from this heading (remembering appendices MUST be labelled in the order that it is referred to in the narrative of the assignment – please further guidance in the “Appendix #…” heading).
• Ensure all risk estimations (of the 5 x risks identified) critically meet the criteria of the methodology selected and 100% supported by both the evidence identified by the Team in “Mildred’s Story” (including context, content, etc.) plus relevant, appropriate supporting literature (to support more critical risk estimation where the evidence in the case study may not be “strong”) (Bennett, et al 2014).
• Team’s may consider presenting their risk estimation in a table if assignment word count is a challenge (rememberwords in assignment tables, figures, graphics, etc. are not included in the word count, MUST be correctly titled and referenced – and MUST be referred to from the narrative!).
• Where a table is used, and it crosses pages, Teams should make sure that the header row is repeated at the top of each page (much easier for the reader to follow!).

Conclusion

• Team opportunity to emphasize the main points of the assignment and leave a lasting impression on the reader.
• 1-2 paragraphs (maximum 0.5-0.75 pages) including the following:
• A brief summary of what the Team hascritically presented/discussed in the assignment.
• A statement summarizing the main points/conclusions of the risk management activity.
• Please refer to your Student Handbook, Appendix A: Academic Writing Guidelines

References

Bloom, N., Propper, C., Seiler, S. and Van Reenen, J., 2015. The impact of competition on management quality: evidence from public hospitals. The Review of Economic Studies, 82(2), pp.457-489.

Kalil, A.C., Metersky, M.L., Klompas, M., Muscedere, J., Sweeney, D.A., Palmer, L.B., Napolitano, L.M., O’grady, N.P., Bartlett, J.G., Carratalà, J. and El Solh, A.A., 2016. Management of adults with hospital-acquired and ventilator-associated pneumonia: 2016 clinical practice guidelines by the Infectious Diseases Society of America and the American Thoracic Society. Clinical Infectious Diseases, 63(5), pp.e61-e111.

McNeil, A.J., Frey, R. and Embrechts, P., 2015. Quantitative risk management: Concepts, techniques and tools. Princeton university press.

Mortimer, S.T. and Mortimer, D., 2015. Quality and risk management in the IVF laboratory. Cambridge University Press.

Goff, D.C., Lloyd-Jones, D.M., Bennett, G., Coady, S., D’Agostino, R.B., Gibbons, R., Greenland, P., Lackland, D.T., Levy, D., O’Donnell, C.J. and Robinson, J.G., 2014. 2013 ACC/AHA guideline on the assessment of cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Journal of the American College of Cardiology, 63(25 Part B), pp.2935-2959.

Runciman, B., Merry, A. and Walton, M., 2017. Safety and ethics in healthcare: a guide to getting it right. CRC Press.

Oertelt-Prigione, S., Seeland, U., Kendel, F., Rücke, M., Flöel, A., Gaissmaier, W., Heim, C., Schnabel, R., Stangl, V. and Regitz-Zagrosek, V., 2015. Cardiovascular risk factor distribution and subjective risk estimation in urban women–The BEFRI Study: a randomized cross-sectional study. BMC medicine, 13(1), p.52.

YouTube. (2018). Recognising Risk and Improving Patient Safety – Mildred’s Story. [online] Available at: https://www.youtube.com/watch?v=BTpnPoSyuJg [Accessed 14 Apr. 2018]