Discuss about the Systematic Implementation Of Healthcare.
Healthcare topic attributes to the systematic implementation of healthcare safety standards across the emergency department settings. The safety standard – 3 focuses on the development of proactive strategies and systematic interventions for preventing the establishment of healthcare associated infections in the treated patients (ACSQHC, 2012). This safety standard advocates the requirement of utilizing aseptic techniques and antimicrobial interventions for reducing Mrs. Betty’s risk of developing a nosocomial infection. The safety standard – 4 emphasizes the requirement of safe prescription and dispensing of medicines with the systematic utilization of an efficient medication management system (ACSQHC, 2012). The implementation of this evidence-based standard would prevent the inappropriate administration of medication to Mrs Betty that might result in the development of clinical complications.
The hospital quality and safety committee members include the chief medical officer, patient safety officer, registered head nurses, administrative heads, chief operating officer and department heads of emergency medicine, infectious diseases, pathology, surgery, medicine, pharmacy, obstetrics/gynaecology, radiology, psychiatry and ancillary services.
The presentation format requires the systematic utilization of power point intervention for the effective display of the healthcare safety concerns in front of the selected audience (Murray, 2010). A systematic power point presentation is a recommended methodology deployed for capturing the attention of the viewers. The presentation notes prove to be an effective means of conveying the healthcare safety and quality concerns for retrieving the desirable outcomes (Murray, 2010).
The methodology (requiring deployment) for the assessment of the level of understanding (regarding health and safety concerns) of the target audience attributes to the systematic administration of questionnaires. Indeed, the medical community utilizes questionnaires on a wide scale for retrieving the answers of various research questions. The results obtained from questionnaires prove to be sensitive in relation to the target population (Artino, Rochelle, Dezee, & Gehlbach, 2014).
The absence of an evidence-based healthcare system is considered as the greatest barrier to the establishment of a positive change in the clinical practice management. An effective control over the medical interventions is necessarily required in the context of safeguarding the health and wellness of the treated patients (Baradaran-Seyed, Nedjat, Yazdizadeh, Nedjat, & Majdzadeh, 2013). The group thought culture proves to be another significant barrier that hinders the safe and effective medical management across the emergency care settings. Medical practitioners resultantly fail to follow the clinical guidelines under the influence of patient’s recommendation of continuing the previously prescribed treatment regimen (Austad, Hetlevik, Mjølstad, & Helvik, 2016). This substantially increases the risk of the patient towards experiencing clinical complications following the treatment administration. The absence of an efficient electronic healthcare record system in the emergency care settings substantially reduces the quantity of evidence required for undertaking the process of medical decision-making (Keiffer, 2015). This resultantly hinders the integration of medical practice guidelines with the emergency care patient encounter. The absence of well-defined disease specific protocols leads restricts the customization of healthcare interventions in accordance with the disease manifestations experienced by the patient population (Taba, et al., 2012). This substantially elevates the length of patient’s stay in the emergency care settings that reciprocally increases the work burden of the healthcare teams. The absence of familiarity of the nursing professionals with healthcare guidelines and ethical conventions reduces the effectiveness of healthcare interventions that reciprocally lead to the development of adverse patient outcomes (Fischer, Lange, Klose, Greiner, & Kraemer, 2016). The increased workload of the nurse professionals considerably reduces their self-efficacy and motivation towards the systematic establishment of elevated healthcare outcomes in the emergency department settings. The non-utilization of patient-centred and holistic healthcare interventions in the emergency care setting increases the risk of development of co-morbid states and associated clinical complications among the treated patients (Austad, Hetlevik, Mjølstad, & Helvik, 2016). The absence of thorough understanding of the treatment challenges and medication history of the treated patients (by the nurse professionals) elevates their risk of experiencing adverse healthcare outcomes in the emergency care settings. The absence of training sessions and educational interventions for the registered nurse professionals in the context of promoting the pattern of their clinical reasoning, critical thinking as well as meaningful assessment of the complex patient scenarios elevates the risk of occurrence of patient fatalities in the emergency care setting (Papathanasiou, Kleisiaris, Fradelos, Kakou, & Kourkouta, 2014).
The greater understanding of the roles and responsibilities of nursing professionals in the treated patients increases their trust and confidence on the clinical interventions administered by the treating nurses in the emergency care setting (Doetzel, Rankin, & Then, 2016). This increases the scope of enhancement of medical decision-making by the nurse professionals (in coordination with the treated patients) in the context of effectively dealing with complex medical emergencies. The pattern of optimism in the registered nurse professionals despite the existence of the additional work load is another significant attribute that effectively facilitates the enhancement of healthcare outcomes in emergency department settings (Kirk, Sivertsen, Petersen, Nilsen, & Petersen, 2016). The pre-configuration of patient care goals substantially facilitates the reduction in patient admissions to the inpatient wards from the emergency department settings (Hullick, et al., 2016). These patient care goals require formulation while evaluating the risks of the treated patients in terms of experiencing falls/injuries and infections during their length of their stay in the emergency care settings. The establishment of an effective feedback mechanism for recording the concerns and opinions of the healthcare professionals as well as the treated patients and their family members assists in reducing the frequency of healthcare adversities in emergency department (Reddy, Zegarek, Fromme, Ryan, & Schumann, 2015). The feedback system generates a rational requirement for improving the efficiency of the healthcare system in the context of reducing the risk of acquisition of nosocomial infections, post-treatment complications and traumatic episodes among the treated patients.
The absence of appropriate fall prevention protocols in the emergency department setting would substantially hinder the implementation of measures warranted for reducing the risk of Betty’s falls in the emergency care setting (Loganathan, Ng, Tan, & Low, 2015). The deficient space in the emergency care setting and inappropriate patient to beds ratio further constraints the rational implementation of systematic mechanisms for controlling the risk of Betty’s traumatic episodes during the length of her stay in the emergency care facility. The nurse professional as well as the healthcare team require understanding the social networks, transportation matters and individual perceptions and culture of the treated patient in the context of preventing the pattern of her traumatic episodes in the emergency care setting (Calhoun, et al., 2011). Betty’s healthcare change would require systematic customization of medical interventions in accordance with her individualized treatment needs and the level of mental wellness. The administration of healthcare education sessions to the Mrs Betty in the emergency department would substantially reduce the pattern of her misconception of healthcare barriers and infectious conditions (Yousafzai, Janjua, Siddiqui, & Rozi, 2015). She will resultantly comply with the infection prevention approaches and other preventive interventions thereby reducing the risk of development of contagious conditions in the emergency care setting. The hospital administration therefore, requires configuring effective healthcare policies and conventions while considering the barriers and facilitators that could effectively hinder or promote the recommended modification in Betty’s healthcare. The healthcare conventions should be constructed in a manner to systematically enhance the willingness of the healthcare teams in terms of responding to the critical healthcare requirements of the elderly patient in the healthcare setting (Rutkow, Taylor, Paul, & Barnett, 2017). These conventions must promote the development of a supportive environment for effectively facilitating the administration of evidence-based healthcare interventions in the context of safeguarding the pattern of health and wellness of the critically ill elderly patient in the emergency care setting. This will eventually decrease the length of patient’s stay in the emergency care facility and concomitantly reduce the risk of occurrence of post-treatment complications
ACSQHC. (2012). NSQHS Standards. Australia: Australian Commission on Safety and Quality in Health Care. Retrieved from https://www.safetyandquality.gov.au/wp-content/uploads/2011/09/NSQHS-Standards-Sept-2012.pdf
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Yousafzai, M. T., Janjua, N. Z., Siddiqui, A. R., & Rozi, S. (2015). Barriers and Facilitators of Compliance with Universal Precautions at First Level Health Facilities in Northern Rural Pakistan. International Journal of Health Sciences, 9(4), 388-399. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4682593
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