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Root Cause Analysis and Best Practice Intervention Plans.

Patient safety is the most crucial goal of a healthcare system. Although healthcare stakeholders work hard to ensure patients get adequate medical attention and services, underlying challenges within the healthcare systems have always made it difficult to uphold patients’ safety. In order to improve patient safety, quality improvement measures should be examined to develop explicit intervention plans that effectively reduce patient harm, such as inadequate pain management, unsafe injection practices, diagnostic errors, and delayed response to deteriorating patient conditions and infections Burke et al. (2020). Everyday adverse actions that result in avoidable patient harm involve nurses. They comprise the largest group in a healthcare setting with the highest patient engagement. Root course analysis must be conducted in healthcare systems to investigate why patient safety measures are ineffective. This paper discusses evidence-based and best-practice ways to minimize delayed response to deteriorating patients in the healthcare system.

Assessment and recognition of all medical cases, including deteriorating conditions in hospitals, is a role tasked to the emergency department. These departments have improved their services by introducing rapid response systems that provide clear guidelines for identifying and managing patient conditions. According to statistics, between 1.5% and 23% of patients received at the emergency department have worse vital signs that seem uncontrivable by normal circumstances Gabayan et al. (2017). Detection of deteriorating conditions requires the emergency department to act immediately by coming up with a more classified rapid response that would minimize adverse effects on the patient, such as premature death, emergency intensive care, cardiac arrest, and other serious effects.

Patients with progressively delicate conditions often show rapid changes in their health. These abrupt changes can often be unpredictable if no timely intervention is made. Health professionals, especially nurses, must be informed of the implications of delaying attending to a patient with severe conditions. According to research by Vincent et al. (2018), we determine that an Immediate response to a deteriorating patient can prevent more severe complications, manage the condition, and, in some cases, save a life by ensuring the effectiveness of an intervention plan, the nurses need to know when it is adequate to deploy the plan. Several serious health conditions have been analyzed, and a clear plan has been given on when to deploy specific procedures to ensure effectiveness. Failure to understand the timelines on when to deploy the rapid intervention plan may minimize the chances of laying out an effective treatment plan. In addition, delayed response to a deteriorating condition will likely expose the patient to a more risky, complex, expensive, and sensitive procedure that might see the patient taking longer to recover.

Delayed response to sensitive health conditions has the most adverse effects on the patient and the family members. Sometimes, the patient’s condition may worsen in front of their families, and if there is no intervention plan taken, then what follows is a traumatic experience that leaves the family members depressed, hopeless with the healthcare system, and even more confused. Efficient safety measures are implemented to curb the effects associated with the underlying issue.

Possible Solutions towards improving patients’ safety Based on evidence.

Quick response to clinical deterioration using ng system EMS narrative needs to be more keenly looked at and prioritized as an urgent matter of towatolrealizeient safety. Quality and safety improvement initiatives are crucial and essential to the safety of patients in a healthcare economy. After reviewing the report compiled by the Institute of Medicine To Err Is Human, it is evident that several safety cases are pointed at the faulty hospital systems and procedures, and only a few cases are associated with individuals Burke et al. (2020. Organizations such as the National Healthy Quorum, The Joint Commission, and many other prominent organizations propose implementing practical solutions for safeguarding the patient’s health. Such measures will be exposed to benchmarking to track its efficiency and progress.

To ensure quick response to deteriorating cases in a healthcare setting, all stakeholders must treat this matter seriously. They should review the existing safety programs and point out the crucial responsibilities of each departmental head. These programs should be able to identify clear measures for attaining safety. They should be incorporated in such a way that each department can report and assess its own mistakes. Additionally, according to Wong et al. (2020), the stakeholders should incorporate departmental workshops and training that equip health professionals with skills such as team management. For instance, in emergencies, more skilled professionals should always be present at the triage to help identify quick implementation plans in managing deteriorating conditions. (evidence)

Health facilities must also implement better data collection methods and analysis procedures. Proven medical safety procedures are recommended since they have minimal medical errors and have been proven to safeguard the well-being of patients. Healthcare workers at large should stop using shortcuts when handling patients. Quite a number of them significantly rely on what they have memorized when eliminating symptoms instead of taking a root cause in understanding the scenario. Data should be collected keenly, and professional protocols should be observed when conducting procedures.

Timely detection and management of deteriorating medical conditions is crucial in safeguarding patient safety. Medical facilities should deploy trained and qualified medical practitioners to the medical emergency team to ensure this effectiveness. These medical health providers have been equipped with highly intensive care knowledge and skills in intensive care equipment, helping detect and detect deteriorating conditions. Several healthcare facilities deploy student nurses in emergency departments with fewer professionals. According to research, some of these hospitals need help to afford the tools required for monitoring, or those with such tools rarely use them. Improving patient assessment and monitoring is crucial to enable early implementation plans for deteriorating health conditions. Effectiveness can only be reached if the healthcare systems prioritize offering training to nurses and health practitioners. Cost-effectiveness is essential in ensuring the layout plan works during implementation.

Patient safety can only be improved with the involvement of major stakeholders, such as nurses. In order to ensure patient safety and reduce costs on deteriorating cases, nurses need to play a vital role in ensuring the effectiveness of strategies put in place. Firstly, nurse departments need to set up a culture of safety and improvement that appreciates and rewards nurses working diligently to improve the quality of services Farokhzadian et al. (2018). Secondly, a nurse’s role is to closely monitor a patient, collect data, understand the problem, identify the primary cause, and finally communicate the results to the stakeholders involved. The essence of close and continuous evaluation is to monitor the progress in order to avoid more complications that may expense the patient. Consequently, nurses need to review and understand the clinical models in decision-making to help them conduct assessments and closely monitor patients. Additionally, nursing assistants must be equipped with vital signs training from time to time and be closely monitored by the head nurses in evaluating their decision-making skills.

In conclusion, for an effective plan to improve patient safety, involved stakeholders need to do subsequent research on best implementation implementation plans before laying them down. Health stakeholders also need to set up efficient systems to help in data collection and analysis to help nurses respond rapidly to deteriorating patients. Additionally, departmental heads need to emphasize the safety of patients first and lay out a teamwork working environment. If quick and keen attention is provided to patients, there will be reduced complications, deaths, and dangerous procedures for deteriorating patients.

References

Burke, J. R., Downey, C., & Almoudaris, A. M. (2020). Failure to Rescue Deteriorating Patients. Journal of Patient Safety18(1), 140–155. https://doi.org/10.1097/pts.0000000000000720

Farokhzadian, J., Dehghan Nayeri, N., & Borhani, F. (2018). The long way ahead to achieve an effective patient safety culture: challenges perceived by nurses. BMC Health Services Research18(1). https://doi.org/10.1186/s12913-018-3467-1

Gabayan, G. Z., Gould, M. K., Weiss, R. E., Derose, S. F., Chiu, V. Y., & Sarkisian, C. A. (2017). Emergency Department Vital Signs and Outcomes After Discharge. Academic Emergency Medicine24(7), 846–854. https://doi.org/10.1111/acem.13194

Medicine, I. of, & America, C. on Q. of H. C. in. (2000). To Err Is Human: Building a Safer Health System. In Google Books. National Academies Press. https://books.google.com/books?hl=en&lr=&id=Jj25GlLKXSgC&oi=fnd&pg=PT25&dq=a+number+of+safety+cases+are+pointed+at+the+faulty+hospital+systems+and+procedures+and+only+a+few+cases+are+associated+with+individuals&ots=bKhaluM7aH&sig=c5JJ5w9xDsoyGhR3th5mvXbhc0c

Vincent, J.-L., Einav, S., Pearse, R., Jaber, S., Kranke, P., Overdyk, F. J., Whitaker, D. K., Gordo, F., Dahan, A., & Hoeft, A. (2018). Improving detection of patient deterioration in the general hospital ward environment. European Journal of Anaesthesiology35(5), 325–333. https://doi.org/10.1097/eja.0000000000000798

Wong, B. M., Baum, K. D., Headrick, L. A., Holmboe, E. S., Moss, F., Ogrinc, G., Shojania, K. G., Vaux, E., Warm, E. J., & Frank, J. R. (2020). Building the Bridge to Quality. Academic Medicine95(1), 59–68. https://doi.org/10.1097/acm.0000000000002937

 

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