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Mindlessness In Health Care

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Healthcare organizations are facing many challenges as they strive to deliver high-quality care to patients. Healthcare has become complex with increasing regulation demands and increasing cost that make providing quality, safe care, difficult, time-consuming and prone to errors. The goal of healthcare is to provide faster, better and cost effective care while producing better patient outcomes. According to Carr, “Seeking convenience, speed, and efficiency, we rush to off-load work to computers, without reflecting on what we might be sacrificing as a result”. The sacrifice is reducing the human interaction. Reducing human interaction or involvement, leads to reduced skills and a different kind of error. As stated by Skitka, “Rather than necessarily …show more content…

Strong leadership is essential to execute the changes needed to go from a state of Mindlessness to Mindfulness. Those industries that are high performers are always in a state of “Mindfulness”, Mindfulness looks at those weak signals, responds to those signals in an effort to keep the system working and avoid potential disaster (Weick & Sutcliff, 2007). This state of alertness greatly reduces the chance of automation-induced complacency. There has to be a cultural transformation from the top down. The focus has to go back on doing no harm to the patient. Shifting the mind set to protect the patient instead of the organization is essential for the improvement of quality care and reducing complacency. Staff will have to be focused on what could go wrong, no matter how many times they have performed the task. This way of thinking is going to have to be entrenched into the staff. There has to be processes in place that everyone follows. Therefore, safety measures have to be incorporated into every day practices. Safety measures such as “Situational Awareness”, this process allow you to take the current situation and compare it to what is normal, therefore, reducing the chances of being in a dangerous situation. …show more content…

One way is to measure compliance is a checklist. Healthcare organizations can immediately standardize care, improve safety, and combat complacency with a simple intervention that requires a piece of paper. That simple piece of paper is a checklist. In healthcare, checklist can help ensure consistency and completeness in carrying out complex task. Checklist can have tremendous effects on preventing harm to patients and decreasing automated complacency. A checklist is standard protocol in the aviation industry. “Although the aircraft checklist has long been regarded as a foundation of pilot standardization and cockpit safety.”( Degani, 2015). Checklist can be used in all areas of the hospital. In healthcare, most errors are caused by omitted steps in defined processes. Omitted steps often lead to adverse advents and patient harm. Those omissions can be greatly reduced by using checklist. Standardizing processes with checklist prioritizes which steps should be done first; also it helps to establish the expectation that every step will be followed every time on every

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The healthcare industry generates a great amount of data every day, as a form of record keeping, patient care, compliance, and regulatory requirements. Just a decade ago, all this data was stored in the form of hard copy form, now it is rapidly transforming to digital data which is called EMR (Electronic Medical Record). The digitalization of the healthcare has not just reduced cost of care, but also improved quality of care due to the abundance data that organizations receive from the EMR to identify the flaws in their system. I work in the healthcare industry where improving quality of care is our primary goal. We use software called eCW , which is an integrated system.

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The Joint Commission’s tracer methodology is used to ensure compliance standards are met, as well as to “trace” and document the level of care provided to patients in order to make improvements to the facility’s health care delivery system. Patients requiring services that utilize the entire continuum of care spectrum are selected in an effort to gather sufficient information needed to identify areas with potential risks and safety concerns. As the patients’ course of care progresses across the system, Joint Commission surveyors evaluate each department 's policy and procedure on data management, infection control and medication management process. Health information management is impacted by the “tracer methodology” because HIM must ensure

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Better Care: Transform the Patient Experience through sooner, safer, smarter Surgical Care. Safety Culture: focus on Patient and Staff

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6) Checklists can actually save lives. Checklist also decreases deaths in hospitals. When checklists have been applied for use by surgical groups, deaths dropped 40 percent. Comparative results have been seen when checklists are required for specialist 's implanting central lines into their sick patients. The implantation of central lines can be a key source of infections and checklists have been appeared to incredibly diminish these infections.

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Demonstrate effective use of technology to navigate the electronic health record, communicate with inter/intraprofessional teams, and be involved with decision making in the delivery of quality and safe patient care. (Ivy Tech Community College, 2016). Rationale In nursing, the use of technology is vital in providing high quality of care and complete understanding of the patient.

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Overall, incomplete documentation and delinquent medical records cause inaccurate reimbursement and results in inaccurate gross revenue to the hospital. It can have a negative impact on the hospital budgeting and financial planning process for the hospital. It is for this purpose that every healthcare institution should be purposeful on reviewing the accuracy and completeness in clinical documentation, no matter the cost. Even though, for most physicians, most of their time is focused on the actual care of the patient and there is little to no time to devote to extensive documentation, it is imperative to understand patient care includes both the one-to-one attention and the documentation of said treatment.

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Each year, the goals are analyzed and if necessary, updated. The 2016 National Patient Safety Goals aim to: 1) Improve the accuracy of patient and resident identification; 2) Improve the effective communication of caregivers; 3) Improve the safety of medication use; 4) Improve the safety of clinical alarm systems; 5) Reduce the risk of health care associated infections; 6) Organize identification of safety risks evident in patient populations; and 7) Set universal protocol for preventing wrong site/procedure/person surgeries (TJC, 2016). These safety goals are mandated so that medical errors are reduced and patients are given the best quality care possible. Some of the steps nurses can take in association with these goals include: using at least two patient identifiers to ensure correct patient treatment and reduce patient misidentification; making timely reports of critical test and diagnostic results; maintaining accurate patient medication information, and labeling all medications and containers removed from original containers; quickly responding to medical equipment alarms, and maintaining their upkeep; following hand hygiene guidelines, and using evidence-based practices to prevent infections due to multi drug-resistant organisms, surgical sites, or indwelling catheters; identifying patients at risk for suicide; and ensuring that sites are correctly marked for surgery through marking the procedure site and undergoing a verification process (Cherry & Jacobs,

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Motivate the staff by educating them about how powerful tool it is, in reducing the medication error and increasing the patient safety. Build a group of champions in the department to help support the other staff during the change process. Champions will wear a specific colored T shirt with the word “Champion” printed on it. That will encourage and motivate others to work as a team and help each other. Identify the barriers of change, which might be the staff nurses who are skeptical of change.

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The choices they make could lead to them having an accident or getting harmed. By doing a risk assessing hazards can be identified and measures put in place so that the choices can be met in the safest way possible. Q 16b Explain why risk assessments need to be regularly reviewed. It is important to review risk assessments regularly as change can happen and what measures were once seen as safe might not be anymore. All changes should be recorded straightaway and not on a set date.

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This information is used to appropriately implement prevention and treatment for patients. The second outcome integrates analysis of information gathered by healthcare personnel to identify trends and inconsistencies within the healthcare population. Through this the origin of problems can be ascertained, and preventive measures can be instituted. Subsequently prevention will decrease incidences and ultimately the cost to

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Tuesdays with Morrie Personal Response Paper Tuesdays with Morrie is a book about an older man teaching a younger man the biggest and greatest lessons of life. In this book Morris Schwartz (Morrie) teaches Mitch, a fellow student, about lessons on how to live. One day Mitch receives word that Morrie was dying so he finds a way back to his old college professor; then the teaching and learning begins. They cover every topic in which this generation struggles to view and choose to live to the fullest. Morrie mentors Mitch through life and as their relationship grows, Mitch starts to realize that he’s been living life the wrong way.

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Patient safety experts have demonstrated that “patient safety increases when teamwork and collaboration skills are taught and empowered; when teamwork and collaboration are not present, medical errors will result” (Creasia & Friberg, 201, p. 348). As a nurse, it is imperative to collaborate with other interdisciplinary members in health care and also strive to research and implement evidence-based practices. Evidence-based practice is necessary to “ensure the highest quality of cost-effective care and the best patient outcomes” (Fineout-Overholt, 2011, para. 16). With a collaborative and innovative attitude on safe health care practices, an increase in patient safety and effectiveness of care will

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As assessment is integral to the nursing process it is also incorporated into nursing models. Assessment is necessary during all nursing activities e.g. assisting an individual with their hygiene needs, taking observations or during repositioning/manual handling techniques. Orem’s model is a particularly effective tool in carrying out assessment as it has a practical approach in identifying patients’ needs by encompassing their universal, developmental and health deviation self-care deficits. ‘’Having a conceptual nursing model to practice may enable nurses to gather a detailed database that identifies actual and potential healthcare problems’’ (Capers, 1986). The grid, checklist format is a simple, fast and straightforward assessment guide and can be very useful in practice.

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