I believe that even if the hospital leadership are able to understand the climate and culture theory, it would be very difficult for them to translate to nurses, physicians and other professionals who already have a professional and organizational culture they are used to. Consequently, the implementation of creating or improving the climate or culture separately to aid stemming the crisis would be difficult. Although, I believe if it is introduced as trying to create a better organizational climate for the hospital or clinic in general with special focus on opioid addicted patients and organizational culture is treated as a component of the climate it may be easier to deploy and get good response. This is because as discussed/suggested in many of our readings people tend to hold on to culture so resisting change. But I believe people generally want a better climate to work in whatever the culture.
Excessive power of autonomy changes a beneficent doctor-patient relationship to a client-consumer type relationship. I contend that this form of doctor-patient relationship will perpetuate the provision of inadvisable, harmful therapies. Without a beneficent objective, advances in technology and care provision of modern ICU would become ineffective for society. Care would be provided merely on request and provided excessively where it is unlikely to produce a meaningful benefit. I will argue that while the term “meaningful benefit” is open to discussion, it must consist of a significant component of medical judgement.
Nurse stafﬁng is a significant region of worry because it can place a strain on patient safety as well as quality of patient care. With cost effectiveness in mind, hospital administrations have elected to reduce nursing stafﬁng ratios and substitute licensed nurses using cheaper unlicensed personnel. This increases uneasiness as the quality of care in hospitals might be undesirably reduced. The necessity to evaluate nurse stafﬁng is essential. The bulk of the investigative studies examined were cross-sectional in nature as research was completed by means of vast hospital administrative data to detect connections amongst nurse stafﬁng ratios and patient outcomes.
A considerable number of people believe that the diagnosis and treatment of health problems are beneficial to improving and maintaining overall health, but too much dismay, there are also potential harmful affects with this type of medical practice (Martin, 2017). The practice of overtreatment and overdiagnosis is a prominent issue within the healthcare system. One of the main reasons that healthcare providers and their patients feel the need to treat and diagnose each health problem, big or small is that society has a compulsion to cure. Healthcare providers conform to the idea of compulsion to cure because amongst other reasons, they fear litigation and disappointing patients if they choose against conducting tests in order to diagnose and
Many current issues and health policies in the health system in America today are impacted by a multitude of healthcare providers. One current issue that has yet to be highly publicized yet impacts all aspects of quality for clinicians is errors in diagnosis. This issue results in various client impacts from economical and additional strain on healthcare, to potential death of patients and social, ethical and potential aspects of neglect (Toker, 2013). Economically the provider’s misdiagnosis can cause the patient substantial cost through repeated tests, procedures or poor outcomes. Misdiagnosis can also cause multiple consults for subspecialties, additional medications, procedures and unanswered questions to diagnosis and results.
Medical error is one of the most preventable adverse effects of care that is harmful to the patient, with radiology attributing for a significant percentage. Medical errors can happen in a health system when a patient is given inaccurate or complete diagnosis that might lead to injury, disease, infection, and even death of the patient. There are many causes for medical errors such as, miscommunication between the treating provider and the patient, having surgery at the wrong site, wrong interpretation of imaging studies, medication side effects, and nonsomical infections. One of the most liable specialties to be sued for medical negligence for failure to diagnose is radiology. Radiology is a medical specialty that uses imaging to diagnose and treat diseases seen inside the body.
In a nutshell, the Public Health is the controversial issue because, contingent on how it is characterized, and it might test individuals ' qualities and request penances. The fight between an extensive and a prohibitive perspective of public health is progressing. The comprehensive view demands to surrender a level of individual freedom for the benefit of everyone (Donohoe, 2013). In fact, Public health is a wider societal development, a crusade to amplify health for everybody in the populace through dispersing advantages and obligations in an evenhanded way. The Public Health outlines are regularly dubious because they have a financial effect.
To accomplish advancements in health systems, it is essential to strive to eradicate major fatal diseases and to manage poverty. Life expectancies are considered on a global level concerning age, sex, race, ethnicity, socioeconomic class, region as well as the level of education, resulting in alarming statistical data. The objective for enhanced health systems incorporates decreasing the rates of morality. The social gradient greatly contributes to social inequalities around the world. Social conditions, for example, the environment in
Most of the diseases can be prevented if there was an early screening that was established. One of the best ways to deter any disease is by screening. As a result, screening is an important component of clinical preventive services because it is a valuable tool for healthcare professionals to identify anyone who is at risk to develop chronic disease before the condition becomes both deadly and costly. To alter any disease from its progression, a method of prevention to be established which can be done by a creating a screen methodology. Creating a Health Screening Initiative in today health is an important issue to prevent disease apparition.
ICD-10 Positive Movements ICD-10 (International Classification of Diseases) is a positive move for both the medical community and the patient, even though ICD-10 implementation was a slow moving process. For the medical community ICD-10 makes coding much easier for the doctors and physicians, while giving them a better reputation because the coding is now up-to-date. ICD-10 has 71,924 codes with 7 characters alpha or numeric, numbers 0-9, and letters A-H, J-N, P-Z. (Services, 2015) ICD-10 is giving doctors a greater reputation due to the more accurate coding the coders are giving. These codes tell the complete story of the patients illness making them want to return.
One legal hurdle is privacy. “Power corrupts and absolute power corrupts absolutely” (Penn, 2009, p. 35). The nationalized health systems will expose patients to the risk of lost privacy. Once a nationalized health system fully exists and there one centralized medical record, privacy becomes a major issue partially because of technology. Technology is as much of a friend as it is an enemy.
According to Graham, & Cvach (2010), some of these factors entail but not limited to; frequent levels of alarm rate, lack of adequate standardization of clinical alarms and presence of several bedside equipment’s which substantially contribute to desensitization and alarm fatigue. The alarms are designed in such a way that they are audible enough for the nurses not to miss any single alarm. The way in which some of these alarms are set is such that rather than helping medical attendants, they become a nuisance which adversely affects health care fraternity (Graham & Cvach, 2010). Evidence-based interventions to minimize alarm fatigue Due to the negative impact which it attributable to a greater percentage by the alarm fatigue, it is paramount for the healthcare fraternity to come up with satisfactory mitigation plans and approach to the issue. In the light of the above, evidence based approach should be adopted to mitigate the impact of nuisance alarms in hospitals.
A core aim of our health services is to ensure that National Health Service (NHS) organisations and their staff deliver the best care possible to patients (Bidgood, 2013). However, there has been numerous debates on how to measure and guarantee quality care (Bidgood, 2013). The issue of quality of care has been highlighted by the publication of the Francis Report into the failings of the Mid Staffordshire Foundation Trust between 2005 and 2009 (Francis, 2010). The report revealed poor patient experiences and highlighted a whole system failure, that should have had checks and balances in place, working to ensure patients were treated with care, dignity and suffered no harm. In addition, healthcare professionals were losing the sight of quality