Essay: Healthcare Quality Management Pdca Modeling

Pages: 5 (1458 words)  ·  Bibliography Sources: 1+  ·  Level: Master's  ·  Topic: Healthcare  ·  Buy This Paper

SAMPLE EXCERPT:

[. . .] The response in the case was relatively ineffective and the care given to the patient did not effectively address his symptoms or improve his situation. Thus the entire department and healthcare facility could use additional training in how to handle such situations in the future including the patient's recent return.

Organize an Effort to Work on Improvement

There needs to be a team implemented to work on the improvements suggested which will require a leader to be identified who might also be considered the project manager of this improvement implementation. The project team will need to consist of a cross functional group to ensure that different organizational functions are represented as well as the information and training can be effectively disseminated after the project is over.

Clarify current knowledge of the process

The current industry best practices seem to indicate that a behavioral emergency response team (BERT) is the best approach to handling cases such as the one presented. Multiple factors influence nurses' abilities to provide effective interventions to patients with mental health issues in non-psychiatric inpatient settings; two factors, the presence of negative attitudes toward patients with mental illnesses along with nurses' perceptions of a lack of competence and confidence in identifying and managing behavioral symptoms, have been cited in a variety of publications (Pestka, et al., 2012).

The implementation of a BERT is also of critical importance to the safety of the hospital staff. There are a number of hospital assaults every year that arise out of mentally troubled individuals who take out their anger on the staff. The actual number of health care worker injuries related to assaults by patients is unknown and violence against nurses may be underreported for a variety of reasons including the view that it is part of the job (Pestka, et al., 2012). Further research should be conducted by the team to focus on creating a set of best practices to implement in the hospital setting.

Understand process variation and capability

In the case, the mentally troubled patient presents an issue for the current operating process because they are unsure of how to handle the situation. However, if a BERT team was in place, then the patient would immediately be this team's responsibility once it was recognized that he might be a drug users and/or have behavioral problems. The rest of the staff would be trained to not only identify the mentally unstable cues that patients could display, but they would also know to immediately alert the BERT team.

Select the Process Improvement

The most important process improvement that was identified would be the creation of a BERT response team. This team would undergo special training to understand the risks and responses that mentally unstable patients can introduce into the healthcare process.

PDCA

Dr. W. Edwards Deming was an American statistician, professor, author, lecturer, consultant and also known as the father of the Japanese post-war industrial revitalization. Deming gained notoriety by trying to develop better ways for people to work together. His theories were applied to various industries included manufacturing companies, telephone companies, railways, carriers of motor freight, consumer researchers, census methodologists, hospitals, legal firms, government agencies, and research organizations in universities (Bennet & Slavin, 2009).

In this situation the plan-do-check-act cycle can be applied to every step in the process. The PDCA cycle is a way of continuously checking progress in each step of the FOCUS process. Each step is can also be considered of critical importance given the fact that the safety of the staff is on the line. The case highlighted the vulnerabilities in the department and these vulnerabilities lead to many accidents and assaults across the country. It was identified that a BERT team should implement immediately to identify gaps in the current operations model and take corrective action. These actions will consist of a continuous improvement cycle that will continually refine the operating procedures.

Works Cited

Bennet, L., & Slavin, L. (2009, April 3). What Every Health Care Manager Needs to Know. Retrieved from Continous Quality Improvement: http://www.cwru.edu/med/epidbio/mphp439/CQI.htm

i Six Sigma. (N.d.). Focus - PDCA. Retrieved from I Six Sigma: http://www.isixsigma.com/dictionary/focus-pdca/

Pestka, E., Hatterberg, D., Larson, L., Zwygart, L., Cox, A., & Cox, D. (2012). Enhancing Safety in Behavioral Emergency Situations. Medsurg Nursing, 335-341. [END OF PREVIEW]

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