IHP 604 4-1 short paper ML

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Southern New Hampshire University *

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IHP 604

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Computer Science

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Jan 9, 2024

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1 IHP 604 Module Four Short Paper Meredith Lindberg Southern New Hampshire University IHP 604 DR. BROPHY October 15, 2023

2 IHP 604 Module Four Short Paper Compare proactive and reactive problem-solving frameworks: Comparing proactive and reactive problem-solving frameworks, an organization can find both value and advantages to the framework which is best suited to the situation that needs to be addressed. Reactive problem-solving framework is designed to find an answer on an issue which already occurred. In this problem-solving framework it manages situations when an incident occurs. Reactive framework finds the cause of the incident finding any errors. In comparison, a proactive problem-solving framework is based on removing the issue before it even had a chance occur. It is about preventing a situation before it starts. In this problem-solving framework it projects future issues and implements a problem-solving framework to avoid an incident if possible. Each method is designed for a specific purpose. The advantages of both problem- solving frameworks are they both strive to rectify the problem while showing it. Choose a problem-solving framework: For the first scenario, I chose to exam scenario two with the drill bit sepsis patient. The problem-solving approach I would use in this situation, where a patient has developed sepsis due to a drill drip that flew off the drill and landed in the tibial tissue field during the surgery would be root cause analysis, RCA. Root cause analysis can aid in highlighting the reasons one is being conducted. RCA will also figure out what current changes need to be made so this does not occur again. For the next scenario, I choose scenario four addressing the need for security tags for newborns from birth to discharge. For this scenario, a Plan-do-study-act, PDSA, should be done. The PDSA problem-solving framework will evaluate whether the added security measure is

3 necessary. This is an effective measure to assess if the changes implemented are working. They can use this method to track the use of security tags. With this data collected they can decide if this new security process is something they want to implement permantely. Plan: to decide what would be product assessed, security tags being placed on newborns. Do; is where and how the plan would roll out. Study: collecting data to supply useful information to make an informed decision about the new security tags. Act: at the end of the study all the data is reviewed and from here to decided if the security tags should be provided to newborns permanently. For the third scenario I choose, the chief compliance officer has asked to know if the pharmacy clinic is keeping uniform implementation of narcotic dispensing and documentation procedures. For this scenario, the failure modes and effect analysis, FMEA. The problem-solving framework FMEA would aid with supporting the narcotic dispensing and documentation procedures. Is a systematic method of naming and preventing product and process problems before they occur. ( The Basics of Healthcare Failure Mode and Effect Analysis , n.d.) Implementations should be uniform and continue past the six-month mark. There are no current problems, and it continues to do well the problem-solving framework should be the failure modes and effect analysis, FMEA. Using FMEA framework will also ensure in the future that there will be no problems. Categorize problem-solving frameworks as proactive or reactive: In the first scenario I choose the drill bit causing sepsis in a patient. I chose RCA as the problem-solving framework. This framework is reactive. The only reason the organization is doing a root cause analysis is because they need to show what the root cause of the scenario was. For the second scenario I chose was implementation of security tags on newborn babies until

4 they leave the hospital to increase security measures. This framework is proactive. The organization is trying to find a safety issue and trial a new security possibility. For the third scenario I choose FMEA for continued montioring of the community clinic pharmacy. This framework is proactive. Due to there being a lack of errors or problems within the past six months the FMEA framework would contribute to ensuring that there are no current issues in this method. Apply problem-solving frameworks: In the first scenario with the drill bit causing sepsis in a patient I choose RCA problem- solving framework. “Identify the single-event problems, this process uses evidence gathered quickly and methodically to set up a timeline for the activities leading up to the accident. Once the timeline has been proven, the causal and contributing factors can be found. Also using the Barrier analysis: This technique focuses on what controls are in place in the process to either prevent or detect a problem, and which might have failed.” ( WHAT IS ROOT CAUSE ANALYSIS (RCA)? , n.d.) For the second scenario was the implementation of security tags on newborns I chose PDSA. The PDSA has four proactive steps: plan, do, study, act. The security tags for the newborns are not currently in place, the team has the oppurtunity to develop a plan. With time and a trial gives the team a chance to avoid potential problems. Collecting all the data for the department to approve it is curcial. The plan will include data analysis to support the initiative to present to department heads. The next step is parents volunteering for this study by allowing their babies to wear the security tag. Once that step has been completed and all the data is collected and reviewed it can now be presented to the department heads. Prior to implementation

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