Crisis Management Triad Case Study

CEO: Serve as the team leader and final decision maker for the company. The CEO is the face of the organization and will be the primary voice for any public statements made.

An analysis put out by The Journal of American Medical Association (JAMA) presented some overwhelming statistical results concerning patient mortality. The research subjects were post operative surgical patients. The results implicated a seven percent increased risk of patient mortality for every additional patient added to a patient load of four, which resulted in an increased risk of five deaths per 1,000 patients (Aiken, Clarke, Sloane, Sochalski, & Silber, 2002). For the purpose of putting these hypothetical statistics into perspective, analytical statistics from another portion of the JAMA article showed a data set from results obtained in 168 different hospitals in Pennsylvania. The patient characteristics were similar to the previous results. A mean nurse to patient ratio ranged from between 4:1 to 8:1(Aiken et al., 2002). The mortality rate results were 4,535 patients out of the sample size selected of 232,342 surgical patients (Aiken et al., 2002). These patients either died during their hospital stay from preventable complications or within thirty days of their discharge. These complications would likely have been avoided with an adequate staffing level.

Safe and adequate nurse staffing levels are an essential part of the health care policy in providing safe and high level of quality care for patients. Nurses play a fundamental role in the health care system in delivering quality care and safe guarding patients both in the hospital and in the community settings. Most evidence-based studies associated lower patient mortality rate with safe nurse staffing levels. Although, healthcare organisation stress nurses’ on providing high quality care but financial cost of the health care organisation is first taken into consideration (Sheward et al 2005). Consequently, the surgical wards nurse staffing levels are experiencing severe shortage of nurses with increased workload causing “burnout” and high

The writer met with 21 y/o AAM brought to Detroit Receiving Crisis Center by EMS and he was a petition by his mother Angela Jones the petition states, he is a danger to himself he got beat with a bat and stabbed with a knife, fall asleep when he smoke marijuana cannot sit still, drooling a lot walks street all night leaving the door to unlock. The consumer was unable to provide information about why he was brought to Crisis Center. The consumer denies depression, delusion, no auditory/visual hallucination, no suicidal/homicidal ideation, no self-injury and no impaired judgment. The consumer admits to having anxiety, poor impulse control, injury to other, impaired judgment, limited insight into the need for treatment and desire to improve

Errors in medicine are unfortunately plentiful, and are also oftentimes preventable. Even with technology, regulations, and procedures designed to improve health care and reduce errors, the occurrences are still much too high. Recent statistics from the World Health Organization show that 10% of hospitalized patients are harmed during their stay, and 1.4 million people at any time are suffering from hospital-acquired infections. It is estimated that when it comes to surgical care, 50% of associated complications are preventable (WHO). There are always ways to improve how tasks are performed in hospitals, and studying recent incidents can help us

A major concern in the world of medicine and many patients around the world has been how fatigue is affecting surgeons. Imagine you are in the operating room and you happen to see the surgeon yawn, you are putting your life in his hands. Questions begin to fill your head. How long has he been working? Will he be able to perform at his best? Will he make a mistake because he is tired? In the late twentieth century and very early twentieth-first century it was believed that patient safety was at risk to due to surgeons working over a hundred hours a week, so new regulations were set on 2003, to limit surgical residents to only being able to work for eighty hours a week. Recent studies have found that limiting the amount of hours surgical residents could work has limited their experience, lowered certification passing rate, and increases the possibility for more errors. . Residents see less patients and they don’t get to see the patients they treat get better or worse and research supports that there is no significant evidence that negatively correlates hours worked with surgeons ' performance. Even though in the past it was believed that Patients were more at risk when surgeons work longer, making them more susceptible to errors because of fatigue, due to new studies, residents should be allowed to exceed the 80 hour limit because studies show that residents are being exposed to less patients which reduces their experience

This article is about discussing weather or not limiting medical residents' hours would be harmful for patients. Some argue that sleep-deprived clinicians threaten patient safety since medical residents were originally allowed to work shifts of up to 30 hours straight. However, the Accreditation Council for Graduate Medical Education updated its standards back in 2011, limiting residents in their first years to work at a maximum of 16-hour shifts or 80-hour workweeks, and others to 24-hour shifts. This study focuses on a clinical trial on work hours for medical students in residency that argue that there are conflicts and dangerous for patients and practitioners. The trial was called FIRST, The Flexibility in Duty Hour Requirements for Surgical Trainees Trial, which was led by Dr. Karl Bilimoria, director of the surgical outcomes and quality improvement center at Northwestern University's Feinberg School of Medicine. FIRST was created to compare the current standard hours with more flexible hours, doctors and medical students had to follow the Accreditation Council for Graduate Medical Education (ACGME) duty hour requirements.

In the first session with Conrad, the primary concern is to address crisis and safety. Even though Conrad is experiencing somatic and transitional stress, he previously experienced a psychiatric emergency. It is critical to review this history and assess any thoughts or plans to harm himself while re-establishing rapport (Knox & Roberts, 2008). Rapport is built over time through the use of empathy active listening skills, body language, and facial expressions that demonstrate genuine interest in the client's story (Knox & Roberts, 2008). For the purpose of determining if crisis intervention is necessary, the use of closed questions is a quick and useful way to establish if the client posts a risk to himself. Questions may include:

It’s only noon and already, Linda has had to take a patient off of life support and prep another for a transplant. Because her patients need her, she cannot stop for a second to grieve. Linda is not unlike many other nurses, who don’t stop to eat lunch or go to the bathroom, much less grieve for the loss of a patient. All too often, nurses experience compassion fatigue, which presents itself as exhaustion and dysfunction in multiple aspects of their lives. A few nurses in the NSICU at Lehigh Valley Hospital in Allentown, Pennsylvania joined forces to figure out a plan to prevent the accumulation of stress through one simple action: collaboration. Some of these nurses then attended a free Crisis Intervention course designed for nurses and other emergency responders, and with this information, they put together a step-by-step process to assist colleagues in coping with stress. By

The Agency for Healthcare Research and Quality created a survey to understand patient safety from the healthcare provider’s perspective. There are numerous surveys geared towards patient satisfaction and quality control for the patients to participate in. However, this survey allows healthcare to be the participant and to be proactive in improving patient safety as well. This survey is directed to ambulatory (out-patient) surgical facilities. There are nine sections in the survey and each are broken down into specific components. The first section pertains to available resources and time management when working within the facility. The second section apply to to training and collaboration of colleagues. The third section is concerned with problem

When dispatch issues a crisis call, stating that a person is emotional disturbed and is about to take measures of life into their own hands, regardless, if it is a suicide or domestic violence call, it is necessary for officers to be trained to perform their duties correctly; in order to help resolve the crisis situation. Upon the officer’s arrival at the scene, they must first assess the situation with extreme caution, as well as call for back up. They should park away from the location and approach the scene slowly on foot. Next, it is important that an officers address the party/parties with a calm and soothing voice. By doing so will help alleviate the person/persons from feeling threatened and intimidated. If the call is a domestic violation situation, it is imperative that both parties are separated, allowing them the opportunity to share their story with the officers. In either situation, the officers must not argue or scold the party or allow anyone else to do so. If the call is a suicide, and the relatives or friends are at the scene, have them help communicate and address the subject, unless of course there is animosity; under those circumstances, the individual may have

An abundance of characteristics exists with this group of twelve learners. While all are undergraduate college level students, they each possess an individual level of healthcare experience. The ages widely swing between low twenties and upper thirties, mostly likely providing a great number of varied life experiences. The subject of Crisis Intervention calls for one to be able to assess the clients’ needs, identify the risks, locate resources, and provide therapeutic communication (ATI Nursing Education, 2013). Although this topic is an acute matter, it stems from fundamental nursing knowledge that the learners have been practicing since eight nursing courses ago.

Residency is an important period of time where residents learn, practice and provide optimal clinical performance.This puts the residents at risk of burnout due to serious emotional and physical stresses that is experienced during residency program despite the decrease in working hours as the resident go higher in level which is attributed to the extended and rising responsibilities. Surgical trainees are more likely to experience burnout in comparison to other specialties as reported by the national survey where 40% of the surgical trainees met the criteria for burnout. Moreover, the rate was increased in a single institutional study.

Compare and contrast productive (poiesis) and practical (praxis) activity and their importance to crisis management.

What is a crisis management? It is an unexpected crisis that happens on the company that will affect the trust and loyalty of the stakeholder. It can be extremely costly because it will affect the company reputation and brand. For example like financial failure from poor business management, workplace violence, fires, cybercrime, computer viruses, product tampering or union strikes and other external issue like damaged economy that causes from London bombings, terrorists attacks on 11 September and others. The SHRM 2005 report indicates that only 56% organizations created or revised their disaster preparedness plans but 45% did not after the terrorist attacked on