Every health professional has a duty of care to patients. Specifically, it is nurses who play an important role in the quality and safe delivery of patient care. They have the major responsibility for the implementation of policies and procedures in an organisation. Thus, it is essential that all organisations support their staff from all levels of care to deliver the best service in every patient. In addition, every organization is required to offer unwavering encouragement and resources to support staff to perform their duty of care to the best of their ability. The high incidence of risk in the health care settings such as adverse events, near misses, errors, and other clinical incidents have created great concerns for healthcare organizations. Not only they have effects on patients, but also they have shown significant impact on socioeconomic status. For this reason, it is expected that all health care professionals will engage with all elements of risk management to ensure that there is delivery of quality and safe patient care. This paper will critically discuss three (3) episodes of care from the case study Health Care Complaints Commission [HCCC] v Jarrett [2013] Nursing and Midwifery Professional Standards Committee of New South Wales [NSWNMPSC] 3 in relation to Registered Nurse’s [RN] role as a leader in the health care team, application of clinical risk management [CRM] in health care domains, accountability in relation to clinical governance [CG], quality
By keeping the lines of communication open between leaders and staff, healthcare organizations can encourage and empower nurses to solve blame game issues without fear of punishment by management. Leaders and nurses must work as a team and are capable of providing safe and quality environment. When an error or incident happens, many leaders investigate everything and everyone except themselves. In the process of patient care, harm might occur; the culture often prefers to blow the blame game whistle instead of learning from the mistake. Nursing in fear, often refrain to openly admit mistakes and errors, which hinder the objective to ensure everyone is cared with compassion and dignity.
Every health professional has a legal obligation to patients. Nurses as part of the health care team share an important role in the quality and safe delivery of patient care. They have the major responsibility for the development, implementation and continuous practice of policies and procedures of an organisation. It is therefore essential that every organization offer unwavering encouragement and resources to support their staff to perform their duty of care in every patient. On the other hand, high incidences of risk in the health care settings have created great concerns for healthcare organizations. Not only they have effects on patients, but also they project threat to the socioeconomic status. For this reason, it is expected that all health care professionals will engage with all elements of risk management to ensure quality and safe patient delivery. This paper will critically discuss three (3) episodes of care from the case study Health Care Complaints Commission [HCCC] v Jarrett [2013] Nursing and Midwifery Professional Standards Committee of New South Wales [NSWNMPSC] 3 in relation to Registered Nurse’s [RN] role as a leader in the health care team, application of clinical risk management [CRM] in health care domains, accountability in relation to clinical governance [CG], quality improvement and change management practices and the importance of continuing professional development in preparation for transition to the role of RN.
Critically analyse how clinical governance can ensure accountability of individuals and teams and that nursing practice is safe and of a high standard?
healthcare organization accrediting bodies, and to maintain credibility with patients and peers alike, must adhere to the National Patient Safety Goals. As stated by Ulrich and Kear (2014), "Not only are nurses responsible for providing safe patient care, we are also responsible for creating an environment in which others can provide safe patient care, and for being the last line of defense when needed between the patient and potential harm. Having a deep understanding of patient safety and patient safety culture allows nurses to be the leaders we need to be in ensuring that our patients are always
For decades, something was missing in patient care. Crucial quality and safety-improvement professionals involved in healthcare delivery were formerly not located in the places where care was actually provided. This often resulted in a disconnect that fragmented healthcare quality, safety, and improvement. According to Reid and Dennison, in their article The Clinical Nurse Leader (CNL)®: Point-of-Care Safety Clinician, “The role of the Clinical Nurse Leader (CNL)® restores this vital connection. The CNL is a clinician who brings the locus of control for safe and quality care from the administrative areas straight to the unit’s providers who deliver the services. “
Today, many Americans are affected by health care decisions made without their prior knowledge. More than likely most Americans are unsure how those decisions are decided and who is responsible for making those decisions that ultimately affect how health care is administered. The Department of Health and Human Services (HHS) is the United States government’s principle agency for protecting the health of all Americans and for providing essential human services, especially to those who are unable to help themselves. HHS administrators over two hundred programs and it accounts for almost forty percent of all United States federal government spending. HHS mission is to keep Americans safe and healthy through effective health and human service programs. The department has five strategic goals: strengthen health care, advance scientific knowledge and innovation, advance the health, safety, and well-being of the American people, increase efficacy, transparency, and accountability of HHS programs and strengthen the Nation’s health and human service infrastructure and workforce (Department of Health and Human Services, (n.d.).
To assess the quality of health care it is providing Quality healthcare depends on the availability of condition data. Poor documentation, imprecise statistics, and insufficient communication can result in errors and adverse incidents. Inaccurate data intimidate patient well-being and can lead to expand costs, inefficiencies, and poor presentation. Further, mistaken or incomplete data also discourage health information exchange and obstruct clinical research, production development, and quality initiatives. The impact of poor data on care is only increased by the implementation. A consequential electronic health record ameliorates the capability for healthcare providers to enact evidence-based comprehension management and decision making for
When Jim first attends hospital a care plan will be put into place to ensure quality patient care. When structuring the care plan Jim 's history, medication and allergies will be recorded followed by his daily routines and his personal needs. In order to produce the care plan a risk assessment will need to be carried out. A plan of the action will then be enforced, this plan will then be implemented and evaluated at the end to see whether Jim has taken to the treatment or whether he has deteriorated. However when putting Jim 's care plan into place it is essential that the data is specific, measurable, achievable, realistic and time specific to ensure Jim is getting the best possible care. Due to Jim 's lack of vocal communication his friend Sam may have to pass the nurses as much personal information about Jim as possible.
The Joint Commission has set forth standards for health care organizations to reduce the number of risks and amend the quality of care and the safety of the patient. Risk management and quality management focus on these attributes of the organization and the patient. Risks are impossible to avoid since it linked to everyday living and the workforce. Risk management must take the initiative to distinguish and oversee these risks. Due to the lack of consistency in the quality of care, health care organizations aim to reduce the negative outcomes of the patient safety through quality management methods. Internal and external factors may pose a risk that can have an impact on the organization and the consequence of the patient care and safety.
In Australia, the Australian Health Practitioner Regulation Agency (AHPRA) regulates the registration of all nurses and the Nursing and Midwifery Board of Australia (NMBA) Competency Standards for the Registered Nurse informs the performance assessment of nurses and subsequent registration (Thompson et al.,2014 ). Compliance with the law and organisations is considered as an essential element in NMBA standard (Thompson et al.,2014 ). It is expected that emergency nurses are knowledgeable about relevant policies, procedures and laws that inform their scope of practice and legal boundaries and this is well explained in the NMBA standards 1.4,6.2 and 6.4, which is same for the nurses working in area of speciality (NMBA,2016).Mostly, general nursing focuses on a specialized area of practice such as specific body system , specific illness or specific age whereas, emergency nursing crosses all these specifications and includes the provision of care that ranges from birth, death, injury prevention, women’s health, disease, and life and limb-saving measures in their area of practice (Emergency Nurses Association,2011 ). Emergency nurses has the potential to overwhelm everyday capability and capacity but, however, a nurse’s scope of practice does not change during an emergency (Couig, Johnson, Thorne-odem & Rick,2011). “No emergency changes the
The AHPRA develops standards, codes and guidelines for nursing, as well as assessing overseas trained practitioners who wish to practise in Australia. ( Nursing and Midwifery Board of Australia 2016, para. 2). Through AHPRA, safe and effective care of patients is achieved as standards, codes and guidelines protect safety of patients, as well as ensure effective care of patients. Through assessment of overseas trained professionals, AHPRA is also able to ensure the safety of patients by ensuring all overseas trained practitioners are adequate for working in the nursing field within
Healthcare risk directors are urged to work together with other senior managers in their associations so as to augment the helpfulness of arrangements and processes and diminish possible related risks. Generate a system level strategy and process oversight group with multidisciplinary participation and delegates from all divisions. Consider establishing area particular subcommittees for every office: nursing, pharmacy, biomedical designing, and so on. Integrate instructing about policy and process compliance in new-worker orientation programs. Incorporate talk of every staff’s individual's obligation to practice judgment in particular circumstances and figure out whether any portion of the strategy or process necessitates change. In such circumstances,
When a patient and their family come to the outpatient Geriatric Assessment Center, the patient will receive a comprehensive evaluation by a team of healthcare providers. This comprehensive assessment is designed to collect information on medical, psychosocial, functional capabilities and limitations or risks of older adults. Berkman et al. (2003) believes that having a trusting relationship with the client system can result in the clinical value of knowledge needed to develop an effective individualized service plan. This multidisciplinary team includes a fellowship- trained, board- certified geriatrician, a geriatric social worker, and a certified geriatric nurse practitioner.
In today’s health care system, “quality” and “safety” are one in the same when it comes to patient care. As Florence Nightingale described our profession long ago, it takes work and vigilance to ensure we are doing the best we can to care for our patients. (Mitchell, 2008)
Article II Section 15 of the 1987 Constitution provides that “the State shall protect and promote the right to health of the people and instill health consciousness among them.” It is the role of the government to guarantee “access to basic public health services to all Filipinos through the provision of quality health care and regulation of providers of health goods and services (Department of Health, 2011).” To deliver these health care rights to individuals, several reforms have been enacted and implemented such as the Republic Act 7600 or The Rooming-In and Breast-feeding Act of 1992 which was extended in 2009 by providing facilitiesfor breastmilk collection and storage (Expanded Breastfeeding Promotion Act 2009), and the National