Hay, J. M., Barnette, W., & Shaw, S. E. (2016). Changing practice in gastrointestinal endoscopy: Reducing distractions for patient safety. Gastroenterology Nursing, 39(3), 181-185. Doi:10.1097/sga.0000000000000190 This article addresses “communication failures within a healthcare institution can result in substandard care and increase likelihood of adverse outcomes for patients” (p. 181). As part of The Joint Commission goal for institutions to improve safety and reduce communication failure a program was created where doctors were (team leaders) and nurses (team members). The clinical crew resource management (CCRM) was implemented in the gastrointestinal (GI) endoscopy area at Huntington VA Medical Center. The project was modified for
Searches were made through the online library at Grand Canyon University. Results were refined to include on peer reviewed studies with keywords as combinations of: Safety briefing (45 results), patient safety plus nursing plus communication (1769), patient safety and interdisciplinary (45). Of the results obtained, the list was further refined to those studies that discussed the issue of communication in a team environment and risk of errors, or leadership follow up. Studies were not included if they were considered to be out of scope for the issue. Ultimately ten articles were identified as being pertinent to the subject, or had conclusions that could be extrapolated to the issue in question. From these search results four studies have been chosen for this paper to support the relevance of the issue.
Communication is key to the success of any facility. Being in the operating room at Baystate Noble I had many opportunities to attend different meetings. Before the start of the day, the OR staff gathers at the nurses station and has a brief meeting that the assistant manager or charger nurse will hold. At this meeting brief concerns are brought up and if anything was changed or added with the different cases of that day. I have also had the opportunity to attend a more formal meeting were the staff of the OR, PACU, and SCU gathered with the main manager. At this meeting the staff brought up concern about certain equipment that needs to be fixed, the need for better communication amongst the three units, how the units are doing, the changes
Timing is everything when it comes to patient health outcomes. The purpose of this study is to provide a comprehensive review of the critical value reporting process critical results to the appropriate staff members according to the guidelines described in the National Patient Safety Goals (NPSG) of the Joint Commission Accreditation on Healthcare Organizations (JACHO). The Joint Commission has listed the following NPSG for 2015: identify patients correctly, improve staff communication, use alarm safely, prevent infection, identify patient safety risks, and prevent mistakes in surgery (The Joint Commission, 2015). A pathologist first introduced critical values by the name of Lundberg over 30 years ago. A critical value was viewed as an indication that the patient was in graved danger unless interventions were done to address the decline in health status (Plebani, M. and Piva E. (2010). The national patient safety goal that reflects the benchmark on our medical-surgical/Telemetry unit was staffing communication in reporting critical values. Our facility as a whole was at 73% compliance for staffing communication. Our hospital 's compliance goal for staffing communication is 90%. However, our unit is currently at 75% compliance. Various factors contribute to the timeliness and compliance of reporting critical values including work force, material and methods, and equipment.
“Errors in communication give rise to substantial clinical morbidity and mortality (Riesenberg, Leitzsch, & Cunningham, 2010).” As a result, the Joint Commission has identified effective communication as one of its National Patient Safety Goals (Dunsford, 2009).
My name is Delana Thomas and I really appreciate it that you sent me an email regarding to my experience in endoscopy. I have been working in the endoscopy suite at my facility now for over 13 years and gained a lot of valuable expertise in this department. My salary requirements are to start at $17.00 an hour, or I am open to negotiations as well. Again I really appreciate the interest and hope to look forward to your call. I can be reached at 832-612-1178. Thanks for your
In order for a effective and safe surgery, communication and collaboration must be sufficient. It was found that nurses are less likely to speak up or feel supported by other members of the health care team during surgery (Gawande et al., 2003). These communication problems can
This evaluation study will attempt to answer the following two specific questions: 1) Which screening procedure either the traditional Optical Colonoscopy (OC) or the alternative CT Colonography (CTC) do patients feel more comfortable to undergo? 2) Will CMS reimburse for CT Colonography? The Centers for Medicare and Medicaid Services (CMS) rejected paying for reimbursements for the CTC, also referred to as virtual colonoscopy in 2009 (Zafar, Yang, Harhay, Lev-Toaff, & Armstrong, 2013). If we can convince them of its efficacy, then we hope to change their minds to pay for this procedure. This will be evaluated by employing an experimental design.
On many occasions, I have seen situations in which effective communication involving the professional healthcare team played a vital role in the positive outcome of patient care. On the other hand, there have been miscommunication between the healthcare team resulting in situations that could have been tragic to the patient.
A weakness in communication between interdisciplinary team members can impact patient safety and health . A recent study revealed that out of all the claims analyzed , 57 percent of malpractice cases reflected miscommunication between two or more healthcare providers (Riah, 2015). In fact, the same communication failures directly linked to 1,744 deaths over the past five years (Budryk, 2016). During my clinical placement this semester I have witnessed the overwhelming number of health care team members that are involved in each patient’s care. I also take part in morning nursing rounds where all nurses are updated on every patient’s status. Transmission of permanent patient information is also relayed to all members of the health team via the patient chart .Here , interdisciplinary notes all come together to form updated health information on patients. However, although I have read interdisciplinary notes from all team members , I rarely have had the opportunity to personally communicate with members other than doctors and nurses. Personal communication allows for a team member to pass on relevant information in a timely manner without the possibility or misinterpretations. When communication is strictly done non-verbally, it is impossible to ask any questions.. This is why communication between professionals in health care is essential for patient safety and improved quality of care (Koivunen, Niemi., & Hupli,2015). There are 3 main factors that cause miscommunication
In the past 10 years, Dr Teo has studied neuro-endoscopy in the United States. Where he enjoyed studying minimally invasive
I believe that communication is the main reason problems occur in health care. It is crucial that the health care team works together as a team and communicates any issues or concerns throughout the process of patient care. No matter how many processes are put into place or how many checklists are followed, mistakes are going to be made unless proper communication occurs. Unfortunately, these mistakes are usually at the cost of safe patient care. According to Edwards (2008), “every
A Canadian-based medical panel is challenging the concept that colonoscopic procedures are necessary in screening for colon cancer. This defies traditional thought, that the process should be a routine exam for men and women who are over 50. If these procedures are deemed as not medically necessary, patients will likely welcome the change, as people tend to dread the process due to its invasive nature.
This week reading deals with disorders involving the gastrointestinal tract (GI). There are several diseases of the GI tract that have clinical features that overlaps. The purpose of this assignment deal with three pacific disorders of GI tract, gastroesophageal (GERD), peptic ulcer disease (PUD) and gastritis, as a nurse practitioner, knowing the pathophysiology and similarities will assist in making a differential diagnosis in order to provide the appropriate
Teamwork and communication are very important in providing good quality care, especially in the healthcare field. A team is described as a group of people that works together and cooperatively, between each member of the group to reach a common goal (Sullivan, 2013). For a team to function, communication is essential. A report by McKay and Crippen (2008), as stated by Alfaro-LeFevre, (2013) showed that when collaboration is in place, hospitals can decrease their mortality rate by 41%. When mortality rate is lower, hospitals does not only decreased cost, but it also means that patients are receiving good quality care.
Poor communication puts patients in danger because it can lead to medical errors and adverse events. For example, a medication error can occur if a physician’s orders are not updated in time or if the outgoing nurse does not provide the correct time in which a dose was administered last. Thus it is crucial to communicate any recent treatment that has been implemented. In this way, nurses and physicians can facilitate the prevention of errors. Another consequence of ineffective communication is that it can decrease morale and increase work-related stress among members of the healthcare team. If nurses and physicians are not understanding each other’s actions, conflict ensues. It can cause toxic interpersonal relationships. This, in turn, will affect the level of patient care because it is difficult to focus amidst emotional strain and