Gawande Chapter 5 Summary

Gawande in this article applies the surgeon precision to explain to us the reasons behind the uncertainty and the mess of medical care. In addition to this, Gawande provides us with some of the interventions which need to be applied and which will bring relief. This chapter therefore should be read by all students and health professionals. This is because Gawande believes that we can reduce the mistakes within the field of medicine and

Successful teamwork and collaboration directly affects the efficacy of interdisciplinary communication. When effective communication is achieved within the healthcare team, this increases the amount of positive patient outcomes. Nurses and physicians must cooperate in order to attain a synergetic relationship. Their roles are integral to creating a safe environment for their patients. When all of these elements combine, the quality of care improves and collegial relationships are strengthened.

In preparation of a review from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Nightingale Community Hospital will focus on improving its communication process in the operating room. The purpose of communication in the healthcare setting is to disseminate information in such a way as to create shared understanding about the patient and about what needs to be done for a positive outcome. (synergia.com) A patient is at his most vulnerable state during procedures that require sedation or anesthesia. The patient is releasing his decision making ability and safety into the control and care of the healthcare team. Therefore, effective communication on behalf of the patient is

Lastly, in the surgery theatre, misidentification may happen due to the same factors formerly mention plus failure to mark site/side of surgery, failure to properly perform time-out, and multiple surgical teams (Chan et al., 2010). To analyze the risk for these errors, few factors will be analyzed including human factors (staffing, scheduling, supervision, and qualification), equipment and technology (scanners, computers, and software), Communication (between staff and patients, between staff, between staff and physician, between physician and patient, and between units), environmental factors (physical, safety, security, and preparedness), and procedures and policies (planning, staff education, patient education, protocols, patient identification, and patient observation) (Chan et al., 2010).

In the medical field, precision is of the utmost importance when it comes to successfully ensuring that the job is done. Even the slightest mistake can be lethal, making communication vital in the medical field. A group of doctors and nurses must communicate and act like a single unit to complete the procedure. In “When Doctors Make Mistake”, the author, Atul Gawande, recalls a case where his team worked on a specific crash victim and the breathing tube could not fit in the trachea. Due to a lack of communication, one of the staff members tried to force the tube down the trachea causing more damage. In the essay, Gawande assesses the situation and agrees with his team to bring in a specialist to solve the

Atul Gawande in his book Being Mortal said “We are all aging from the day we are born” and aging brings death. But due to improvement in science and technology, the life expectancy has increased over the years and lots of diseases have been eradicated and symptoms controlled to prolong life. Despite these advancements, we can delay the death but cannot stop the damage. As these damages accumulate, there comes a time when one more damage shuts down the whole system bringing death to the whole organism. Gawande talks about diseases that affect the elderly and mentions that there is a shortage of geriatricians in united states which is affecting the access to care. He also mentions that it's not just worn and tear that causes aging or the genetically

Furthermore, being able to working in a team is also essential for a physician. Coordinating thoughts and actions with colleagues will create opportunities for collective thinking, pooled efforts, and constructive criticism to more efficiently provide care. This can be reflected through my role as president of the Muslim Students Association where I oversee an eleven-member executive board coordinating their actions to put on many events throughout the year.

PER REPORTER: On 7/16/2015 the children were in the care of Tawanda’s boyfriend. The reporter said Tawanda is gone in the streets. While in the care of the boyfriend Donte left on his own walking from Canton to Gluckstadt. The reporter also said that Tawanda’s boyfriend was touch in the two girls on last week. He touched them on their private and booty. It is unknown if the children were penetrated. The reporter said that Tawanda was gone in the streets again. However, she was told about the boyfriend touching the girls, but she didn’t believe it.

1) According to the World Health Organization (WHO), how could at least half a million deaths due to surgical error be prevented every year?

It is apparent that coaching has an enormous role in sustaining and creating well built workplaces and great organizations. Coaching is the process of assisting people develop their ability to think about things such as people, relationships, problems and their future. It is obvious that coaching helps people get through issues. Coaching helps people concentrate on the things they struggle on. Coaching helps them overcome those issues.

Evaluation is the third stage of Gibbs model of reflection and requires me to state what was good and bad about the event. While reflecting back on the incident I felt that there was one thing which I could have dealt with differently and also some aspects which demonstrated good practice. On the first hand, this incident made me realised that I was part of the team and that I was also involved in positioning and preparing the patient prior to surgery, therefore I had a responsibility to find out from the patient if he had any concerns. On the other hand, I should have communicated to the patient, explaining what I was about to do maybe he would have had the opportunity to raise his problem with the shoulder before lifting his arm. The Health Professions Council (HPC 2008) clearly states that it is the responsibility of an operating department practitioner to ensure that effective communication occurs when delivering patient care. In addition, Psychologist Helmreich, R. (2000) said, `better communication’ is being the most useful way of reducing errors.

Open communication is essential part to a successful healthcare team that directly impacts patient’s lives. In the video “Just a Routine Operation, ” by Laedal Medical Human Factors in Patient Safety, physicians and nurses demonstrates how different human factors contribute to the overall outcome of the patient. Elaine, the patient in the video came into the hospital for a reconstruction surgery. However, during the surgery Elaine had a complication and because the lack of communication, assertiveness, self-awareness, decision-making, teamwork, and prioritization, Elaine did not survive the surgery. This situation shows how important these characteristics are when dealing with emergency care. Even the health care professional with the years

3) Almost two-thirds of all surgical procedures are now performed in ambulatory surgery facilities. Discuss the reasons for this shift of surgery from the inpatient setting and its effect on hospitals and

This is a reflective essay based on a event which took place in a hospital setting. The aim of this essay is to explore how members of the Multidisciplinary Team (MDT) worked together and communicate with each other to achieve the best patients outcome.

By doing this, it emphasizes team awareness of risks, improves the likelihood locating or missing hidden objects, and heightens awareness of patient safety among all of the members—improves a patients’ surgical outcome (Edel, 2010).