To ensure the long term success of an organisation, strong clinical governance infrastructure needs to be put in place from the service’s inception. Clinical governance refers to the system by which a governing body, as well as the staff of an organisation share responsibility and accountability for patient care, managing risks and instituting a system which monitors and improves standards. Within healthcare organisations clinical governance aim to develop an environment and processes in which the quality of care delivered within a system is continuously improved(1) with a goal to maintaining and improving standards of clinical practice, while dealing with failures in standards of care and poor performance within the system. Many aspects fall under the umbrella of clinical governance, with the WHO defining quality into four aspects; professional performance (technical quality), resource use (efficiency), risk management (the risk of injury or illness associated with the service provided) and patient’s satisfaction with the service provided(2). This framework is appropriate in designing the clinical governance infrastructure required for the success of the new aeromedical retrieval service. This paper will look at the elements of clinical governance infrastructure that need to be developed prior to the new aeromedical service commencing operation, as well as reviewing the literature available for transport ventilators and analyse their suitability for this service.
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“A framework through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish” (NHS Executive, 1998).
As the author illustrates in the first chapter, humans are meant to flourish, and organizations are communities of people called together for a purpose. Thus, flourishing of people is possible through flourishing of organizations. Christian organization, when they flourish,
Organizations, groups, churches, etc. all have a vision and mission. As a graduate student I have come up with a vision and mission statement that are motivational in my success as a graduate student. My vision as a MHA student in graduate education at Belhaven University is to remain curious, creative and a thinker who will remain courageous as I develop the servant leadership knowledge offered, that will allow me the opportunity to be a valuable Healthcare leader who can work both independently and collaboratively. I will face many challenges with an open mind and seek answers and ways to improve the changing arena of Health Care. As a graduate student I would like to expand my knowledge and discovery of the health care system.
Concerning the formal process to remain ethical and legal, I was able to assist in the creation, and implementation of an acute care and ICU competency skills checklist to warrant PTs including myself working in the ICU, to be competent and skilled. These clinical proficiencies can be made possible by collaborating with nursing educators in providing instructions and training on various tubes and lines. Moreover, the respiratory therapy team leader also provides an in-service regarding the different oxygen delivery systems including the unique ventilator
In recent years despite the focus on quality and safety improvements mandated for healthcare organizations, there continues to problems with maintaining and implementing the procedures. A greater emphasis related to team organization and support conditions are required for effective quality and safety collaborative efforts (Matthaeus-Kraemer, Thomas-Rueddel, Schwarzkopf, & Poidinger, 2015). The measuring of quality healthcare has increased because of the competition between organizations causing consumers to remain loyal to a service provider they perceive provides higher quality and safety care (CITE). The impact of deficient quality care is greater than the loss of a customer but the ability to attract new customers (CITE).
Two problems exist in this exercise. The first is ventilator-dependent patients being discharged to home with multiple complex care needs, without a critical pathway for that transition of care. The second problem is the lack of multidisciplinary interest in providing input to developing a critical pathway. Successful implementation of a critical pathway depends on the involvement and investment of all relevant staff to ensure proposed aims are achieved (Lacko, Jarrett, McCrone, & Thornicroft, 2010). Patient care is a multidisciplinary team approach. Therefore, the responsibility for the development of this pathway falls on all members involved in the care of ventilator-dependent patients. However, it seems that the problem has ended up in the lap of Nurse Witte, many times I have witnessed problems like this default to nursing. Nursing embraces patient advocacy
There is a rise in technology dependency with the expectation that better technology equates to better quality of care (Resar, Rozich, Simmonds, & Haraden, 2006). The IOM Committee on the Quality of Health System for the 21st Century (2001) postulated that information technology would become a major stakeholder on the subject of patient safety. Improvement of quality assurance does not only result in patient safety, it also brings about cost reductions for
A timeframe of about 6-month test of pilot will be completed to test the feasibility and efficacy of a protocol adoption of a bundle care for the prevention of ventilator associated pneumonia. The VAP bundle protocol guidelines will be used to determine quality management and reflective data audit for all patients admitted in the intensive care unit with mechanical intubation within this 6-month trial period. Evaluation is a systematic way of checking a project’s information on the activities, and characteristics in order to make a judgement of the project. Evaluation can help to give recommendations to the project and improve by adapting the recommendations and improve future projects. Evaluation gives managers considerable evidence to support the decision process with the well documented analysis.
Clinical governance and health professionals’ accountability are integral concepts in Australia's modern healthcare system. Since 2008, the Australian Commission on Safety and Quality in Health Care (ACSQHC, 2015) has support organisations to address safety and quality issues within healthcare facilities. The aim of this essay is to improve quality and safety in healthcare organisations. It will also evaluate the standards of care and strategies for care delivery. All Australians have the right to receive safe, high quality health care, regardless of the setting (ACSQHC, 2015). The information will be drawn about the quality of care, which will be clarified under three categories: structure, process, and outcome. The essay will then discuss
Quality and safety are inextricably linked. “Quality in health care is the degree to which its processes and results meet or exceed the needs and desires of the people it serves” (Jointcommission.org, 2016). Patient safety is the central goal of quality. According to the world health organization patient safety is the prevention of errors and adverse effects to patients that are associated with health care. Safety is what patients, families, staff and the public expect from the health care organizations. Although patient safety may not be entirely eliminated but harm to the patients can be reduced. Hospitals should have integrated approach to patient safety to provide high level of safe patient care in every settings and service. An integrated
The Patient Safety officer and Risk Manager can reduce system-related errors and potentially unsafe conditions by implementing continuous improvement strategies to support an organizational culture of safety. Risk management: Clinical and administrative activities undertaken to identify, evaluate, prevent, and control the risk of injury to patients, staff, visitors, volunteers, and others and to reduce the risk of loss to the organization itself. “The IOM recommends developing consistent state crisis standard-of-care protocols that include the following key elements: 1) a strong ethical grounding; 2) community and provider engagement and communication; 3) assurances regarding the legal environment and framework; 4) clear indicators and triggers;
Key steps for successful change management include assessing readiness for change, establishing a sense of urgency, assembling the steering team, developing an implementation plan, executing a pilot, disseminating change, and anchoring the change within the organization. Adoption of change management practices increases the odds of success because focus is placed on the people in the organization who make things happen (Varkey & Antonio, 2010). In addition, enhancement of clinical performance and the continuous improvement of the safety, effectiveness and appropriateness of clinical care occurs through the introduction, use, monitoring and evaluation of evidence-based best practice. Ongoing evaluation of organisational and clinical performance is critical to good governance and involves the use of performance measures, clinical indicators and clinical audit. Reporting organisational performance is central to governance of clinical care and provides mechanisms for monitoring safety and quality performance and flagging issues that require intervention. Clinicians should provide input into prioritising improvement activities through identifying gaps between evidence and practice. Improvement activities
The purpose of the Positive Results Corporation (PRC), is to reduce violence and abuse by promoting awareness to minority youth groups in the community. The daily activities this organization uses according to Executive Director Kandee Lewis, are doing workshops in cities like Lynwood, Inglewood, Boyle Heights, and East Los Angeles. The workshops are once a month and some twice a month. Los Angeles Healthcare, Kaiser Permanente are organizations who collaborate with PRC at these workshops. In addition, Kandee shared that the workshops are held in churches, at different universities allied to PRC and where speakers, mentor and guide youth by sharing real life experiences. In fact, there is leadership academy, which is a 12 week workshop for
Adopting inadequate performance evaluation and measures of organizational performance hinder nonprofit organizations (NPOs) ability to meet eligible standards for funding.
Collaborative relationship among members is critical to providing safe, high quality care in the hospital. While the governing body is ultimately responsible for the quality and safety of care at the hospital, the governing body, medical staff, and administration collaborate to provide safe, quality