To begin, review:
Note that you first read these resources in OM001.
Scenario
Imagine that you are an executive with a healthcare consultancy that helps hospitals improve patient experiences by creating and implementing sustainable quality improvement programs. Consider your role as you answer the questions in this Assessment.
PART ONE: HISTORY OF THE QUALITY-MANAGEMENT MOVEMENT IN HEALTHCARE
An important part of your role at the consulting firm is to lead training sessions at hospitals nationwide. At the training sessions, you educate hospital administrators on the history of the quality-management movement in healthcare. Many of the individuals you train have little or no background in quality management, and you have found that leadership is more receptive to changes if they understand the history of the quality-management movement in healthcare.
Create a slide presentation to communicate the following information to your audience. (5 – 7 slides)
PART TWO: RESPONSE TO SYNDICATED NEWS SHOW INTERVIEW
As a result of your success as a healthcare-quality consultant, you have been invited to appear as a guest on a nationally syndicated news show. The show explores the topic of quality in healthcare. The interviewer asks you, “Why is a hospital different than a nuclear power plant or a commercial airline? Why can’t hospitals achieve the same quality levels as high-reliability organizations?” Create an audio or video response to the questions by explaining the challenges related to ensuring quality and safety standards in hospitals. In addition, explain how hospitals can achieve the same quality levels as high-reliability organizations. (2-minute audio or video)
PART THREE: SUMMARY OF THE DIFFERENCES AND SIMILARITIES BETWEEN THE JC AND DNV SURVEYS
In your role as a healthcare consultant, administrators and executives often ask you about the differences and similarities between the major accrediting agencies. Many want to know about the DNV surveys and how they compare to The Joint Commission (JC) surveys. Prepare a 1-page document that summarizes the differences and similarities between the JC and DNV surveys. Also, explain why accreditation may or may not equate to quality healthcare (1 page)
PART FOUR: TRANSPARENCY IN THE HEALTH CARE SYSTEM
The dean of the Master of Healthcare Administration (MHA) program at your alma mater has asked you to participate in a debate on transparency in the healthcare system. As part of your preparation for the debate, prepare a 1- to 2-page paper in which you:
PART FIVE: ORGANIZATION ASSESSMENT WORKSHEET
Review the National Patient Safety Goals (NPSG)
at http://www.jointcommission.org/standards_information/npsgs.aspx. Then, read the scenarios presented on the Organization Assessment Worksheet provided*, and evaluate whether a violation had occurred. Based on your evaluation, complete the worksheet as follows:
Organization Assessment Worksheet
Your Name: First and last
Your E-mail Address: Your email here
Instructions
Use this worksheet to complete Part 5 of the OM002 Assessment.
Scenario
Example:
Compliance Issue
Recommended Course of Action
Violation of NPSG.03.06.01
Investigate why proper discharge
protocols were not utilized.
No violation occurred.
Contact Infection control staff
immediately and report the incidence
as required.
A patient is discharged without proper
instructions for prescribed medication.
A recent patient at your hospital contracts
Methicillin-resistant Staphylococcus
aureus (MRSA). All proper infectioncontrol guidelines were followed.
A phlebotomist does not wash her hands
before a blood draw for a post-operative
patient.
A patient complains that her hospital
identification bracelet is causing a rash.
She removes and discards it. The nurse
administers medication based on a verbal
identification because she recognizes the
patient from her previous two shifts.
A patient with no known drug allergies is
given a drug. The patient has a reaction to
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the drug, goes into anaphylactic shock, and
dies.
An obese hospital patient requests that an
aide help him to the bathroom. The aide
requests assistance, but no one is
available. The aide escorts the patient
alone, and the patient falls.
A nurse in the intensive care unit (ICU)
disables an alarm on a machine used to
monitor a critically ill patient. When asked
about his decision to disable the alarm, he
claims the beeping was bothering family
members visiting the patient. The patient
is treated without incident.
The cleaning staff frequently positions a
linen cart so that it blocks access to a fire
door in a hospital corridor.
A hospital built in the 1970s does not meet
the new fire safety codes.
A blood test indicates an emergency room
patient has a serious and highly contagious
disease. The blood test results are
reported to the attending physician 90
minutes after they are known.
An experienced nurse does not label oral
medications for his intensive care unit
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(ICU) patients because he can identify the
medications based on the shape and color
of the pills.
A healthy young woman checks into the
hospital for a minor outpatient procedure.
She recognizes the pre-op nurse from her
volleyball league. When the nurse asks
about what medications she is taking, she
withholds that she is taking
antidepressants and anti-anxiety
medications.
During a pre-procedure verification, an
elderly patient with early-stage dementia
insists that her left hip will be replaced.
Records indicate that her right hip is to be
replaced. The operating room (OR) is
behind schedule, but the surgical team
delays the operation to consult with the
patient’s family.
A surgeon delegates the marking of the
procedure site for an upcoming surgery to
a surgical resident.
The operating room (OR) is running almost
2 hours behind schedule. A surgeon has six
routine operations. He skips the time-out
before the surgical procedures.
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