The Improvement For Patient Safety
Quality improvement is a sought-after process in the delivery of care daily. To ensure a holistic approach to care, healthcare workers collaborate with the patient and family members. Communication and respect are among the fundamentals of collaboration (Karam et al., 2018)The Improvement For Patient Safety, as discussed further below. The discussion below provides an insight into a patient’s care in which I was involved. There is also more discussion on quality and safety improvement plans.
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Case Scenario
M.J., a 22-year-old Caucasian female, arrives at the hospital with the chief complaints of difficulty breathing, coughing, and chest pains that have persisted for three days. She is a patient with a known diagnosis of heart failure secondary to rheumatic heart disease (RHD). Breathing difficulties were described as shortness of breath, which worsened when lying down (orthopnea), and on exertion. She also reported several episodes of interrupted sleep at night due to breathing difficulties (paroxysmal nocturnal dyspnea). She had a productive cough that worsened at night and with exertion, and her chest pains were described as sharp, diffuse, temporarily relieved by painkillers, radiated to the shoulders and back, and scored 7/10 on a pain scale. The diagnosis of heart failure was made during her last admission, 6 months ago; otherwise, she has been living with RHD since she was 16 years old. A diagnosis of acute decompensated heart failure was made during this new admission. During her previous admission, she was discharged on Enalapril 5mg once daily and oral penicillin 250 mg twice daily for 10 days. She was advised to attend clinics once a month for a Benzathine Penicillin G intramuscular injection, but she has never done so. Her parents are divorced, so she lives with her father, a carpenter who struggles to make ends meet. The Improvement For Patient Safety
My Role/Role of a Nurse in the Patient’s Care Situation
As a nursing student assigned to the internal medicine ward for clinical tutoring, I had the opportunity to interact with and care for the patient in collaboration with other healthcare providers. When she arrived at the clinic, she was immediately triaged as an acutely ill patient and admitted. I examined the patient’s airway to ensure patency. She was in respiratory distress, as evidenced by tachypnea, nasal flaring, the use of breathing accessory muscles, and low oxygen saturation (87%). As a result, I proceeded to administer oxygen via a face mask at a rate of 6L/minute. She had warm extremities, tachycardia, a capillary refill time of 2 seconds, and no signs of dehydration. I checked her serum glucose levels, which were normal (6.1 mmol/l)The Improvement For Patient Safety. I raised the head of the bed to allow her to breathe more easily, monitored her vital signs hourly, and reassured her that she would be fine. Later, once the patient was stable, I proceeded to take her history.
The Role of the Patient in her Care
The patient actively participated in her care in a variety of ways. The patient provided a chronological history of her illness, stating when she was first diagnosed with RHD and how her condition progressed after that. She stated the medications she has been on and the reasons why she did not attend her monthly outpatient clinic visit. Her father is a carpenter who earns a meager salary, which is why the patient could not afford monthly clinic visits. After her discharge, she was advised to maintain a healthy lifestyle in terms of nutrition and reduction/cessation of risk behaviors such as alcohol consumption and cigarette smoking. She had a better outcome because she provided a corroborative history of her illness, cooperated well with care providers, and listened to advice. The Improvement For Patient Safety
Relationship between the Patient and the Outcome
We established a rapport with the patient, making her feel at ease and encouraging her to ask questions. An effective therapeutic relationship flourished, resulting in improved patient outcomes. The fact that the patient provided a detailed history of her illness aided us in making the correct diagnosis and establishing the proper care plan, translating into better outcomes.
The Impact of the Care Environment on the Patient Situation
Collaborative care is a practical approach to quality and safety improvement. Collaboration is valued in healthcare because it creates a more effective and supportive environment where patient needs and preferences are considered and used to modify treatment (Schot et al., 2020)The Improvement For Patient Safety. The patient benefited from such supportive interprofessional collaboration, which resulted in improved outcomes. The interaction with the patient was based on respect and effective communication, which is why the patient cooperated well during her hospitalization.
Healthcare Quality Model
The department employs the Plan-Do-Study-Act healthcare quality model. When patients arrive at the hospital, they are triaged, and then admission decisions are made. The triage procedure, admission, initial assessment, further evaluation, and treatment are all planned. The ‘Do’ phase entails carrying out the activities as planned, and the ‘Study’ phase involves the analysis of patient data (Christoff, 2018). The information gathered from the history, physical examination, and laboratory tests are analyzed and used to make a diagnosis and plan a treatment course. Finally, there is action, which includes all of the patient’s evaluation and treatment processes.
Actions to Improve the Outcome in the Future
Patient follow-up is critical in limiting disease progression and reducing complications. MJ failed to routinely attend her monthly scheduled clinics. Routine follow-up, either physically or via phone, would ensure better management and limit adverse outcomes. As a result, I would take the patients’ phone numbers, give them mine, and encourage them to call whenever they needed assistance The Improvement For Patient Safety.
Conclusion
Daily, caregivers strive to improve the quality and safety of patient care. To achieve the desired results, healthcare providers must collaborate with patients and their families. M.J’s case is a quintessence of a quality and safety improvement process. To reap the most significant benefits, patients must be closely monitored to monitor their progress and avoid adverse consequences of the disease and treatment The Improvement For Patient Safety.
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References
Christoff, P. (2018). Running PDSA cycles. Current Problems in Pediatric and Adolescent Health Care, 48(8), 198–201. https://doi.org/10.1016/j.cppeds.2018.08.006
Karam, M., Brault, I., Van Durme, T., & Macq, J. (2018). Comparing interprofessional and inter-organizational collaboration in healthcare: A systematic review of the qualitative research. International Journal of Nursing Studies, 79, 70–83. https://doi.org/10.1016/j.ijnurstu.2017.11.002
Schot, E., Tummers, L., & Noordegraaf, M. (2020). Working on working together. A systematic review on how healthcare professionals contribute to interprofessional collaboration. Journal of Interprofessional Care, 34(3), 332–342. https://doi.org/10.1080/13561820.2019.1636007 The Improvement For Patient Safety
