HEALTHCARE QUALITY AND SAFETY 1

  • Category:
    Nursing
  • Document type:
    Essay
  • Level:
    Undergraduate
  • Page:
    5
  • Words:
    3110

Healthcare Quality and Safety Improvement in the Workplace

Healthcare Quality and Safety Improvement in the Workplace

Introduction

This essay evidentially explores the potential and efficacy of multidisciplinary approaches implemented for improving the healthcare system and associated outcomes in the healthcare setting. The significance of the attributes like leadership, governance, interpersonal skills and professional communication of the medical professionals in relation to the enhancement of healthcare outcomes critically analyzed and discussed in the context of their relevance to the findings in evidence-based healthcare literature. Furthermore, regulatory conventions, legislative requirements and their associated implications on the safety and quality of healthcare interventions explored and signified to a considerable extent in the essay. The definitions of the major terms utilized throughout the length of the essay provided in the context of avoiding the scope of ambiguity in the presented content. At the end of the essay, various evaluation strategies for the assessment of the improvement initiative discussed in detail while conscientiously following the assessment criteria.

The quality improvement initiative attributes to the administration of multidisciplinary healthcare interventions for elevating the healthcare outcomes among the treated patients across the healthcare settings. Evidence-based research literature reveals the efficacy of multidisciplinary healthcare interventions in reducing the frequency and intensity of clinical manifestations of the debilitating diseases like stroke and transient ischemia attack (Clarke & Forster, 2015). In various clinical scenarios, nurse professionals require efficiently coordinating with the primary care physicians to facilitate precision in diagnoses for timely referral of patients to various clinical specialties. The preliminary objective of administering multidisciplinary healthcare interventions attributes to the maximization of patient’s satisfaction and safety during the course of treatment interventions (Epstein, 2014). The multidisciplinary teams across the hospital environment include the nurse professionals, physical therapists, physician assistants, physicians and social workers who integrate their services across hospital wards, emergency rooms and outpatient settings for decreasing the length of patient stay in the clinical facility. Multidisciplinary healthcare interventions also assist the nurse professionals in reducing the predisposition of the treated patients in developing various psychiatric manifestations. The interdisciplinary collaboration of the nurse professionals with other healthcare teams is the preliminary requirement for accomplishing the complex care needs of the elderly patients (Nancarrow, et al., 2013). Multidisciplinary healthcare strategies require various healthcare skills and expertise in the context of accomplishing comprehensive care requirements of the treated patients. Nurse professionals need to evaluate and understand the personal care requirements and individualized healthcare challenges of the treated patients and resultantly, their effective coordination with other healthcare professionals highly warranted for increasing the wellness outcomes. Healthcare policies and conventions of various states advocate the benefits of the multi-professional approaches in terms of elevating quality of healthcare interventions administered across the healthcare setting. The quality improvement protocols emphasize the need for providing continuity of care to the patient population for effectively reducing the burden of debilitating disease conditions across the community environment. The cross-discipline collaboration between healthcare professionals requires administration in such a manner that should not disrupt the confidentiality of the protected healthcare information related to the treated patients. The collaboration of psychologists and physicians with nursing professionals in extending patient care highly warranted in the context of maintaining the psychosocial of the treated patients (Van, 2012). The multidisciplinary healthcare interventions not only require the integration of healthcare professionals from various clinical domains, they rather advocate the configuration of a multitude of healthcare methods for effectively treating and rehabilitating the patients of various age groups across the clinical setting (Schepman, Hansen, Putter, Batenburg, & Bakker, 2015). For example, the pattern of nursing leadership and communication assists in taking strategic and evidence-based decisions by nurses and other healthcare professionals for effectively improving the lung cancer outcomes (Denton & Conron, 2016). The execution of healthcare strategies like reduction in time between diagnosis configuration and treatment initiation and specialist referral in lung cancer cases is the direct outcome of efficient communication between various healthcare professionals across the community environment. The multidisciplinary collaboration between nurses and other healthcare professionals also facilitates the execution of medical decision making by physicians and other therapists for improving the treatment outcomes (Denton & Conron, 2016). The non-technical skills of the healthcare professionals related to the effective functioning of multidisciplinary teams facilitate the elevation of qualitative delivery of patient care services while concomitantly improving the pattern of safety of various treatment interventions administered to the affected patients across the healthcare setting (Sutton, Liao, Jimmieson, & Restubog, 2011). The multidisciplinary healthcare approaches assist the nurse professionals in effectively configuring a therapeutic relationship with the treated patients while minimizing the scope of errors in care interventions that might occur due to communication gaps between nurses and other healthcare professionals engaged in the treatment process. The multidisciplinary collaboration between the nurse professionals and healthcare teams assists in surpassing the requirement of utilization of customized system assessment systems across the healthcare settings (Seow, 2011). The subjective analysis of the patient care made possible with the systematic integration of multidisciplinary healthcare strategies in the context of configuring effective medical decisions for improving patient outcomes.

Governance by various healthcare authorities highly warranted in the context of streamlining the execution of healthcare strategies by the nurse professionals and associated healthcare teams (Newhouse & Spring, 2010). The stipulations by IOM (Institute of Medicine) advocate the requirement of administering interdisciplinary education to the healthcare professionals in the context of elevating their skills and performance in dealing with challenging clinical scenarios. Healthcare conventions advocate the requirement of utilizing nurse professionals in the process of dissemination of skills and knowledge between the healthcare teams. Nurse professionals require emphasizing the significance of interdisciplinary guidelines and training experiences in effectively improving the healthcare challenges of the patient population at various levels of treatment. Healthcare policies also advocate the requirement of developing a common conceptual consensus between the healthcare professionals, policy makers, leaders and quality metric developers in the context of improving the efficacy and potential of multidisciplinary healthcare strategies for improving patient outcomes. The research findings by the Governance Institute indicate the underrepresentation of nursing professionals in various hospital boards, healthcare institutions and clinical settings across the healthcare sector (IOM, 2011). Multidisciplinary healthcare strategies facilitate the transformation of leadership among nurse professionals and effectively include them in the process of care and treatment of patients across various healthcare settings. The evidence-based guidelines advocate the requirement of professional communication and collaboration between healthcare teams in efficiently dealing with complex clinical situations (Hughes, Professional Communication and Team Collaboration, 2008). These guidelines assist the multidisciplinary healthcare teams in establishing healthcare standards advocating the deployment of an “open communication system” among healthcare teams for reducing the scope of communication failure and associated adverse events across the healthcare settings. Professional communication standards in healthcare settings direct the healthcare professionals in effectively improving their communication values and styles for surpassing the scope of poor performance and errors in the administration of healthcare services to the treated patients. The nurse professionals in the hospital setting require giving special emphasis on the development of effective communication pattern with other healthcare professionals as well as treated patients in the context of evaluating the individualized healthcare requirements and treatment challenges of the admitted patients for elevating their healthcare outcomes (Kourkouta & Papathanasiou, 2014). Multidisciplinary skills in the nurse professionals and other healthcare workers assist them in administering non-verbal communication through posture and facial expression with the objective of reducing the level of stress and anxiety of the treated patients. The pattern of effective communication proves to be a source of developing good personal relationships with peers as well as patients in increasing their level of compliance with the recommended treatment regimen. The multidisciplinary collaboration between healthcare professionals and nurses in a symbiotic environment enhances their leadership skills that effectively help them in taking shared decisions in the best interest of the treated patients (Al-Sawai, 2013). The pattern of leadership skills among the multidisciplinary healthcare professionals assist in the configuration of trust, vision and development of supportive confidants among the members of healthcare teams (Al-Sawai, 2013). This further facilitates the equitable administration of healthcare services to all sections of the society while concomitantly safeguarding the confidentiality of protected health information. The pattern of leadership and cultural competence of the multidisciplinary healthcare teams assists in the administration of culturally competent healthcare services to the under served sections of the society (Dauvrin & Lorant, 2015). The acquisition of complementary competencies and culture oriented healthcare strategies assists the healthcare teams in elevating the satisfaction rates of the treated patients across the healthcare settings.

The regulatory standards at the workplace advocate the timely reporting of the pattern of abuse of patients and associated adverse events to the healthcare authorities (SCHMEIDEL, DALY, ROSENBAUM, SCHMUCH, & SCHMUCH, 2012). The healthcare teams in accordance with the regulatory conventions configure professional relationships with the patient population as well as healthcare workers in the context of detecting the pattern of deviation from healthcare protocols across the clinical settings. Professional orientation sessions are organized for the elderly patients across the healthcare setting in the context of maintaining their safety pattern and improving their healthcare outcomes. Healthcare conventions are implemented across the healthcare setting emphasize the exploration of regulatory barriers that place the safety of patients at stake during the course of treatment interventions (Hughes, 2008a). Healthcare practice policies and regulations in the clinical setting restrain unauthorized access of visitors in the hospital premises in the absence of approval by the multidisciplinary healthcare teams. Furthermore, the roles, responsibilities, and scope of practice of each healthcare professional defined in the context of reducing the scope of bias or controversy during the tenure of patient care across the healthcare setting. The regulations are formulated for the advanced nurse practitioners at the workplace ascertain the removal of unwanted barriers that restrain the accessibility of patients to the qualitative healthcare interventions.

The multidisciplinary healthcare regulations at the workplace advocate the requirement of utilizing innovative and evidence-based skills by the multidisciplinary healthcare professionals in executing initial patient assessment of the admitted patients (Kuzma, et al., 2008). Practice requirements implemented at the workplace give particular stress on the identification and monitoring of the functional capabilities of the treated patients in the context of determining appropriate healthcare strategies to facilitate their activities of daily living and personal care in the clinical setting. The legal and regulatory healthcare requirements at the workplace facilitate the unbiased implementation of division of control among the healthcare professionals for effectively centralizing the healthcare system in the context of improving the treatment outcomes (Field, 2008). The appropriate delineation of the division of authority between the healthcare teams ascertains the reduction in the probability of chaos and instability resulting from inappropriate medical decisions in various healthcare scenarios (Field, 2008). Healthcare regulatory conventions at workplace facilitate the implementation of evidence-based strategies for improving the level of public confidence in the quality, safety and efficacy of healthcare interventions administered by the qualified medical professionals. The healthcare regulatory conventions practiced by the multidisciplinary teams across the healthcare setting advocate the requirement of administering prophylactic and preventive interventions in the context of reducing the scope of establishment of contagious conditions and decubitus ulcers among the treated patients (Zaratkiewicz, et al., 2010). The healthcare teams in the workplace aware of the regulatory conventions and litigation issues associated with the unlawful diversion of drugs against the stipulations prescribed by the Uniform Controlled Substances Act (1994) (Berge, Dillon, Sikkink, Taylor, & Lanier, 2012). These legal conventions at the workplace warrant the administration of several checks on the procurement, prescription and dosing of controlled drugs and substances by the healthcare professionals to the treated patients. The practice strategies at the workplace restrict the multidisciplinary healthcare professionals in administering contaminated drugs to the patient population. Healthcare professionals that remain affected with the pattern of drug addiction and substance abuse restricted in administering care and treatment interventions to the admitted patients in the hospital setting. Failure to comply with this regulatory convention makes the defaulters as the subject to litigation in the context of the harm caused to the treated patients by their illegitimate conduct.

The term “healthcare system” utilized in the essay refers to the integration of health services by multidisciplinary professionals in the context of elevating the patient outcomes (Steinwachs & Hughes, 2008). The implementation of an effective healthcare system focuses on the attributes like patient safety, efficacy of equitable healthcare services, patient-centered and effective treatment interventions for improving the quality of healthcare approaches by physicians, lab experts, nurses and paramedical professionals across the clinical setting. The term “treatment process” attributes to the safe and effective pharmacological and nursing approaches for improving the wellness outcomes and reducing the length of patient’s stay across the clinical setting. The term “quality improvement” indicates the enhanced effectiveness of the multidisciplinary healthcare strategies for reducing the burden of diseases and their associated manifestations across the community environment. The term “effective medical decisions” indicate the evidence-based treatment strategies deployed by multidisciplinary healthcare professionals for systematically improving the state of health and wellness of the treated patients across the healthcare setting. The term “scope of practice” indicates the limitations of the healthcare professionals in accordance with their clinical domain beyond that they are not allowed to undertake decisions and practice them while violating the regulatory conventions. For example, the registered nurse professionals not authorized to take decisions regarding surgical interventions in complex clinical situations in the absence of instructions by the concerned surgeon. The term “regulatory conventions” include the ethical as well as legal protocols that the healthcare professionals expected to comply while administering healthcare interventions to the patient population across the hospital wards or other healthcare settings.

The evaluation of the quality and safety outcomes of the multidisciplinary healthcare interventions requires the organization of interview sessions with the treated patients in the context of determining the level of their compliance as well as satisfaction in relation to the rendered healthcare services. The systematic assessment of the methodological approaches practiced by the multidisciplinary professionals and their relationship with the healthcare outcomes gives an insight regarding the efficacy of these interventions in improving the state of health and wellness of the treated patients. The statistical analysis of adverse drug reactions and nutritional deficiencies experienced by the treated patients warranted for identifying the prescription errors by physicians and nurse professionals while recommending drugs and nutrition to the affected patients. The measurement of the performance indicators, pain state and the mental health issues faced by the patient population during the course of clinical interventions provides an estimate of the true potential of healthcare strategies in improving the overall healthcare experience of the treated patients. The assessment of the physical as well as mental health status of the healthcare professionals necessarily required in the context of determining their capacity in managing healthcare outcomes across the hospital environment.

Conclusion

The multidisciplinary healthcare approaches evidentially increase the scope of administration of qualitative care and treatment interventions to the patient population for enhancing the patient outcomes. The methodological integration of assessment strategies of multidisciplinary healthcare professionals required for reducing the risk of treatment errors and associated adverse events among the treated patients in the healthcare units. The execution of prospective research studies by healthcare community required for consistently exploring the areas of improvement in healthcare strategies for reciprocally decreasing the burden of various chronic and debilitating disease conditions and their adverse manifestations among the patient population.

Bibliography

Al-Sawai, A. (2013). Leadership of Healthcare Professionals: Where Do We Stand? Oman Medical Journal, 28(4), 285-287.

Berge, K. H., Dillon, K. R., Sikkink, K. M., Taylor, T. K., & Lanier, W. L. (2012). Diversion of Drugs Within Health Care Facilities, a Multiple-Victim Crime: Patterns of Diversion, Scope, Consequences, Detection, and Prevention. Mayo Clinic Proceedings, 87(7), 674–682. doi:10.1016/j.mayocp.2012.03.013

Clarke, D. J., & Forster, A. (2015). Improving post-stroke recovery: the role of the multidisciplinary health care team. Journal of Multidisciplinary Healthcare, 433-442.

Dauvrin, M., & Lorant, V. (2015). Leadership and Cultural Competence of Healthcare Professionals. Nursing Research, 64(3), 200-210.

Denton, E., & Conron, M. (2016). Improving outcomes in lung cancer: the value of the multidisciplinary health care team. Journal of Multidisciplinary Healthcare, 137-144.

Epstein, N. E. (2014). Multidisciplinary in-hospital teams improve patient outcomes: A review. Surgical Neurology International, S295–S303.

Field, R. I. (2008). Why Is Health Care Regulation So Complex? Pharmacy and Therapeutics, 33(10), 607-608. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2730786/

Hughes, R. G. (2008). Professional Communication and Team Collaboration. In Patient Safety and Quality: An Evidence-Based Handbook for Nurses. USA: Agency for Healthcare Research and Quality.

Hughes, R. G. (2008a). Advanced Practice Registered Nurses: The Impact on Patient Safety and Quality. In Patient Safety and Quality: An Evidence-Based Handbook for Nurses. USA: Agency for Healthcare Research and Quality. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK2641/

IOM. (2011). Transforming Leadership. In The Future of Nursing: Leading Change, Advancing Health (p. USA). Washington, DC: National Academy of Sciences.

Kourkouta, L., & Papathanasiou, I. V. (2014). Communication in Nursing Practice. Materia Sociomedica, 26(1), 65-67.

Kuzma, A. M., Meli, Y., Meldrum, C., Jellen, P., Butler-Lebair, M., Doyle, D. K., . . . Brogan, F. (2008). Multidisciplinary Care of the Patient with Chronic Obstructive Pulmonary Disease. American Thoracic Society, 5(4), 567-571. doi:10.1513/pats.200708-125ET

Nancarrow, S. A., Booth, A., Ariss, S., Smith, T., Enderby, P., & Roots, A. (2013). Ten principles of good interdisciplinary team work. Human Resources for Health, 11(19).

Newhouse, R. P., & Spring, B. (2010). Interdisciplinary Evidence-based Practice: Moving from Silos to Synergy. Nursing Outlook, 58(6), 309-317.

Schepman, S., Hansen, J., Putter, I. D., Batenburg, R. S., & Bakker, D. H. (2015). The common characteristics and outcomes of multidisciplinary collaboration in primary health care: a systematic literature review. International journal of Integrated Care.

SCHMEIDEL, A. N., DALY, J. M., ROSENBAUM, M. E., SCHMUCH, G. A., & SCHMUCH, G. J. (2012). Healthcare Professionals’ Perspectives on Barriers to Elder Abuse Detection and Reporting in Primary Care Settings. 24(1), 17-36. doi:10.1080/08946566.2011.608044

Seow, H. (2011). Multidisciplinary Health Care Professionals’ Perceptions of the Use and Utility of a Symptom Assessment System for Oncology Patients. Journal of Oncology Practice.

Steinwachs, D. M., & Hughes, R. G. (2008). Health Services Research: Scope and Significance. In Patient Safety and Quality: An Evidence-Based Handbook for Nurses. USA: Agency for Healthcare Research and Quality. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK2660/

Sutton, G., Liao, J., Jimmieson, N. L., & Restubog, S. L. (2011). Measuring multidisciplinary team effectiveness in a ward-based healthcare setting: development of the team functioning assessment tool. Journal of Healthcare Quality, 10-23.

Van, L. J. (2012). Balancing confidentiality and collaboration within multidisciplinary health care teams. Journal of Clinical Psychology in Medical Settings, 411-417.

Zaratkiewicz, S., Whitney, J. D., Lowe, J. R., Taylor, S., O’Donnell, F., & Minton-Foltz, P. (2010). Development and Implementation of a Hospital-Acquired Pressure Ulcer Incidence Tracking System and Algorithm. Journal for Healthcare Quality, 32(6), 44-51. doi:10.1111/j.1945-1474.2010.00076.x