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case study of hospital management
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case study of hospital management
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A hospital is a difficult place to run because there so many aspects to manage. There are many types of doctors and nurses, and so many departments in this type of facility. The patients come in a wide variety of different ailments, needs, colors, sizes, personalities, and beliefs. Not to mention, with all of the equipment, devices, and people coming and going a hospital can seem like a small town in itself. That is why it will take a group effort, open communication, and positive reinforcement to keep it running smoothly. I will address this case study by identifying each problem, advise an adequate solution for each problem, and give a reason for each solution.
The first problem starts from the top where the stakeholder groups have different interpretations of the mission statement. This makes it difficult to determine how many of our stakeholders realize or understand the differences between ethics, laws, beliefs, oaths, etc. The American Heritage dictionary expounds on ethics as being the study of general nature of morals and of specific moral choices. In like manner, the definition of laws is rules of conduct established by custom, agreement, or authority. Beliefs are also explained to be a conviction or opinion. Lastly, oaths are formal promises to fulfill a pledge often calling on God as a witness. If they do understand, how many accept the fact that we draw our value lines at diverse junctures when it comes to applying these ground rules? This problem could be cleared up by having the CEO calling a meeting of the stakeholder groups and discuss the mission statement, distinguish the definitions of policy according what benefits the hospital, not one's own interpretation of how they apply as a commencement to getting everyone on the same page. It is important that everyone is working together respectfully and the CEO has their support.
Some patients refuse to take certain medical services, and some staff members refuse to provide certain services. In both cases, they feel that medical intervention can go too far into conflict with their religious beliefs or personal moral convictions. The hospital can not make patients take medical services, but we can control the employees. The patients will be advised to take the recommended medical service and if they refuse it will be their choice. No employee should be allowed to act upon his or her own beliefs.
SGH has been plagued with patient quality issues, therefore SGH finds itself in a situation which is inherently antithetical to the mission of the hospital. The costs of healthcare continue to rise at an alarming rate, and hospital boards are experiencing increased scrutiny in their ability, and role, in ensuring patient quality (Millar, Freeman, & Mannion, 2015). Many internal actors are involved in patient quality, from the physicians, nurses, pharmacists and IT administrators, creating a complex internal system. When IT projects, such as the CPOE initiative fail, the project team members, and the organization as a whole, may experience negative emotions that impede the ability to learn from the experience (Shepherd, Patzelt, & Wolfe, 2011). The SGH executive management team must refocus the organization on the primary goal of patient
This paper’s brief intent is to identify the policies and procedures currently being developed at Midwest Hospital. It identifies how the company’s Management Committee was formed and how they problem solved and delegated responsibilities. This paper recognizes the hospital’s greatest attributes and their weakest link. Midwest Hospital hired Dr. Herb Davis to help facilitate the development and implementation of resolutions for each issue.
Over the past years, there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is the result of higher acuity of patient care and a decrease in their length of hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Because of the lack of nurses, patient quality of care has suffered.
It is another extremely hectic Monday in the Emergency Department. The waiting room is building up fast with many new walk-in patients. Fire Rescue trucks are calling one after the next with several medical and trauma cases. The hospital supervisor is calling to inform the Charge Nurse of the Emergency Department that the Operating Room has several cases that need beds and will supersede the Emergency Department admits. Patient through put will now be further delayed. This is just one example of a typical Monday and why Teamwork and Collaboration are vital components to run an efficient nursing unit, especially in the Emergency Department. When a common goal is created to foster teamwork, health care professionals working cohesively together
Nurses are faced with ethical dilemmas in their practices often. Respecting a patient’s belief or choice, whether we think it is right or wrong, is a must. Jehovah Witness (JW) patients refuse blood transfusions and their life can be in danger, but that is their right to choose and nurses must respect that. Patients decide not to have a lifesaving surgery or chemotherapy, which is their personal decisions. We, as nurses, can educate and inform, but eventually it is the patient’s right to refuse or accept treatment. This writer feels that when good morals and character are in place, the best possible ethical decisions can be made. These decisions are not necessarily right or wrong, but the best choices for the patient and their care based on the patient’s right to
Human factors are derived from construction and adapted to a system of development in health care by carefully examining the relationship between people, environment, and technology. The consideration of human factors acknowledges the capability or inability to perform a precise task while executing multiple functions at once. Human factors provide an organized method to prevent errors and create exceptional efficiency. Careful attention must be exercised in all levels of care such as the physical, social, and external environment. It is also vital to carefully consider the type of work completed and the quality of performance. Applying human factors to the structure of healthcare can help reduce risks and improve outcomes for patients. This includes physical, behavioral, and cognitive performance which is important to a successful health care system that can prevent errors. A well-designed health care system can anticipate errors before they occur and not after the mistake has been committed. A culture of safety in nursing demands strong leadership that pays attention to variations in workloads, preventing interruptions at work, promotes communication and courtesy for everyone involved. Implementing a structure of human factors will guide research and provide a better understanding of a nurse’s complicated work environment. Nurses today are face challenges that affect patient safety such as heavy workloads, distractions, multiple tasks, and inadequate staffing. Poor communication and failure to comply with proper protocols can also adversely affect patient safety. Understanding human factors can help nurses prevent errors and improve quality of care. In order to standardize care the crew resource management program was
The nurse to patient ratio is unrealistic in many hospitals. In most cases it is almost impossible to give each patient the true amount of detailed care they really need. This is seen in most cases where there is one nurse assigned to 16 patients and each patient requires a different level of attention. Nurses are pressed for time, forcing them to cut corners, resulting in an increase in nosocomial infections and patient deaths. “The past decade has been a unsettled time for many US hospitals and practicing nu...
The ethical situation in question is a culmination of intolerance, ignorance, cultural insensitivity, and failure to follow hospital protocols and procedures. The location of the facility in which the ethical dilemma took place is a small, rural hospital in the Midwest of the United States of America. A new male patient has been admitted and he is currently a practicing Muslim. The facility does not have a large Muslim population and does not have any cultural protocols in place to accommodate the Muslim religion.
Also, the hospital must continue to build trust and keep a clear open form of communication with each employee, the community, and the patients of whom we provide medical services to. This is not always an easy task, but you have to be determined and will-minded that there can be success through productivity if everyone participates as a team. Of course, you will have some employees who feel that they rather work alone, but once they see that teamwork consists of a group, then maybe their demeanor will change for the best and a change will take place within the
One notable example of an ethical dilemma presented within this report is the battle of belief referring to a situation where some patients tend to reject specific medical procedures attributed to the religious, cultural, or personal beliefs. Every patient has the right to decision based on his or her beliefs thereby meaning that patients may reject specific medical procedures based on what they believe (Guido, 2014). However, this conflicts with the position of the nurses who are mandated with providing their patients with the best quality of medical services as part of promoting positive health outcomes. The best remedy for this specific ethical dilemma would involve having to hold a discussion between the nurse and the patient where the nurse would accord the patient his or her clinical
...ctors? Besides, if a hospital works like this , doctors should equip with medical ethics such as, doctor should equip with autonomy of the individual, professional justice ,beneficence to everyone and non maleficent. Otherwise, it loss of meaning of this jobs. It is believed that most of the healthcare staff are enthusiastic. However, there are so many annoying social activities staff should attend but that is not include in their working scope.(醫者心) Therefore, even healthcare staff full of conscientious however it scattered the attention or energy by the social activities. Thus the quality of health care gradually decrease.(irrational non humanized)
Faith Community Hospital, an organization who's mission statement is to promote health and well-being of the people in the communities. They serve through the extent of services provided in collaboration with the partners who share the same vision and values. Though the mission statement is the model that everyone should be following, everyone does not think the same about every issue. We all may face similar situation at one point in time but the end result may be different for each individual because we all have different values and beliefs. There are many differences between ethics, laws, beliefs, and oaths that all affect the decisions from patients to staff members. Some patients refuse to take medical services and there are staff members who refuse to provide certain services due to those value lines. Some of the staff members are caring so much for the patients that they sometimes take radical positions to respond to their well-beings. In these situations medical intervention can conflict with religious beliefs or personal moral convictions. Hospital pharmacists are even taking positions which they believe to be important such as filling uninsured prescriptions by accepting payments in installments. Staff members in ICU initiated Do Not Resuscitate procedures with out written orders. Doctors are putting patients first from various interpretations. In "right to die" situations the doctors seem to be getting too involved in compassion and passions with their patients. We need to stay focused on what our jobs are and what we are promoting which is to provide healthcare and its services to members of the communities. Counselors are also treating some of their clients with no authorization of the values and beliefs they have. On the other hand, there are some staff members within the hospital who refuse to serve patients unless they have confirmed insurance coverage. If a patient is to pass away because of unauthorized decisions, this can cause a stir with the media as well as with current or future patients in the community.
Thousands of nurses throughout the nation are exhausted and overwhelmed due to their heavy workload. The administrators do not staff the units properly; therefore, they give each nurse more patients to care for to compensate for the lack of staff. There are several reasons to why
What comes to mind when you think of at the average United States hospital room? White walls, squeaky green but easy to clean linoleum flooring, frightening medical equipment, a tiny television, and one small chair for visitors are often some of the items that come to mind. Patients are placed in an environment with an institutional feel and little emphasis on aesthetics and are expected to heal, recover and rehabilitate as quickly as possible. The measure of success for healthcare organizations had a primary
High standards of care are expected by patients and families regarding any type of health care. Creating a culture of excellence within an organization is needed to increase patient satisfaction and improve patient outcomes. This paper will examine a hospital that is creating a culture of excellence within the organization to ensure theses outcome. Committees within the organization have been implemented to examine all aspects of the hospital, and its operations to receive input to create change. This corporation is implementing high standards of care and practice that provide a culture of excellence. Reviewing current articles to understand what defines excellence, and the importance it has on an organizations. This paper will also summarize and analyze the interview of a unit manager involved with implementing a culture of excellence. Also this author will discuss nursing theories and standard of practice that lead to the evaluation of this particular topic. This paper will also look at how the author’s journey through the bachelors program has changed her nursing profession, and the opportunities it will open in the future.