EXTENDED STAY

EXTENDED STAY

Question one.

Stanley Londborg did not receive standard treatment, and this resulted in the formation of Deep Venous Thrombosis (DVT). Perhaps the reason for this is that physicians may have forgotten their duties, and maybe the process of entering this order is burdensome. Primarily, the possible cause is that the system depends on the admittingmedical doctor to have this step in mind besides other decisions about severe medical management. In this situation, the medical doctor had been abstracted while trying to figure out the possible cause of his patient’s chronic obstructive pulmonary disease (COPD) exacerbation as well as being busy ordering an x-ray, bloodwork, and other medications(Hilliard, 2013).

In the context of assessing the performance of quality of care measures, there was no quality care within the hospital that would enhance the likelihood of good outcomes. For instance, the hospital lacked regular inspections of admitted patients. On the eight-day in hospital, Mr. Stanly Londborg is found by one of the staff lying on the floor, and none of the overnight nurses were aware of this. Besides, there are errors regarding quality services delivered by health strategies and clinicians. Quality care measures require that individual patients should attract attention and to the various standpoints which need to be addressed.

Generally, high-quality care should be maintained across the entire healthcare setting. In this case study, the physician who attends to Stanley appears to forget their duties, which results in the formation of deep venous thrombosis (DVP)(Hilliard, 2013). Furthermore, the issues of quality care are seen when the daycare team of doctors fails to notify doctors and pharmacy that routine medications had not been administered to the patient..

Question 2.

Mr. Stanley Londborg suffered a seizure, a condition that would have been avoided if nurses and physicians had acted promptly to deliver anti-seizure treatments. Among the specific errors which constituted this is that the overnight care team was not familiar with the conditions of the patient, and therefore it took them a long time to recognize that the cause of Londborg’s situation was a prescription fault. Besides, the pharmacy unit and overnight care team were not informed that the vital medication had not been ordered to the patient. Moreover, there was no appropriate medication, and physicians were unable to recognizethe type of disease based on signs fully. An emergency unit doctor ordered an x-ray on Londborg’s chest, but this did not show any signs of pneumonia. The patient was admitted for the treatment of acute COPD exacerbation(Hilliard, 2013).

Question 3.

Necessarily, I will not attach the fault to the physician and nurses who were involved. The mistake emanated from the issues related to systems of care. I will reiterate the crucial roles of communication in ensuring quality as well as avoiding forms of complications which faced Stanley Londborg. This implies cooperating with groups of physicians and nurses to enhance communication; the communication would include times of the day when both physicians and nurses will discuss the required attention by their mutual patients.

From this meeting, I will develop a team of individuals from the specialties involved, such as quality assurance department, nursing, pharmacy, hospital administration, and physicians, to assess the particulars of the incident, and to recognize and enact new improvements that will avoid the same errors from occurring in future.The hospital must have a staff like a housekeeping staff member who will always respond to critical situations(Hilliard, 2013).

In conclusion, it is essential to point out that the fault which emanated from the hospital was not revealed to the Londborg. Admitting to the mistake and providing a strategy to avoid future occurrence by the hospital administration would give confidence to the patient in hospital staff and care teams. Also, offering Mr. Stanley Londborg and opportunity to take part in assessing that error would have been appropriate in preventing future errors within the hospital.

References

Hilliard, R. (2013). An extended stay. IHI Case Study. Retrieved from http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities/CaseStudyAnExtendedStay.aspx