Case Study: Jill’s Medication Case Study Questions: 1. Identify the lapses in care that occurred throughout the case and led to Jill’s medication crisis. Which of these lapses occurred as a result of an individual-level (provider) failure? Which were system-level failures? Throughout the Jill’s experience‚ there was many lapses between the health care team in regards to filling her prescription. First‚ Dr. Smith‚ the referred neurologist declined Jill’s medical records‚ as if they were of no importance
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explaining what continuous improvement means in the context of organisational success. Explain how the concept can and should be applied. Explain how it is possible to lead continuous improvement systems and processes and how opportunities for improvement can be managed to provide benefits for an organisation. Outline how you‚ as an organisation leader‚ would contribute to and implement continuous improvement initiatives. What is Continuous Improvement? Continuous improvement in a management context
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DMAIC Process Improvement Plan: Analyze‚ Improve‚ & Control OPT/571 August 23‚ 2011 Abstract Discovery of the DMAIC Process Improvement Plan: Define and Measure for the Help Desk shows that it is critical to understand the customers’ needs‚ status‚ and title in order to properly prioritize the product of assistances and standby team to meet those needs. Furthermore‚ by measuring the average issues occurrences‚ IT can strengthen technology in its weakest area to slow down possible issues occurrences
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Process improvment plan for laundry Process Improvement Plan Juan J. Malfavon University of Phoenix OPS/571 Paul L. Porch‚ MBA‚ MPM‚ CIPM March 2‚ 2012 Comment on the factors that affect the process design. Identify at least one metric to measure process. I will use the sorting time needed to separate clothes by wash cycle type because sorting is critical in reducing
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A Continuous Improvement process is an incremental and ongoing approach to improve products‚ processes or services. These efforts generally seek to achieve incremental improvement over time or try to achieve breakthough improvement as an immediate result. Delivery processes are constantly evaluated and improved to increase their efficiency and effectiveness. W.Edwards Deming‚ a poineer in the field of quality saw it as part of the system whereby feedback from the customer is taken and evaluated against
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present for error. Even a single error represents the risk of serious harm to the patient‚ with attendant negative consequences for the health care professional involved in the error. The NPSGS have been established to present procedural safeguards against the possibility of these errors. If the safeguards are consistently followed‚ the risk of errors will decline‚ with benefits to patients and health care professionals as well. The process of prescribing and dispensing medication to patients
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Would this decrease errors in administration (Buerger 1998). Findings Findings: Nurses just as non-nursing Medication Technicians with the same training were just as likely to have medication errors. However in order to be successful in medication administration is to continue with ongoing training and evaluate each incident. With the automated multi-dose packaging and dispensing system‚ capable of accommodating 14- or 30-day cycle filling this may as well cause increase medication administration (Buerger
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As mentioned above‚ different strategies have been implemented to prevent the unfavorable effects of medical errors‚ particularly mistakes in medication administration. Because of medication errors‚ the patients’ mortality went up‚ which costs the U.S. healthcare systems billions of dollars yearly. It was also reported that every year‚ there are approximately 450 000 unfavorable medication circumstances of which 25 percent could have been prevented‚ that caused an injury to the patient. Therefore
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With reference to research discuss two errors in attributions. (22 marks) The Attribution Theory is a concept of social psychology that makes reference to how individuals feel the need to provide ‘cause to the events around us’. Fritz Heider first proposed the theory ‘The Psychology of Interpersonal Relations (1958)‚ which was later developed by others such as Harold Kelley and Bernard Weiner. The developed definition of this theory refers to the role of our minds in relation to our social behaviour
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Reduce Risk for Errors CPOE and EMR have been known to decrease medical errors. EMR help prevent unnecessary orders and diagnostic test. EMR also prevents duplication of the same test and orders. Medication are shown in the electronic medical record which providers have access to. The ability to access a patient’s medications without having to rely on just patient information will lower risk. A patient may not always be certain of a dosage or the exact name of a medication and the electronic medical
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