Tuesday, June 26, 2012

Adverse Events


“There are two sides to every story,” is what my mom use to always tell me.  Not every person thinks of things in the same way.  Just like the saying, “I didn’t mean it like that.”  People’s perspectives are different in every way.  Some people are extra sensitive while others just don’t think twice.  In healthcare we must be overly cautious when dealing with people, especially when an adverse event happens. 
While making my rounds on the floors, I overhear scenarios being describes on a daily basis.  He said this or she did that are relayed to the charge nurse.  It’s not to say that one person is right or wrong, but one mediator must hear both sides to the story and solve the problem to satisfy both parties involved.  We must also take into account the state of mind the patient is in.  If a person is drugged up and in pain, then a small event can turn into World War III.  One of the most complained about situations I hear is, “I didn’t get my medication today.”  We have to look at the reasons why that patient didn’t get their meds.  There is a wide range of possibilities such as the physician stopped the med temporarily, the nurse missed the dose, the med was given already and the patient didn’t know, or many more options.  Regardless of the event, whether it’s small or big must be handled accordingly and to the facility standards.  Something as simple as hand washing is an important way to prevent an adverse event such as transmitting MRSA to patients.  The hospital I work at requires you to foam in when entering a patient’s room and when leaving.  Extra precautions are made for certain cases, but they are strict when it comes to passing on infections.
Some adverse events are none that of the patient’s fault, so there is no question on whether or not the patient’s perspective is at play.  Operating on the wrong leg is that of the surgeon’s error.  But what happens when it comes to patients that fall?  There are a lot of questions that take part in answering why the patient fell.  Did the patient tell the nurse they were feeling dizzy or not able to walk?  Was the patient put on a fall alert?  Was the bed alarm on if the patient kept getting up when they were not supposed too?  There are so many answers to so many questions.  Fully understanding the situation at hand is important to solving the dilemma.  Listening to the patient when an adverse event happens is an important key to undertake.  This is not only important for the present matter, but also to make sure it doesn’t happen again in the future.                   
ORMC revolves around a patient first motto.  Everything that is done has a thought of putting the patient first in a situation.  It’s the kind of care that you, your family member, and friends would hope to receive.  I surely would like to know that the place where I am receiving healthcare puts my needs first.  This is an important concept in conjunction with preserving the facility’s reputation.  Word of mouth is a very strong issue that takes place.  We must always be on guard to prevent a negative outlook.  Who knows who might be watching?

4 comments:

  1. I do agree, there are always two sides to every story. However, all sides should be considered in order to figure out where did the situation gone wrong. This will prevent it from happening in the future. A person’s perspective is a delicate subject because a person will only understand their point of view in a situation that is happening to them. For these types of situations, a mediator can be essential to alleviating the tension between the patient and provider. The healthcare field is a challenging field because it deals with a patient’s health. Thus, it means more precaution needs to be taken. It is unfortunate when situations occur when a patient is harmed but no matter what, the proper steps must be applied and the patient should be the main priority. There are so many variables to consider when an adverse event occurs that can be external or internal factors. For this reason, the situation must be evaluated carefully.

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  2. You have made some excellent points Paula! Prevention is a key factor when dealing with healthcare. Learning from a mistake can only decrease the probability that it will not happen again. A mediator is a good idea to not have any bias in the situation at hand. People do tend to take sides but having someone that can see both pictures is vital to making an informative decision. It is correct that when dealing with a person's health extra precautions need to be taken. A person's life is not something that can be measured.

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  3. Melissa,

    I love that you brought up Orlando Health “Patient First” strategy, I fully agree with you that is the only way to provide high quality health services. Only by putting patients first and thinking of how everything affects them can we fully satisfy their needs and meet their expectations. Healthcare services should revolve around the person who is receiving the service and who in that moment needs it the most. If providers think about the patients before taking into account anything else they will always choose and alternative that is more beneficial to the patient and will in turn increase loyalty for the organization.

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    1. Thank you for your input. It is true that putting patient's first in all situations will increase loyalty and positive word of mouth. I know that I would never go to any other doctors. I have three that I go to and am very loyal to them. They always put my needs first and listened. It is sometimes hard to find good health care but when you do, driving an hour for them seems worthwhile.

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