Question

Please use the link to the case study to answer the questions bellow. use the link to the case study please. this is due today.

https://books.google.com/books?id=bzb3BQAAQBAJ&pg=PA198&lpg=PA198&dq=case:+cursory+exams+are+risky&source=bl&ots=W2jLZ9niMa&sig=uYHeQOv-uuQ7ISm0YAdp7JcURBc&hl=en&sa=X&ved=0ahUKEwjkhaPf7ZLZAhUl8IMKHfHnCN8Q6AEIMDAB#v=onepage&q=case%3A%20cursory%20exams%20are%20risky&f=false

Case: Cursory Exams are Risky

Questions

The many lessons for discussion in Niles v. City of San Rafael include the following;

1.An organization can improve the quality of patient care rendered in the facility by establishing and adhering to policies, procedures and protocols that facilitate the delivery of high-quality care across all disciplines.

2. The provision of high-quality health care requires collaboration across disciplines.

3. A physician must conduct a thorough and responsible examination and order the appropriate tests for each patient, evaluating the results of those tests before discharging the patient.

4. A patient’s vital signs must be monitored closely and documented in the medical record. Corrective measures must be taken when a patient’s medical condition signals a medical problem.

5. A complete review of a patient’s medical record must be accomplished before discharging a patient.

6. Review of the record must include review of test results, nurses’ notes, residents’ and interns’ notes, and the notes of any other physician or consultant who may have attended the patient.

7. Failure to fully review a patient’s record can lead to an erroneous diagnosis, and the premature dismissal of a case can result in liability for both the organization and physician.

Answer 1

1. An organization can improve the quality of patient care rendered in the facility by establishing and adhering to policies, procedures and protocols that facilitate the delivery of high-quality care across all disciplines: while being a part of medical field quality service providing is our main goal as well as responsibilities. Patient satisfaction should be the major priority with the healthcare service. Major group of healhcare sectors opt for accrediation under quality providers and they try to follow the quality guidelines while initiating any test or while patient assessment. Following guidelines of such authority and keeping a proper documentation of each assesment validates our work and assures maintaince of quality in an healthcare organization.

2. The provision of high-quality health care requires collaboration across disciplines: Following the guidlines of acrrediation provider and well maintaing of documentation of each day on a priority basis assures the chances of reduction in negligience for healthcare service. Regular internal and external assesment of our quality service on a monthly basis helps to check our ability as a organization.

3. A physician must conduct a thorough and responsible examination and order the appropriate tests for each patient, evaluating the results of those tests before discharging the patient: Before releasing the discharge order for any patient a physician must go through entire test parameters and conditions are in a stable state or not. If a physician is in slight doubt he should take actions to either change the medication or can order reanalysis of test for the patient. Until the patient shows good signs of improvement a physician should not release him or her from hospital.

4. A patient’s vital signs must be monitored closely and documented in the medical record. Corrective measures must be taken when a patient’s medical condition signals a medical problem: while providing a quality service corrective and preventive actions should be taken care. Any time mistakes can occur while assesment and corrective action should be done to correct it within the time frame. Preventive actions requires to assure that such actions or mistakes are not repeated in future.

5.  A complete review of a patient’s medical record must be accomplished before discharging a patient: That's the responsibility of certified nurse as well as physician to completely check the patient records of all tested parameters and be assure that he or she is totally in stable conditions and further care can be taken in homely environment too.Then only a patient should be release fron hospital.

6. Review of the record must include review of test results, nurses’ notes, residents’ and interns’ notes, and the notes of any other physician or consultant who may have attended the patient: A patient assessment are conducted by a healthcare team and documentation of each one is important before releasing patient as per quality guidelines along with their signature. Releasing a patient should be also a collaberative decision and might be taken under evaluation of associated parameters and test results. Patient mental as well as physical health assessment is also should be done.

7.  Failure to fully review a patient’s record can lead to an erroneous diagnosis, and the premature dismissal of a case can result in liability for both the organization and physician: Any kind of casualness or not keeping records of medical assessment can lead to trouble for both patient and healthcare organization. Until a team of physician and each member of the team agree with the decision of patient release a patient should not be given release from the hospital. It's the responsibility of the oragnization to fully assess patient before releasin him or her and also to avoid further complication with both patient and organizations.