Question

As the HIM Director with several years of experience in management and quality initiatives, you are asked, along with the Quality Management Director to assemble a team within the organization in order to analyze patient quality and safety data (mainly medical errors reported) for the past year. You have the authority and flexibility to solicit team members throughout the organization. During the last accreditation, the organization was cited for not reporting medication errors as well as some patient safety concerns. Who would you put on the team? In the discussion, include elements of the team charter (members, purpose, resources needed, etc.). You have also been asked to, at the conclusion of the team's work, make recommendations for improving patient safety after thoroughly analyzing the reported data and completing any necessary interviews of staff involved. What are some of the possible adverse effects of the types of errors reported? Your team is also asked to develop a communication strategy for your recommendations. Include a plan for communication in your response.

Answer 1

The US senate directed the Agency for Health care Research and Quality (AHRQ).It make national effort to improve patient safety and prevent medical errors.The use of effective communication between patient and health care professionals care provide good patient health outcome.The joint commision publishers patient safety events and research.Medical providers should be incharged in error prevention and patient safety concerns.Both institution and individual practitioners responsible for malpractice liability as a barrier for error reporting.Health care professional can report the injury and near misses safe from blame.
Training the medical professionals and well coordinated team can provide patient safety and reduce the medical error.As a team work they must have work with knowledge,skills and attitudes and they must have the ability to solve the issues.
Conclusion:
   Comprehensive model of team training performance has not developed it medical setting.By providing medical team training programs it can be applied.Due to team performance absence there will be poor outcome.There is a number priniciples, tools and guidelines for growing patient safety.There must be new finding and research progress in science with different follow ups like journals,special work shops and books etc..Medical team proper training and that must be apllied in patient safety guidelines.
    For the successful medical teamwork there must be team work related knowledge,skills and attitudes to be followed.Job analysis techniques to be developed for medical team performance.Particular emergency practice must be operated in diverse contexts.Example: Emergency medicine should be there in emergency department..Urban and rural general practitioners to work in community walk in clinics..Successful teamwork can give advantage across this.Full evaluation of the program quality measures should be applied in work environment.CRM training provide patient safety and supportive evidence important for field in advance..We have to implement and regulate team training by health care provider's.
   Reporting focuses on errors with serious injuries and death.It was operated by state regulatory program that is called mandatory reporting system.voluntary reporting system focus on usually on error that result no harm(near misses)minimal patient harm.Health care organization must be encouraged to participate in voluntary reporting system for patient safety..
Recommendation:
Mandatory reportingsystem provides standardized information by state government.Adverse effect can result harm or death.Provide funds ans technical expertise to regulate the reporting system..