Risk Management and Patient Safety in a Hospital

Risk precaution and tolerant Safety in a HospitalThis essay get out present an interaction that took place in pattern that captured the multi-disciplinary team up discussing a go drug exploiter. This interaction shows the concept of attempt heed, persevering refuge and attractorship at bottom a hospital setting. These concepts will be explored and critic everyy reviewed to found how important lead and advocating for a attend to substance absubstance ab wasting diseaser is. It will in any case demonstrate how important a profound multi-disciplinary team mountain do together for patient asylum with least restrictive answer.Interaction in employmentA mixed 20 bedded ward in acute moral wellness for adults aged 18 to 65 veritable an informal admission which is lease restrictive practice ( sparing Goernment, 2006). The operate user has a diagnosis of borderline personality disorder who was known to psychical faculty on shift. As it was a weekend none of the helping users medical team was on shift, which meant they would meet with the affair doctor, and duty consultant. The duty consultant arrived and went to one of the interview rooms to chat with the overhaul user. On return the consultant showd that the swear out user would assay until they met with their own team. When asked about top doges kill the ward the consultant said cheer escort passes only. The coordinating nurse then stated that this would non be acting in the gain users best pursuance and history has proved this to be non-beneficial. The nurse multi-disciplinary team (MDT) then proceeded to state the service user was informal and attended voluntary. This will cause harm and anxiety to service user when faculty dismissnot facilitate the quantify off the ward.The consultant stood by his recommendation but the coordinating nurse got in touch with the coordinating charge nurse (CCN) and pursued the decision. It was then talked over by the coordinating nurse , consultant and CCN as well as the staff on shift. After the MDT had discussed the matter the result ended with the service user gaining 15 minutes passes which goed out well over the weekend for the service user.LeadershipThe definition on leadinghip is one in a position or function as a leader to target or guide a group or party (Waite and Soanes, 2007). Nicolson et al, (2011) states on that point is more ramification with being a leader such as communication, emotions, and the relationship between following and the leader. However if professionals in a leadership constituent ar not performing to the high sample this move impact on the team reducing their commitment to the attending and pr for each oneing of service users (Kilfedder, Power and Wells, 2001).Researchers beat not only been tasked with finding a definition for leadership but as well as evidencing the characteristics that make a good leader.(Wangensteen, Johansson, Nordstrom, 2008) state that an somebo dy constantly producing a high level of practice above recommended hackneyeds as well as displaying a caring interest in other colleagues performance, and sharing learning or guidance at the correct time has all the characteristics of a leader.Professional socialization consort to (Clearly et al. 2011) states leaders will engage in conversation to explore values, beliefs and attitudes of individuals they conk with as well as initiating team skeletal systeming interactions and offering jut towards the team members.Alimo-Metcalfe (2003) states that individuals argon most in effect(p) when they argon competent and surefooted and aw atomic number 18 of their own strengths and behaviours and toilet work well with other team members. This was displayed in the scenario as the coordinating nurse was confident and showed their strength by pursuing the matter with the backing of the MDT.(Hogan, 1994) states leadership is persuading colleges to set aside individual concerns for a sho rt period of time to leap out a mutual goal or responsibility for caoutchouc and welfare of a group.On the other hand (Fowler, 2012) states leadership is projected through office assumeing. division modeling according to (Fowler, 2012) is an individual who is good at their job and competent indoors their role with the ability to carry out tasks with ease. However in that respect are some clinicians that practice on the edge within honest dilemmas that could be deemed unprofessional therefor would not make good role models.(Bosman et al. 2012) also agrees with role modeling and its importance with leadership and states there are four aspects that give birthd members of a team lead from. These are ambition and motivation, self-efficacy reinforcing juniors beliefs to achieve more. Learning by example of certain life practice situations and a support for other members of the team.The leadership skills displayed in the scenario above was to advocate for the service user and b e their voice. This took confidence and acquaintance with a compassionate and empathetic approach so the service user would not be distressed or agitated over the weekend. It also demonstrates how connected the team was to get involved in the discussion to beef up the initial statement. By displaying communication skills and introducing an outside party to recite reasons why this would be the best course of action for the service user the pass was granted, and there were no incidents over the weekend involving the service user.However the service user could fork out went out on pass and not returned and the scenario could turn in been much worse even disastrous. But the staff member had evidence based knowledge about the individual and practical experience with business organisation and treatment for the service user. Although there was a risk with this scenario all parties were succeeding(a) the 10 essential shared capabilities (ESCs) by working in partnership, promoting c onvalescence, providing service user centred care, making a difference and positive risk taken (Anderson and Burgess, 2009) this guided all members to reach a decision.Kean and Haycock-Stuart (2011) argue that policies and interactions put in place to deliver a high standard of care can suggest that the individual in the leadership role is solely responsible for its success. This singular approach fails to musical composition the relationship between the leader and henchmans and the prevalence of the followers contributions (Kean and Haycock-Stuart, 2011).The Scottish administration (2009) acknowledges that the leadership originatement for bailiwick wellness Service (NHS) Scotland is achieving its goal. This is regarded as a priority for (NHS) Scotland and is prioritized at a local level (The Scottish Government, 2009). This has been introduced to insure wellnesscare professionals can practice nationally and local with leadership qualities and behaviours to deliver a high st andard of care that is safe and legal. constitution within (NHS) Scotland states all employees are make clear and understand exactly what their role is. As they keep back a duty of care to provide the best care possible, and leaders read the responsibility to ensure this is happening to the correct standards but allow appointment in the decision making process (The Scottish Government, 2009). The NHS has a model (Leading Better care, 2011) that can direct leaders to consider leadership qualities and develop positive attitudes and set out goals. How leaders behave within bailiwick Health Service (NHS) Scotland can make or break their docket for wellness care.Research suggests that an effective leader can have a positive impact on service user care. There has been many another(prenominal) cases of bad practice in health care that has been publicized for the public such as The Mid Staffordshire NHS Foundation Trust which produced the Francis Inquiry (Nolan, 2013) which explore d what happened and were the reliance failed. The report stated that all healthcare workers working within the health care system will be held accountable for their actions and the care they provide. The report intercommunicate staff from all positions especially senior positions who neglected their basic leadership skills (Nolan, 2013).(Blegen and Severinsson, 2011) state noetic health nurses are forever and a day advancing their practice with change while working in environments that are challenging. By growing leadership skills that are motivating and encouraging colleagues to work responsibly and individually with service users. This demonstrates the importance that leadership skills have when tasking or directing a colleague to have reassurance the task will be carried out mightily (Cleary et al. 2011). This can depend on the relationship of the followers and the leaders as this has an important bearing on the success of the healthcare environment. However (Kean and Hayc ock-Stuart, 2011) states that the followers are over looked as the framework for leadership focuses on the leaders as individuals. Kean and Haycock-Stuart (2011) state there is more to being a follower than following a leader, if judgements are made that disagree with a leader this can make or break the relationship of leader and follower. correct leadership takes opinions into consideration and work with reciprocity built on trust (Kean and Haycock-Stuart, 2011).A keen-sighted with leadership is patient safety as described in paragraphs above leadership has been the emphasis for NHS Scotland locally and nationally but these both concepts work in partnership with each other (The Scottish Government, 2010). The nursing and tocology Council (NMC) acknowledge the importance for individuals to continually update skills and experience in leadership and patient safety and working in partnership with universities have implemented a new domain constructed for leadership. This domain wil l be part of student competencies that will be expected to be adhered to when they turn registered nurses. Registered nurses must now lead and challenge in a iron to improve services to provide the best possible care (NMC, 2010).Patient SafetySafety is the most important part of the healthcare service, safety for service users and safety for healthcare professionals. The drive for safety within the healthcare services are one of the three ambitions by the Scottish Government which will strive to deliver and support safe and effective healthcare. only service users will clear care and treatment in a clean, safe environment free from pr factable harm or defect in any NHS Scotland healthcare facility (Scottish Government, 2010). Patient safety is the creative activity that nurses construct their practice around and is a professional value that the breast feeding and Midwifery Council stipulate is a requirement with the code of conduct (NMC, 2015). wholly registered nurses must s afeguard the health and well-being of all individuals for as long as there are receiving care (NMC, 2008).Ferguson et al. (2007) states when patient safety is compromised and errors flux the role of the clinical practitioner can be scrutinized when there are numerous factors that threaten patient safety. Some factors such as work load pressures and staff shortages can count for miner mistakes happening within the healthcare system. However (Ferguson et al, 2007) also states good communication within a positive and motivated working team are factors that are effective in building a good safety culture.General hospitals are subjected to the same safety risks with patient safety as in a mental health hospital such as pressure sores and medicinal drug errors. However, additional risks to staff and patients are unique in the mental health area (Bark and Tingle, 2011).The management of violence and aggression and the use of seclusion are to support patient safety as mental health hospit als use res discipline techniques which can increase the service users vulnerability. However mental illness can cause individuals to become suspicious, disorientated, paranoid or neurotic that can cause anger or difficulty with instructions (Bark and Tingle, 2011). This can generate a more complex case for patient safety even though risk assessments are carried out daily within mental health wards. Staff predicting and cookery for every preventable event that could happen, due to human behaviour is only effective with the information they sustain at that time (Tate and Feeney, 2012).Langan (2010) states that violence in a mental health facility with service users were a risk may be plethoric to themselves or to staff, argues that this can exacerbate anxiety and increase pressure that is undeniable when assessing a service users risk. Service users can be unpredictable when head start presenting and with lack of knowledge of what is happening for that service user at that ti me presents numerous changeable factors that can transpire (Langan, 2010). There has been many attempts to build an assessment tool for mental health services but they have failed to reach the standard required (Langan, 2010).(NHS Lothian, 2012) state that the policy within mental health for risk assessments must be carried out for every service user that is admitted to hospital and becomes an inpatient this should be in conjunction with the service user. When filling out the risk assessment current information should be included such as relevant history, associated behaviours, clinical diagnosis and information from the service users perspective as well as information from family this will ensure a robust risk assessment and support patient safety (NHS Lothian, 2012). A risk assessment is constantly being amended and is never complete it is an ongoing procedure that is effective at the time it is carried out (Tate and Feeney 2012). Risk assessments that are updated daily support p atient safety. The mental health setting can highlight complexities with patient safety and emphasises how staff work in partnership with service users and using reciprocity keep patients safe (Tingle and Bark, 2011).When managing patient safety within the scenario this can present challenges as the coordinating nurse was basing her evidence on preceding history but had a good knowledge and rapport with the service user. By working in partnership with the service user and promoting recovery on previous admissions the nurse already had a basic plan for a risk assessment and was thinking of patient safety and what could have transpired if the passes were not granted. However ever admission is different so naught should be assumed for example that last admission the service user got aggressive, that does not mean this will happen this admission.ConclusionThe scenario that was introduced was not unmatched at the week end for an inpatient in mental health services. The service user c ould have had a different scenario if that individual was not on shift advocating for the patient and displaying leadership qualities. By checking legislation, frameworks, local policies and training which is available to support staff to deliver a high standard of care and ensure patient safety.By understanding what traits aid with leadership and just how important the skills to lead are and developing and nurturing them to provide a high standard of care from you and your team.Patient safety will always be identified as an important part of healthcare and by carrying out risk assessments will insure service user receive the best care for them. For more complex situation within mental health settings staff must follow polices and legislation and support each other fully as a team and with proper planning and applying daily risk assessments can support in minimizing harmful events from transpiring.ReferencesWaite, M., Soanes, C. 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