Essay on "Managing Quality Safety and Risk in Health Care Systems"

Essay 10 pages (2671 words) Sources: 10

[EXCERPT] . . . .

Managing Quality, Safety, And Risk in Health Care Systems

Quality healthcare has been the subject of various political, humanitarian and academic debates. In this pare we present an analysis of quality health care with specific focus on its components as well as a discussion of the relative benefits and drawbacks of the checking and trusting system in healthcare. This is in an effort to manage the quality, safety as well as risks in the various existing and future health care systems

The health care industry is one that demand a lot of attention as it makes a very fundamental sector in ensuring the health of the citizens. There is therefore an increase in pressure regarding the need of evidence of controls of quality as well as the improvement of the quality of services provided (Wadhwa,2002). This is due to the fact that there is evidence to suggest that the level and quality of service delivery is correlated to the outcomes of various aspects of health care delivery. The quality of health care has been shown to have a very profound influence on the level of patient perception. The ability of a health care facility to satisfy the demand of patients in terms of convenience and availability of information is also noted to be part of quality health care delivery. The development of various health care policies must therefore involve the work of both the management of the hospital, staff as well as patients themselves.

According to Merrian Webster's dictionary, Health care is the restoration and maintaining of health by prevention and treatment of diseases especially by licensed and trained professionals such as public health workers, clinical psychology,

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dentistry, and in medicine (Webster,2010).

Quality healthcare is the achievement of optimal mental and physical health through accessible, and cost effective care that is based on best evidence, is responsive to the preferences and needs of populations and patients, and is respectful of one's (patient) personal, families values and beliefs. (AAF,2010)

Everyone deserves quality health care. You can make sure you get the best health care when you are sick or hurt hence quality health care is obtaining the best attention that makes the body function normally without any disorders or unrelated abnormalities. This can be either scientifically or traditionally. In scientific health care, this is done by continuous checkups by advanced machines and by a well trained health person. In traditional method, this can be both looking at the abnormal symptoms that one can feel, see or touch and visiting local medical personnel who either relies on the information the patients gives or what they think that may be the problem. The relied method to ensure quality health care is by visiting a well trained health personnel such as nurses. Nurses play a vital role in improving the safety and quality of patient care-not only in the hospital or ambulatory treatment facility, but also with community-based care and the care performed by family members. Nurses need to know what proven techniques and interventions they can use to enhance patient outcomes and this is by either using their advanced knowledge in quality health care or by implying the use of the machines.

Quality health care is not only relying on the trained personnel to come to your rescue, but it basically relies on one's ability to know and apply all the necessary efforts to ensure that his/her life is well taken care of and there are no short comes that may lead to one becoming hurt, sick or ill. But can all have the ability to overcome all these? This is why may lives are insured and most have personal and private doctors to help in advancing the situation of one's health. This leads to the invention and provision of Health IT (the use of computers and computer programs to store, protect, retrieve, and transfer clinical, administrative, and financial information electronically within health care setting) this helps to store health records electronically instead of paper records, provide secures electronic networks to deliver up-to-date records whenever and wherever the patient or clinician may need them, ensure fast and efficient electronic transmittal of medical tests to speed and streamline processing of those results by heath care providers, ensure reliable electronic prescribing of medications, treatments and tests to help avoid medical errors, Provides decision support systems to provide clinicians up-to-date on best practices and treatment options. The limitation of Health IT is that it is accessible in the traditional health care where not scientific equipment is used but simple and not well reliable tools are used and the health personnel are either literate or semi-illiterate in that, they may not have the advanced knowledge that may be used in health care.

Quality health care can be basically done by an individual and this does not basically be to rely on the doctors and nurses but by ensuring ones health is to the standards required. The doctors cannot be involved in every situation and step in ensuring ones health is maintained, but they have to be informed at every situation that one feels uncomfortable with his/her health. Doctors have to prescribe all the medicines and treatments one has to go through. This is brought about by manufacturing medicines that people use at home and generally giving simple prescriptions that are easy to understand. The public can be involved in ensuring quality health care to the people by providing continuing opportunities for public input, including listening sessions, and invitations for comments from public and private sectors on priority lists and questions, as well as formats for and dissemination of the reports (Mannion,2008).

The Agency for Healthcare Research and Quality (AHRQ) will also work closely with Centers for Medicare & Medicaid Services and will meet regularly with a Department of Health and Human Services steering committee. This will ensure that all the people receive the medical attention in all the health institutions available. The Department of Health and Human Services steering Committee will ensure effective Heath care program which focuses on the Comparative effectiveness of different treatments and clinical practices, as authorized in the Medical Prescription Drug. Improvement m and Modernization Act (MMA). The program emphasizes a transparent process with public input and uses three approaches. The first will be to review and synthesize published and unpublished scientific evidence. Evidence-based practice centers (EPCs) which will perform systematic appraisals of existing scientific evidence on topics related to the priority conditions. The second will be to compile the findings and translate then into a variety of useful formats for stakeholders. This is a critical step to making complex scientific findings understandable for everyone. The third will be to promote and generate new scientific evidence and tools that are analytic in a faster way and a format that is practical. A net work of research centers, in some topics, are capable of performing a faster research are to conduct a variety of practical studies designed to answer the questions that do not require or that cannot be addressed by large rigorous randomized clinical trials (Mannion,2005).

The quality health care can also be provided by effective health care program. According to Agency for Healthcare and Research and Quality (AHRQ), they funds individuals research centers, and the academic organizations to work together with them to produce effective and comparative effectiveness research for policymakers, clinicians and consumers. The effective Healthcare program is to compile research findings that are synthesized and translates them into useful formats for various audiences and also generate evidence that are scientific and tools that are analytic. All these are to ensure quality health care (AHRQ,2010).

The need for patient involvement in the improvement of health care services

Patients are an important factor in the process of improving the level of service provision in various health care services. This is because the patients are privileged observers/witnesses to various events that occur in the health care facilities. This is both in the sense of the fact that they are at the center of the many treatment processes not unlike the other hospital staff members are part of almost the entire process of health care provision (Koutanjc, 2005)

Quality health care is getting the best care for your health at any given time not only in a hospital set up but also in your area of residence. This leads us to the question how can one know that they have quality health care. Many organizations have come together to ensure the best health care for everyone regardless of race, color, income, age, gender and status.We are on the verge of realizing that we can all access the best health. We have the best health when we can access medical attention readily the moment we become ill or hurt. Illnesses vary from one person to the other and some illnesses are infectious and temporary whereas others are contagious and terminal.For all cases one is entitled to get the best health possible. One dealing with a terminal illness should have a personal doctor who visits him… READ MORE

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Quoted Instructions for "Managing Quality Safety and Risk in Health Care Systems" Assignment:

“

With reference to the appropriate theoretical literature and using a range of examples, answer both of the following questions:

i. What is health care quality?

ii. Discuss the relative benefits and drawbacks of *****˜checking***** versus *****˜trusting***** in health care provision.

As a broad guide you should attempt to give weighting to parts i, ii above as follows:

Part i (40%) Part ii. (60%)

Generic Assessment Marking Criteria

You will be marked according to five criteria:

*****¢ Quality of Presentation

*****¢ Understanding and use of Theory

*****¢ Quality of Analysis

*****¢ Structure and Argument

*****¢ Conclusions

The examiners will be looking for the following elements for each of these criteria.

Presentation

*****¢ All material is thoroughly and correctly referenced.

*****¢ Citations are given in the Harvard format, unless specifically specified otherwise in the assignment brief.

*****¢ Direct quotations from sources are referenced with page numbers.

*****¢ Appropriate use has been made of tables, diagrams, graphs and pictures.

*****¢ The use of formatting (line spacing, font, justified margins etc) is consistent throughout.

*****¢ The text is clear and readable, without typographic errors and spelling mistakes.

*****¢ The assignment is within the maximum word length suggested.

*****¢ The bibliography contains only the works cited in the assignment, is presented in author alphabetical order and is complete, accurate, and consistently formatted.

Theory

*****¢ Evidence of wider reading i.e. not relying on a textbook or single text source, but engaging with specialist texts, journal articles and reports.

*****¢ A demonstration of an understanding and awareness of a range of theoretical positions or technical options.

*****¢ The ability to place a particular text*****s argument within a range of positions evident in the literature and to recognise its strengths and limitations as an explanatory framework.

*****¢ Direct quotes, paraphrasing or other evidence of active engagement with theory and/or technique is apparent throughout the assignment.

Analysis

*****¢ The assignment demonstrates an ability to understand different perspectives i.e. the student can evaluate different options, engage critically with theory and practice and can justify their analysis above other available solutions or viewpoints.

*****¢ The analysis results from the use of judgement and discernment in selecting theory and applying it to the situation or problem.

*****¢ The selection of techniques and viewpoints are justified by the problem or issue outlined.

*****¢ Reflection and observation are integrated in the analysis in an appropriate way i.e. a supported argument illustrated with observation rather than a statement of opinion.

Structure and Argument

*****¢ An essay assignment will normally include an introduction, several sub-titled sections in the main body, a conclusion and a bibliography. Alternative formats may be specified by the assignment brief and, if so, have been used.

*****¢ A coherent argument is evident, which clearly links the different elements of the assignment together and leads the reader through to a justifiable conclusion.

*****¢ The argument is logically constructed with each section building on the insights of preceding sections i.e. different perspectives are not simply thrown together without an understanding of how they contribute to the overall argument presented.

*****¢ Theory is integrated into the analytical and/or practical elements of the assignment where appropriate

*****¢ Meaning is not obscured by poor grammar, paragraph or sentence construction.

Conclusions

*****¢ The conclusion summarises the whole of the assignment and not just the analysis i.e. conclusions relate questions posed, adequacy of the theory, empirical issues explored and reflect on the student*****s approach to the work.

*****¢ The conclusions refer to the argument presented to that point and do not introduce new ideas or arguments *****at the last moment*****.

*****¢ The conclusion demonstrates the ability of the student to justify their theoretical and analytical approach.

*****¢ Conclusions have been drawn and follow, and are justified by, the analysis in the main body of the assignment. Where required, practical recommendations are feasible and follow on from the conclusions, addressing the issues identified.

*****

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