Medical Errors Despite our greatest efforts to prevent medical errors, errors continue to occur. The most serious of these errors result in death, permanent injury or non-permanent harm that is at a severity level which requires an intervention in order to sustain the individuals life (Joint Commission, 2014, p. 1). Events of this severity are referred to as “sentinel events” since they signal the necessity for instant investigation and response (Joint Commission, 2014, p. 1). Among the most often occurring sentinel events are suicide and falls (Ten Most Common Sentinel Events, 2004, p. 35).
System Factors Influence on Organizational Performance System factors are a major influence on performance of an organization. These factors are …show more content…
This benefits the organization’s consumers in that they obtain good medical results. Adding to this idea, it reduces the impact of insurance reimbursement possible penalties due to poor outcomes. This reduces the negative financial impact of errors since fewer errors occur. Good outcomes also benefit the organization in that the facility develops a good reputation and this will bring in more patients since they trust the facility. Risk and Quality managers who participate in reporting which is not mandatory provide the facility financial benefits. The Medicare Prescription Drug, Improvement and Modernization Act (MMA) passed in 2003, placed in effect the Reporting Hospital Quality Data for Annual Payment Update program which allows hospitals that are able to report certain measures at a higher payment rate (Kelly, 2011, p. 128). Any increase in income is a welcomed benefit to organizations.
Process and Techniques to Investigate, Prevent and Control Error In order to avoid a recurrence of a suicide or serious fall, it is necessary for healthcare facilities to investigate occurrences. Failure to analyze and event will interfere with the ability to control the error as well as prevent future …show more content…
The analysis pursues why the problem occurred in the first place (Pisani, 2011, p. 255). It has three major sections: figuring out what happened, determining why it happened, and how to minimize the probability of it happening again. Root cause analysis looks at the facility’s physical environment, human as well as organizational causes (Curran and Totten, 2010, p. 274). While the goal of a RCA is learning, staff involved in the incident can feel intimidated by the process and worry about potential negative consequences to their employment as a result of the error. While this should not be a valid concern, it is a concern none the less and can lead to staff withholding vital
System Factors Influence on Organizational Performance System factors are a major influence on performance of an organization. These factors are …show more content…
This benefits the organization’s consumers in that they obtain good medical results. Adding to this idea, it reduces the impact of insurance reimbursement possible penalties due to poor outcomes. This reduces the negative financial impact of errors since fewer errors occur. Good outcomes also benefit the organization in that the facility develops a good reputation and this will bring in more patients since they trust the facility. Risk and Quality managers who participate in reporting which is not mandatory provide the facility financial benefits. The Medicare Prescription Drug, Improvement and Modernization Act (MMA) passed in 2003, placed in effect the Reporting Hospital Quality Data for Annual Payment Update program which allows hospitals that are able to report certain measures at a higher payment rate (Kelly, 2011, p. 128). Any increase in income is a welcomed benefit to organizations.
Process and Techniques to Investigate, Prevent and Control Error In order to avoid a recurrence of a suicide or serious fall, it is necessary for healthcare facilities to investigate occurrences. Failure to analyze and event will interfere with the ability to control the error as well as prevent future …show more content…
The analysis pursues why the problem occurred in the first place (Pisani, 2011, p. 255). It has three major sections: figuring out what happened, determining why it happened, and how to minimize the probability of it happening again. Root cause analysis looks at the facility’s physical environment, human as well as organizational causes (Curran and Totten, 2010, p. 274). While the goal of a RCA is learning, staff involved in the incident can feel intimidated by the process and worry about potential negative consequences to their employment as a result of the error. While this should not be a valid concern, it is a concern none the less and can lead to staff withholding vital