Self-Reflection Week Five
Based on the readings of this week, what are 3 major issues you are facing in your practice that are consistent with national issues? Emergency department (ED) overcrowding is an issue throughout the United States. Our ED has experienced significant increases in volume. Coupled with the issue of hospital throughput due to lack of inpatient beds, ED congestion is extremely concerning (McClelland, 2015). In addition to affecting patient satisfaction, ED wait times influence patient safety. Extended wait times in the ED are associated with higher morbidity and mortality, especially in the elderly (Grafstein et al., 2013).
The identification of patients with suicidal ideation is a National Patient Safety Goal recommendation from …show more content…
The most difficult group to attain conformity from being the physicians. We have instituted hand gel in every conceivable location, however, there continue to be issues with compliance.
What was the most meaningful learning from this week’s assignments and readings?
Donald Berwick’s YouTube video was extremely meaningful to me. Why? I always have enjoyed any subject discussed by Dr. Berwick, he is articulate and knowledgeable. Dr. Berwick legitimately illustrates each issue in a manner that forces one to see the seriousness of the problem. Each and every point made by Dr. Berwick contains significance for my personal practice.
What were the least meaningful and why?
The CMS, JCAHO sites were the least meaningful. I have reviewed these sites multiple times and although they contain extremely significant and useful information, I find that I enjoy case studies and other venues that provide illustrations that I can relate to my practice much more than the dry writings of these regulatory bodies. However, I do believe every caregiver should be familiar with these sites and the requirements and recommendations they