Health Care Indicators for Administering Treatment- myassignmenthelp

Question: Discuss about theHealth Care Indicators for Administering Treatment. Answer: Introduction: Indicators of safety and quality in the health care systems or centers are the substances or situations that are considered crucial in administering treatment and care to a patient (Aiken et al. 2012). The indicators are to be detected before the analytical phase of any treatment for any type of patient. The detection is important before the initiation process of the treatment because most of the errors associated to a particular care giving procedure happens in this particular phase. The indicators help to keep several drastic consequences in check by highlighting the implications associated with it (Anhang Price et al. 2014). The safety indicators help the practitioner and caregiver to examine the faulty situation of the patient and provide the patient with an environment safe for them. The quality indicators are considered as they are integral in significantly improving the quality of care giving to the patient under treatment within a center of health care. The report involves review of a literature that incorporates the two types of indicators under examination (safety and quality indicators). It puts emphasis on the importance of inculcation of the indicators in the caregiving process. The importance of incorporation of indicator is discussed in the report, it also emphasizes on the ways the indicators are utilized to give care to the patients in an enhanced way. Solutions of clinical problem done by the usage of Plan to Study Act (PDSA) cycle. Indicator of quality and safety in overall treatment procedure: The analysis of indicators in any caregiving set up is important to ensure a smooth recovery process of a patient. Indicators of quality are termed to be a measurement procedure that helps in the evaluation process of all the integral domains involved in the laboratory examinations. It should be able to provide implications from all the critical steps that are involved in the testing process. It should also increase the effectiveness of caregiving, safety of the patient, enhance personalized caregiving, and reduce the time required for the recovery. During the analysis of indicator especially in the pre-treatment period, several steps should be kept in check to avoid complication in the procedure of recovery (Blas and Fixsen 2013). There are several indicators that were drawn by the Agency for health care research and quality (AHRQ), the agency has incorporated indicators in such a way that it has an approach that is multi-dimensional. The indicators are supposed to be easily measura ble and accessible (Thao et al. 2015). The ability of the indicator to gage the performance of an examination process should be high. The indicator of quality should also be based on various available evidences that can be used to find difference in the quality of protocol and procedure followed by the care provider. There are different types of modules that are under implementation, the prevention, inpatient, pediatric and patient safety quality indicators (Sears et al. 2013). Analysis of the potential indicators is of major importance. Quality indicator- Medication error: Out of all the indicators that denotes errors in medication appropriateness or accuracy of the medicines provided is of major importance. As mentioned in the previous sections that the medical needs of the patients should be evaluated and commemorated precisely by the practitioners. Errors in medication can have effect on the professional life of practitioner as well as caregivers. The life of the patient under treatment is crucial, errors cannot be accepted as it can have detrimental effect on the patient. Indicator study helps to reduce such faulty workings in a system (Ramanathan et al. 2013). The process will be elaborated in the following sections. Indicators of safety and quality in errors associated with medication: Medication is integral in the recovery process of any patient irrespective of the ailment that the patient is dealing with. A treatment cannot be completed without the incorporation of drugs and medicines. The cases under a care provider requires to be administered the right medicine at the right time. The medication can be checked for it validation in two different setups, firstly the formulation of should be analyzed (Runciman et al. 2012). The composition of a commercialized drug should always be examined after the production of the product. Several steps are involved during the making of such medications. Every step that is incorporated in the process is crucial for examination as each ingredient in the drug is important. Presence of several different components of drug can produce hyper-sensitive reactions among the patients, the composition study is crucial before administration of the drug to the patient. The incorporation of incorrect ingredients in the drug remains unchecked because of mismanagement of the process of formulation. If the formulation is fabricated, the patient can be effected due to it and the reason behind the effect will remain unknown for a longer period of time because the of the fabrication ingredient list provided in the packaging (Hajibabaee et al. 2014). During administration of drug to the patient, the prescribed drugs should be kept in check. The prescription of drugs is of major importance. Sufferers are known to have inimical effects due to the administration of incorrect drugs to them (Carayon et al. 2014). Several cases of death are noted annually because of incorrect prescription of drugs. The evaluation process of the indicator associated with prescription of medication should be made compact and feasible. The prescribed drugs should be under evaluation of senior practitioner so that the process yields a positive patient outcome in a short period of time. The care procedure that has to be provided to a particular person, highly depends on the medication the person is under. The care providers duty exponentially reduces if the practitioner prescribes the right drug (Hacker and Walker 2013). The medicines act as care givers by themselves. The medicines act as a catalyst in the recovery process of patients suffering from any ailment. It can either be a boon or bane to the people. All of it depends on the formulation and administration of the drug. Other than incorporation of the right medication, the timings at which they are meaning consumed by the patients is of significance too (Untzer et al. 2012). Narrative of a patient who dealt with medication error: There are many cases of medication errors that have been noted in the past. A patient in the city of Sydney, suffered from numerous side effects as an impact incorrect administration of medicines. The person was suffering from typhoid and was admitted in a private hospital of Sydney. The medicines that he was administered were of jaundice. For several weeks the condition of the person did not improve but deteriorated. The impact of the drugs was so drastic that the patient was unconscious at a stretch of 3 days. After re-diagnosis of the persons condition the medicines were changed but as an impact of the wrong medicines, the person had severe weakness for more than six months. These consequences can be eradicated by analysis of the indicators. Literature review of an article on quality indicator of a laboratory setup: The article that is considered for reviewing includes the important indicators that are required for improvement of the process of preparation of medicines and administering the medicines to the patients (Risdiana, Kristin and Utarina 2015). The authors facilitate understanding of the different indicator of medication errors based on the present evidences like the process of administration, structure of the care process and the outcome from the caregiving procedure. The objective was to study the process of caregiving process in terms of the preparation and administration process of the medicines prescribed by the practitioners. Several methodologies were studied by the researchers to fulfill their objective. The method included documentary searches in association with studying the pattern of present health care set ups like hospital and other clinics. According to the authors the process of medication is prone to varied number of errors and it leads to vulnerable situations. The process requires the inculcation five different step, beginning with prescription, as described before the practitioner should be precautious while prescribing the medicines. The patient may have sensitivity towards certain drugs, the doctors have the duty to examine the past exposure to drugs and if there was any occurrence of allergy cases (Keers et al. 2013). The next step requires verification of the drugs to be administered. The third step involves the preparation or dispensing of the drug prescribed. Fourth step is administration of the drugs to the patient. The sixth and the last step is monitoring the consumption pattern of the drugs by the patient. The study involved the search mediated finding to get information about the previous research works on the same findings. It helps the researchers to comprehend the previously available data and decreas es the time it takes to deduce such notions (Siesling et al. 2015). The researchers. The setup under consideration is a private hospital situated in the city of Yogyakarta, Indonesia. The setup study was done and found to have incidences of error in medication even after having an optimal level work from the staffs. The authors proposed to twenty three types of indicators to the experts in the hospital under consideration for inculcation, to improve their situation of medication error crisis. The indicator were of Delphi method. Out of the twenty three proposed indicators, eighteen were taken into account by the experts for implementation. Most of the indicators were technically measurable (sixteen). The incorporation of the indicators were valuated stage by stage by the examiners. The result of the evaluation was positive. The indicators that were implemented were declared to be appropriate as the patient outcome immensely improved. The staffs were also satisfied by the inculcation as it reduced the time taken for recovery of patients which reduced the work of the caregivers. All the sixteen types of indicators were appreciated and acknowledged by the authorities of the hospital. Utilization of PDSA cycle to use medication error indicator for solving problems related to clinical set ups: The plan do study and act cycle is a four stage process for solving problems related to inculcation of change (Gillam and Siriwardena 2013). The plan to study act cycle includes the development of procedure or plans to examine a change in set up (plan), carrying the test out (do), analyzing the resultant by observing the results or the consequences associated with it (study) and modifying the change according to the necessities (Act). This model is very commonly used by a large number of institutes to improve care giving process to the patients (Donnelly and Kirk 2015). Medication errors can be minimized rather eradicated by the incorporation of systems like PDSA cycle. Indicators of medication errors like the prescription, formulation and administration steps are crucial to minimize such errors. The process should be planned in such way so that no steps of the care process are left from evaluation. The first step of treatment procedure where errors can occur is during analyzing a patient's condition and prescribing drugs, in this procedure evaluation is generally found to be faulty when the practitioner is inexperienced (Risdiana, Kristin and Utarina 2015). In this step the reevaluation of prescription by senior practitioners can reduce the faulty situation that takes place due to it. The second step is the formulation of the prescribed medicines, the process that is incorporated in making of the rugs is a crucial step to be monitored. The different stages of the formulation should be inspected by quality analysts regularly, the composition should be kept intact and the quantities or proportion of ingredients should be carefully assessed by experienced chemists. This diminishes the faults done by amateur technicians and compounders (Fox, Sweet and Jensen 2014). There should also be a microbiologist to check the microbial load in the formulated medicine. This reduces the chances of incorrect formulation, as well as keeps interference of microbes in check. The third step that is prone to medication errors is the administration of the drugs to the patients, this step can be easily assessed and improved by the caregivers (Chawla and Davis 2013). This procedure requires patience of the caregiver to evaluate the medicine that are prescribed by the doctors. Monitoring the action of the caregivers can be done by regular examination of the procedure by senior caregivers or matrons. All the described indicators are measureable as the percentage of positive patient outcome can acknowledge the incorporation of such procedures and indicators. Evaluation of the setup change done by implementation of the PDSA cycle: The proposed set up for improvement of the conditions causing medication error can be evaluated by inculcation of teams in the health care system when the indicators are incorporated based on the PDSA cycle. The team should comprise of members specialized in the steps that the set up inculcates ((Zrelak et al. 2012)). To assess problems related medication errors, the team should consists of health personnel having idea about the implication of medicines in the initial step, there should be a chemist and microbiologist for assessing the steps involved the formulation of the drugs. To check the making process and its improvement percentage. The step of administration of the drug should be evaluated by a health personnel who has the knowledge of the ideologies that are required to be included while giving care and administering medicines to a patient. Hence it can be said that the process can be evaluated by inculcation of a team consisting of four members with knowledge of the working of health care set ups. The inculcation of PDSA cycle helps in monitoring process by providing a planned and organized framework for working (Secanell et al. 2014). The planning, and doing as planned by studying the set up and acting upon the necessities yield highly improved results as can be seen in many hospitals around the world who have implemented such frameworks to assist the clinicians in the care giving process. Conclusion: Therefore, from the above discussion it can be concluded that the errors that arise in a health care set up can be reduced by analyzing the indicators that can help in improving the condition of the health care centers. The errors related to medication can be reduced by examining the steps where the faulty situations occur more often. Several ideologies can be implemented in the live set ups for depletion of the errors. The evaluation of the centers is also crucial after inculcation of such methodologies to check the effectiveness of the procedures. Literature review helps in understanding the resultants that the incorporation of indicators have. It gives an example of actually existing organization that is inculcating the available indicators for its improvement. Plan do study and act cycle is one of the most commonly used procedure for enhancing the conditions of a setup. Planning a process for inculcation in the health care centers doing or implementing the plan studying the setup post inculcation of the planning and acting accordingly is of major importance. The faulty situations that arise in the hospital and other health care clinics as a result of medication errors, can be kept in check by implementing frameworks made according to the PDSA cycle. The three stages those need assessment, that is, the prescription making process, formation of medicine and administration of the medicine process should be planned and analyzed according to the PDSA cycle. It decreases the faulty working in the system that leads to such errors. After the implementation of steps by incorporation of the cycle, the set ups also need to be evaluated, the evaluation process is of significance. In case of medication error, four member teams favorably helps to assess the procedure. 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