Please anybody help me to write response to this case study its really very urge
ID: 453713 • Letter: P
Question
Please anybody help me to write response to this case study its really very urgent... thank you
Case Study 1:
"Well, why does it have to take so darn long?" the nurse shouted into the telephone receiver. "We've got to be able to order tests for our patients! They can't wait until next Christmas for their meds!" She slam med the receiver onto its cradle and turned to the rest of the staff collected at the nursing station. "The patient in room 436 was transferred here from ICU two hours ago, and I still can't enter any orders. How do those idiots in Admitting think we're supposed to get our work done? I will never understand why it has to take so long to get a patient transferred in that darn system."
"That witch!" exclaimed the admissions clerk to her supervisor as she hung up the phone. "If someone would let us know once in a while what they're doing with patients in this place, maybe we could do our jobs! Evidently, they transferred Mr. Campbell to 436 from ICU hours ago!"
The clerk walked over to the report printer. A long, wide ribbon of paper hung from it onto the floor, where it curled in a short pile. She yanked at the hanging pages and ripped them along a perforation. Then she sat down at a desk and began sorting the half-sheet messages from the hospital network communication system into different piles. When she was finished, she began entering the status and location changes for each of the patients into the patient accounting and order-entry system.
"But instead of giving us a call and telling us that the patient's been transferred, they'd rather wait 'til a couple of hours later when the patient doesn't have his meds and then call up and rag on us like it was our fault!" She entered "Campbell, Roy" from one of the half-sheets, and the patient's location data appeared on the screen. She keyed "4-3-6" in the location field and pressed "Enter."
Western States University Hospital employees have been dealing with this conflict for two years, ever since management purchased a new patient accounting and order-entry system from ABC Company. Previously, clinicians used XYZ software to look up patient histories, laboratory reports, and other diagnostic data for both inpatients and outpatients.
The software had also provided departments with information about the current location of the patient so that they would know where to send the final paper-based reports of blood tests, x-rays, and other diagnostic reports. But the nursing staff had never been very careful about transferring or discharging patients in the XYZ system. It was one of those tasks that was secondary to the other patient-oriented duties they had to perform in their hectic schedules.
Western States University Hospital is the principal tertiary care hospital in a community of 200,000, and patients are referred to it from all over the state. The census never dips below 70 percent. As a result, the nursing units are almost always full, and the patients have high acuity levels.
The admitting and patient accounting departments had been requesting a new information system for many years when administration finally agreed to invest in the ABC system. The new system allows them to tie order-entry functions to the geographic location of the patient in the hospital. Thus, the system provides more accurate information to help lab and other diagnostic testing personnel, such as ECG and x-ray, locate patients when tests are ordered. This feature also ensures that a patient's account is charged the correct room rate, which was never the case when they were using the XYZ system. Nursing staff never seemed to get changes in room location entered into the system in a timely fashion. And everyone knew that the census from the XYZ system was never accurate.
The managers of the admitting and patient accounting departments had stood their ground when the new work procedures were developed around the ABC system. They were adamant that nursing was not going to be in charge of patient census management. It had been obvious for years that nursing could not take it seriously. The admitting department staff would be making all patient-location changes in the system, and the system would generate an accurate daily inpatient census. They had information system (IS) programmers add a short utility in XYZ so that whenever a patient was discharged or transferred in the XYZ census management application, the admitting department printer would print a notification message. Throughout the day, the admitting clerks would enter the messages into the ABC system. If, for some reason, they were not notified, they had the authority to go into the system and change the dates and times of the discharge or transfer so that the accounting files would be correct and the patients' bills would reflect correct charges. One additional characteristic of the ABC system, however, was that orders on a patient could only be entered from the nursing unit on which the system currently had the patient located.
Case Study Questions:
In your opinion, is there an opportunity for improvement in this system? Why or why not?
Insert response here
If there is room for improvement, is a PI team appropriate in this context?
Insert Response here
From your knowledge of hospital organizational structure, who should be on the PI team? What departments should be represented? What staff positions would you include? What is your rationale for including each individual?
Insert response here
Explanation / Answer
In your opinion, is there an opportunity for improvement in this system? Why or why not?
Yes, their is a scope of improvement in the system, since the work allotment is not properly assigned.
There is room for improvement, is a PI team appropriate in this context