Tuesday, June 19, 2012

Blog 3: Patient Perspective;Adverse event


When an adverse event occurs, the patient’s perspective is the not most important determinant. In most situations, when an adverse event occurs, the patient is at harm. As a manager, the first thing I would want to do is consult with the patient to make sure they are okay and listen to what they have to say. When a patient has been harmed, usually they look for someone to blame which is the staff. Emotions not only from the patient but family members tend to influence the negatively attitude towards the organization. The staff, managers and providers are then put under pressure because they do not want to face malpractice or a lawsuit. However, when a patient becomes harmed, it does not necessarily mean the providers and staff are at fault. In health care, there will always be a chance of complications and allergic reactions because every individual is made differently and not certain as to how the body will react to the medical attention received.
From my personal experience working in the oncology department where we perform chemotherapy, the risks are always presented to our patients before they begin the treatment. There are numerous encounters I have had with patients when they have had a reaction to infusion/treatment and have to be sent to ER. Even if the protocols and procedures are followed accordingly, there is always a chance an adverse event will occur and does not always mean it is the fault of practice. At the time of the adverse event, the patient and family members are most likely going to point fingers at the practice.
            The patient’s perspective should not be overlooked against other determinants but taken into consideration. If the patient’s perspective was to be the most important determinant whether an adverse event occurs, there would more cases of malpractice and law suit. When an adverse event occurs, it is important to evaluate all the factors at that given time. In all actuality, everyone's perspective should be taken into consideration.

Thursday, June 7, 2012

Blog 2: Wild Card



I read this article about health care quality and how to know it when you see it. It provides as a guideline for patients to get the quality they deserve. It reminds me of our first blog where we had to write about what quality means to us. As we all know it varies from person to person.  The article makes a statement where many people would think the quality of care lays with how fast they get in to see the doctor or amount of time spent at their visit. Ideally, everyone would want to get their appointment time when it is convenient to them and be seen at that specific time as well as sufficient amount of time spend with the doctor.  The author makes a comparison of health care and a mechanic shop. “The people in the shop can be friendly and listen to your complaints, but the most important thing is whether they fix the problem with your car”. It gets the reader thinking and for myself, I realized that was true. There are times where I have gotten poor service by the staff members but got what I needed and was satisfied. At the time of poor service by the staff, I thought to myself I would never come back. Same goes for having a welcoming visit but issue was not corrected nor did I get the answer.
The author makes recommendations in taking an active role and being in charge of your health care. During doctor visits, the patient should ask as many questions, research symptoms and diagnoses. Being informed about labs, test and procedures is essential to one’s health and the healthcare system. Find out what needs to be done and exactly why. Many physicians order unnecessary tests which put the patients through hassle and in essence hurt our health care system. If a test is going to be done, inquire about when to expect the results. Many organizations allow patients to fall through the cracks resulting patients to go into anxiety mode because they are anxiously waiting to find out their results. Other questions needed to be ask pertaining to prescriptions and surgery.
Overall, it is important to learn about health care to receive quality healthcare. Without understanding, insurance companies and organizations will take advantage and give you the run around while they are benefiting from your health issues.  With the various health care plans, it is essential to choose a plan that fits the coverage, benefits, providers and services suitable for you. Research possible doctors you find interested and get their ratings and if possible hear different reviews from previous/current patients. I always do my research and read reviews even though it’s an individual’s personal experience; I do this for products, facilities and organizations. Sometimes it is best to do your own investigation to chose a physician, hospital, clinic, health plan and understand your diagnosis along with procedures, test and medications that comes along with it. 

Reference:
Agency for Health Care Research & Quality. (2005, September). Guide to health care quality. Retrieved from http://www.ahrq.gov/consumer/guidetoq/guidetoq.pdf