Scenario Critical Decision Making for Providers

Scenario:Critical Decision Making for Providers

Scenario:Critical Decision Making for Providers

Thefailure to report the incident that occurred will lead to therecurrence of the problem again. If the lab technician had reportedthe incident then the management would develop strategies to preventthe problem from occurring again. It would help them to train othermembers of staff and teach them to collaborate and work together indifferent sections within the company to achieve the goals of thehealthcare facility (Passi et al, 2010). It also undermines criticalreflective thinking in the hospital because if Mike had reported theincident it would enable the other members of staff to learn how toact in particular incidents to avoid the injury of patients. Thefailure to report also leads to guilt. Mike will be guilty of theaccident. Critical decision making for health care providers requiresthem to self-monitor and self-regulate their actions so that they canmake relevant decision making. Therefore, failure to report causesthe failure of self-regulatory judgment and consequentially causesguilt for the effects of their failure to self-regulate theirjudgments. Failure to report also weakens collaborative thinking inthe workplace. If Mike experiences something and keeps quiet aboutit, and everyone else does so, the clinicians will fail tocollaborate in decision making and the clinic will not achieve itsobjectives.

Mike’sdecision had impacts on various departments and stakeholders in thehospital. First, its impact on patient safety and risk litigation isthat it caused injury on patients because he saw a problem withsafety precautions in the hospital environment and failed to act onit. Although the spill occurred away from his workplace, he shouldhave taken an action in order to prevent injuries. His decision notto report was based on his self-judgment on the situation. He knewthat he would be late if he cleaned up the spill or reported theaccident that occurred due to the spill hence risking his job. Herisked the safety of patients in order to avoid being terminated fromhis job. Failure to report shows that he did not engage in criticalreflection about conditions and habits for ethical practitioners.Health workers need to be moral agents for patients so that theyreceive safe care (Benner et al, 2007). Clinicians need to followevidence based norm in order to make ethical decisions that reducethe risks to patient safety. Mike failed to follow such norms,leading to safety risks for the patients. Reporting such issues alsoimproves consistency of information in evidence-based practice, andimproves safety of care in the clinic. Mike’s failure to reportcaused poor flow of ideas and information, leading to poorinformation interpretation and safety risks for patients. In order tolitigate risks, clinicians need to collaborate in decision making andself-reflect to ensure that they make decisions that will minimizethe occurrence of risks (Benner et al, 2007). Mike self-reflected onthe impact of reporting and preferred the retention of his job to thelitigation of risk, causing high risks of injury occurrence to thepatients.

Thedecision of Mike also affected the organisation’s quality metrics.If he reports the occurrences of the day, the healthcare organisationwill develop effective quality metrics to ensure that qualityhealthcare is provided to the patients. Mike fails to report thesafety risk of the patient, causing the company to operate within thesame quality standards. Evidence-based norms are essential forproviding quality health care (Benner et al, 2007). If Mike hadreported the incident the management would develop quality metricsthat include precautions on spills and collaboration in dealing withsafety issues at the workplace.

Thedecision of Mike also causes an increase in the workload of otherhospital departments. Collaboration in decision making reduces suchworkload because members are able to contribute to improvement ofsituations in all departments by collaborating throughout thehospital departments. It is important for all members of staff in thehospital to communicate and collaborate effectively in alldepartments in order to deliver quality health care and balanceworkloads in all departments so that one department does not becomeoverloaded with work (Freed et al, 1993). Mike failed to act on thespill within the hospital because he believed that it was the work ofother departments. This causes large workloads for those departments.

AsMike’s manager, I would discuss the problem with Mike and informhim that it was ethical to think of the safety of employees andquality of health care above all personal interests. I would alsoremind him that there would be no way he would be terminated forworking in any department of the organisation as long as he was doingthings for the improvement of health care quality and safety ofemployees at the workplace. I would encourage him to communicateregularly and effectively in order to ensure litigation of risks andimprovement of quality in the clinic (Passi et al, 2010). I wouldalso hold a meeting with other staff to inform them about theincident and tell them what they should do in case they faced thesame dilemma. I would tell them to self-reflect before acting, andput the interests of patients above personal interests.


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PassiV, Doug M, Peile E, Thistlethwaite J, and Johnson N. (2010).Developing medical professionalism in future doctors: a systematicreview. InternationalJournal of Med Education,1, 19-29.