Implications for the future

Reading log entry criteria

1. The correct citation of the reference;-2marks

2. The main thesis of the reference;-8marks

3. Any predictions or applicability to future states or about what might happen next;-15marks

4. How you felt about what you have read in terms of accuracy, applicability, reliability, validity and generalizability;-15marks

5. Issues in the reading that you agree with-20marks

6. Issues in the reading that you disagree with-20marks

7. Why the material read is useful (or not).-20marks

The Task

Enough references to be supplied

Using the above seven (7) criteria as sub headings in the rationale section, write at least no more than 300 words on each of the reference materials selected

Baker, R., Norton, P., et al. (2004). “The Canadian Adverse Events Study: the

incidence of adverse events among hospital patients in Canada”. Canadian Medical

Association Journal 170 (11): 16781685

Landrigan CP, Rothschild JM, Cronin JW, et al. (2004). “Effect of reducing interns’

work hours on serious medical errors in intensive care units”. N. Engl. J. Med. 351

(18): 183848.

Dey, P. K., Hariharan, S., & Brookes, N. (2006). Managing healthcare quality using logical framework analysis. Managing Service Quality, 16(2), 203-222.

Literature Review

Dey, P. K., Hariharan, S., & Brookes, N. (2006). Managing healthcare quality using logical framework analysis. Managing Service Quality, 16(2), 203-222.

 Thesis statement:

This article was created with a purpose of formulating an all rounded basis for a Quality management system that will aid in the discovery of problems, the proposal of their solutions and also the development of a practical format in which the implementation of the solutions will be done.

Prediction of applicability

Based on the findings of this study, one possible feature of future problem solving in the healthcare sector is the widespread application of Logical Framework Analysis (LFA) as a standard approach to the solving of various problems that crop up in the healthcare sector. Another key development likely to take center stage in the future of healthcare is the analysis of problems from a perspective that they are part of the larger system rather than just isolated issues (Dev et al, 2006).

Opinion on Accuracy

On a personal note, I feel that this will be highly effective in the healthcare sector. This is because the logical framework analysis if made to be the standard, the solution of challenges will be done through teamwork rather than the effort of a single individual. Furthermore, this can be carried out in different areas of the healthcare sector such as administrative and the medical component.

Issues I agree with

I agreed with the premise that stated that at present there is no standard format for appraising healthcare systems and this leads to problems quickly getting out of hand. Existent standards are only based on specific procedures and processes.

Issues I disagree with

I however disagreed with was the uniform application of the LFA to the appraisal of performance. This is because different individuals possess different strengths and weaknesses. As a result some people will be unfairly favored or disadvantaged by the system.

Usefulness of the Materials read

This material is useful because if applied properly, it will help healthcare practitioners to proactively deal with problems in their area of work. The proposals made are crosscutting and can be applied to the different sectors of the healthcare industry.

Landrigan CP, Rothschild JM, Cronin JW, et al. (2004). “Effect of reducing interns’ work hours on serious medical errors in intensive care units”. N. Engl. J. Med. 351 (18): 1838–48.

Thesis Statement:

One common cause of impaired judgment that has not received the relevant attention is sleep deprivation which is a serious problem in other areas such as the operation of heavy machinery and the airline industry.

Predictions on applicability in the future

According to the study, future interns who are stationed in hospitals will be working shorter shifts as opposed to the present where they are often obliged to put in at times excess of 24 hours during their shifts. This also means that there will be fewer incidents of catastrophic errors being made. Future patients will therefore be safer with interns (Landrigan et al, 2004).

Personal opinion on applicability and predictability

I feel that the content of this study is extremely relevant given the high sensitivity that healthcare matters often bring about. Personally I would not like to be attended to by a healthcare practitioner whose judgment is compromised by sleep deprivation. This is because I would not wish for my health to be compromised like this.

Issues I agree with

I agree with the reduction of hours put in by interns. This is because they too require rest and this will grant them a chance to regain their energy and thus make the most of this period when they are stationed in the different hospitals.

What I disagree with

The element that I disagree with is the fact that the article only proposes for a reduction of hours. It should also the need for effective rest which will help the interns rejuvenate. Reducing the hours they work only solves half the problem but providing guidelines on possible ways this time can be used will completely deal with the problem at hand.

The Usefulness of the Information

This article has information which should be used by policy makers in charting the way forward on regulations governing internships in the healthcare sector. Medicine is one of the most demanding careers in existence today and this is because it requires the personnel to deliver services that are of a high quality due to the fact that human lives are at stake. As a result several studies and measures have been taken to minimize errors committed in this field.

Baker, R., Norton, P., et al. (2004). “The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada”. Canadian Medical Association Journal 170 (11): 1678–1685

Thesis statement:

The purpose of healthcare is to save lives through the elimination of threats to an individual’s health. Some conditions, ailments and injuries happen to carry with them a lot of complexities. In such instances there is usually a high likelihood of the treatment process being counterproductive for the patient. These situations are termed as Adverse Events or AEs in short. This article explores the measures that can be taken to limit these incidents from occurring in the Canadian healthcare system.

Implications for the future

The findings of this article suggest that safety standards in critical healthcare processes such as operations will greatly improve. This is because the subsequent investigations taking place will analyze the processes taken step by step and comparing them to previous cases where Adverse Events took place. This will then lead to lower incidents of adverse events and thus financial savings on what is currently used to treat the suffering associated with AEs (Baker et al, 2004).

Personal Opinion

The study’s accuracy was spot on and also relevant to the country’s healthcare system. This is because of the researcher’s decision to pick samples from different healthcare establishments and institutions from five provinces in Canada. Risks need to be minimized as much as possible during these incidents so as to preserve lives.

What I agreed with

I am in agreement with the idea of placing patient safety at the heart of the investigations that were conducted. This is because they are the most crucial stakeholders with regard to AEs and stand to gain as a result of reforms being introduced to the procedures carried out during their treatment.

What I disagreed with

The researcher should also have interviewed patients however since they are the ones whose lives are placed at risk by these AEs. Given the fact that these individuals are directly affected by the Adverse Events, they should also have a say and propose what their expectations are in as far as their treatment goes. They are also key decision makers when it comes to consent being given to doctor for the different medical procedures.

Usefulness of the article

This article is useful because it draws the reader’s attention to the seriousness of Adverse Events as a threat to the recovery of patients who are seeking treatment in Canada’s various health facilities. This is the first step in mitigating this challenge and there is a high likelihood that it will be used as a guideline for future actions and studies that are conducted with the aim of enhancing patent safety.

References

Baker, R., Norton, P., et al. (2004). “The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada”. Canadian Medical Association Journal 170 (11): 1678–1685

Dey, P. K., Hariharan, S., & Brookes, N. (2006). Managing healthcare quality using logical framework analysis. Managing Service Quality, 16(2), 203-222.

Landrigan CP, Rothschild JM, Cronin JW, et al. (2004). “Effect of reducing interns’ work hours on serious medical errors in intensive care units”. N. Engl. J. Med. 351(18): 1838–48.

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