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Critical Decision Making for Providers
Critical Decision Making for Providers
Mike’s Case
In this scenario analysis, Mike who is a lab technician is in a fix in deciding whether to report a health concern affecting patient safety in the healthcare facility or to neglect it. Mike has noticed a spill on the floor while reporting at his working station. Since he was already, running late and his supervisor had warned him about his lateness tendencies, he chose to ignore the health concern and proceeded to clock in. Although there are threats on his employment, ensuring the safety of patients is the best action Mike can do as this helps the organization in achieving its goals and objectives.
Consequences of a Failure to Report
Mike is facing a difficulty problem in deciding whether to clean a spill on the floor or to report to his work due to the worry that he may lose his job. Failure to report the case will have negative consequences on the safety of patients as well as other staff members (Wachter, 2012). Health care professionals have the responsibility of ensuring safety to all patients and other working mates in the facility. Safety is important as it improves the health status of patients who have accessed the healthcare facilities to improve their health status (Wachter, 2012). Healthcare professionals should ensure that any danger to the safety of patients is reported to the right authorities and leaders and ensure that proper action is taken. Some of the safety issues include errors in medications, physical and verbal abuse to patients, and other issues, which may endanger the lives of patients (Wachter, 2012).
Ignorance by healthcare professionals in addressing or reporting harmful issues to the relevant authority will lead to patient harm. Research has indicated a large number of patients losing their lives due to safety errors that could have been prevented (Murray, 2017). A minor issue like a spill on the floor may have serious health effects if an accident occurs in the healthcare facility. This may also involve a healthcare professional, which may even negatively the nursing workforce in the healthcare facility (Murray, 2017). The decisions made by healthcare professionals have an impact on the patients they swore to serve and care. Nurses play an important role in the provision of healthcare services and constitute a large percentage of the healthcare workforce. Since they are distributed across the different healthcare departments, it their responsibility to ensure safety for patients in those departments (Murray, 2017).
What Impact Did His Decision Have On Patient Safety, On the Risk for Litigation, On the Organization’s Quality Metrics, And On the Workload of Other Hospital Departments?
The decision to ignore the spill on the floor has a negative effect on patient safety. Patient safety involves addressing any issue that may worsen the health status of a patient in the healthcare facility (Weiss, Tilin, & Morgan, 2014). Patient safety is a responsibility of all healthcare professionals as they are the point of contact to patients accessing healthcare services. Due to the large number of healthcare professionals, they are able to detect any safety issue in a healthcare organization and report to the relevant authorities or even take measures to address the issue (Weiss, Tilin, & Morgan, 2014). Mike’s decision also had a negative effect on the risk litigation. Risk litigation involves the process of planning and developing options to address any threats to patient safety by implementing risk preventive strategies (Weiss, Tilin, ; Morgan, 2014).
When a healthcare professional does not report a healthcare risk to patient safety, the issue, which may happen repeatedly, may negatively affect any preventive measures implemented to address such issues (Weiss, Tilin, ; Morgan, 2014). Risk litigation also includes implementing preventive strategies, which will help prevent any situations, which may endanger the lives of patients. By Mike, not reporting the issue, preventive strategies will not be implemented, which are important in ensuring patient safety, which will lead to more challenges. Quality metrics are important elements implemented by an organization in ensuring that quality management and quality delivery of services is ensured (Weiss, Tilin, ; Morgan, 2014).
Effective delivery of healthcare services involves ensuring that patients are safe while in the healthcare facilities and no harm is caused to their health. Not reporting the issue to the management will lead to poor quality healthcare services as patient outcomes will be negatively affected (Murray, 2017). The main goal of healthcare facilities is to ensure quality healthcare services which is achieved by improved healthcare services which includes improved patient safety (Murray, 2017). Mike’s action of not reporting the issue to the management will also increase the workload of other hospital departments, which will have increased healthcare demands from the affected patients. When a dangerous issue in a healthcare facility affects a patient, all departments are affected since the delivery of healthcare services is a mutual responsibility of all healthcare departments (Murray, 2017).
As Mike’s Manager, What Will You Do To Address The Issue With Him And Ensure Other Staff Members Do Not Repeat The Same Mistakes?
As Mike’s manager, the issue with Mike can be addressed through a proper discussion with Mike on how to address such issues. This can involve making a telephone call to inform the responsible department, which will not affect Mike’s reporting to work (Deutschman ; Neligan, 2015). Since patient safety should be at the core of every staff member, it is not wise to discourage members on reporting such incidences. However, there must be a responsible department to address these issues, which leaves other healthcare workers’ job to reporting (Deutschman & Neligan, 2015). There should also be an effective communication channel to the respective authority and departments, which will enable staff members to report these issues in an effective way, which does not affect their performance and work schedules (Deutschman & Neligan, 2015).
Deutschman, C. S., & Neligan, P. J. (2015). Evidence-Based Practice of Critical Care. Saintt Louis: Elsevier Health Sciences.

Murray, E. J. (2017). Nursing leadership and management for patient safety and quality care. Philadelphia, PA: F.A. Davis Company.

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Wachter, R. M. (2012). Understanding patient safety. New York: McGraw-Hill.

Weiss, D., Tilin, F. J., & Morgan, M. J. (2014). The interprofessional health care team: Leadership and development. Burlington, MA: Jones & Bartlett Learning.

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