The Quality Gap: Medicine's Secret Killer
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View the video “The Quality Gap: Medicine’s Secret Killer.” Compose an 800-1,200 word written review in which you: Define the standards and parameters that health care professionals must have in order to work within their scope of practice. Describe the responsibility health care professionals must have in order to work within their scope of practice. Explain the impact of negligence, malpractice, and litigation on the relationship between patient and provider. The video describes approaches health care providers can take to minimize error, reduce risk, and improve communication and collaboration among provider. Summarize these approaches. Explain how these approaches can improve quality of health care. Include at least three scholarly, peer-reviewed references from the GCU Library to support your positions. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Paper For Above instruction
The video “The Quality Gap: Medicine’s Secret Killer” highlights critical issues surrounding patient safety, quality of care, and the role of health care professionals in mitigating preventable harm. It underscores the importance of adhering to professional standards and parameters that define the scope of practice for health care providers. This paper aims to define these standards, articulate professional responsibilities, analyze the impact of negligence and malpractice on patient-provider relationships, and summarize strategies that healthcare providers can employ to minimize errors and enhance communication, thereby improving overall healthcare quality.
Standards and Parameters for Healthcare Professionals
Healthcare professionals are governed by a comprehensive set of standards and parameters that delineate their scope of practice. These standards are established by regulatory bodies such as state licensing boards, professional associations, and accrediting organizations (Bosse, 2019). They encompass a broad spectrum of competencies including clinical skills, ethical conduct, and legal responsibilities. Scope of practice refers to the activities that a healthcare provider is authorized to perform based on their education, training, and licensure. For example, a registered nurse (RN) is permitted to perform patient assessments, administer medications, and develop care plans within specific guidelines, but cannot independently diagnose new medical conditions or prescribe medications unless authorized by law (National Council of State Boards of Nursing, 2021). Adherence to these standards ensures that care is delivered safely, effectively, and ethically, protecting patient safety and maintaining professional accountability.
Responsibilities of Healthcare Professionals
In addition to understanding and operating within their scope of practice, healthcare professionals bear the intrinsic responsibility of delivering competent, compassionate, and ethical care. Responsibility entails continuous education and competence maintenance, honest communication, and diligent documentation (American Nurses Association, 2015). Professionals must recognize their limitations and seek supervision or referral when necessary. Moreover, they are accountable for informed consent, respecting patient autonomy, and preventing harm. Fulfilling these responsibilities safeguards patients from harm, promotes trust, and upholds the integrity of the healthcare system. The adherence to standards also involves staying updated with evolving guidelines, evidentiary practices, and safety protocols, recognizing that healthcare is a dynamic field requiring lifelong learning (Ginsburg et al., 2017).
Impact of Negligence, Malpractice, and Litigation
Negligence and malpractice can significantly erode the trust essential to the therapeutic relationship. These legal issues often stem from failure to adhere to standards of care, which can result in patient harm, loss of confidence, and reputational damage for providers. Litigation adds a complex layer of stress and financial burden for healthcare professionals and institutions, often leading to defensive medicine—ordering unnecessary tests and procedures to avoid litigation rather than focusing on patient-centered care (Baker & Garthwaite, 2017). Such practices may inflate healthcare costs and compromise quality. Moreover, the fear of legal repercussions can inhibit open communication, discourage reporting errors, and impair the collaborative environment necessary for high-quality care (Kachalia et al., 2018). Therefore, minimizing negligence and malpractice through adherence to standards is crucial for maintaining trust and improving patient outcomes.
Strategies to Minimize Error and Improve Communication
The video emphasizes several approaches healthcare providers can employ to reduce errors and enhance collaboration. These include adopting standardized protocols, engaging in team-based care, utilizing effective communication tools such as SBAR (Situation, Background, Assessment, Recommendation), and fostering a culture of safety. Standardized protocols and checklists serve to diminish variability and ensure consistency in care delivery (Gawande, 2010). Team-based care encourages interdisciplinary collaboration, whereby responsibilities are clarified, and all team members contribute their expertise, reducing the likelihood of oversights (Rosen et al., 2018). Clear communication tools like SBAR improve the accuracy and timeliness of information exchange among providers, decreasing misunderstandings that can lead to errors. Additionally, cultivating an organizational culture that promotes reporting of near misses and errors without fear of reprisal encourages continuous learning and safety improvements (Benneyan et al., 2019).
Enhancing Healthcare Quality through These Approaches
Implementing standardized protocols, fostering teamwork, and enhancing communication directly contribute to higher quality care. These strategies mitigate preventable adverse events, improve patient safety, and optimize clinical outcomes. A culture of safety ensures that errors are viewed as opportunities for system improvements rather than individual failures, encouraging transparency and accountability (Sorra et al., 2016). Effective communication among providers ensures that accurate information guides decision-making, reducing medication errors, diagnostic mistakes, and procedural mishaps (Leonard et al., 2018). Moreover, these approaches promote patient-centered care by involving patients and families in safety initiatives, thereby enhancing satisfaction and trust. Empirical evidence supports that hospitals and clinics adopting these strategies experience lower rates of harm, better compliance with safety standards, and improved overall patient outcomes (Kohn et al., 2016).
Conclusion
Understanding and adherence to professional standards and scope of practice are foundational to delivering safe and effective healthcare. Healthcare providers have a moral and legal responsibility to operate within these parameters, acknowledging their role in safeguarding patient well-being. Negligence and malpractice undermine trust and can lead to adverse outcomes, emphasizing the importance of proactive strategies to prevent errors. The implementation of standardized protocols, team-based approaches, and clear communication tools fosters a culture of safety that significantly enhances healthcare quality. These measures not only reduce harm but also strengthen patient-provider relationships, paving the way for a healthcare system committed to excellence and safety.
References
- American Nurses Association. (2015). Code of ethics for nurses with interpretative statements. American Nurses Association.
- Baker, R., & Garthwaite, K. (2017). Defensive medicine: A review of the evidence. British Medical Journal, 357, j1748.
- Benneyan, J. C., et al. (2019). Cultivating a culture of safety: Foundations and strategies. Journal of Healthcare Quality, 41(4), 193-201.
- Bosse, J. M. (2019). Standards of practice for health professionals. Journal of Healthcare Regulation, 3(2), 45-52.
- Gawande, A. (2010). The checklist manifesto: How to get things right. Metropolitan Books.
- Ginsburg, L., et al. (2017). Continuing education and competence in healthcare. Journal of Medical Education, 92(8), 906-913.
- Kachalia, A., et al. (2018). Defensive medicine and malpractice risk. Journal of Health Economics, 61, 126-138.
- Kohn, L. T., et al. (2016). To err is human: Building a safer health system. National Academies Press.
- Leonard, M., et al. (2018). Improving communication in healthcare. BMJ Quality & Safety, 27(3), 183-188.
- National Council of State Boards of Nursing. (2021). Scope of practice for nurses. NCSBN Publications.
- Rosen, M. A., et al. (2018). Interprofessional collaboration in health care. Medical Education, 52(5), 579-588.
- Sorra, J., et al. (2016). Safety culture, teamwork, and clinical outcomes. The Joint Commission Journal on Quality and Patient Safety, 42(8), 350-357.