Analysis of the Implications of the Adverse Event or Near-Miss for All Stakeholders
The patient incurred more injuries, and this had a direct effect on raising blood pressure.
After that, due to its severity, he had a heart attack that required him to be admitted to the
intensive care unit. One of the event's long-term ramifications was the patient's ability to be
admitted to the intensive care unit. Additionally, the administration of the entire hospital
criticized every member of the inter-professional team that examined the patient on that crucial
day. The problem was managed with assistance from other nurses tending to other patients. They
helped the nurse move Mr. Sam, cautiously in a wheelchair to the elderly ward. The inter-
professional team's tasks and actions are intended to enhance patient security and health
outcomes.
following the rules of the facilities. A patient in this circumstance should receive treatment from
approximately two on-duty nurses following the facility's guidelines. Inter-professional
cooperation was lacking because only one nurse checked on and moved the patient.
Multidisciplinary teams must work together to improve the delivery of high-quality healthcare
services (Dykes et al., 2018). The patient should have been looked after in his designated ward
until he recovered; it would have been the best course of action. After the event, there was a
discernible change. The only way to move patients was with their consent. Additionally, at least
two nurses had to be present anytime a patient needed to be moved from one place to another.
Nevertheless, the top management and the institution sometimes referred to as the third
victims, are also to blame for unfortunate events. A potential reputational hit results from the
patient safety issue for healthcare facilities. This poses a significant issue to the entire company,
not only the individual who makes mistakes, but it could also undermine the institution's
credibility.
This analysis is based on the assumption that making a medical mistake involves the
entire company and is not just the responsibility of one individual. To ensure that none of these
stakeholders suffer, it is crucial to improve the facility. It is also based on the assumption that
mistakes may happen unavoidably in the complex healthcare setting. The patient, family, medical
personnel, and professionals, as well as the organization, are all impacted by adverse incidents.
Evaluation of Missed Steps Related to the Adverse Event
After enduring agonizing joint pain and what looked to be arthritis, Mr. Sam was
admitted to our hospital. He was brought into the hospital and put in the in-patient section, where
the proper medical evaluation began. A regular nurse who usually worked at night assisted Mr.
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