Question:
Write about how i think and feel of classmate’s posting.
Answer:
This paper is a response to classmates posting. A view has been given about sentinel event that my classmate has experienced in his health care facility. Sentinel event is a set of the unanticipated event in health care setting that has lead to death or serious health complications in patients (Chen et al., 2015). He gave his view on one sentinel event when a hip replacement surgery was performed on the wrong hip of an elderly patient. I think it was a grave mistake by the physician. Though he realized it and performed the surgery on the correct hip later, the patient died a few weeks later due to patient age and related comorbidities. I think a universal safety policy is vital for physicians and operating staff, where they do all the risk assessment in the patient.
The classmate also stressed the importance of proper time out for bedside procedures. He clarified that this approach would have helped in identifying the wrong limb before the operation. This would have been possible because it would have involved verifying all patient information and taking written consent from the family. My friend has rightly addressed the fact that timeout helps in final recapitulation and reassurance of accurate patient diagnosis, surgical site identification and planning procedures. I also feel that this approach is necessary for avoiding sentinel events in the clinical facility. Thus, all hospitals should give training to health staff on time out the procedure to fulfill the National Patient Safety Goal 2016 of health care (Grol et al., 2013).
Reference
Chen, T. C., Schein, O. D., & Miller, J. W. (2015). Sentinel events, serious reportable events, and root cause analysis. JAMA ophthalmology, 133(6), 631-632.
Grol, R., Wensing, M., Eccles, M., & Davis, D. (Eds.). (2013). Improving patient care: the implementation of change in health care. John Wiley & Sons.
