Quality Improvement in Health Care

This paper declares that urses have four main obligations: ‘to promote health, to prevent illness, to restore health and to alleviate suffering. In Mrs. Osborn’s case, we can see that the hospital has an organisational culture not conducive to healthy nursing practice. When Mrs. Osborn was admitted in the Accident and Emergency department, there was no clear admission policy that should have indicated which patient should be given medical attention first. They had not conducted proper procedure in assessing the condition of their patients. They should have taken their patients’ vital signs, listen to their patient’s complaints, and question health status. Instead of doing these, they were just idly referring her to others without finding out the gravity and nature of her condition. The nurses and even the doctors were not prompt in giving her immediate relief, because they have not diagnosed their patients properly. Another result of this neglect of proper diagnosis is their poor planning and execution of nursing their patients. False prescription due to clumsiness was evident in their services. According to the report&nbsp.lack of effective communication among nurses, doctors and other healthcare staff is the primary reason of the delay in x-raying Mrs. Osborn’s ankle. Given that a nurse have referred her to the x-ray attendant or technician. The nurse should have known the condition of the x-ray machine either by inquiring the x-ray technician or by demanding a daily report of its availability and condition. If the machine is defective, the hospital should have a back-up plan.
From this study it is clear that&nbsp.there were several breaches in sound patient safety practice that we can observe in the Mrs. Osborn’s case. One of them is the patient’s susceptibility to be infected with communicative diseases and increased risk of accident due to her exposure to the attended patients at the Accident and Emergency department. At the age of 73, the nurses should be concerned about her safety despite her apparent good health. They should not risk the safety of patient under a very dangerous area, such as the Accident and Emergency department. Since her condition is not as critical and fatal as the patients that should be given urgent attention under this department, nurses should first position her in a safer place away from the hustle and bustle of the emergency room. The nurse could even refer her at once to a physician’s clinic specialising in orthopaedics just to avoid potential health risks.