Identifying Causes and Prevention of Surgical Error in Mrs. P's Case Report Answer

Introduction

Successful people, teams, and organizations must all exhibit both leadership and collaboration. While collaboration promotes efficient teamwork and makes use of the various talents of participants, leadership offers direction, motivation, and guidance to achieve shared objectives. Setting a clear vision and plan, inspiring and empowering team members, making significant choices, and ensuring that everyone is on the same page and pursuing a single goal are all critical leadership tasks. A good leader fosters trust, promotes creativity, and fosters an environment at work where people can succeed. On the other side, collaboration promotes the blending of various viewpoints, expertise, and talents. It encourages free exchange of ideas, teamwork, and shared accountability. By utilizing everyone's abilities and fostering a synergy that produces superior results, collaboration improves problem-solving, creativity, and productivity. A dynamic and effective workplace is produced through collaboration and leadership working together. Effective leaders promote a collaborative environment where people are encouraged to provide their best effort and feel valued and respected. In turn, collaboration strengthens and supports leadership by encouraging participation, teamwork, and shared ownership of objectives.

A lead

Team work and the collaborative practice have been shown to be important for achieving positive outcomes in a variety of settings, including education, healthcare and businesses. There is a wealth of evidence to support the importance of teamwork and collaborative practice which has found in the model. Collaboration and cooperation abilities are essential for nursing leadership growth and patient care. Collaboration and effective conflict resolution are essential for resolving challenges and attaining shared objectives. Teams of nurses are better equipped to deliver patient-centered care and handle complex medical issues. In order to give comprehensive care, collaborative practice brings together experts from several fields, including medical professionals, nurses, social workers, professionals in psychology, and occupational therapists (Kholed et al., 2017). Interdisciplinary cooperation, according to research, improves patient satisfaction and health outcomes. Despite the value of cooperation and teamwork in healthcare, accomplishing these objectives is frequently difficult. These include difficulties in communicating, competing priorities, and a lack of respect or trust between team members. Evidence-based approaches, such as setting clear objectives, encouraging open dialogue, and upholding respect for one another, can assist overcome these obstacles and foster productive collaboration in the healthcare industry (Schilling et al., 2022). Collaborative practice encourages effective teamwork and information exchange, which can help team members spot and avoid medical errors.

Main

Communication

In surgery, communication is crucial for a number of reasons. A team of medical experts, including surgeons, anesthesiologists, nurses, and technicians, collaborate throughout surgery. To guarantee seamless collaboration and coordination among team members, effective communication is crucial (Wieke Noviyanti et al., 2021). Everyone engaged may understand their duties and responsibilities, foresee each other's requirements, and work together effectively with clear and succinct communication.

Patient Safety: During surgery, communication is essential for preserving patient safety. The surgical team can make knowledgeable decisions and deliver appropriate treatment when patients' information, such as medical history, allergies, and preoperative instructions, are successfully communicated (Kerr et al., 2022). Additionally, communication aids in spotting possible dangers or issues, enabling quick action and the avoidance of negative outcomes.

Understanding: To guarantee a common understanding of the operation prior to surgery, efficient communication between the surgeon and the patient is crucial. In order to ensure informed consent, the surgeon must fully explain the surgical procedure, risks, advantages, and other options to the patient. Patient expectations are managed and anxiety is decreased because to this open and honest communication. (Afriyie, 2020). Patients must be fully informed and involved in decisions regarding their care, and consent forms should only be completed when the patient has received all necessary information and has an understanding of the procedure's risks and advantages. Second, during the team meeting, the surgeon missed the conversation taking place surrounding the patient, which could have caused misunderstandings about the treatment to be carried out (Sibiya, 2018). It is essential that all healthcare professionals participating in a patient's care have access to the same data and are informed of any changes to the anticipated course of action.

There may be changes in the surgical team or handoffs between various healthcare professionals during lengthy or difficult operations. During these transitions, it is essential to communicate clearly and succinctly to ensure that important details about the patient's status, ongoing operations, and any special orders are effectively communicated. This promotes continuity of care and lowers the possibility of mistakes or omissions. (Howick et al., 2018). Effective and clear communication between all healthcare team members participating in a patient's care is crucial, particularly when the scheduled operation is modified. The ward nurse was present when the initial patient safety checks were finished in the anesthetic room, but the surgeon was still completing the records for the prior case. Since the surgeon will be performing the surgery and should be informed of any potential risks or complications, it is crucial that they are present during the initial patient safety checks. In the position of a nursing associate, effective communication is crucial (Kwame and Petrucka, 2021). In addition to providing direct patient care and serving as a bridge between patients, families, and other healthcare professionals, the nursing associate is an essential member of the healthcare team.

It is imperative that patients have access to all the information they need to make knowledgeable decisions about their treatment as a nursing associate. Nursing Associates can assist patients in understanding their options and obtaining informed consent by taking part in talks regarding procedures, risks, and benefits (Afriyie, 2020). Making sure consent forms accurately reflect the intended processes and any changes is part of this. Effective communication encourages patient autonomy and helps to establish trust.

Teamwork and collaboration

A medical blunder during surgery resulted from a breakdown in collaboration and teamwork in the scenario as described. For the team to be informed and on the same page, effective communication is essential. There were a number of situations in this case where there were communication breakdowns. The team briefing at which the additional procedure on the left side was discussed was not heard by the Surgeon, who was meant to perform surgery. Due to a lack of communication, the surgeon was unaware of the modification to the surgical plan. Confusion during the surgery was also a result of the white board's lack of clear explanation regarding the proposed technique. A unified understanding and awareness of the team's objectives, duties, and processes are referred to as a shared mental model (Rosen et al., 2018). The Surgeon and the rest of the team in this instance lacked a unified mental picture. This knowledge gap reveals a lack of a common mental model among the team members. To make sure that every team member is aware of their individual obligations and contributions, it is crucial to clearly define roles and responsibilities. It seems that the duties and responsibilities in this situation were not properly explained or understood (Reeves et al., 2017). Without examining the consent document or the white board twice before starting the surgery, the surgeon carried out the wrong procedure on the right side.

Open communication, respect for one another, and a sense of shared responsibility are all fostered by a healthy cooperation culture. In this case, there was a sense of urgency to finish the surgical list on time and meet the deadline Dow et al., 2017). This pressure might have caused a hurried atmosphere and a lack of care in thoroughly examining the surgical plan. Building redundancy and error-checking procedures is a key component of effective teamwork (Stadick, 2020). There were opportunities for error checks that were lost in this situation. Without the surgeon there, the initial patient safety checks were carried out, and the rest of the care plan's completeness wasn't checked. The mistake was initially overlooked since there was no repeated time out moment when the surgeon shifted to the patient's left side.

For the purpose of maintaining patient safety, effective teamwork and collaboration are essential. To offer patients with comprehensive and coordinated treatment, nursing associates collaborate closely with other healthcare professionals, including nurses, doctors, and allied health professionals (Larsson et al., 2022). Nursing Associates help to identify and eliminate potential errors, promote proper communication, and enhance patient outcomes by engaging in cooperation and collaboration. By encouraging smooth interaction and coordination between various healthcare professionals, teamwork and collaboration help to ensure continuity of care. Between shifts, departments, and care settings, Nursing Associates are crucial in bridging gaps and easing the transfer of knowledge and duties (Xyrichis et al., 2017). Nursing Associates regularly participate in collaborative practices to make sure patients receive constant, continuous care.

Conclusion

In conclusion, good communication is crucial to the role of a nursing associate. It is essential for enhancing patient safety, fostering teamwork among healthcare professionals, and guaranteeing patient-centered treatment. To get informed consent, deliver correct information, speak up for patients, and support efforts to enhance safety and quality, nursing associates must have excellent communication skills. Nursing Associates can encourage patient autonomy by actively participating in conversations with patients and their families to assist informed decision-making. Effective communication with other healthcare professionals facilitates the sharing of crucial information, avoiding mistakes and misunderstandings that could jeopardize patient safety. To properly and efficiently communicate patient information, enable appropriate actions, and ensure continuity of care, clear and prompt communication is required.

References

Afriyie, D. (2020) “Effective Communication between Nurses and Patients: An Evolutionary Concept Analysis.” British Journal of Community Nursing, 3(1), pp. 23–34.

Afriyie, D. (2020) “Effective Communication between Nurses and Patients: An Evolutionary Concept Analysis.” British Journal of Community Nursing, 25(9), pp. 438–445. DOI: 10.12968/bjcn.2020.25.9.438.

Dow, A.W. et al. (2017) “Teamwork on the Rocks: Rethinking Interprofessional Practice as Networking.” Journal of Interprofessional Care, 31(6), pp. 677–678. DOI: 10.1080/13561820.2017.1344048.

Howick, J. et al. (2018) “Effects of Empathic and Positive Communication in Healthcare Consultations: A Systematic Review and Meta-Analysis.” Journal of the Royal Society of Medicine, 111(7), pp. 240–252. DOI: 10.1177/0141076818769477.

Kerr, D. et al. (2022) “Communication Skills Training for Nurses: Is It Time for a Standardised Nursing Model?” Patient Education and Counseling, 105(7), pp. 1970–1975. DOI: 10.1016/j.pec.2022.03.008.

Kholed, S.N.S. et al. (2017) “Teamwork and Collaboration in Healthcare: Elements of Inter-Professional Teamwork.” Advanced Science Letters, 23(11), pp. 10834–10837. DOI: 10.1166/asl.2017.10164.

Kwame, A. and Petrucka, P.M. (2021) “A Literature-Based Study of Patient-Centered Care and Communication in Nurse-Patient Interactions: Barriers, Facilitators, and the Way Forward.” BMC Nursing, 20(1). DOI: 10.1186/s12912-021-00684-2.

Larsson, R. et al. (2022) “Teamwork in Home Care Nursing: A Scoping Literature Review.” Health & Social Care in the Community, 30(6). DOI: 10.1111/hsc.13910. Stadick, J.L. (2020) “The Relationship between Interprofessional Education and Health Care Professional’s Attitudes towards Teamwork and Interprofessional Collaborative Competencies.” Journal of Interprofessional Education & Practice, 19, p. 100320. DOI: 10.1016/j.xjep.2020.100320.

Reeves, S., Xyrichis, A. and Zwarenstein, M. (2017) “Teamwork, Collaboration, Coordination, and Networking: Why We Need to Distinguish between Different Types of Interprofessional Practice.” Journal of Interprofessional Care, 32(1), pp. 1–3. DOI: 10.1080/13561820.2017.1400150.

Rosen, M.A. et al. (2018) “Teamwork in Healthcare: Key Discoveries Enabling Safer, High-Quality Care.” American Psychologist, 73(4), pp. 433–450. DOI: 10.1037/amp0000298.

Schilling, S. et al. (2022) “Understanding Teamwork in Rapidly Deployed Interprofessional Teams in Intensive and Acute Care: A Systematic Review of Reviews” Rubinelli, S. (ed.). PLOS ONE, 17(8), p. e0272942. DOI: 10.1371/journal.pone.0272942.

Sibiya, M.N. (2018) “Effective Communication in Nursing.” Nursing. DOI: 10.5772/intechopen.74995.

Wieke Noviyanti, L., Ahsan, A. and Sudartya, T.S. (2021) “Exploring the Relationship between Nurses’ Communication Satisfaction and Patient Safety Culture.” Journal of Public Health Research, 10(2). DOI: 10.4081/jphr.2021.2225.

Xyrichis, A., Reeves, S. and Zwarenstein, M. (2017) “Examining the Nature of Interprofessional Practice: An Initial Framework Validation and Creation of the InterProfessional Activity Classification Tool (InterPACT).” Journal of Interprofessional Care, 32(4), pp. 416–425. DOI: 10.1080/13561820.2017.1408576.

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