Practical/Clinical Issue2

 

  1. Using the SWOT Analysis Resource, review two classmates’ posts.
  2. Identify two items from each of the four components (S,W,O,T) that is relevant to the problem your classmate identified. Explain your reasoning for each.

To reply to the example in the initial post, you could select advantages of the proposition and financial reserves from the Strengths quadrant. Elaborate on the advantages of following the recommendations—for example, following professional standards of equal care, decreasing cost by not ordering unnecessary diagnostic tests, and increasing revenue from shorter visit times.

Items you might identify from the Weakness quadrant could include processes and systems, and morale commitment and leadership. These items are weaknesses because of the need to train providers on national recommendations and to create a system within the EMR to track PAP smears.

You should then choose two items from both the Opportunities quadrant and the Threats quadrant and include them in your reply post.

 

How To Do a SWOT Analysis For Strategic Planning (clearpointstrategy.com)

Classmates Post:

A safety issue I have seen is that patient care providers are not assessing for suicide.Without saying much, I am sure you can understand how this can lead to negative outcomes if the issue is not resolved. Statistics reveal that there are 2.2 million planned adult suicides, 8.3 million have thoughts of suicide, and one million adults attempt suicide which makes suicide the tenth leading cause of death (Hutton, 2015). And hospital inpatient suicides occur as well in spite of of the unit supposedly being a secure safe environment.Of the 49 to 65 inpatient hospital suicides each year, 75 to 80 percent are amongst psychiatric patients in an inpatient unit (The Joint Commission, 2018). Individuals who suffer from mental illness have a higher risk for suicide and self-injurious behaviors (Bolton et al., 2015) which is why it is important to assess for suicidality in all patients is necessary.The best practices that promote patient safety in the practice setting would be to integrate strategies and safety practices in practice to reduce risk of harm to patients. King et al. (2017), state there are current regulations and recommendations in place for screening of suicide risk in healthcare systems using screening tools like Columbia-Suicide Severity Rating Scale, Patient Health Questionnaire, Suicide Behaviors Questionnaire-Revised, and ED-SAFE Patient Safety Screener.Suicide assessment and prevention is a team effort. Bolster et al. (2015), states that most registered nurses have little or no training on assessment, evaluation or refer a suicidal patient. They feel unprepared and afraid to talk to patients about suicide, but have expressed the need for further education on necessary assessment tools in assessing patients for suicidality.A High-Reliability Organizations (HRO) in Healthcare, promotes a culture of safety, and embodies continuous learning and improvement processes. An individual, irrespective of  position, must be ready to speak up for safety, exercise and accept a questioning attitude and thoughtfully interact with a sensitive and positive tone. HRO interventions are associated with improved process outcomes and patient safety outcomes (Veazie, 2019).ReferencesBolster, C., Holliday, C., Oneal, G., & Shaw, M. (2015). Suicide assessment and nurses: What does the evidence show? Online Journal of Issues in Nursing. 20(1). Doi: http://dx.doi.org.regiscollege.idm.oclc.org/10.1176/appi.ps.201400244https://doi.org/10.3912/OJIN.Vol20No01Man02

Bolton, J. M., Gunnell, D., & Turecki, G. (2015). Suicide risk assessment and intervention in people with mental illness. British Medical Journal, 351(8034). H978-12. Doi: 10.1136/bmj.h4978

Hutton, A. P. (2015). Saving lives by preventing suicide. American Nurse Today, 10(6). 48-57.King, C. A., Horwitz, A., Czyz, E., & Lindsay, R. (2017). Suicide risk screening in healthcare settings: Identifying males and females at risk, 24(1). 8-20. Doi: 10.1007/s10880-017-9486-y

The Joint Commission. (2018). Study establishes first data-driven estimate of number of suicides in U.S. hospitals.

Veazie S, Peterson K, Bourne D. Evidence Brief: Implementation of High Reliability Organization Principles. Washington (DC): Department of Veterans Affairs (US); 2019 May. Available from: https://www.ncbi.nlm.nih.gov/books/NBK542883/

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