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total quality management

Questions and Answers of Total Quality Management

Should the nurses, aides, and doctors on the CCU have recognized that Jimmy was in withdrawal? Is this something they should have been taught in school?
Do you think that this problem was exacerbated by the fact that this scenario took place during the COVID-19 epidemic?
What could have been done differently that might have changed the outcome? For example, would the communication, the care, and the outcome possibly have been different if Amanda had been allowed in
What do you think went wrong in this case?
What do you think should be done to help J?
What should G and the AA be doing to assist J? Do they have any expertise in this area?
What is the definition of abandonment? Do you think that Dr.Burdened has abandoned J?
What does the literature tell us about the process of going through withdrawal from opioids?
What is the federal government doing to address the opioid crisis?
What resources can she draw upon to help her? Should she contact the New Jersey State Health Department? Are there other resources that might be helpful?
What do you think Aunt Nin needs to do to try to help J?
What does J need to do to allow Aunt Nin to get involved?
Can Aunt Nin just call up the nursing home and get information about J? Can she talk to J’s Medicaid case manager? Why or why not?
Have J’s rights been violated?
What rights do patients have with respect to their care?
What are the responsibilities of nursing homes with respect to patient care? (Hint: The Centers for Medicare and Medicaid Services (CMS), particularly cms.gov/nursing-homes, may be a good resource
What do you think Tree should do next?
What has the federal government done to decrease the prescribing and use of opioids?
Have these patients’ rights been violated?
What rights do nursing home patients have with respect to their care?
Do these mistakes fit the definition of abandonment?
What types of specific mistakes were made in this case by Dr.Traveler?
What is going on here? What is the definition of abandonment?Do you think that Dr. Traveler has abandoned these patients?
What actions would prevent this from happening in the future?
If your answer is yes, what might the nurse have done differently?
Was it reasonable for the nurse to have left Anderson to attend to the patient next door?
What are the liability issues to address in this case?
What are the management issues to address in this case?
Did you make any assumptions while reading this case regarding race, ethnicity, gender or gender identity, sexual orientation, socioeconomic status, culture, or other protected class? Were these
From your RCA, if the independent autopsy revealed that the cause of Sally’s death was self-suffocation, would that change the safety committee’s conclusion regarding Dr. Amber’s responsibility
Conduct a root-cause analysis (RCA) to examine the causes and the team members who were directly involved in Sally’s death.
Do you agree with the safety committee conclusion regarding the team member who was responsible for Sally’s death?Provide a rationale for your response.
Reshape the interdisciplinary team collaboration dynamic(s) in this case, demonstrating strategies and a process that bridges the gaps and could have prevented Sally’s death.
Outline the gaps in the interdisciplinary team communication and collaboration that led to Sally’s death.
What are the staff- and management-related barriers that interfered with the safety culture at this mental health facility?Provide the rationale for your comments and propose management strategies to
The physician stated that in the past the patient was contacted by phone while in Mexico. Why is synchronous video different?At what point does a “conversation” become “care”?
In this situation, what other unique circumstances could arise due to the use of telehealth?
Did the clinic manager, risk manager, and legal team make the correct choice by not reporting the incident to the professional licensing board?
What additional actions might the clinic manager have taken?
Was the physician justified in the decision to conduct the visit?
What are the major issues presented in the case?
Are you aware of what the law and our clinic’s policy say about conducting telehealth across international borders?
If there had been a medical emergency during the visit, what would you have done?
Do you believe that your actions are in the best interest of the patient?
Provide your reflections and personal opinions as well as your recommendations for addressing this problem.
Provide three possible solutions to the problem you identified.
What are three factors contributing to this problem?
Identify the main organizational problem in this case.
What is going on in this case?
What steps should CNF take to prevent this situation from reoccurring?
What legal liabilities might CNF have to deal with, and what might the fallout be from this incident?
Why do you think the facility staff want to meet with Ford? If you were Ford’s manager, what actions would you take?
What legal or regulatory entity investigates and resolves this type of concern?
What law has Ford violated?
What do we know about this case so far?
Are there any clinical and financial implications?
How could this incident impact the reputation of the organization?
Is it reasonable to terminate all the parties involved?
How should the issues in the case be addressed by management?
What are the legal and ethical ramifications?
What are the facts in this case?
Provide your reflections and personal opinions as well as your recommendations for addressing this problem.
Should the patient and his family pursue legal action in this case? If so, for what reasons. What would be the legal basis for such action?
What are the options for the patient and family in the future including further treatment and personal plans for dealing with end-of-life disease?
What role might cognitive biases play in this case?
What methods should have been employed to prevent this misdiagnosis?
Identify the main organizational problem in this case.
What is going on in this case?
Did you make any assumptions while reading this case regarding race, ethnicity, gender or gender identity, sexual orientation, socioeconomic status, culture, or other protected class? Were these
What are some resources available for perpetrators of domestic violence?
What are some resources available for victims of domestic violence?
What do you recommend as potential solutions?
What are the ethical issues that exist in this case?
What are the applicable laws for this case?
What do you, her mentor, recommend that she do?
How costly could this problem become for CMH? In what way?
Do you think that Serena and employees like her are set up to fail?
What has gone wrong in this scenario? Is it appropriate for these committee chairs to be making these requests?
Do White employees understand the pressure put on employees of color, particularly females of color? (Hint: you might want to read the Brown and Caver & Livers articles.)
Explain why diversity issues have become increasingly important to all types of health care providers.
What has changed for many hospitals and businesses in general with respect to diversity concerns, particularly for females and minorities in the last several years?
Would you recommend that human resources (HR) do some type of training session to educate all employees about microaggression issues? Again, right away? At another time?Focusing on this or another
Given what you’ve learned about microaggressions, please advise Josephine about this and recommend how she might deal with it.
Do you think that Josephine should address this with Ms.Clules? When might she do this—right away or at a later point in time? Why? Justify your position.
What are microaggressions? Does this situation fit the definition? Explain why or why not?
Putting yourself in Josephine’s shoes, what are you thinking?
What tools could be used to support the clinic team in an effort to acknowledge and address the religious needs of patients?
What consequences might a clinical practice face if they do not address issues of religious aspects of care?
Dr. Ulmer was fortunate that Mr. Kaur took the time to explain religious needs during the visit. What other reactions might the clinical staff see from patients as the result of not addressing
How might an organization demonstrate that they acknowledge and accept religious preferences?
Is religious preference part of cultural competence? Defend your stance.
Do microagressions also occur from patients to health care providers and staff? How do these impact patient care?
What tools could be used to support the staff in an effort to acknowledge microaggressions and address the cultural competence needs of patients?
What consequences might the hospital face if they do not address microaggressions and issues of cultural competence?
Even though none of these people meant to offend, are their microaggressive actions acceptable? Defend your stance.
How might an organization demonstrate their cultural competence in rectifying this situation?
What lack of cultural competency is being displayed here?
Have you ever been embarrassed or ashamed to admit a lack of proficiency in a certain area to a health care provider? How did you handle that situation or how would you if you found yourself in that
What ethical principles did the MA violate in this case? Do you believe a lack of cultural awareness contributed to her actions?Provide evidence from the case or other resources to back up your
Although Dr. Romero got paged away on an emergency, do you believe he is partially to blame for the breakdown of communication in this case? How could he have handled the situation differently to

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