NURS5041: You have Recently been asked by Your Unit Manager to Review Some of the Clinical Issues: Leadership for the Clinical Context Assignment, Singapore

Introduction

You have recently been asked by your unit manager to review some of the clinical issues highlighted by several sources that require attention to improve practice. As you read through the information below, make notes related to the following points – in relation to the areas of medication safety and Staphylococcus aureus infections.

1. Issues related to clinical practice that require
2. Current clinical indicators compared to National
3. Analyze the clinical indicators to identify areas for
4. Think about how you might lead to a change in practices.

The Local Integrated Health Service (LIHS)

The Local Integrated Health Service (LIHS) was established in 2014 and provides a comprehensive, integrated health service. The service commenced as a Government commitment to improving health services covering community assessment through to acute care and back to community care.

The health service has achieved interim accreditation and met the National Accreditation Health Standards. Recently, however, there has been a number of media news reports which have stated that there was overcrowding in the emergency department, patients were not receiving the best care and waiting times for elective surgery had increased in the areas of orthopedics and ophthalmology.

The media reports in brief include:

1. A report in the daily newspaper reported that mental health patients had been waiting in the Emergency Department for 4 days before a bed was available in the Mental Health
2. On June 26^th, 2017 a patient had surgery on the wrong limb which resulted in an amputation
3. The infection rate within the LIHS was double that of other health services within the region. This has resulted in patients canceling their surgery, as they have a fear of getting a severe infection
4. On August 24^th, 2018 the local newspaper reported that a patient had died at the LIHS Hospital following cataract surgery. The newspaper alleged that the patient was given an incorrect medication after surgery which he was allergic to, which resulted in his death.

The assessment tasks

Analyze ONE of the highlighted issues using the case study data as a starting point. Include a process or framework you could use in analyzing the chosen issue, using other data from the case study that are likely connected to the issue of choice.

Formulate recommendations for leading change (improvements) in clinical practices based on relevant literature, and where applicable, health policies and/or guidelines from your own hospital or work setting, State, National or International health authorities.