A frail patient, aged 84, with a history of falls, was admitted via Accident and Emergency with respiratory problems for which he was treated with Intermittent Positive Pressure Ventilation. He was taken directly to the Intensive Care Unit where he was ventilated overnight. His intubation was removed the next morning and he was subsequently transferred to the ward at 19.00 hours. The Ward was busy but after visiting their relative, the patient’s family asked for bedrails (cot-sides) to be put in place and this was carried out. At 03.00 hours the patient was found to be lying on the floor and he suffered a fractured hip and subsequently died 2 days later.
Also put include points touching your learning outcomes for this model. These are:
LO1: Propose factors that determine the provision of healthcare based upon the requirements of the individual.
LO2: Determine the role of clinical governance systems and their influence in quality improvement in the healthcare context.
LO3: Examine the evidence base that informs a selected patient safety initiative.
LO4: Critically reflect on the impact situational awareness and human factors can have on complex care delivery.
LO5: Illustrate the contribution of clinical leadership to quality care provision in adult health care.
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