CriticalDecision Making for Providers
CriticalDecision-Making for Providers
Descriptionof the Scenario
Criticaldecision making for providers is an analysis of the impact ofdecision making in the provision of health care[ CITATION Bar12 l 1033 ].This studyinvolves Mike, who is working as a lab technician in the hospital. Afew days ago, Mike came to work late, but promised the manager not torepeat a similar mistake again. On a particular day, he againarrives late for work because of the transportation breakdown. Onarrival, Mike finds a spill on the floor[ CITATION Bar12 l 1033 ].He doesnot know whether to clean the spill or leave it. Eventually, hedecides not to clean it for the fear of being noticed to have arrivedlate and risk losing his position. Mike is the breadwinner of hisfamily, supporting his wife and the newborn thus the job is crucialto him.
Mikedecides to clock in to secure his job. In fact, he is making everyeffort to protect his job, and cannot afford being fired. Furthermore, he has a list of tasks he needs to accomplish from theprevious day in addition to his assignment for the day[ CITATION And15 l 1033 ].In the meantime, he makes a decision not to wipe the spills becausesomeone else responsiblewould take care of them. Therefore, Mike thinks of what to do. Astime goes, Mike is asked to go to the patient`s room to collect someinformation. He realizes that the patient was admitted to thehospital after falling in the lobby that same morning[ CITATION New14 l 1033 ].The patient is in severepain and appears to have a broken hip. The patient explains to himthe incident and wonders why that would happen in a hospital setting. The patient assumes that the hospital is a safe place with programsto prevent such happenings.
Consequencesof a Failure to Report
Inthe first place, we see that even though Mike was late for work, hestill decided to report. In case he would have failed to report, hecould have been fired. However, Mike could have been honest enough toreport the matter. For instance, Mike could have stopped at the frontdesk to have housekeeping paged[ CITATION And15 l 1033 ]. Sincehe knows that cleaning typically takes about three to five minutes,and he had limited time to wait, he could as well used the telephoneat the front desk to call his manager. In the process, he couldinform him that he has reported but needed to stop to clean a spillin the main lobby[ CITATION Bar12 l 1033 ].His supervisor could have appreciatedhis responsibility.
Impactof Mike’s Decision
Becauseof Mike`s wrong decision, he puts the patient into an unexpectedsuffering. His decision impacts negatively on the patient. As noted,the patient steps on the spills and falls, all due to Mike`signorance. In the process, the patient is admitted to the hospitalwith a broken hip. If Mike could have taken the appropriate decision,the incident could not have occurred. From the scenario, it is clearthat Mike`s decision was because he feared to lose his job. On commongrounds, every other person would have done the same. No person wouldwant to get fired.
Onthe organization’s quality metrics, it was assumed that thehospital was unable to deliver quality services. For example, thepatient was not pleased when he fell from the spill that led him tounexpected suffering. The patient, therefore, assumed that theworkers in the hospital were careless. This assumption could lead tothe hospital losing value and credibility. People would find it hardseeking medical assistance at the hospital if word of what hadoccurred went round.
Mike’sdecision had a significant impact on the workload of other hospitaldepartments. As such, each and every department was expected tohandle their specific roles accordingly. This would imply that incaseof any unexpected occurrences, the responsible department was to bemade liable. Therefore, all the other departments had a big workloadto ensure either expected and unexpected tasks are managed.
Froma personal perspective, it would have been wise for Mike to clean upthe spill. Although that was risking his job, he would have saved thehospital`s reputation, and that would have earned him someconsiderations with the manager. Due to negligence, the patient nowhas to suffer and has to blame it on the hospital workers.
Addressingthe Issue as the Manager
Thecase of Mike can be described as negligence. In work set up,especially in the hospital, slack employees have a direct impact onproductivity. Workers who shirk any responsibility can damageworkforce morale. As Mike’s manager, I would advise him accordinglyand encourage him, to be honest, and responsible in every situation.To avoid the repetition of the incidence, I will schedule a privatemeeting to discuss the present issues especially that of Mike in themeeting. I will also explain the impact of employee irresponsibilityand illustrate the detrimental effect the reckless conduct has onhospital operations. More importantly, I will lead by example bybeing self-discipline.
Anderson, D. R., Sweeney, D. J., Williams, T. A., Camm, J. D., & Cochran, J. J. (2015). An introduction to management science: quantitative approaches to decision making. Boston: Cengage Learning.
Barry, M. J., & Edgman-Levitan, S. (2012). Shared decision making—the pinnacle of patient-centered care. New England Journal of Medicine, 366(9), 780-781.
Newell, B. R., & Shanks, D. R. (2014). Unconscious influences on decision making:. A critical review: Behavioral and Brain Sciences, 37(1), 1-19.