NEED A RESPONSE TO PEER POST with a reference please Hi Everyone,… NEED A RESPO

NEED A RESPONSE TO PEER POST with a reference please Hi Everyone,… NEED A RESPONSE TO PEER POST with a reference pleaseHi Everyone,The five characteristics of high-reliability organizations have assisted leaders in providing safer, more appropriate patient care services. In a recent situation, a team made the decision to replace existing blood glucose monitoring equipment in the outpatient, inpatient, surgical, and emergency departments with new equipment that was less costly and believed to be of higher quality in data management. Within two weeks, problems with accuracy and equipment failure were identified in the inpatient and surgical areas. Over 50 patients were identified to have received inappropriate insulin management.Consider the five principles of a high-reliability organization. Analyze this scenario in terms of the principles.Considering the five principles of a high-reliability organization, it is hard to know exactly why this failure was allowed to happen in the first place. The first characteristic is to be preoccupied with failure. From the description in the article, it explains how everyone is thinking about the potential for failure and how threats could arise that no one could imagine (PSNet, 2019). The scenario does not state how much this new equipment was tested before it was incorporated into being used for patient care. However, by the description of the first characteristic, this failure could have been avoided by testing this equipment for a certain time frame. The HRO could have used its influence or clout to convince the vendor of the new product of the need for ample time to test before committing to that change. Although the new glucose monitoring device is supposed to save money over the historical way of monitoring, it would probably be quite the initial investment to make that change. Convincing the vendor to allow a department to test the new monitoring device and compare that to their old devices would have been one way to avoid this failure. According to an article concerning the safety culture of HROs, HROs operate in an environment in which they constantly search for reasons that could lead to major failures. By doing so these failures could by prevented (Jablonki & Jablonski, 2021). If that is the case this entire failure could have been prevented entirely.Which principles were followed?The first characteristic was not followed. I have been through many changes in policies, roll outs or new equipment, or the discontinuation of certain procedures. Before these changes were made there was always a lengthy amount of time, very often 6 months to a year, for a couple of departments to test the new way of doing something before being rolled out to the entire organization.Aside from the first characteristic, the remaining four appeared to be followed. The team members of the organization did not just accept the new monitoring devices at face value. They were reluctant to simplify in that they sought the underlying explanation concerning the new standardized work process. To determine the efficacy of the new process and if the patients’ blood sugar reading and insulin management were correct, someone had to actively monitor this glucose monitoring process.The sensitivity to operations, deference to expertise, and commitment to resilience all played a factor in determining that the new equipment was flawed or malfunctioning. If one patient has an inaccurate reading, then chances are it is a coincidence, and the device might need to be recalibrated. To have over 50 patients with inaccurate results is reason for halting the process for one more reliable. The final three characteristics all played a part in determining the failure of the new equipment and process.What changes should be made to improve operations?One way of looking at this, according to a commentary piece from Military Medicine, is to incorporate more operational objectives into the processes, compared to the five characteristics of the HROs which incorporates a higher level of theory into its operational application. This theory is designed to change culture, attitude, and behavior. The military application was not “reluctant to simplify”. It is explained that viewing all problems as being unique can lead to viewing all solutions as being distinct (Malish & Sargent, 2019). This can lead to paralysis of action. This decision to incorporate the new glucose monitoring equipment into usage in so many areas of the organization without first allocating enough time to test was a mistake. The operational objective of being preoccupied with failure could have prevented this failure before it every happened.  Health Science Science Nursing NSG 5320 Share QuestionEmailCopy link Comments (0)

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