1. When have I learned? In what circumstances? Under what conditions?
During these two weeks my learning activities have been focused on the creation of our power point presentation, as well as the cause and effect diagram. We started with the Cause and Effect Analysis. With this analysis, we want to find and verify the critical causes that potential impact to the PACU workflow process. Consequently, a set of recommendation will be presented to the CCF OR management team.
2. How have I learned or not, and do I know what kind of learner I am?
The cause and effect diagram help us to identify the possible obstacles (variation) that have negatively impacted the OR 's workflow, and have caused an increase of the patient length of stay in the PACU. Furthermore it also allows us to brainstorm all possible explanations for current performance in a more organized way, by grouping all possible causes as there are six major factors affecting the performance of the process: people, material, environment, method, machine, and measurement.
3. What difference has the learning made in my intellectual, personal, and ethical development?
What I have learned during these two weeks make differences in my intellectual, personal, and ethical development. For example, I realized, that even if there are probably more accurate statistic methods, for data analysis, an analytical tool as simple as the Fishbone diagram, may help the OR team to identify possible cause of disruptions or variations,
| |Review the Week One objectives and discuss additional insights and questions that may have | | |
The second part of The Model for Improvement is the PDSA cycle. This is the testing phase of the model. The acronym PDSA stands for Plan, Do, Study, and Act. This is a four step process which is a simple way to test and make changes to the process. If The Model for Improvement is applied to Mr. B’s scenario, the aim of the improvement plan would be to make sure that patients coming into the emergency room receive the appropriate dose of medications, that the patients are monitored correctly, and that the staff is educated about proper medication administration. The measures part, How will we know a change is an improvement, could be answered by compiling data with the number of patients receiving hydromorphone in the emergency room, what type of monitoring was used
Precision: It's asking for you to explain and identify your learning patterns and describe what type of learner you are.
The first step of the analysis is to collect data which will help with the understanding of the events. Identifying what data to collect and how and what to compare the results can be challenging. The organization should have a baseline to compare to see how the changes are working. Comparing information to similar organizations through benchmarking may indicate the success of the organization or program. Ransom, Joshi, Nash and Ransom (2008) state “benchmarking compares processes and success through gap analysis, process variation & organizational opportunities for improvement” (pg. 132). Data can be collected from prior litigations and claims information. Monitoring the information through monthly reports can indicate if process modifications or changes are needed. Once information is identified immediate action should be taken to ensure patient safety and minimize risk.
Charles, R., Hood, B., Derosier, J. M., Gosbee, J. W., Li, Y., Caird, M. S., ... & Hake, M. E. (2016). How to perform a root cause analysis for workup and future prevention of medical errors: a review. patient safety in surgery, 10(1), 20.
Ben Davis had just completed an intensive course in Statistical Thinking for Business Improvement, which was offered to all employees of a large health maintenance organization. There was no time to celebrate, however, because he was already
Going into this semester, the areas in which I acknowledged that I needed to make great improvements were with reading cardiac rhythm strips, understanding causes and manifestations of abnormal lab values, and with improving interdisciplinary communication. Our cardiac rhythm/mock code simulation day was very helpful for me, and the way David was able to simplify the broad subject of reading strips during his mini-lecture that day was so enlightening. Since that simulation lab, I have found myself having a much easier time reading strips and identifying abnormal rhythms in clinicals and on exams. I had no idea that my confidence in this area would grow so much in such a short amount of time.
In these six weeks there was a lot of information that I gain and could use in my professional and personal life. In class I learn how these approaches which cognitive approach, behavioral, and the neuroscience approaches is very vital in learning. I can take these approaches
As author Megan Whalen Turner said “you learn something new everyday,” but how many times can you say that you taught yourself how to do something? Not that many, right. Teaching yourself a task is not as easy as it may seem because you are not an expert on the topic yet and you constantly have outside influences on your learning. You are influenced by teachers, parents, television and books. So do you ever really learn anything by yourself? I believe that you don’t truly learn anything by yourself, but you perfect the ideas that influenced your own. I perfected twice baked potatoes to be my own. One Christmas my grandmother asked me to help her make twice baked potatoes, she explained the instructions and then proceeded to work on another
2. What has influenced the change or kept it the same? Reflect on 1-2 “Aha!” moments related to your eight-week study during this course.
Yes in order to be successful the relationship between operational and clinical prespectives is an important aspect when considering how patient flow affect the quality of service. You need people and machine to coornate quality informed care of patient flow through the hospital, outpatients service, office vists, rehabilitation and long trem care facilities. Communicating between providers and facilities enhances and decrease the risk of harm to the patient. Howevery, they argue, by managing the flow of elective surgeries, achieving timely and efficient transfer of patients from the intensive care units to medical/surgery units, and improving the flow of inpatients to long-term-care facilities, the emergency department will be able to more
This week I learned some important things about how to give and receive constructive criticism. Also I learned how to find the way to handle criticism in order to improve relationships and how to give a constructive feedback when I have to criticize somebody.
I now know that when I have trouble learning a topic all I need to do is find a strategy to make me understand the information clearly. I know that if I want to be successful I need to challenge myself to learn the harder material. This information will give me advantages towards other students considering that I know how to grow my brain properly by effort, good strategies, and help from others. As I pursue my life as a college student the knowledge I have learned will help me move forward toward higher achievements for example a higer education degree, and honors programs. All of this will benifit me when I get a job, and when I fill out my resume because they will see me as a person who studied hard, and has the time and skills to be the best he can
There are many things that I am as a learner. One thing that tells you what kind of learner I am is that I’m a decision maker. I learned that I am a decision maker, from one of the tests that Ms. Reffel had us do. The website said I was much more, but I was mostly a decision maker more than anything else. A different website said I was visual which I agree strongly with because I think when I learn it bothers me when I don’t see it in person or I think it’s harder to learn. Another test said I was multiple things such as musical, body, picture, and number. Those types of learning I like a lot. I think these tests work a lot and I learn more about myself that I didn’t really ever think about it.The last learner that I am is balanced and risk taker.
First off, who I am as a learner has changed over the past years. At times before, I wouldn’t take certain classes or assignments seriously and have learned my lessons when I failed. I believe having classmates at the time who weren’t as focused as I wanted to be, played a big role in my lack of understanding in classes. I understood later that if I felt learning was so important to me, I need to realize that it is my future and I needed to focus on my own. Having learner in my top 5 strengths defines me very well. Rath (2007) explains that, “The process, more than the content or the result, is especially exciting for you” (p.133). I believe this defines me as a learner because I enjoy having books in hand, opening up my notebook to write notes and learning new ways to understand the class. Regardless if the content is something I have to get in to or if I don’t do well on tests, I enjoy the process of studying and learning more even when I know I didn’t do so well; that is what motivates me. I believe as long as I keep this mindset and understand that this is my strength, I will continue to grow and further my education as much as possible. Even though I have failed a few of my last classes, I never let that stop me from continuing. Knowing that I have “failed” makes me realize I know I can do better and I try my hardest not to let it get me down. I will not get further if I don’t keep trying and as a learner I am a motivator to myself in my studies.