The key terms used for search are patient safety, safety culture, blood transfusions, ergonomics, bloodless surgeries, organizational factors and human incidents.Transfusions on a Medicine Essay

 

Patient Safety:
The health sector is a highly pressurized, complex system where in which the potential for error and accidents is ever present. Statistics on International Research suggests that ensuing patient safety is one of the most important challenges faced by the healthcare today, not only in the United Kingdom but also worldwide. It was observed that the root cause of various events and accidents together with a majority of mistakes taking place in medical environment is the system itself-a system whose flaws eventually lead to a “human error”. The Patient Safety initiative is an innovative, proactive approach that provides basis for eliminating the flaws from the system before they result in to needless tragedies. According to World Health Organization (2011), Patient safety can be defined as a “fundamental principle of health care” (WHO, 2011). Precisely, the improvements concerning to patient safety demand a complex-system of wide effort, environmental and safety risk management, including infection control, safe and effective use of medicines, clinical practices and care. Nevertheless, this new patient safety perspective was been developed in United Kingdom through an initial study, commissioned by the Department of Health and Design Council, to deliver ideologies and recommendations for a design approach to minimize the risk of medical error and to promote patient safety across the National Health Service (Department of Health, 2006).Transfusions on a Medicine Essay

On the other hand, Risk an inherent part of health care may lead to severe complications while delaying them might be even more dangerous. At moment, in NHS controlling safety and estimating the risk has become internal process of supporting patients in hospital settings.

To improve standards in patient care and for reviewing, documentation of risk form the basis for future investigations. Risk assessments carefully examine the systems to identify the factors that could potentially cause or contribute to patient harm (Department of Health, 2004). These assessments highlight whether adequate precautions are being taken to ensure timely and safer provision of care. Additionally, it indicates further measures needed in future to prevent harm and risk to the patients (Department of Health, 2006). Seven steps by the National Patient Safety Agency were published in 2004. Gives evidence of the risk involved and steps to prevent potential harm by integrating the management of risk, patients involved and the solutions proposed for incidents (National Patient Safety Agency, 2004). Within NHS, Risk Assessment is highly essential as it facilitates the practitioner to minimize both consequences of an adverse effect and risk itself. Risk Assessment provides an early warning system and thus maximizes the probability of positive outcomes. Thus, Risk Assessment tool can be used effectively with sound clinical judgment connected with experience of assessing risks. In essence, managing risks of ward-base and evaluation of patients is vital aspect of the tool (Royal College of Nursing, 2004).Transfusions on a Medicine Essay

The Scenario
Major concern is that blood is contaminated with infectious diseases like AIDS, hepatitis etc. Though screening being implemented, there is a risk involved while donating blood. Dr Gordec identified “patients willing to donate blood being infected and not yet developed antibodies could be detected through screening”

Blood Borne Disease:
A great stride in medicine field has invented new surgical methods and procedures for transfusions. It became a multibillion-dollar industry. Soon, transfusion-related diseases came to the fore. During the Korean War, nearly 22 percent who received plasma transfusions developed hepatitis. By1970’s, the U.S. Centers for Disease and Control estimated death due to the hepatitis infected blood, 3500 a year (Awake 2002: Published by Jehovah’s witnesses).Transfusions on a Medicine Essay

Case study of heart surgery related patient
The rate of mortality is high in patients undergoing heart surgery and kidney transplantation. The incident is treated as adverse event which is not happened at the beginning levels of transfusion. Although the preliminary checking is done, the rate of mortality is high. Patients diagnosed with coronary syndrome were routinely given blood transfusions. Studies published by JAMA admits” that folks often choose transfusions are at higher risk of dying when compared with those who refuse”. Doctors participated in the study published findings saying: “We caution against the routine use of blood transfusion to maintain arbitrary hematocrit levels in stable patients with ischemic heart disease”.

Nigerian case study:
Case of a baby girl infected with HIV positive in Nigeria was reported in t

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