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There are many obstacles to professionals in healthcare that may arise daily in the effort to provide quality care for their patients. One such obstacle is faced when the health care provider cannot ascertain whether or not the patient is capable of making his or her own competent, informed decisions about his or her own health care procedures. This may require consultation with a psychiatric professional to determine whether or not the patient will need said decisions made on their behalf by a third party. (Kaplan, Brady, Dtirz, Hopper, Linam Froehle & Margolis, 2010).Another such obstacle that is commonly faced is withdrawal of consent to treat with the preferred method of treatment. It is the patient’s right, if they are competent to make informed decisions on their own behalf, to refuse any treatment and withdraw consent to treat that may have been previously given, even if the refusal is life threatening, but it is vital to make sure the patient is fully informed of all risks and all questions are answered as fully as is possible; this may also be difficult if a patient wants the health care provider to make decisions for them. Again in this circumstance an advocate should be provided to make decisions on the patient’s behalf. Another aspect of this difficulty might be an emergency situation, where a healthcare provider must treat quickly and possibly without prior consent (Kaplan, Et. Al., 2010).To summarize, quality healthcare and the management and minimization of risk are fundamental to providing excellence in the healthcare field. It involves teamwork from all members of the organization and well thought out, well planned strategies for avoiding and
7minimizing obstacles and problems. This manual explains some of the methods and ideas for achieving this goal and lays the groundwork for using the tools to create an environment of coordinated healthcare and maximize patient benefit.
8ReferencesMoss, F. (1995). Risk management and quality of care. Quality in Health Care, 4(2), 102–107.Powell, J. A., Darvell, M., & Gray, J. A. M. (2003). The doctor, the patient and the world-wide web: how the internet is changing healthcare. Journal of the Royal Society of Medicine, 96(2), 74–76.Varkey, P., Reller, M. K., & Resar, R. K. (2007). Basics of quality improvement in health care.Mayo Clinic Proceedings, 82(6), 735-9. Retrieved from KAPLAN, H. C., BRADY, P. W., DRITZ, M. C., HOOPER, D. K., LINAM, W. M., FROEHLE, C. M., & MARGOLIS, P. (2010). The Influence of Context on Quality Improvement Success in Health Care: A Systematic Review of the Literature. Milbank Quarterly, 88(4), 500-559. doi:10.1111/j.1468-0009.2010.00611.x