Improving and Managing Safe and Quality Care

The story is about a patient by the name Rani. Rani had hip pains for some time, which became a challenge to the way she could handle two children and doing her daily activities. After consistent pain in the hip, she decided to visit her primary care physician. She explained the pain she was going through, and the primary care physician was unable to make a diagnosis. Still, he made an assumption that she could be having a degenerative problem in her lower back, but he ordered X-ray on Rani’s spinal column (Institute for Healthcare Improvement (IHI), 2019). Even with the X-ray, he was unable to make a diagnosis, but instead, he referred Rani to a physical therapist who did some exercises with Rani. Still, unfortunately, he could not make a diagnosis, too (Institute for Healthcare Improvement (IHI), 2019).

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 When Rani went back to the primary care physician, the physician had no option of what should be done to Rani. He sent Rani to a rehabilitation medicine specialist who ordered X-ray and no diagnosis, and subsequently, he sends Rani to MRI, but with this, there was no diagnosis (Institute for Healthcare Improvement (IHI), 2019). She went home with the same pain, and his husband, who was working as a health policy expert, could advise her to see orthopedist colleagues who specialize in hips. The Orthopedist specialist could analyze and see the X-ray and MRI copies and was able to identify the problem that it could be arthritis (Institute for Healthcare Improvement (IHI), 2019). He ordered tests and was found out that it was arthritis. She received a medicine prescription, which helped her to sleep better, exercise more, and keep up with her children.

The lessons learned from this story is that there is a need for patents and persistence when seeking for medical attention because it can take long but final, we will find a remedy to our health challenges (Hirschmann & Raugi, 2012). In addition, it is important for physicians to be keen on their work and make a proper diagnosis so that the patients will not be subjected to more pain (Hirschmann & Raugi, 2012).

As a nurse, the story means that there is negligence in line with the duty of some health care providers. Lives should be valued, and as a nurse, I can be able to do so by doing the work with commitment and passion (Weng et al., 2017). Patients should be highly valued. One can use patients to improve delivery by learning from previous mistakes such as misdiagnosis and the impact of misdiagnosis. One can also use the challenges to come up with standard operating procedures that will help the physicians to make the right diagnosis of patient’s health challenges. Misdiagnosis is expensive for patients (Weng et al., 2017). 

I would use international standard operating procedures in the medical field to analyze the scenario of the patient, Rani, and the challenges that she went through. The standard operating procedures will highlight the mistakes and what ought to be done.

References

Hirschmann, J. V, & Raugi, G. J. (2012). Lower limb cellulitis and its mimics: part I. Lower limb cellulitis. Journal of the American Academy of Dermatology, 67(2), 163-e1.

Institute for Healthcare Improvement (IHI). (2019). Patient Stories. Retrieved from Ihi.org website: http://www.ihi.org/education/IHIOpenSchool/resources/Pages/ImprovementStories/default.aspx

Weng, Q. Y., Raff, A. B., Cohen, J. M., Gunasekera, N., Okhovat, J.-P., Vedak, P., … Mostaghimi, A. (2017). Costs and consequences associated with misdiagnosed lower extremity cellulitis. JAMA Dermatology, 153(2), 141–146.