ANÁHUAC CANCÚN UNIVERSITY.

BACHELOR´S DEGREE IN MEDICINE AND SURGERY.

Course: Health Quality.

Prof. Dagoberto Rodríguez González.

QUALITY TOOLS

STUDENT:

Sara Ruggiero Portocarrero.

ID: 00437381

Saturday, March 8th, 2024.

 INTRODUCTION

Providing patients with the best care possible is a continuous process in the fast-paced, constantly changing
world of medicine, and it greatly depends on careful documentation, proactive risk management, and efficient
communication. Leading this effort is the Daily Medical Consultation Sheet, a fundamental instrument that forms
the basis of patient care coordination and information sharing in medical environments. Each patient interaction is
meticulously documented in this record, which includes the patient's medical history, current complaints,
diagnostic results, treatment recommendations, and instructions for follow-up. Healthcare professionals may
guarantee continuity of care, promote interdisciplinary teamwork, and monitor patient’s progress over time by
methodically gathering and arranging this data. Healthcare workers must, however, be alert to the possibility of
adverse events—unfavorable results or reactions from medical interventions—as they negotiate the difficulties of
diagnosis and treatment. Unexpected patient susceptibilities, drug errors, surgical errors, nosocomial infections,
and other events can all result in adverse events, which can range in severity from minor annoyances to potentially
fatal consequences. These incidents not only jeopardize patient safety but also call into question the reliability of
healthcare delivery systems, which could erode public faith in medical professionals. As a result, the Daily Medical
Consultation Sheet and the handling of adverse events meet at a crucial point in the delivery of healthcare,
emphasizing the necessity of careful recordkeeping, proactive risk assessment, and prompt response.

Healthcare professionals can build a strong basis for recognizing and managing potential risks by carefully
documenting patient information on the Consultation Sheet. This allows for prompt actions to either prevent or
minimize bad occurrences. In addition, the Consultation Sheet's systematic recording of adverse occurrences makes
it easier to undertake retrospective analyses, create quality-improvement programs, and put preventive measures
in place to protect patient safety down the road. We explore the many facets of the Daily Medical Consultation
Sheet and how adverse events are handled in contemporary medicine in this talk. We seek to highlight their
essential contributions to the overarching objectives of patient-centered care, clinical excellence, and safety within
healthcare systems by exploring their respective responsibilities, problems, and implications. We aim to promote a
culture of continuous improvement and responsibility by acknowledging and accepting these fundamental
elements of medical practice, which will ultimately enhance patient outcomes and quality of treatment globally.
 DAILY MEDICAL CONSULTATION SHEET - HISTOGRAM

Justification:

Encompassing all the necessary components for efficient clinical management, the Daily Medical Consultation Sheet
represents the essence of all-encompassing patient care. This document is a vital resource for assisting healthcare personnel in
navigating the complexities of diagnosis, treatment, and monitoring. It includes information on patient demographics, primary
complaints, medical history, physical examination findings, diagnostic results, treatment recommendations, and follow-up
instructions. The Consultation Sheet supports interdisciplinary teamwork, informed decision-making, and continuity of care by
carefully recording every facet of the patient visit. Utilizing the power of visual representation—such as histograms created from
aggregated data—allows healthcare providers to better allocate resources, improve quality of care, and gain insightful
knowledge about patient demographics, clinical trends, and outcomes. The Daily Medical Consultation Sheet and data
visualization tools work in concert to promote patient-centered care, clinical excellence, and safety in healthcare systems, which
highlights the importance of these responsibilities.

Analysis:

The data that has been presented offers a comprehensive examination of hospital stays, encompassing the quantity of
patients in every duration group, the mean duration of stay, and the incidence of complications during hospital stays. The
distribution of patients according to the length of their stay and the existence of complications is represented visually by the
histogram. The information clearly shows that the frequency of patients encountering difficulties rises with the length of
hospital stay, peaking between seven and nine days in. This raises the possibility that an increased risk of problems is correlated
with lengthier hospital stays. The frequency of patients experiencing difficulties after nine days has significantly decreased,
though, and this could be a sign of better care or discharge arrangements for those who require longer stays. This investigation
emphasizes how crucial it is to keep an eye on patient outcomes and take preventative action to lower the chance of
complications, especially for patients who will be hospitalized for an extended period of time. The data presented also highlights
the need of thorough documentation, like the kind made possible by the Daily Medical Consultation Sheet, in comprehending
patient outcomes and maximizing the provision of care. The Consultation Sheet is an invaluable tool for healthcare providers to
monitor patient progress and identify potential risk factors, such as prolonged hospital stays and the occurrence of
complications, by carefully recording patient demographics, chief complaints, medical history, and treatment plans.
Recommendations:

It is advised to strengthen monitoring measures for patients with extended hospital stays in order to ensure early diagnosis
and intervention for problems and to improve patient care and outcomes based on the study presented. It is possible to ensure
that patients with prolonged hospital stays are discharged in a timely and appropriate manner by optimizing resource use and
standardizing care delivery through the development of evidence-based clinical pathways and interdisciplinary team
communication. Patient safety and satisfaction in healthcare settings can be improved by prioritizing patient education and
engagement initiatives and establishing continuous quality improvement mechanisms, which enable ongoing assessment and
refinement of interventions.
 ADVERSE EVENTS - PARETO CHART
Justification:

The application of a Pareto chart is essential for examining the connections among unfavorable incidents in the medical
domain. It helps to prioritize adverse events by drawing attention to the ones that occur most frequently. This allows key
concerns affecting patient safety to receive quick attention and intervention. In addition, the Pareto chart's visual aids make it
easier to explain complicated information to coworkers, managers, and legislators, which supports the promotion of essential
adjustments or enhancements to healthcare procedures. It can also be used as a technique for root cause analysis, which helps
to find systemic problems with healthcare procedures and pinpoints areas that need more training or protocol improvement to
stop them from happening again. Furthermore, Pareto chart analysis's iterative nature promotes a continuous improvement
culture in healthcare settings by enabling the tracking of intervention effectiveness over time and the refining of strategies to
reach higher standards for patient safety and care quality. The Pareto chart thus becomes a vital tool in comprehending and
resolving adverse events in the medical profession, as a medical student hoping to contribute to safer and more efficient
healthcare methods.
Analysis:

Upon closer examination of the Pareto chart, it becomes evident that medication mistakes and infections are critical areas
that require action due to their significant impact on the overall incidence of adverse events. The information points to certain
areas where infection control practices and medication administration procedures in healthcare settings should be
strengthened. Furthermore, the very low rates of adverse drug responses, surgical complications, and diagnostic errors point to
the need for focused approaches to address these problems, like improving drug monitoring programs and diagnostic processes.
With the goal of lowering the frequency of unfavorable events and improving patient safety, healthcare professionals and
legislators can effectively prioritize resources and efforts by using the Pareto chart. Healthcare systems may continuously pursue
innovation and development while working to provide patients with safer and better treatment by utilizing these insights.

Recommendations:

Pareto chart analysis allows for the proposal of multiple ideas for improvement in different areas of adverse occurrences in
the medical industry. First, frequent staff training on medication safety procedures combined with the use of barcode scanning
systems or electronic drug administration records (eMARs) might greatly reduce pharmaceutical errors during delivery.
Improving hand hygiene practices and putting antimicrobial stewardship initiatives into place are essential measures in
preventing illnesses linked to healthcare. By using decision support technologies and encouraging interdisciplinary collaboration
among medical practitioners, improved diagnostic protocols could reduce the risk of diagnostic errors. Improving patient
education initiatives and medication review procedures can aid in the more efficient detection and treatment of adverse drug
reactions. In order to reduce surgical problems, it is recommended to create surgical safety checklists and regularly undertake
team training and simulations to enhance communication and teamwork within the operating room. These recommendations
focus on the most important adverse events found by the Pareto chart analysis in an effort to improve patient safety and overall
quality of treatment.
 CONCLUSION

The Daily Medical Consultation Sheet and Pareto chart analysis are useful instruments for comprehending and managing
unfavorable occurrences in medical environments. The Daily Medical Consultation Sheet is a thorough tool that helps with
informed decision-making, interdisciplinary teamwork, and continuity of treatment by gathering vital patient information.
Pareto chart analysis, on the other hand, offers a methodical way to rank adverse occurrences in order of importance, allowing
medical personnel to concentrate on important areas like drug mistakes and infections while also seeing places where they may
make improvements in other areas. Healthcare practitioners can work to provide safer, more effective, and patient-centered
treatment by utilizing these tools. It is critical to move forward with the implementation of recommendations resulting from the
Pareto chart analysis and the Consultation Sheet. These recommendations include but are not limited to standardizing care
delivery, bolstering patient education initiatives, and enhancing communication and teamwork among healthcare teams.
Medical students and healthcare professionals can help increase patient safety and care quality in healthcare systems by always
looking for new and innovative ways to improve their practice. Prolonged education and training for healthcare workers is
crucial, in addition to the use of the Daily Medical Consultation Sheet and Pareto chart analysis. Maintaining current knowledge
of emerging trends and best practices in patient care is ensured for medical practitioners and students through ongoing
professional development. Establishing a culture of transparent communication and cooperation across healthcare teams also
makes it easier for information to be shared and experiences to be had, which improves decision-making and problem-solving
skills. Monitoring the efficacy of interventions and pinpointing areas for additional patient care improvement should also be
done through routine audits and quality improvement projects.