GI Unit Leadership: (Re)Starting Your Quality Program (On-demand) | February 2023-00_ASGE Unit Leader Course

00_ASGE Unit Leader Course_Case Studies

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Creating a Healthy Work Environment Case 1:<br />In this case, a senior nurse in an ASC has become passive-aggressive towards assignments, causing physicians to request other nurses. When confronted, the nurse threatens to sue for racial discrimination if her assignment is changed or if she is fired.<br /><br />Creating a Healthy Work Environment Case 2:<br />The nurse manager at a hospital endoscopy unit discovers that long-time staff members are dissatisfied and morale is declining. This is due, in part, to travel nurses making more money without putting in the same level of effort. Some employed nurses are now looking for other jobs.<br /><br />Delivering High-Quality Care Case 1:<br />The colonoscopy prep scores and the number of colonoscopies requiring repeat procedures are worse compared to the affiliated ASC. The team needs to identify steps for improvement.<br /><br />Delivering High-Quality Care Case 2:<br />A physician consistently has an ADR score of 16% over the past year. The team needs to address this issue and determine the appropriate action.<br /><br />Delivering High-Quality Care Case 3:<br />Expenditures for hemoclips have increased significantly in the past year, and it is discovered that two physicians are using hemoclips excessively. The team needs to initiate a cost-effectiveness project and consider factors related to hemoclip use and clinical decision-making.<br /><br />Empowering Exceptional Patient Experience and Safety Case 1:<br />A patient complains about the care he received during a procedure, mentioning rude behavior from the pre-procedure nurse, inadequate sedation from the anesthetist, and a lack of communication from the endoscopist. The director and nurse manager should address the complaint and take steps to resolve the issues.<br /><br />Empowering Exceptional Patient Experience and Safety Case 2:<br />During a maintenance check, it is discovered that the disinfectant intake valve in an endoscopy washer is not functioning correctly, potentially leading to inadequate disinfection. The appropriate action needs to be taken to fix the valve and ensure proper disinfection.<br /><br />Empowering Exceptional Patient Experience and Safety Case 3:<br />The nurse manager discovers biopsy specimens from a patient's EGD still on the table, indicating errors in specimen collection. Given the unit's short-staffing and previous errors, steps must be taken to address the situation and prevent future mistakes.

Keywords

passive-aggressive behavior

racial discrimination

dissatisfaction

travel nurses

colonoscopy prep

ADR score

hemoclips

patient experience

disinfectant intake valve

biopsy specimens