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

00_ASGE Unit Leader Course_Case Studies

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In case 1, a senior nurse in an ASC has become passive-aggressive with her assignments, causing dissatisfaction among physicians. The nurse threatens to sue for racial discrimination if her assignment is changed. <br /><br />In case 2, the nurse manager of an endoscopy unit discovers that her staff is becoming dissatisfied because travel nurses are earning more money while not working as hard. Some employed nurses are looking for other jobs. <br /><br />In case 1 of delivering high-quality care, the colonoscopy prep scores and the number of colonoscopies that need to be repeated are worse in the hospital endoscopy unit compared to the affiliated ASC. <br /><br />In case 2, a physician consistently has a high adenoma detection rate (ADR) score, and the unit director wants to know how to address this. <br /><br />In case 3, a practice ASC notes a significant increase in expenditures for hemoclips, and two specific physicians are identified as using hemoclips extensively. The leadership team seeks suggestions for a cost-effectiveness project. <br /><br />In case 1 of empowering exceptional patient experience and safety, a patient complains about rudeness, insufficient sedation, and lack of communication from the medical team during his procedure. He threatens to escalate the complaint to the CEO and post it on social media. <br /><br />In case 2, a biomedical engineer discovers a malfunctioning valve that could have resulted in inadequate disinfection in the endoscopy washer. <br /><br />In case 3, a nurse manager finds biopsy specimens left unverified before a subsequent procedure, leading to multiple specimen collection errors. The unit has been short-staffed, contributing to the problem.

Keywords

passive-aggressive behavior

physician dissatisfaction

racial discrimination

travel nurses

employee dissatisfaction

high-quality care

adenoma detection rate

expenditures

patient complaint

malfunctioning valve