Sample Solution

I recently observed a broken process in one of my clinical rotations that I believe was unsafe for patients. In the rotation, we were monitoring a patient with unstable vital signs due to sepsis and it became apparent that there was a lack of communication among caretakers. The attending physician had requested several interventions but none of them were being implemented due to incorrect information being relayed between various members of the team (McColl-Kennedy & Anderson, 2016). Furthermore, not all staff members involved with caring for the patient had received an adequate briefing as to what was expected from each individual leading to confusion over who should be taking responsibility for which tasks (Hall et al., 2011).

The leadership style used in this situation appeared to be authoritarian. This is evident from how the attending physician gave direct orders without consulting anyone else on the team or providing any explanations as to why those instructions must be followed (Riggio & Tan, 2010). Additionally, he insisted that his orders take priority over any conflicting instructions given by other individuals resulting in further confusion among staff as well as delays in implementing necessary interventions for the patient’s care(Hall et al., 2011).

Overall, I believe this broken process posed significant danger towards the patient’s health and safety due to a lack of communication amongst caretakers along with ineffective leadership. Specifically, an authoritarian approach seemed to be employed whereby direct orders were given without explanations while conflicting directives, caused further delays. By contrast, collaborative approaches may help foster better understanding between team members while also allowing everyone more time to consider implications before making decisions.

I observed a broken process that was unsafe for patients while working in an outpatient radiology department. The process involved ordering and scheduling MRI scans, which were regularly mismanaged due to inadequate communication between the radiologists’ office, front desk clerks, and other departments. Often patients would wait weeks without being informed of any changes or delays in their appointment times. Additionally, there was no system in place to track what stage each order was at in terms of completion or if it had been sent to the correct department for processing. As a result, orders were often missed or delayed until after the patient’s appointment date had passed by without any explanation from the clinic staff.