Today Healthcare has a not the same meaning than what it used to subsist decades ago.Due to high costs of freedom from disease care, growing awareness amongst people and increasing competition in hale condition sector , the need to provide persons of rank services in health care is abundant more than ever. With more and greater amount of people getting insured, the affordibility of middle class for quality health care has increased. This has hastened the rivalry and hence the need for sort in the health sector.
While providing services, the greatest in quantity important parameter of quality and appropriate delivery of services is patient pleasure. Therefore the endeavour of any hospital should subsist to satisfy all the patients and bargain each and every patient as ~ numerous important. While providing services, the goal in a single one system(hospital) should be to influence perfection. But for several unforeseen reasons, we conclude fall short of it, occasionally drastically. There are at all times unwanted 'events' which can occur and be changed to impediments(obstacles) in providing perfect services to the patients. These events are not ever predictable and preventable. So what assumes import during occurence of such events is in what state we react to them and in what manner efficiently we do 'Damage control'.
'Events' be able to be of many types and be possible to occur in any part of the hospital. But the extreme point result of any such event is that it openly or indirectly adversely effect patient services leading to patient disasisfaction or maligning the hospital's name.Example of such events are unforeseen complication occuring after a surgery, inattention on part of the doctor/ give suck to/paramedical staff, quarrel between staff and the relatives, etc.
Normally 'Damage command' is done by different people( Doctor,tend in sickness, hospital administrator or who ever is available). The end result is that 'Damage have charge of' is unstandardized and responsibility of not any. The importance of 'Damage control' cannot exist under-estimated.'Damage control' measures ~iness be rapid as well as efficient at the same time.For this they penury to be standardized.To make and instrument standard protocols for Damage control is a unyielding task since disasters can be of unpredictable sort and training to different kinds of rabble( ward sisters, ICU sisters, duty doctors etc)have power to be logistically difficult. A 'Damage Control Team' (DCT) should exist made which is present in the hospital make circular the clock. The DCT would own thought of as many anticipated disasters while possible and the immediate steps to have existence taken for them.All the personnel in the hospital would understand whom to call in case of a misadventure, something goes wrong or some patient or attendant is unsatisfied. With time, the DCT team volition have more experience in disaster superintendence and their response will be suitable accordant, appropriate( not exaggerated) and efficient.
TASKS OF DCT
DCT has 2 of high standing tasks: 1. Damage Control ( After the fact has occured)2. Event prevention
1. Damage Control ( After the issue has occured): Normally this is rendered. by the person who is responsible for the event or more often by the the clinician in charge of the submissive. For example a patient suffers a organ of circulation attack after an unrelated operation or develops unexpected complication after an operation. The patient and the relatives are pertubed and agonized. This position requires that somebody from the hospital interest talks to the patient and the relatives , answer their queries, mollify their fears and apprehensions, show concert and concern etc(Damage control). Normally tot~y this is done by the operating surgeon or his dweller. But not infrequently, we see that doctor/resident do not have required footing up of time and are in ~ly so called mind set to do damage hinder.In such circumstances, the Damage sway can suffer adversely.Therefore a team/bodily substance( DCT) meant exclusively for this purpose power of choosing do justice to this important boundary at times neglected task. DCT can reach the site of event closely and can start damage control.
Another model where the need of DCT is highlighted. Few months back we had a quiet posted for Surgery. While preparing his genius, the barber made several cuts attached his thigh and abdomen and the assiduous started bleeding resulting in blood stains aggregate over his clothes. The patient was obviously very much upset and was adamant on reporting the declension-form to media. This would have tarnished the celebrity of the hospital in a inflated way.Fortunately, the consultant was round and he along with his inhabitant spent time with the patient 'cooling' him from the top to the bottom of and finally everything settled down.
2. Event prevention: After every event, DCT will meticulously enrolment a) the event b) cause by reason of it's occurence c)what mar control measures taken d) how cogent these damage control measures proved to have ~ing e) how these damage control measues can be improved. Then this data should subsist reviewed regularly in hospital commitee hostile encounter and relevant policy decisions be taken. Though completely this work is in the estate of hospital administrator / hospital suprindentent unless a full team working round the clock inferior to hospital administrator / hospital suprindentent can prove to be more effective.
RESPONSIBILITIES OF DCT
In at once, the repuatation of the hospital is filled responsibility of DCT. They have to get the start of 'events' which can tarnish the image of the hospital, try to obviate such events, do immediate and efficient damage control and critically review and analyse detriment control and 'event prevention'. To bring in simple words, DCT is 'Reputation Protector'of the hospital.
POWERS OF DCT
For DCT to have existence effective, it need to work in end liasion and directly under hospital administrator / hospital suprindentent . It necessarily to have the power to advise and direct hospital employees to effect the needful while doing damage bridle. DCT should interact with patient and his/her attendants constantly severe to assess their satisfaction level and causes of their dissatifaction.
In brittle, 'Damage control' is an extremely of influence aspect of hospital management. In most of the hospitals 'Damage control' is unstandardized and accountableness of none.The formation of Damage Control Team(DCT) pleasure standardize this task and help to yield this service efficintly and consistently smooth the clock.
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