Decision Making

Decision Making

In hospitals, decisions have to be made throughout by employees whether they are nurses, doctors or support team such as lab technicians. Employees can choose to do what is right or wrong but it is commendable that a person makes the right decisions at every point so as to avoid causing trouble or hurting others.  In the scenario, Mike, an employee in a hospital as a lab technician is running late for work as a result of an accident that had occurred along the road he was using to commute to work. He however did not wish to be late since he had received a warning from his manager due to his persistent lateness. Mike was therefore keen not to be late again since he could not risk losing his job as he was the sole bread winner of his family. When Mike got to work, he notices a spill on the floor which he ignores as he did not want to lose his job (Allied Health Community).

Consequences Failure to Report

Making a decision requires careful thoughts since some decisions may negatively influence other people. Failure to report a problem in a health institution may result in negative consequences (Newell & Shanks, 2014). The following are some of the consequences likely to be incurred.

Increase the potential of spillage by patients and other employees in the hospital. Some people might fail to notice the spillage as they are coming in for treatment or work. In case a person slips, the facility will incur costs of treatment to that person if he or she suffered injuries. In consideration of Mike, failure to report the spillage will make him feel guilty. Just in case a patient or another employee slips, he will feel responsible and may not be able to perform the day’s activities efficiently.

On the other hand, if Mike reports the spillage, the hospital will be safe since immediate action will be taken. Mike could give a call to his supervisor and inform him of the spillage so that cleaners can be sent to clean it up. The supervisor will consider Mike a very responsible person and may recommend him for higher positions in case of an opening.

Impact of his decision on patient safety, risk for litigation, organization’s quality metrics, and the workload of other hospital departments

The decision that Mike made was not intelligent. A bad decision may lead to a number of undesired results considering patient safety, risk of litigation, organization’s quality metrics and workload of other departments. The following are some of the repercussions that might be encountered as a result of the bad decision.

Compromise the safety of patients; the patients may slip and fall as they are moving around or when they are being helped by caregivers from the doctor to their rooms for those admitted. A spillage may not be easily noticed by nurses since they might be busy attending patients. Patient falls may increase the severity of health conditions (Matters, 2000).

Other losses may also be incurred by an organization in case a patient suffers injuries within the institution. They include lawsuits and loss of patients. A patient that has been affected by the spillage may decide to report the hospital to the authorities and the institution will be charged of carelessness and disregard of safety rules. A huge amount of money may be wasted in getting lawyers to represent them, court fees and also paying for the damages. There is high risk of closure of the institution due to Mike’s ignorance. The health institution may also lose some of their patients or those who intended adopting the hospital as their primary care giver. The reputation of the hospital is hence put at a risk. The quality of care giving is also put into question since simple tasks of maintaining a healthy environment have also not been observed. The rating of the hospital will also get lowered by the board managing health institutions.

Stringent measures may be taken on the cleaning team and the person to whom the area was assigned might lose his or her job. Employees will therefore lose morale in doing their work since they will be operating in fear of being dismissed. Even though they will be more careful while cleaning floors, the motivation will be low. Therefore, the personnel department will have a huge burden of close monitoring of people working for instance cleaners, doctors, nurses, among others so as to ensure that no mistakes, however minute are made (Matters, 2000).

Addressing the Issue and Ensuring It Is Not Repeated

As the manager, there are various measures that I will take to address the issue while ensuring the mistake is not repeated. The following are the steps I will take.

Talk to Mike and hear what he has to say regarding the issue. It is very important to know the reason behind a person’s decision. Different people make different decisions based on the circumstances surrounding them. Talking to him before addressing the other employees is important since it will give him a sense of equity and will stop feeling guilty for the consequences that are brought by his ignorance.

Train Employees on Good Decision Making Skills and Safety. As the manager, I will talk to the personnel manager to arrange training sessions on life skills. Some of the employees may make decisions based on fear and present conditions. A workshop on life skills such as decision making is ideal in any organization (Graban, 2016). Employees should also be made aware of the safety rules in the health institution. Some employees may not be aware of the need to observe safety in the organization. They should be made aware that it is not the sole responsibility of the cleaners to maintain cleanliness. Everybody has a responsibility to maintain cleanliness and embrace safety measures. Employees should be made aware that everyone has a part to play regarding safety of the organization.

Create awareness on the consequences of ignorance in critical matters. If employees are educated on the risks that are associated with ignorance in a health institution, they will be more responsible and open minded. Safety will therefore be embraced in the organization since some people act the way they due to lack of knowledge.


Allied Health Community. (n.d.). “Critical Decison Making for Providers”. Retrieved from

Graban, M. (2016). Lean hospitals: improving quality, patient safety, and employee engagement. CRC press.

Matters, P. (2000). Improving the safety of health care: the leapfrog initiative. Effective Clinical Practice.

Newell, B. R., & Shanks, D. R. (2014). Unconscious influences on decision making: A critical review. Behavioral and Brain Sciences, 37(1), 1-19.


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