Critical Decision Making: Mike’s Case

Case description

Mike, who works as the lab technician, was warned about his lateness by the manager. In case the situation remains the same, Mike would be fired. For this reason, he is in a hurry now as he needs this job very much. However, while entering the hospital, he observes a spill on the floor. Mike could perform some actions and become late again, or he could ignore it, trying to arrive in time and improve his image. His actions will have certain circumstances.


Besides, It is obvious that if the given situation poses a certain threat to security as both Mikes colleagues and patients could fall and become injured. Yet, a patient who was admitted to the hospital suffered from Mikes failure to report about the given situation. The patient appears to have a broken hip because of the failure and severe pain. However, the patients injury is just the first concern as the patient is able to file a lawsuit against the hospital as it is its fault. In case the given organization loses the cage, it might be obliged to pay a great fee to compensate the patients sufferings (Rowe, 2012). One realizes the fact that Mikes inability to inform the officials of the hospital or a responsible worker about the dangerous situation could trigger significant processes that will deteriorate the hospital’s image and result in various claims. Additionally, if the patient does not recover from the injury, the given organization will become responsible for the significant deterioration of the quality of his life. This fact will also promote some additional penalties and fees.

The impact of Mikes decision

Furthermore, being the representative of a certain organization that cares about peoples health and tries to preserve its image, Mile should also have thought about the way his decision might impact his colleagues, the companys performance, etc. It is obvious that all patients entering the hospital were endangered because of the high fall risk. Moreover, the given case provides the ground for the reorganization of the functioning of other departments, as it signals the lack of attention and certain experiences needed to provide a safe environment for all patients (Spoelstra, Given, & Given 2011). Risk management is one of the crucial aspects of the functioning of organizations of this sort as statistical evidence that falls are one of the main reasons for various post-treatment complications in hospitals (Inouye, Brown, & Tinetti, 2009). For this reason, it will also trigger the change process to improve risk management and guarantee the absence of accidents of this sort. Additionally, the quality metrics will also be impacted by this accident as the organization has to reconsider it to guarantee the improvement of its image.

Top managers actions

Nevertheless, the top management should also respond to the given situation providing certain actions that will have a great beneficial effect on workers mentality and their attitude to the job. Mike should be shown the consequences of his action. Moreover, their negative impact on the companys performance should be emphasized. It is crucial to explain to all employees that their actions influence the hospitals image and result in the increase or decrease of patients satisfaction. The lack of patients will condition the collapse of the given organization and Mike along with other members of the staff will be deprived of their main source of income. In these regards, everyone should care about the companys image and respond attentively to the slightest changes.


Inouye, S., Brown, C., & Tinetti, M. (2009). Medicare Nonpayment, Hospital Falls, and Unintended Consequences. The New England Journal of Medicine 360, 2390-2393. Web.

Rowe, R. (2012). Preventing Patient Falls. What Are the Factors in Hospital Settings That Help Reduce and Prevent Inpatient Falls? Home Health Care Management, 25(3), 98-103. Web.

Spoelstra, S., Given, B., & Given, C. (2011). Fall Prevention in Hospitals. An Integrative Review. Clinical Nursing Research, 21(1), 92-112. Web.

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NursingBird. (2021) 'Critical Decision Making: Mike's Case'. 25 April.


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NursingBird. "Critical Decision Making: Mike's Case." April 25, 2021.