This in turn exposes not only patients, but also nurses to a significant amount of noise and alarms, ultimately leading to the clinical problem called alarm fatigue. As defined by the Joint Commission, alarm fatigue is known as the desensitization of medical staff as a result of sensory overload. This overload ultimately results in a delay of an alarm being answered, and sometimes someone completely missing the alarm altogether (The Joint Commission, 2015). Alarm fatigue has been recognized as a contributing
RUNNING HEAD: THE ISSUES 1 The Issues of Overcrowding in Prisons By Barbarito Capote ENGL107-1203B English Composition 2 July 29, 2012 RUNNING HEAD: THE ISSUES 2 Outline: I. Intro a. Overcrowding in prisons a huge issue i. Not enough prisons to reduce overcrowding b. Solutions to prison overcrowding c. Prisons as an end result have suffered from overcrowding causing higher suicide rates as well as increased diseases, sharing of beds and toilets, etc. Because of this overcrowding of prisons is a big issue.
The coordination of patients is also poor which can result in devastating delays in diagnosis and treatment of patients. The community also has very poorly organized programs for cancer prevention and community education. Education is a key factor in the health of the community and getting early diagnosis of treatable cancers. Orthopedics As seen in the trend with oncology the orthopedic needs of the community are expected to grow by 46% in the next five years, with inpatient spine and joint procedures increasing by 30% and outpatient spine and joint procedures increasing by 350%. All of these numbers show a huge increase in demand.
“Fraud and the abuse of healthcare services in the U.S. cost an estimate $125-$175 billion annually. This represents the second largest component of the 600-850 billion surpluses in healthcare spending. Examples of fraud and abuse range from intentional misrepresentation of services that result in higher payments, billing of unperformed services, the deliberate delivery of unnecessary and inappropriate services for the express purpose of receiving the payment.”(Foster, 2012) The high cost of frauds is affecting patients because they are being exposed to unnecessary test and procedures. Because of the high cost of frauds the patients that really need help, like Mr. Davis, ends up suffering due to diminished quality of care. They also may be targeted as a people that are frauding the government because of all the medical attention they need.
The spending grew at an exponential rate nationally, while in recent years the growth in corporate costs slowed to a standstill (AFSCME, 2015). This has caused a downward trend in spending and is not sustainable for the future. Costs will be required to be cut by the hospital, which will cause difficulty in providing quality healthcare to all patients. Trinity Community Hospital ensures patient care is consistently high in quality and the service excellence is high priority for patients and staff. With values in service excellence, quality and safety, growth and profitability, and staff achievement, it’s important to remain knowledgeable of the national trends in healthcare as it may have a larger impact in how Trinity may deliver healthcare to the orthopedic, cardiovascular, and cancer centers.
ASEPTIC, ASEPTIC NON-TOUCH AND CLEAN TECHNIQUE POLICY INTRODUCTION Healthcare Associated Infections (HCAI) has been classified as a major patient safety issue in the United Kingdom (UK) hospitals as well as the National Health Services (NHS) as a whole (Health Infection Society 2007). The impact of HCAIs has become a priority for all NHS organisations because with an annual prevalence of 8.2% which equates to approximately 300000 patient incidences, HCAIs are inevitably associated with increased morbidity and mortality as well as increased healthcare costs (National Audit Office (NAO) 2009).This assignment aims to critically evaluate the impact of the NHS Trust (2010) Aseptic Non-Touch Technique (ANTT) policy and its role in the fight against HCAIs. The reason and aim of the development of this policy will be discussed as well as a critical analysis of the purpose of the implementation of related policies. The target population, impact of launching the policy and the leadership and management styles required for the implementation will be discussed in this assignment. Critical analysis will be maintained throughout the essay including the effectiveness of the monitoring, quality assurance or audit mechanisms in place.
EMERGENCY NURSES ASSOCIATION POSITION STATEMENT CROWDING IN THE EMERGENCY DEPARTMENT STATEMENT OF PROBLEM Crowding in our nation’s emergency departments is of increasing concern to health care professionals and health care consumers alike. Although the issue of emergency department (ED) crowding in the United States has appeared in the emergency health care literature since the early 1990s, it has received greater coverage during the last few years, capturing the attention of many Americans and policymakers.1-4 ED crowding can be described as “a situation in which the identified need for emergency services outstrips available resources in the emergency department. This situation occurs in hospital emergency departments when there are more patients than staffed ED treatment beds and wait times exceed a reasonable period.”5 When crowding occurs, patients are often placed in hallways and other non- treatment areas to be monitored until ED treatment beds or staffed hospital inpatient beds become available.6 In addition, crowding may contribute to an inability to triage and treat patients in a timely manner as well as increased rates of patients leaving the emergency department without being seen.4,6 As a result of crowding, hospitals often implement ambulance diversion measures, which means ambulances that would otherwise bring patients to the facility’s emergency department are directed to nearby emergency departments instead.4 In many cases, ambulance diversion may be an ineffective response to crowding.5-9 For example, when one hospital goes on diversion, other area hospitals may begin diverting ambulances as well, potentially resulting in ED crowding throughout the community.8,9 In response to growing national concern over ED crowding, the U.S. General Accounting Office (GAO) conducted a study of hospital emergency departments in metropolitan
The Oncology, orthopedic services and cardiovascular services existing resources unable to keep up with the current, and growing demand. The rate of cancer is expended to increase by 34% in the next five years (Western Governors University, n.d.). Increased smoking is contributing to a higher diagnosis of cancer. The equipment used to help diagnose cancer is not able to keep up with the growing patient volume. The hospital needs to look at expanding, and adding linear accelerators, operating suites, advanced imaging equipment, and chemo units (Western Governors University, n.d.).
Transporting a patient from a hospital bed to a wheelchair is one of many examples of this procedure. The underlying issue with these standard practices is the constant strain that is applied to the caregivers’ bodies when lifting their patients and the lack of mechanical patient lifts that are both affordable and maintainable. In the United States alone, nursing aides and orderlies suffer the highest prevalence (18.8%) and report the most annual cases (269,000) of work-related back pain among female workers. [1] The notion that a first world country has a significant problem in its health care industry is alarming, considering the financial resources and capabilities it possesses and the fact that we have not even yet considered the statistics of work-related back problems in 3rd world countries. Fore/aft Lift Figure 1: Fore/aft lift technique [2].
Unfortunately, overcrowding of classrooms lead to many problems in the long run for the most part. This is one of the reasons that the public school system in the United States has taken such a bad rapport. But, the short-term and long-term effects of overcrowded classrooms are very detrimental. What are the effects in the first place? Standards for overcrowding The standards for overcrowding as defined by the World Health Organization is as follows: 2.1 The room standard heroom standard is contravened when the number of persons sleeping in a dwelling and the number of rooms available as sleeping accommodation is such that two persons of opposite sexes who are not