Structure is measured by the staff: amount, skill-level, and education or certification. Process indicators measure the facets of nursing care, such as assessment and intervention. Outcome indicators refer to patient outcomes that are affected by nursing care and are considered nursing-sensitive if directly affected by the quantity or quality of the nursing care (ANA, 2013). Through understanding of nursing-sensitive indicators and integration into daily practice, the staff caring for Mr. J could have been more aware of potential issues that interfere with patient care. Knowledge of the increased risk for pressure ulcers and the need for frequent turning and off-loading of pressure points could have allowed the staff to prevent the one forming along Mr. J’s spine.
The Effect of Computerizing Physician Orders to Prevent Medication Errors Background: Medication errors at the time of hospital admissions and discharges are common and can lead to preventable errors. The objection of this paper is to show how computerizing physician orders can help alleviate that problem and reduce it remarkably. Problem: The pt. was given the wrong dosage of 2 weeks supply of medication. Solution: Computerizing Physician Order Entry Proposed Improvement Plan: I choose this cause because it happen so often at my facility that pts.
At Hospital XYZ, during the morning period of 8am to noon, the wait time from when a physician orders an X-ray to the time the patient returns from having it done is too long as this is when most of the X-Ray orders are given and there is a backlog of patients. During a process mapping exercise, it is determined that a large number of orders given during this time were "catch all" orders, where the physicians are ordering them just to be on the safe side. In order to fix this problem and not the symptom, the hospital should: Complete in-service training about the "catch all" orders 5. Workflow and process mapping should occur in the middle to late planning stages of an EHR implementation because you will have figured out all of your "bugs" by then.
Biosimilars – Does it reduce healthcare cost or not? As the US healthcare costs are skyrocketing, the legislators are making intensive efforts to find new ways to reduce them. One approach is to reduce the high cost of biologic drug products. Having the intention to reduce healthcare costs, the Congress established an abbreviated approval pathway for biosimilars as part of the Affordable Care Act (ACA), which became law in March 23, 2010. The Affordable Care Act authorized the US Food and Drug Administration (FDA) to develop regulations for the approval of biosimilars.
According to Sollecito and Johnson (2013). “At often times Quality management is a systemic and continuous development that organization used to deliver products, services, and to distribute merchandise that will meet or exceed consumer expectations. Quality management in healthcare has evolved over the years to address increased demands from consumers related to the quality of care as well as to address problems in patient outcomes” at often times the meaning of quality is elusive because it looks different from one individual to another. According to Shannon (2012). “Risk management involves a process of making and carrying out decisions that will assist in the prevention of adverse events and minimize the effects of those events.
Dangerous abbreviations may still be used by pharmacy professionals. • How might gaining an expertise of roots, prefixes, and abbreviations used in the pharmacy field assist you in your practice? Is there a situation when it would be inappropriate to use abbreviations? How might patient safety be affected by pharmacy personnel who understand roots, prefixes, suffixes, and abbreviations? 2.
The patient may be on a time constraint but this liability is much more important to weigh. The medication that is being requested can make a great difference with the process of filling or refilling a prescription. Although high blood pressure medication is not a controlled substance, the authorization of medication has a process. Jerry should follow the practices policy and procedures with the prescriptions. If the patient has an adverse reaction to the medication, and it is documented that Jerry authorized the
Even after multiple techniques that been implemented, such as, hand hygiene posters above sinks, there is non-compliance in hand hygiene by medical professionals. With the increase in hospital-acquired infections, it is important that medical professionals are complaint and follow standard protocols that have been implemented on hand hygiene. Decreasing the incidences of hospital-acquired infections will improve the quality of life of the patient as well as decrease the cost spent to treat infections. B. Quantifiable Measures. List and define all quantifiable measures used in this activity.
The medical coder will need to make sure that codes are not being unbundled and the global period pertains to surgical procedures. Next the coder would need to compare the providers evaluation and management codes with the national average. When this is done patterns of fraud may be able to be seen. Using modifiers correctly is also a part of the compliance strategy. Modifiers help with duplicate billing and unbundling of codes.
As healthcare needs continue rise and the population ages, I believe a shortage in nursing may be imminent based on these subsequent rationales that are discussed. On March 23, 2010 the Patient Protection and Affordable Care Act (ACA) was signed into law. Lanthrop and Hodnicki stated in their article, “It is the most expansive healthcare reform legislation in the United States (US) since the creation of Medicare and Medicaid in 1965” (Lathrop, 2014). The healthcare reform was put into legislation to decrease the number of uninsured Americans by providing accessible, affordable, quality healthcare. In 2011, it was predicted that the number of Americans uninsured would be reduced by more than half when the Act is fully implemented (Rosenbaum, 2011).