However, not all of the new technology will successfully emerge into the health care system because it is very costly to implement. Consumerism and patient empowerment is also a change that has taken place and this involves the public having a higher expectation of the quality of service being provided. Recent studies reveals that patients are now demanding more information, and wants to be involve in the decision making when concerning treatment options. The demands for more information are supported by trends in ethics and law regarding patient autonomy and informed consent. Patients within the last
MEMO From: Joshua A. Burger (Gibbs), Phlebotomist, Genesys Regional Medical Center To: Office of Susan K. Kolka, Hospital Administrator, Genesys Regional Medical Center Subject: Excessive needlestick complaints and proposed corrective action 11/11/2009 Introduction Statement of Problem Inpatients of Genesys Regional Medical Center are complaining of excessive needlesticks during their stay at our facility. After receiving dozens of complaints, policy changes were made to allow the patients to receive a heparin lock as standard procedure, but the complaints continued. To promote patient comfort, safety, and well being, the hospital needs to take immediate action to reduce the number of needlesticks that our patients must endure
Central Line Infections When a patient receives a service in the hospital, he expects the quality of service to be adequate for his care. Unfortunately, there are many services in healthcare that need quality improvement. CLABSI is one of the most deadly infections in the U.S. Reduction of CLABSI can happen with the cooperation of healthcare staff and systems. With CLABSI on the rise, healthcare staff needs to be effective in their care for quality improvement in patient safety and patient centeredness.
Staffing issues Sandra Terry Drexel University Critical issues facing most hospitals and long term facilities today is staffing correctly on nursing units for the number of patients and acuity of patients. What happens when the nursing units are not staffed adequately from budget cuts, illness or nursing shortage, and what can be done? When units are not properly staffed, there is an increase in mortality nurses run the risk of medication errors, missed charting, decreased patient satisfaction, and the possibility of having a hospital stay longer than necessary. These issues are usually the result of nurses unable to take the time needed to assess their patients. When there are more patients to handle than time allows nurses might take short cuts in their nursing care.
INTRODUCTION Over the past decade, nursing shortage has been an epidemic. Facilities often find it difficult to obtain adequate staffing. In an attempt to correct this problem, many facilities have decided to utilize mandatory overtime. Overtime is defined as “the time one spends doing their job in addition to their regular scheduled hours” (Dictionary.com, n.d.). Once in a while overtime may be beneficial, but logbooks indicate that it is been used too frequently in hospitals and other nursing facilities.
As these programs are developed strategies and standards are addressed and barriers identified to ensure success of preventing falls. Falls are a serious concern among the elderly population, and a major concern within the health care community. Falls are the most adverse event reported in hospitals and are leading cause of death in patients 65 years or older. Nation-wide the average rate for a first fall range from 2.2 to 3.6 per 1000 patient days. Litigations related to hospital falls is growing in both frequency and severity; hospital administrators are in a quandary on how to reduce patient falls.
When patients only seek healthcare from an emergency provider their care is more expensive and may be disjointed because emergency providers do not have access to a patient’s complete medical chart. In this situation, duplicate testing is done and medications may be prescribed that are not safe for the patient. The use of the emergency room as a primary care provider and the disjointed care of patients in the emergency room are two of the many challenges that healthcare providers and governments face when a patient with chronic health problems loses their healthcare coverage. One step that may assist governments in providing safe and effective care for patients who do have chronic health issues but do not have health insurance is to provide a healthcare insurance program where the premium cost for the
This is a community problem because overcrowding an emergency department with patients which conditions that could've been prevented or treated elsewhere can cause delay in services for patients that are in true need of emergency department. Due to overcrowding in the hospitals ambulance with emergencies can be diverted to other facilities, it also affect the availability 0f beds in a hospital, it can cause people in need of hospital services to drive further away from a nearby hospital, and along with the increase of taxes paid to the government. Overall due to all these delays in services it can lead to poor health outcomes. The overall goal of community health is to improve the health of the communities and vulnerable populations. This can be achieved by providing services that can be useful to the community.
The fall itself causes the older adult to develop a fear of falling and impacts their everyday life. This fear could cause the individual to limit activities, which leads to lowered physical fitness. With the older adult not getting proper exercise, will in turn increase their actual risk of falling. Patient falls in hospitals will always be a major and costly problem. In 2008, the Center for Disease Control and Prevention (CDC) made a new payment guideline on inpatient falls for Medicare to follow.
Affect on Nurses Readmission is costly, especially as proposed new guidelines could deny reimbursement for readmissions. (Robinson et al., 2012). Due these to Medicare reimbursement reductions, health care facilities are looking for ways to offset the decreased reimbursements. Nursing staff have felt the affects -mass lay-offs -decreased pay and benefitsm -increased patient load -decreased support staff -accountable to help prevent hospital readmissions/ increase quality measures Affect on Nurses Provisions in the ACA include increasing both the workforce numbers and providing support training of healthcare professions (Archer, 2012).Through theses provisions in the Reform Act there are increased opportunities in geriatric healthcare.