Factors Associated with Hand Hygiene Compliance at a Tertiary Care Teaching Hospital. Infection Control & Hospital Epidemiology, 34(11), 1146. doi:10.1086/673465 | Background Information | The stated purpose of the article was to identify factors associated with hand hygiene conformity. As stated by Kowitt (2013) hand hygiene is considered the most important measure in preventing hospital-acquired infections which in 2004 related to about 99,000 deaths, affecting 1.7 million patients with a cost of $6.5 billion to the healthcare system. In the abstract, it is stated that these factors were tracked over four years and involved over 161,526 observations of hand hygiene compliance. This initiative was to see if factors are reliable in increasing compliance rates among all categories of hospital workers.
Hospital Acquired Condition: Surgical Site Infection Francine Jackson HCA 375 Instructor Shultz April 1, 2013 The Institute of Medicine (IOM) in a landmark report written in 1999, “To Err is Human,” found that medical errors, particularly hospital acquired conditions (HACs) are a leading cause of morbidity and mortality here in the U.S. IOM have estimated that 44,000 people die each year in hospitals from what is mostly considered preventable medical errors; one being surgical site infections. In 2007, The Centers for Medicare and Medicaid (CMS) began phasing in its value-based program, which links payment directly to quality of care provided. One of the many strategies CMS is using is to transform the current payment
According to Ulrich and Zimring there are 600 articles that explain that the healthcare design can influence patient outcomes are published. When a hospital has a stressful environment to the patient’s healing process with loud intercom systems and machinery, long hallways that echo, bland colors and cramped rooms, it contributes to the patients stress level. These things will hinder a patients healing ability. Promoting and allow the patient to experience their spirituality and assisting them if needed will promote healing by allowing them a feeling of control and familiarity as being at
Hospitals must also submit reports of injury and death to patients that result from infections that were acquired while staying in the hospital (2009 Hospital National Patient Safety Goals, 2008). Conferring to the Centers for Disease Control and Prevention, annually, more than a million people suffer from an infection acquired while receiving services in a health care organization. By following the hand hygiene guidelines provided by the World Health Organization or Centers for Disease Control and Prevention, prevalence of infectious diseases passed from staff to residents will be significantly reduced (National Patient Safety Goals effective January 1, 2012). This results as a consequence of patient safety. Evidence-based practice solutions include health care
The Role of Basin-Less Baths in Reducing Hospital Acquired Infections Patients come to the hospital for treatment, but hospital acquired infections occur in one in 25 patients a day (Centers for Disease Control, 2014). In 2011, “75,000 hospital patients with HAIs died during their hospitalizations” (Centers for Disease Control 2014). Despite the understanding of evidence based practice measures to prevent HAIs, most hospitals are inconsistent with prevention compliance (Krein, Kowalski, Hofer, and Saint, 2012). The treatment of HAIs cost billions of dollars (Centers for Disease Control, 2014). The Centers for Disease Control and Prevention is conducting laboratory research to promote understanding and treatment of HAIs in the nation’s
Facility administrators need to establish a balance between providing a safe environment, while at the same time providing each resident with opportunities for choice, control, and individuality (Kane & Kane, 2001). The staffing levels of professional nurses in a nursing home are not as high as that of a hospital; however, nursing homes have registered nurses on duty that perform assessments, administer medications, perform treatments, and interact with families and physicians, to name some of their many responsibilities. Nursing home residents often become ill. In 1997, there were 1,465,000 nursing home residents and 2.1 million elderly nursing home discharges due to hospitalization and death in the United States (Gabrel, 2000). When a resident is observed to have a condition change, the nurse performs an assessment and makes a decision whether or not to notify the physician and the resident’s family or guardian.
Patient Falls: Relationship with Hospital Magnet Status and Nursing Unit Staffing Introduction Fall of patients in any facility is a proven issue and a complicated problem. Fall causes pain and suffering for the patients and increases the length of hospital stay and health care cost. In this particular research, the association among hospitals Magnet® status, patient falls, and nursing unit staffing were analyzed in a cross sectional study by the use of 2004 “National Database of Nursing Quality Indicators” (NDNQI®) information from five thousand three hundred and eighty eight units in one hundred and eight Magnet and five hundred and twenty eight hospitals without Magnet Status. “Patient
Noncompliance is dangerous for the patient and frustrating for the physician. Up to 11% of hospital admissions, 40% of nursing home admissions, and about 125,000 deaths a year are due to noncompliance with prescribed medication regimens, according to the American Pharmacists Association “Drugs don't work in patients who don't take them (APA, 1994)." It should not be different if the patient is indigent and can not pay the bill because as a healthcare professional you should always treat every patient with the same respect disregarding there economic standpoint, race, or color. The way the economy has been the last couple years has had a big impact on why more patients are noncompliant. Patients will not buy or take medications if they can not afford it.
“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.
Medical Neglection Jessica Turner HCA332: Health Care Ethics & Medical Law Instructor: J. Chambers October 3, 2011 Laws are enacted to regulate human behavior for the benefit of society. In the health care field, occasionally the ethic laws are not always followed (Pozgar, 2010). The Institute of Medicine found that up to 98,000 people die every year from preventable medical errors, which is the sixth leading cause of death (AAJ, 2011). As health care professions, it is our duty to provide quality health care and make sure the law is being obeyed.