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.
34, No. 11 p. 1146-1152. | Background Information | This study reports, in 2004 hospital infections accounted for 99,000 deaths, affecting 1.7 million patients. The authors also present the argument hand hygiene practices among healthcare workers average 5% to 89 % compliance rate. Several interventions have been implemented by hospitals to improve hand hygiene compliance.
As a baseline measure for one time period, what is the labor utilization if 30 prescriptions arrive between 8 a.m. and 9 a.m. on Monday and four or five pharmacists are on duty doing all seven steps? (You do not have the data to evaluate staffing levels by hour of the day for Monday.) If 4 pharmacists does all steps then Utilization = 107% If 5 pharmacists does all steps then Utilization = 86%. 3. Clearly identify two other ways to group and divide the work among the medical technicians and pharmacists, compute labor utilizations, and discuss the advantages and disadvantages of each job and process design option.
In 2006 1/3 (about 29%) of claims paid by Medicare for “durable medical equipment” was incorrect for fiscal year 2006. Medicare and private health insurance companies pay nearly $16 billion a year for unnecessary tests doctors tell their patients they need. An estimated $23.7 billion in incorrect payments were made in 2007 including $10.8 billion in Medicare and $12.9 billion for Medicaid. From 2000 – 2007 478,500 claims were made and paid to dead physicians, this totaled $92 million. Improper payments to individuals, organizations, and contractors in 2009 totaled $98 billion, of that $54 billion were due to Medicare and Medicaid.
Why? d. What teaching interventions would you provide to the client after the change in prescriptions you recommended? (List at least 3 interventions) 2. Mary S. is an attorney (who is 48 years old) who has suffered from epilepsy for about 25 years and is taking the medication phenytoin. You are looking at her electronic medical record and note she has missed several of her quarterly MD appointments.
I have chosen the priority focus area of Infection Control to discuss regarding current compliance standards of our hospital. The focus will be on the standards which failed to meet 100% compliance with the Joint Commission Accreditation. With a proper infection control plan, the hospital will experience harm reduction, resulting in an increase in patient satisfaction. Areas to Monitor One area of focus will be to reduce the risk of health care associated infections through proper hand hygiene. Over the last 3 years, hand hygiene compliance has increased from 46% to 92%.
Using SwabCap® to Reduce the Number of Central Line Associated Blood Stream Infections (CLABSIs) Dawn E Bennett Joliet Junior College Nursing 260 Using SwabCap® to Reduce the Number of Central Line Associated Blood Stream Infections (CLABSIs) According to the Centers for Disease Control and Prevention (CDC), every year health care associated infections (HAIs) affect 5% of hospitalized patients in the United States. CLABSIs are a deadly HAI, with a mortality rate of 12%-25%. In 2009, the number of CLABSIs in an Intensive care unit (ICU) setting was estimated at 18,000, and for patients in an inpatient ward was an estimated 23,000. Patients receiving hemodialysis as an outpatient in 2008 had an higher rate of CLABSIs, with an estimated
Lin Article Critique: Part 2 Dustin T. Rheel Liberty University Counseling 503, D22 Professor Carlene Taylor November 25, 2012 Critique of Population and Sampling In the Lin, Mack, Enright, Krahn, and Baskin article (2004) article, they sampled forty-three participants from various drug rehabilitation centers. These participants were suffering from alcohol and other drug dependences. Some of the participants were referred by the therapist and then the suggested participants then had the option to participate or not, thus making the sample used not random. Even though the sample was not random, they were randomly selected to be in one of 2 groups, Forgiveness Therapy (FT) or Alcohol and Drug Counseling (ADC) (Lin et al., 2004).
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
Studies in England have shown that a quarter of adults aged 16-24 were drinking more than the recommended limits. It also showed 8.2 million adults were in need of some form of medical intervention (Drummond et al, 2004). SOCIOLOGY- The definition of sociology is the study and understanding of society, origin, development, and structure of human societies. (Oxford mini dictionary for nurses, 2011). It also studies the behaviour of individuals and groups within society.