TASK 1 The research obtained in this particular study does support the conclusion. When all five area’s were studied, it verified that the incidence of ventilated associated pneumonia was decreased when oral care and dental care was performed onto these mechanically ventilated patients. The background information that was provided was direct, to the point and relevant to the impact of today’s heath care. Millions of dollars are being spent every year for incidences within hospitals that can be prevented and this study was set out to prove just that, that ventilator associated pneumonia can be prevented. The logic was simple.
Prescription drugs were involved in 20,044 deaths and 14,800 of these deaths were prescribed opioids (Warner et al., 2011). Physicians are the first line of defense in decreasing prescription drug abuse. The prescribed milligram per person of opioids increased from 74 milligrams to 369 milligrams from 1997 to 2007, an increase of 402% (Whitehouse, 2011). The Whitehouse has created a prescription drug abuse prevention plan that has four major areas to reduce prescription drug abuse. One area discusses physician education and another deals with monitoring patients (Whitehouse, 2011).
Reflection and analysis on falls prevention in hospital I recently applied for a job as falls nurse specialist. For the purpose of interview I prepared a presentation on “The role of junior nurse specialist in falls prevention” (see Appendix 1). By doing research on the subject and reading different policies I realised that my knowledge was insufficient and this helped me to improve my comprehension. In this assignment I will analyse the literature about falls prevention in a hospital setting and relate my knowledge to practice area, in order to improve patient care. According to National Patient Safety Agency (NPSA) (2007) each year more than 200 000 falls are reported in hospitals across England and Wales.
Unfortunately the diagnosis is not most of the time effective before doctors start the treatments. Let us notify that the number of kids under medication is growing and medications given to them are primary used for adults. If we follow the statistics of Judith Warner after her research the number is about 5 to 20 percent of kids under psychotic medications. In 2002, other statistics showed that two million of pediatric prescriptions were written for Paxil and Ritalin that are originally used for adults. According to a medico health solution analysis of customer data, the use of behavioral medication for children topped all the areas of drugs in 2003.
There are new rules and regulations on Hospital Readmissions that will now push Hospitals and Nursing facilities to work side by side to avoid penalties and loss of profit from CMS’ (Center for Medicare and Medicaid Service) One out of every five Medicare beneficiaries discharged from the hospital is readmitted within 30 days, which costs Medicare more than $17 billion a year, CMS is about to put a stop (Readmissions Reduction Program) to this. Readmissions are an issue between nursing facilities and Hospitals. If a Medicare patient discharged from a hospital, the odds are about 1 in 5 that they will end up back in the hospital within 30 days. CMS is stepping in because Healthcare costs are rising and CMS is going to start by holding hospitals and nursing facilities accountable for readmissions. The Hospital Readmission Reduction Program (Affordable Care Act) From Oct 2011- Oct 2012, CMS is tracking each hospital’s readmission rate.
Human Subjects Committees at the authors’ institutions approved the current study. Using sociodemographic and health status information on panel members, we identiﬁed all 5,644 individuals aged 50 and over who reported taking prescription medication for diabetes, depression, heart problems, hypertension, or high cholesterol. After three e-mail requests, 4,264 people completed the on-line informed consent and the questionnaire. One hundred
3. Boonstra, A and Broekhuis, M., Barriers to the acceptance of electronic medical record by physicians from systematic review to taxonomy and interventions (Electronic Version), BMC Health Services Research 2010, 10. 4. Scott, J., Rundall T., Vogt, T, and Hsu, J (2005), Kaiser Permanente’s experience of implementing an electronic medical record: qualitative study (Electronic Version), British Medical Journal, 331, 1313-1316. 5.
Moule, P. and Hek, G, 2011. Making sense of research: an introduction for health and social care practitioners, pp 45-53. Mulroy, M.F., 2002. Regional Anaesthesia, An Illustrated Procedural Guide. 3rd ed.Philadelphia, PA: Lippincott Williams and Wilkins.
As Dr. Jacqueline A. Corrigan explained to congress during the May 1994 congressional hearing on the subject, “Almost every state has adopted some kind of medical malpractice reform over the last 15 to 20 years as a way to help keep doctors safe and keep costs down for patients and insurance carriers.” (Medical Malpractice and Antitrust Issues in Health Care Reform. (May 12, 1994) U.S. Congress Senate Committee Medical Malpractice & Antitrust Issues in Health Care Reform Hearing. pp.10). Most states feel that that healthcare reform will solve some underlying budget problems. By being able to lower the cost of malpractice insurance, doctors will be able to practice more comfortably without worrying about lawsuits, and in turn, they can lower their prices.
For example, in 2006, the Institute of Medicine’s (IOM) report found that between forty four thousand and ninety eight thousand Americans die yearly as due to medical errors. Medication errors alone is the estimated culprit of over seven thousands deaths annually compared to the six thousand yearly deaths due to injuries in the workplace. Even though most of the debate on medical errors has been aimed at hospital settings, errors may happen in other settings like doctor offices, outpatient surgical facilities, nursing homes, and retail pharmacies. Total costs of medical malpractice resulting in injury are between seventeen billion and twenty nine billion dollars, with healthcare costs taking over fifty percent. Medicare reimbursed hospitals an added three hundred thousand dollars annually, or three tenth percent of annual Medicare hospital spending, for five kinds of adverse events.