The Joint Commission (2012) defines risk management in healthcare as “the clinical and administrative acts undertaken to identify and evaluate the risk of injury to staff, patients and visitors and the risk to loss of the organization itself”. Studies have shown that the litigation against nursing homes is on the rise; thus making risk management very important in day to day care. Malpractice insurance premiums for nursing homes are also on the rise; this contributes to bankruptcy and forces many facilities to operate without malpractice coverage (Weinburg M.D & Levine, 2008). This threatens quality of care and access to healthcare for ill elderly people that need round the clock care. Effective risk management in a nursing home requires one to accurately
Cardiac surgery models were based on previous methods published” (Khuri et al., 1998) as well. Instituting a program based on pre-surgical risk factors they were able to determine those at risk for surgically related complications. Studies involving interventions with expected outcomes (O/E) and are considered particularly suitable for determining effectiveness of the subject studied. Computer based records were examined for workload data (volume) and for risk-adjusted data; the variables and outlier information that would eventually be used or set aside to ensure that consistent, error-free data was used for the most accurate results possible. “Logistic regression analysis was used to develop predictive models for surgical death and complications” (Khuri et al., 1998, p. 494).
Concept Analysis of Effective Walker & Avant’s methodology (2005) is used to analyze the concept of the word effective; this provides clarity to the meaning of the concept and identifies its unique attributes, particularly in relation to medical treatment. Antecedents and consequences of presumed effective medical treatment are discussed followed by empirical referents, which aid in illuminating the concept of effectiveness. Assumedly, “effective” is an adjective most healthcare professionals and their patients would hope to use in describing the outcome of the treatment or the care provided. The purpose of this concept analysis is to understand that for physicians and nurses to provide truly effective treatment, it must attend to multiple needs of the patient, not just their illness. Not only is it important for healthcare providers to construct and implement a treatment plans, but also to involve patients in medical decision making about their treatment.
Rather than reverse the problems they purport to fix, these unwarranted procedures can often lead to greater health problems and even death. A 1995 report by Milliman & Robertson, Inc. concluded that nearly 60 percent of all surgeries performed are medically unnecessary, according to Under The Influence of Modern Medicine by Terry A. Rondberg. Some of the most major and frequently performed unnecessary surgeries include hysterectomies, Cesarean sections and coronary artery bypass surgeries. Coronary bypasses are the most common unnecessary surgeries in America In a nation plagued by heart disease, it often seems that the knee-jerk reaction of American doctors is to treat heart problems with surgery. However, many of the heart surgeries performed each year are unnecessary procedures that could be putting the patients' lives at greater risk.
Security and Privacy Case Scenario HCS/533 January 9, 2012 Michael Solomon Security and Privacy Case Scenario Disaster and security incidents threaten the ability of organizations to carry out its mission and operational functions planning and preparation allows organizations to continue to service its community. The security and privacy of patient health information is a fundamental responsibility of health care organizations. Patients trust their personal and confidential health information to health care organizations with the expectation of protection and privacy. Health care organizations have legal and ethical responsibility to protect health information and should define a plan for the protection of the confidential information. Privacy concerns are raised if access to data is not secure and controlled during a natural disaster.
These are all things we expect to get when we visit the doctor as this is why we go there. However the biomedical model also puts some less obvious guidelines in place for doctors and other medical professionals to work to. For instance no blame should be attached to the patient who comes for help, no matter what the condition and that the cause of any illness is biological and only biological. It is these guidelines which make the biomedical model so affective when treating patients directly for their illness. Some of the main benefits of using these guidelines and the biomedical model however can be more easily seen when looking at an infection like HIV and AIDS.
How does the general location and internal layout of the Operating Department influence patient care? The general location and internal layout of operating departments, whether inpatient or day case, need to adhere to national guidelines ensuring patient care is upheld (Woodhead & Fudge 2012). The location of the hospitals operating department is usually located where supporting service departments and services are accessible. Within larger hospital trusts this may not always be feasible to have all desired services adjacent to the operating department (Berry & Kohn 2013), central placing the operating department would then maximise access to facilities (Woodhead & Fudge 2012). The layout of the operating department itself and the route patients will use is determined by infection control, ensuring safety to both patients and practitioners (Barrow, C 2009).
Notions of apprehension and fear of a paperless system is brought to the fore front by those who are deemed to commission the latest and greatest EMR technology. Medical Record Security State laws are specific on the access to patient’s records to only those authorized to do so. A major goal of the Privacy Rule is to assure that individuals’ health information is properly protected while allowing the flow of health information needed to provide and promote high quality health care and to protect the public's health and well being. The Rule strikes a balance that permits important uses of information, while protecting the privacy of people who seek care and healing. What information should be protected, How to deter security as well as how to keep this organization patient’s records safe.
The Importance of Communication in Nursing The aim of this assignment is to demonstrate knowledge, understanding and the importance of communication within nursing by relating it to an example from clinical practice. The clinical practice example is based in a healthcare setting on a hospital ward (appendix 1). With reference to The Code of Professional Conduct (NMC, 2008), confidentiality will be observed throughout, therefore the patient’s details have been changed to Mr Jones. The example will demonstrate the achievement of two clinical competencies from the clinical practice assessment in the domain of care delivery (see appendix 2). Within the essay, communication will be broadly explored followed by communication that directly
INTRODUCTION On admission to a healthcare facility, a health assessment is a mandatory tool in assessing the patient’s health status. In general an assessment is broken down into two types of reviews, by conducting a health history which includes the collection of subjective data (information elicited by the patient or patients’ family members) and a physical examination of the patient which includes the gathering of evidence based data (Wilson & Giddens, 2009). Collecting and documenting accurate information is imperative in providing the allied health team this information to facilitate an efficient and well-formed care plan in addition to establishing a baseline for subsequent assessments (Springhouse, 2004; Wilson & Giddens, 2009). PATIENT INTERVIEW A health assessment should consist of establishing a patient profile and incorporate a full medical history (Harvey, 2004). The traditional approach includes collecting subject matter on “biographical data, present health concerns (or present illness) and the chief complaint, past history, family history, review of system and patient data” (Farrell & Dempsey, 2010, p. 74).