A.4. During the course of this research, ethics would be addressed. Before the study had begun, the Infection Control Department had meetings with nurses and doctors of the ICU, nurse educators, anesthesiologists, emergency room staff, Materials Management and the performance improvements departments to discuss and explain this study. There would be very strict criteria in order to be enrolled into this study. This criteria was that the patient would be admitted into the medical intensive care unit and be intubated for more than 48 hours in order to be eligible.
At Hospital XYZ, during the morning period of 8am to noon, the wait time from when a physician orders an X-ray to the time the patient returns from having it done is too long as this is when most of the X-Ray orders are given and there is a backlog of patients. During a process mapping exercise, it is determined that a large number of orders given during this time were "catch all" orders, where the physicians are ordering them just to be on the safe side. In order to fix this problem and not the symptom, the hospital should: Complete in-service training about the "catch all" orders 5. Workflow and process mapping should occur in the middle to late planning stages of an EHR implementation because you will have figured out all of your "bugs" by then.
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.
I read an article by Cathy LeBoeuf-Schouten explaining about the shortages of Canadian healthcare facilities and how they are full. (http://www.lewrockwell.com/orig10/leboeuf-schouten1.html). Patients in Canadian facilities are given numbers based on their condition and may not be treated until people with worse emergencies are treated. That may not be a bad thing until a patient with a broken arm has spent 12 hours for an x-ray. In the article Schouten states “You tell the nurse that your son must be seen by a doctor immediately – it’s an emergency!
The Standard is Zero Preventable Harm MAJ Tyler Burningham DMD Zero preventable harm must be the goal of every healthcare provider and the mission of every healthcare facility. According to a 2013 report, between 210,000 and 440,000 patients die yearly as a result of preventable medical errors.1 Death is one problem with preventable mistakes, fixing the mistake will waste money and resources. Additional appointments will be needed, medical supplies used, and hospital staff working longer hours. Why are providers and hospital administration content with such high rates of preventable errors. I have heard so many poor excuses, but the fact of the matter is they are nothing but excuses.
There should also be some form of additional education given to personnel who are demonstrating continuing difficulties with data entry (Hebda & Czar, 2013). There has been much discussion about the relevancy of standardized nursing terminology and its usage in patient care. Before the creation of standardized nursing terminology there was no accurate way to describe nursing practice (Keenan, Tschannen, & Wesley, 2008). It is estimated that eighty percent of patient care is provided by nurses making it crucial that nursing care is visible and
According to National Patient Safety Agency (NPSA) (2007) each year more than 200 000 falls are reported in hospitals across England and Wales. In addition, the cost of immediate treatment after falls has been estimated at £15 millions every year (NPSA, 2007). The consequences after a fall for the patient can vary from no harm to severe long-term health problems and death. Therefore it is important that the nurses and healthcare professionals identify and implement a falls prevention strategy for the patients who are at a high risk of falling during hospital admission. However, all preventive measures need to consider the patient’s dignity, choice, independence and potential for rehabilitation (NPSA, 2007).
Problems with Veterans Affairs Health Care Definition Essay The quality of Veterans Affairs health care has been a growing concern over the last several years. Corruption inside of Veteran Affairs raises the risk of death for veterans who choose to use the Veteran Affairs Health Care medical centers and hospitals. To evaluate the severity of the problem with Veterans Affairs Health Care one will need to understand both the background and magnitude of the issue. For anyone, especially veterans, having access to timely medical care and appointments is important; it can be the difference between life and death. Over the last several years, wait time and corruption inside of the Veterans Affairs Health Care administration have lead to massive delays, with some patients never even being seen.
There are illnesses with symptoms that overlap those of MTBI such as PTSD. Additionally many soldiers will not be assessed until they return from service. The time frame between injury and assessment could be months or even years. Coupled, with the amnesia that occurs with this type of injury it is presumptive that returning soldiers may not be able to give an accurate history to their treating physician thereby making a proper diagnosis difficult. Alisa Glean professor of Radiology, neurology and neurosurgery at university of California states “there’s no question that we are not capturing all the injuries”.
After being sent home from the emergency room and I had to send her back not even two hours later because something was wrong. My mom got admitted into St. Luke’s Hospital for Serotonin Syndrome. Serotonin Syndrome is a life threatening drug reaction that is caused from too much of the same medicine (which also means the body having too much Serotonin). Serotonin Syndrome was caused by the Emergency Department, not paying attention to her everyday medicine and giving her something she was already on. My mom’s health was all over the place.