Once adequate data and information is received from the process of evaluation and analysis, it is then possible to identify the main factor affecting service provisions; from that action plans are devIced. Examples of factors that affect the provision of services are issues such as poor organisation. An example of this could be a ward which is not organising the staff efficiently, as there may be 3 physiotherapists yet inly 1 nurse, as well as the imbalance of staff the organisation of patients appointments may not be noted down in the diary, therefore transport would not have been booked by the ward which would delay the care a patient receives. The solution to the lack of organisation would be to firstly for the manager to plan in advance the wards rotas and ensure enough staff from both the therapy and nursing profession are booked in to work, also the need of a ward clerk is required as this frees clinical staff to provide care while the ward clerk books transports for patients appointments and keeps them filed in a
There were many concerns on the part of the clinicians about the advisability of patients viewing their records online. Would patients understand what they were reading? Would they get angry at their health care providers about the content of a progress note? Would there be a time lag between the time the results of a test were posted and the time those results were released, so that clinicians would have an opportunity to determine normal versus abnormal outcomes? The Health Information Management professionals were more concerned with the legal aspects: What if patients found something that was incorrect?
Some doctors report that they feel obligated to provide a prescription to a patient, even when the cause of the illness is not yet proven to be bacterial (Bersch, 2010). In some countries, antibiotics are available without a prescription, further flooding the population with inappropriate medications without proper dosing and length of therapy (WHO, n.d.). This issue seems almost impossible to remedy, because in countries where access to medical care is limited, patients would otherwise die of simple infections if not for easy access to
Barriers to telemonitoring include: cost, training of staff and patient, monitoring patient safety, patient privacy, professional liability issues, and access to quality technology. Lack of enough qualified evidence based medicine EBM studies to support use of telemonitoring with measurable improved outcomes. The majority of the current evidence is inconclusive due to research
There are good nursing homes, and there are some elderly that need them. Another thing that the article mentions is how some senior citizens need regular monitoring due to their conditions that assisted living can not provide. The writer states that “those whose use of blood thinners involves regular testing to adjust the dosage. Assisted living doesn’t provide much health care, so residents risk becoming ‘frequent fliers’ — they’re going in and out of hospitals for conditions that could perhaps be treated in a nursing home.” The main purpose of assisted living is to reduce clients from going in and out of hospitals. If professionals that are involved in assisting the elderly cannot fulfill that need of providing health care, then the best thing for the senior citizens is to place them in a nursing home.
Some CPOE systems are linked to the medication administration record, which helps to reduce administration errors. CPOE presents several possible disadvantages as well as dangers, by introducing new types of errors Prescriber and staff inexperience may cause slower entry of orders at first, use more staff time, and is slower than person-to-person communication in an emergency situation. Physician to nurse communication can worsen if each group works alone at their workstations. Automation causes a false sense of security, a misconception that when technology suggests a course of action, errors are avoided. Shortcut’s or default selections can override non-standard medication regimens for elderly or underweight patients, resulting in toxic doses.
I was not aware that several individuals were not obtaining the care they require for the reason they could not pay for it and couldn’t find insurance. The biggest influence is the health care price, health care entrance, and the consequences from it (Wood, R., 2009, p. 1). I’ve knowledge that breaking the HIPAA policies can result in punishment along with the government laws. Role of Technology Technology will perform a big position in the medical business from security, new services ideas and diagnosing patients, contacting patients and keeping touch. It will assist to make sure the obedience in the legal condition of health care and it will assist to decreased the costs and provide a superior care than before (Finnegan, 2012) Technology will assist with more communication services, electronic medical records, and more computers doctors order entry solutions and many more things than before (Finnegan, 2012).
Thomas, check the lighting, throw rugs, stairs, bath mat, accessibility (high cabinets, low toilet seats), tub bars etc. (Geriatric Fast Facts, 2013). There is a nice handy checklist online (A Place for Mom, 2011). Patients with cancer may receive inadequate analgesia due to underestimation and underreporting of pain, although the case study does not indicate if Mrs. Thomas belongs to any minority that lowers her chance of getting adequate pain medicine (Bernabei, et al, 1998). Many people may have inadequate knowledge about pain and disproportionate fear of addiction (Bernabei, et al, 1998).
For example does said patient really need a MRI or EKG or do they simply need to be watched for a night due to a concussion. Nudge two is imposing accountability for results. This is most likely the hardest thing mentioned as we can’t exactly keep up with every patient who chose wisely and asked if said treatments and tests were really necessary but as we see lower waste in money a difference will be made. In ending, we can lower wasteful spending in our health care system. Simply ask questions, Do I really need this test, can this procedure wait till later on?
One of my areas of concern is evidence-based practice (EBP). This organization does not placed enough emphasis on EBP in home care considering the many risks that are involved in patients knowledge deficits in common areas like falls, preventing bed sores and the benefits that could be achieved with teaching them. EBP has been introduced to the United States years ago, however, many nurses have negative attitude towards research, in large part due to the manner in which they were taught research in their education program. In conclusion, I expect to gain a better understanding of this course, advance my knowledge skills, especially in EBP, demonstrate personal and professional integrity; concentrate on a more specific area of study. I enjoy researching topics of interest and making intellectual decisions.