O'Meara stresses that a system known as a Decision Support System of DSS can be integrated into existing it to identify potential errors that could be made on any given case and provide the staff with flags to help them avoid such errors. (December 2007, pp. 970-979) DSS technology can seriously improve the chances that patients will not receive inadequate care or that services and potential challenges to them get noted and flagged appropriately to alert nurses to ways in which common mistakes can be made. DSS systems could alert the nurse of patient allergies, noted mechanical checks, crosschecking medication administration and any number of things that support patient safety.
Conversely Giordano, stresses that patient safety, in spite of it and other technology now utilized for patient care is essentially the nurses responsibility, therefore it is absolutely essential that the nurse advocates for safety and does not rely so much upon…...
mlaResources
Cobb, D. (August 2004) Improving Patient Safety -- How Can Information Technology Help?
AORN Journal 80 (2) 295-302.
Giordano, B.P. (February 1995) High-tech health care is great, but our first duty is to do no harm. AORN Journal (61(2) 314.
Lewis, R.F. (2002) the Impact of Information Technology on Patient Safety. New York: Healthcare Information and Management Systems.
They added newer constructs to a PC model developed earlier by Gershon and his colleagues (2000), which unveiled the relationship of safety and security aspects and linked it with work performance. They found that when hospital staff used the Gershon tool there was considerable increase in the patient safety culture. They concluded that the health care decision makers when using Gershon safety tools, which appear to have sufficient reliability and validity, can effectively analyze the perception of the employees about patient safety in their organization and can use the tool as an indicator of the employee satisfaction with current procedures adopted for patient safety (as cited in Turnberg and Daniell, 2008).
Another PC quantitative model was developed by Leonard and Frankel (2010), who stated that the main goal of all health care systems is to bring safe and reliable healthcare services to the registered patients. The organizations are required to…...
mlaStocka, G.N., McFaddena, K.L. And Gowen III, C.R. (2007). Organizational culture, critical success factors, and the reduction of hospital errors. Int. J. Production Economics 106, 368 -- 392.
Turnberg, W. And Daniell, W. (2008). Evaluation of a healthcare safety climate measurement tool. Journal of Safety Research 39, 563 -- 568.
Vira, T., Colquhoun, M., & Etchells, E. (2006). Reconcilable differences: correcting medication errors at hospital admission and discharge. Quality & Safety in Health Care, 15(2), 122-126. Taken from: Bonner, Certified Nursing Assistants' Perceptions of Nursing Home Patient Safety Culture: Is There a Relationship to Clinical or Workforce Outcomes?: A Dissertation. Graduate School of Nursing, University of Massachusetts Worcester. GSN Dissertations.
Patient care and recovery statistics demonstrate that the United States has a medical care system with which Americans are less satisfied than other citizens in developed countries. There are many reasons for this: correlation between health and socioeconomic status; non-universality; federal government is not involved in medical planning although it purchases a large percentage of the 14% health care GNP; lobbying and special interest group interference; and political opposition to restraining medical developments.
Life expectancy for men is valuated at 71.8 years and for women, 78.8 years. From a natural lifespan perspective, this is one of the lowest survival rates of any developed country in the world. Preventable medical errors must then be factored in for the 44 to 98,000 people who die each year and the lowered survival rate is forced even lower -- and is preventable.
Medical errors account for nearly $29 billion in annual revenue, making this the eighth…...
mlaBibliography
Brennan, T.A., Leape, L.L., Laird, N.M. et al. (1991). Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. N Engl J. Med, 324(6), 370-6.
Centers for Disease Control and Prevention. CDC antimicrobial resistance and antibiotic resistance -- general information. Retrieved December 11, 2004, from Center for Disease Control database.
Fourth Decennial International Conference on Nosocomial and Healthcare-Associated Infections. (2000). Morbidity and Mortality Weekly Report, 49(7), 138.
HCUPnet, Healthcare Cost and Utilization Project. Agency for Healthcare Research and Quality, Rockville, MD. Accessed December 11, 2004 .
Patient Safety and Security
Patient information, privacy and security are at the heart of providing a high level of medical services. These issues are vitally important if patient confidence is to be retained, in addition to ensuring that no potential harm comes to the patient. Hence, the information systems at any hospital should be managed in such a way as to retain the confidentiality of patient information, particularly where such information is still disseminated in hard copy form. Although St. John's Hospital prides itself on its ability to retain patient confidentiality, potential security breaches should be prevented where possible and dealt with immediately where they are unforeseen.
The issue of discarded printouts is very serious on a number of levels. There is no confidentiality if cleaning staff can simply take the printouts and read them. On a more serious level, the discarded printouts are widely available once they leave the hospital. In…...
mlaReferences
Kolodner, R. (2007, Jun. 19). Statement. Retrieved from: http://www.hhs.gov/asl/testify/2007/06/t20070619b.html .
Maerian, L. (2010, Jul. 8). Feds propose rules to strengthen patient privacy rights. Retrieved from: http://www.computerworld.com/s/article/9178997/Feds_propose_rules_to_strengthen_patient_privacy_rights
MHA UAP Toolkit (2008, Sep. 2). Unlicensed Assistive Personnel Training Policy. Retrieved from: http://web.mhanet.com/userdocs/articles/UAP_training_policy.pdf
Radiological Society of North America, Inc. (RSNA). (2011). Patient Privacy and Security of Electronic Medical Information. Retrieved from: http://www.radiologyinfo.org/en/news/newdetarget.cfm?ID=19
Patient Safety Through Medication econciliation
The adoption of the Affordable Healthcare Act has assisted an increasing number of Americans to have access to health insurance. Despite the benefits associated with the new law, the quality of health delivery is still low because of the issue such as medication errors. The poster recommends an implementation of medical reconciliation to improve the quality of healthcare delivery in the United States. The method of achieving the medical reconciliation is to use the tools such as OASIS, HHCAHPS, Quarterly eports, Supervisory Visits, and Organizational Performance Improvement. Application of these tools will assist in enhancing a quality of healthcare delivery.
Introduction
In the contemporary health environment, the U.S. is undergoing some fundamental changes because of an adoption of ACA (Affordable Healthcare Act) generally known as Obama Care. The new law is rapidly increasing the number American residents having a health insurance and raising the number of insured diverse…...
mlaReference
Beatrice, T. (2014). Improving Patient Safety by Improving Medication Communication. Orthopaedic Nursing. 28 (3): 153-154.
Cornu P, Steurbaut S, Leysen T, et al. (2012). Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and at discharge for geriatric patients. Ann Pharmacother. 46: 484-494.
Greenwald, J.L., Halasyamani, L., & Greene, J., et al. (2010). Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps. J Hosp Med. 5:477
Musgrave, C.R. Pilcha, N.A. Taberb, D. J. (2013). Improving transplant patient safety through pharmacist discharge medication reconciliation. American journal of transplantation. 13(3): 796-801.
Patient Safety Outcomes to ADN and BSN Nurses:
As evident in theme of national reports in the health care field, promoting higher education for registered nurses has been a topic of increased concern. These recommendations are primarily based on overwhelming evidence that nurses with Bachelor of Science in Nursing (BSN) degrees tend to pursue education at masters or doctoral levels to enhance the effectiveness of the practices. The pursuit for high levels of education provides is an essential component for maintaining an adequate number of nurse practitioners, clinical nurse specialists, midwives, and nurse educators, which in turn contribute to improved patient safety outcomes.
The need to increase the educational levels of registered nurses is fueled by the growing research that links patient safety and outcomes to the percentage of ADN-level and BSN-level nurse practitioners on a unit (Scott & Brinson, 2011, p.300). Due to the increased emphasis on the need to…...
mlaReferences:
"Frequently Asked Questions -- Doctor of Nursing Practice." (n.d.). School of Nursing. Retrieved from The Catholic University of America website: http://nursing.cua.edu/graduate/dnp/faq.cfm
Loomis, J.A., Willard, B. & Cohen, J. (2007, January). Difficult Professional Choices: Deciding
Between the PhD and the DNP in Nursing. The Online Journal of Issues in Nursing, 12(1). Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume122007/No1Jan07/ArticlePreviousTopics/tpc28_816033.html
Scott, E.S. & Brinson, H. (2011). Escalating the Pathway from the Associate's Degree in Nursing to the Bachelor of Science in Nursing and/or the Master's of Science in Nursing: What is Standing in the Way? North Carolina Medical Journal, 72(4), 300-303. Retrieved from http://www.ncmedicaljournal.com/wp-content/uploads/2011/07/72411-web.pdf
Tissue Tracking and Patient Safety
Tissue Tracking
Systemic Tissue Tracking Deficiencies emain a Serious Threat to Patient Safety
Systemic Tissue Tracking Deficiencies emain a Serious Threat to Patient Safety
The Joint Commission established standards for the handling of tissues for allograft procedures in 2005 (Meeting JCAHO's new tissues standards, 2005). The three main areas of concern were creating a standardized process for handling tissues, investigating adverse events, and tracking the tissue from donor to recipient. The details of these rules can be found on the website for the U.S. Food and Drug Administration (FDA, 2013). The International Council for Commonality in Blood Banking Automation (ICCBBA, 2013) has produced a set of international coding standards for medical products derived from humans, including blood, tissues, organs, milk, cellular therapy products, and plasma products that must be ABO typed before use. These standards are used in more than 75 nations on six continents (ICCBBA, 2013). Government and…...
mlaReferences
Brubaker, S.A. (2010). Tissue tracking failures and lessons learned: Hope for the future. Retrieved 15 Apr. 2014 from http://www.aatb.org/aatb/files/ccLibraryFiles/Filename/000000000234/scott-brubaker-mc-n_tissue-tracking-failures-lessons-learned.pdf .
CDC. (2011). Transmission of hepatitis C virus through transplanted organs and tissue: Kentucky and Massachusetts, 2011. Morbidity and Mortality Weekly Report, 60(50), 1697-700.
FDA. (2013). Vaccines, Blood & Biologics: Biologics Rules. Retrieved 15 Apr. 2014 from .http://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/ActsRulesRegulations/default.htm
Giachetta-Ryan, D. (2008). On the trail of tissue tracking. OR Nurse, 2(9), 27-9.
Evolving ole of Call Lights and Nursing ounds in Hospitals
The use of call lights in hospital settings has increasingly come under study as a function of nursing shortages, changes in nursing rounds, and robust studies of patient outcomes. The scheduling of regular nursing rounds may be pivotal to the ability of nurses to address common, mundane patient issues compared to more critical needs that have been considered the primary target for patient call light use. In addition to patient safety and general well-being while hospitalized, nursing staffs are concerned with patient satisfaction. On a fundamental level, patients who experience peace of mind may heal more quickly, may relay fewer stressful communications to their family members, and may attain a clarity of perspective that enables them to differentiate among their many needs and desires while confined to their beds. The institutionalization of regular and frequent nursing rounds may alleviate patient…...
mlaReferences
Meade, C.M., Bursell, A.L., and Ketelsen, L. (2006, September). Effects of nursing rounds: on patients' call light use, satisfaction, and safety. American Journal of Nursing, 106(9), 58-70. Retreived from http://www.ncbi.nlm.nih.gov/pubmed/16954767
Saleh, B.S., Nusair, H., Al Zubadi, N. Al Shloul, S., & Saleh, U. (2011, June). The nursing rounds system: Effect of patient's call light use, bed sores, fall and satisfaction level. International Journal of Nursing Practice, 17(3), 299-303. Doi: 10.111/j.1440-172X.20111.01938x. Retreived from http://www.ncbi.nlm.nih.gov/pubmed/21605271
Ethical Dilemma
The author of this report is to assess an ethical dilemma that involves a couple of important factors. The two main ethical issues are patient privacy and when the proper time to blow the whistle on a doctor truly comes, not to mention how to do it. Kendra finds out that a family member is about to get gastric bypass from a doctor that has had a staggering amount of people that have had complications or died post-surgery. She feels compelled to warn her mother even though this would be a breach of privacy laws and ethical guidelines. While privacy regulations are in place for a reason, patient safety is also a valid concern and that is clearly an issue with Dr. ussell and his practices.
Analysis
Sue's internal forces would include the fact that Dr. ussell, her boss and employer, is facing a lawsuit due to the death of a…...
mlaReferences
AACAP. (2014, July 11). Know Your Rights: Consent and Confidentiality. Know Your
Rights: Consent and Confidentiality. Retrieved July 11, 2014, from http://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/Facts_for
_Families_Pages/Know_Your_Rights_Consent_and_Confidentiality_103.aspx
AMA. (2014, July 11). AMA's Code of Medical Ethics. AMA's Code of Medical Ethics.
Workplace Demands Influences Patient Safety
PICOT Question
PICOT Question: How can the implementation of accurate safety standards reduce errors that hamper patients' safety in healthcare facilities in the short and long run?
P -- Patients in healthcare facilities
ecognition of Errors
Procedural and Human Errors
O -- Implementation of Safety Standards and Systems to improve Caretaker Efficiency and Patient Security
different interventions take different times, but results should be seen with a year from all interventions and comparison interventions
PICOT:
P -- Patient Population (Patients in healthcare facilities)
Healthcare in the U.S. is not as safe as it must be-- and can be. A minimum of 44,000 individuals, and possibly as many as 100,000 individuals, pass away in healthcare facilities each year as an outcome of medical mistakes that can be averted, according to estimations from 2 significant research studies. Even utilizing the lowered estimations, avoidable medical mistakes in medical facilities surpass attributable deaths to such feared fatalities as…...
mlaReferences
Craig L. (2012). A prescription for safer care: medication reconciliation. Can J. Neurosci Nurs. 2012;34(3):5-6.
Kmietowicz, Z. (2013). Government will need to make health policy U. turns after Francis report, says safety expert. BMJ;346:f728.
Lee MJ. (2013). Quality: a process or an outcome? It's not what you may think. Clin Orthop Relat Res;471(4):1097-9.
McDonald KM, Matesic B, Contopoulos-Ioannidis DG, Lonhart J, Schmidt E, Pineda N, Ioannidis JP. (2013). Patient safety strategies targeted at diagnostic errors: a systematic review. Ann Intern Med;158(5 Pt 2):381-9.
Nursing ole in Patient Safety
The nursing workforce is the biggest workforce in the health care industry. The nursing staff in hospitals is primarily tasked with patient surveillance in both ambulatory settings and care facilities (seldom termed as patient monitoring / evaluation / assessment). Patient surveillance is important for recognition of errors and evading adverse incidents. Most patient safety experts believe in cultivating an impartial system which acknowledges a system's and individual contribution to both adverse incidents and successful efforts, facilitating decreased errors. This notion is mentioned in To Err is Human, which states that prevention of error and augmenting patient's safety is cultivated when a system is developed for individual approach which will target altering the conditions of a system giving rise to errors. Since nurses are biggest workforce of healthcare industry, and largely engaged with detection, commission and evasion of such errors and accidents, they and their environment are…...
mlaReferences
Page, A., & Institute of Medicine (U.S.). (2004). Keeping patients safe: Transforming the work environment of nurses. Washington, D.C: National Academies Press.
Cherry, B., & In Jacob, S.R. (2014).Contemporary nursing: Issues, trends, & management.
White, P., & McGillis Hall, L. (2001).Patient safety outcomes. In D.M. Doran (Ed.),Nursing sensitive outcomes state of the science (pp. 211-242). Toronto: Jones & Bartlett
Cook, R.I., Render, M., & Woods, D.D. (2000).Gaps in the continuity of care and progress on patient safety. British Medical Journal, 320, 791-794
Improved communication was selected, because these issues are contributing to some of the different errors that have taken place. Training is when you are showing the staff how to trouble shoot, various issues that could occur. ackup systems are designed to create secondary alarms and other fail safes (in the event that one system is not working properly). These different strategies were selected, because they work in conjunction with one another, to address the underlying problems affecting patient safety at the facility. (Kowlayczk, 2010)
Describe the accreditation, licensure, or oversight for this type of organization, and explain the process or criteria used
The oversight for Massachusetts General is the Department of Health and Human Services. The process that they are using to achieve these objectives is: the Hospital Survey on Patient Safety. Like what was stated previously, this is a quality of care survey that all outgoing patients will complete. When…...
mlaBibliography
The Patient and Quality Improvement Act of 2005. (2008). Agency for Health Care Research and Quality. Retrieved from: http://www.ahrq.gov/qual/psoact.htm
Kowlayczk, L. (2010). MGH Spurs Death Review. Boston.com. Retrieved from: http://www.boston.com/news/health/articles/2010/02/21/mgh_death_spurs_review_of_patient_monitors/
Mitchell, P. (2005). Defining Patient Safety and Quality Care.AHRQ. Retrieved from: http://ahrq.hhs.gov/qual/nurseshdbk/docs/MitchellP_DPSQ.pdf
Healthcare/Patient Safety
Question 1
At present, Langley Mason Health (LMH) is in the process of sourcing for funds to actualize the facilities master plan (FMP). The funds that have been sourced so far are insufficient. For this reason, and as has been pointed out in the case study, LMH is seeking to raise additional funds from “revenue bonds, growth strategies, philanthropic efforts, and strong operational performance over the next ten years.” This effectively leaves LMH with very little it can do in the medium-term because a significant portion of routine capital funds are also being diverted towards this same endeavor. Thus, the amount to be spent on not only equipment, but also technology acquisition and other routine maintenance concerns is very limited.
At present, there have been efforts to replace LMH aging pumps with a smart IV pump. There is sufficient evidence to suggest that such a pump would come in handy in…...
mlaReferences
Spath, P. (2011). Error Reduction in Health Care: A Systems Approach to Improving Patient Safety (2nd ed.). Hoboken, NJ: John Wiley & Sons.
Essay for the application of Armstrong Institute Patient Safety and Quality Leadership AcademyMy qualificationsOpen your mouth lets see! that was me when I was young, as I pretended to examine my family members when I was young. From a young age, I have had a strong desire to pursue a healthcare related career, and years later, I am actually a qualified and certified MRI Technician. So has to realize by dream and achieve my goal of providing care to the deserving, I have studied at the University of Maryland University College graduated in 2016, a degree in BS in Health care Management from the University of Potomac graduating in 2010, a Diploma in Magnetic Resonance Imaging from the Northern Virginia Community College graduating in 2007, ASS in medical Radiology and Diploma in Practical Nursing from the University of District of Columbia graduating in 2004 and 1999 respectively, and ASS in…...
mlaReferences
Klaming, L., van Minde, D., Weda, H., Nielsen, T., & Duijm, L. E. (2015). The relation between anticipatory anxiety and movement during an MR examination. Academic radiology, 22(12), 1571-1578.
Tsetis, D., Uberoi, R., Fanelli, F., Roberston, I., Krokidis, M., van Delden, O., ... & Morgan, R. (2016). The provision of interventional radiology services in Europe: CIRSE recommendations. Cardiovascular and interventional radiology, 39(4), 500-506.
Abstract This paper provides a literature review of the topic of alarm fatigue and alarm management. The sources used were all published from 2016 onward and dealt in some way with alarm fatigue or with the challenges of alarm management. The papers were selected using databases ProQuest, PubMed, Springer, NCBI, and ScienceDirect. The keywords used for searching were “alarm fatigue,” “alarm management,” and “alarm fatigue patient safety.” The results of the review showed that alarm fatigue is represented as a serious problem for nurses for multiple reasons: 1) it prevents them from paying close attention to alarms that could be serious and thus there is a risk of not responding in a time of real crisis; 2) it can lead to patient safety errors, as nurses seek to avoid the constant wave of alarms by altering their volume or sensitivity; 3) it can cause problems with morale; and 4) there is…...
mlaReferences
Baker, K., & Rodger, J. (2020). Assessing causes of alarm fatigue in long-term acute careand its impact on identifying clinical changes in patient conditions. Informatics in Medicine Unlocked, 18, 100300. Cho, O. M., Kim, H., Lee, Y. W., & Cho, I. (2016). Clinical alarms in intensive careunits: Perceived obstacles of alarm management and alarm fatigue in nurses. Healthcare informatics research, 22(1), 46-53. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4756058/ Hravnak, M., Pellathy, T., Chen, L., Dubrawski, A., Wertz, A., Clermont, G., & Pinsky,M. R. (2018). A call to alarms: Current state and future directions in the battle against alarm fatigue. Journal of electrocardiology, 51(6), S44-S48. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263784/ Lewandowska, K., Weisbrot, M., Cieloszyk, A., Medrzycka-Dabrowska, W., Krupa, S.,& Ozga, D. (2020). Impact of Alarm Fatigue on the Work of Nurses in an Intensive Care Environment—A Systematic Review. Int. J. Environ. Res. Public Health, 17, 8409. https://search.proquest.com/openview/23f7f6945718250d9afb6d5db5564120/1?pq-origsite=gscholar&cbl=54923https://www.sciencedirect.com/science/article/pii/S2352914819304241
Infection control specifically refers to stopping the spread of disease in healthcare settings and during health care procedures, such as surgeries. It is a catchall phrase that refers to a wide variety of behaviors or practices that can result in the elimination or reduction of disease transmission in these settings. We are happy to provide you with some suggested topics and titles for an essay about infection control.
Essay Topics
Best hygiene practices for pre-surgical prep of skin to prevent surgical-site infections
Does the routine use of masks in non-surgical medical examinations and routines reduce infectious disease transmission....
Sure, I can help you get started on your paper on medication errors. Here's an example of how you can format and structure the introduction:
Title: Addressing Medication Errors: An Examination of Causes, Prevention, and Solutions
Introduction:
I. Background Information
A. Importance of Medication Safety
B. Prevalence and Impact of Medication Errors
II. Definition of Medication Errors
A. Explanation of What Constitutes a Medication Error
B. Different Types of Medication Errors
III. Objectives of the Paper
A. To Identify Common Causes of Medication Errors
B. To Explore Strategies for Preventing Medication Errors
C. To Discuss....
Impact of Electronic Medical Records on Patient Care
The benefits and challenges of using electronic medical records (EMRs) in healthcare delivery
How EMRs have improved the accuracy, efficiency, and accessibility of patient information
The role of EMRs in reducing medical errors and improving patient safety
The potential risks to patient privacy and security associated with EMRs
The impact of EMRs on the patient-physician relationship and trust
Technological Considerations for EMR Implementation
The key technological requirements and challenges for successful EMR implementation
The different types of EMR systems available and their respective strengths and weaknesses
The importance of data interoperability and standards....
Medical Equipment: Innovation, Advancements, and Impact on Healthcare
1. The Evolution of Medical Technology: A Historical Perspective
- Trace the historical evolution of medical equipment, from simple tools to sophisticated devices.
- Analyze the impact of technological advancements on medical practices and patient outcomes.
2. Innovation in Medical Equipment Design: From Concept to Commercialization
- Explore the design process of medical equipment, from initial idea to product launch.
- Discuss the challenges and considerations in designing safe, effective, and user-friendly devices.
3. The Regulatory Landscape of Medical Equipment: Balancing Innovation and Safety
- Analyze the regulatory frameworks governing the development and marketing of....
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