Service users in hospital are much more prone to infections and diseases as they are already unwell therefore extra precautions are always taken. This includes service providers ensuring that their vaccinations are up to date, working in a
Understaffing in hospitals is a major problem that has been affecting healthcare workers and patients for many years. I have chosen to highlight understaffing as a patient safety issue because of the consequences that can arise from it. Shortages in staffing can result in an increase of infection rates (Stone et al., 2007) leading to complications and poorer patient outcomes (Needleman et al. 2002). This particular issue is of interest to me because I have experienced and witnessed it myself.
This report addresses the issues arising from the case study report of Guelph General Hospital. Over the years, the hospital has experienced challenges in the delivery of services to consumers. This is especially due to the expanding numbers of patients that have affected the normal functioning of the hospital system. Starting with the improvement of the emergency department, GGH has focused on the practices that would accommodate the increasing demands for medical services. The lean methodology is one of the implementations that aimed at reducing wastage within the system, in order to create value for the services offered.
Staphylococcus Aureus bacteria are easily transmitted from patient to patient on the hands of health care providers and the patients themselves. In addition to the substantial morbidity and mortality associated with Staphylococcus Aureus infection, the economic cost of Staphylococcus Aureus bacteraemia in this population is striking. (Engemann et al., 2005) According to Nissenson (2005) patients with end-stage renal disease and septicaemia caused by Staphylococcus Aureus had costly and lengthy hospitalisations, which frequently were associated with clinically and economically important complications, including hospital
I believe the Parkland Formula is a good formula for a hospital setting. There are many other formulas out there to use but most of them are semular to the Parkland formula with as much math involved or more, some examples are the Evans Formula, Brooks Formula or Monafo Hypertonic Formula. These formulas are more designed for hospital settings using crystalloids with colloids over a period of time, this can be very helpful for the pt to replenish the patients fluids and to give the patient the best recovery after a major burn. In a prehospital setting this can be very hard to accomplish so that is why is don’t recommend any other formulas that I found. The system I prefer is form the Victoria Fire Department protocol over burns.
There is a big economic aspect that has to be taken into count. A child with Down syndrome has an increased risk for certain medical conditions such as congenital heart defects, respiratory and hearing problems, Alzheimer 's disease, childhood leukemia and thyroid conditions. Many of these conditions are now treatable, however they too have a cost. Although the severity can vary, a child with down syndrome usually requires extensive attention and care, thus public hospitals would not be suitable to them, and in private hospitals, they would be offered a ‘special ward’. This ward would assign a nurse to keep a constant watch over the child.
A hospital stay is normally associated with only increasing a patient’s overall well-being. However, that is not always the case. While the health-care team is fully taking care of a patient’s needs, human dignity can sometimes be lost. Hospital acquired infections, such as catheter associated urinary tract infections, can also pose a threat to a patient’s well-being. Nurses must be trained to combat both of these problems simultaneously.
The unit I work in has sicker, more unstable patients than those on the medical surgical floor or labor and delivery or post-partum. It is not a joyous time in a person’s life when they are admitted into the Intensive Care Unit and it usually causes panic with the family. It is important to keep the family as up to date as possible to relieve some of the uncertainty they may feel. Talking to the patient’s family also produces a better overall experience for the patient. When the patient is discharged they listen to their family’s recap about the hospital stay and it influences their opinion.
Good critical nurses possess the critical thinking ability to handle emergency situations and equipment but also are compassionate, helping patients and family members through stressful circumstances (Kirpal, 2004). It can be difficult for HR professionals and health care managers to screen potential critical nurse candidates that encompass both critical thinking and empathy characteristics. In addition, many experienced critical care nurses experience burn out from dealing with multiple previous stressful patient encounters and long hours, causing them to leave the nursing profession (Kirpal, 2004). Moreover, to increase efficiency many hospitals expect their nurses to float to other departments to help fill temporary staffing shortages—increasing the stress levels of nurses to learn new skills in unfamiliar environments in short periods of time (Kirpal, 2004). As previously mentioned, younger individuals are not choosing to become nurses, creating an age disparity among nurses in many hospitals (Kirpal, 2004).
These alarming statistics raise a huge concern with the effectiveness of the transitions of care. The main issue with transitions of care is that there are discrepancies that mistakenly occur during this process. As reported by Judith Kristeller, PharmD BCPS, “the transition between inpatient and community settings in particular is prone to medication errors related to a lack of communication between health care providers, missed patient follow-up, inadequate patient education, etc.” (6). Medicare services have even included a three percent fine on Medicare payment for hospitals that have unnecessary readmissions, and this percent has increased since 2014 (5). There are so many issues with patient safety that should not be occurring, so reforms must be made in transitions of
However, this may be a further barrier to residents who are seeking care due to barriers to access. In order to progress toward dismissal of health disparities in rural Appalachia several barriers need to be addressed. Lack of transportation, access to screening exams/preventive care, and existence of local health care facilities are common disparities Appalachian residents deal with. Access to receive proper physical exams, child care visits, laboratory work, vaccinations, and imaging exams are very limited and travel may be needed. Inadequate breast and cervical cancer screenings usually require travel to a larger medical facility.
Doctors report that they now spend more time explaining to patients why an expensive new drug is no better than the one they already take, or that the patient isn 't suffering from a nebulous condition like fibromyalgia, just the normal aches and pains of aging.” This pressures physicians to prescribe when patients come in requesting a particular newer (not necessarily better), more expensive medication by name. 70% of physicians complied with requests when a patient requests a medication by name (Freundlich). Rather than advertising a new drug, education on the condition itself would be more effective. If the government would regulate and limit DTC drug advertising, it would reduce healthcare spending. Three bills have been proposed to solve this: Families for ED Advertising Decency Act (bans ads for prescription sexual aids like Viagra from prime-time television due to children possibly seeing it), prohibiting