Health care is a very important factor in people’s lives. There is high demand in health care services in Thailand that many times hospitals have to transfer their patients to other hospitals when they can’t handle the extra number of patients. The major concerning area about this event is that all of the hospitals work and operate differently and have different ways to do their jobs. There is no standard between the hospital information systems and it can have negative impact on the quality of patient information in the systems, such as duplications, syntax errors and many nonstandard abbreviations. All in all, these problems are important to consider reducing because they have effects on operations in hospital and can cause decrease of patient visits, inefficiency in information management and increase of costs.
Not to mention that hospital care is usually very expensive! On the other hand, in terms of mental wellbeing, patients admitted to hospitals for relatively longer time periods are more prone to anxiety and depression and are more likely to show a decline in overall improvement over time compared with those receiving long-term care in the comfort of their homes. In fact, there are certain classes of patients for whom home health care would be the optimal medical care system, such as geriatric patients, patients with neurological disorders, cancer patients, or terminally
Warren and Creech-Tart (2008) discussed that fatigue experienced by health care provider is one of the contributor factors to deficiencies in documentation. Since some health care providers work long hours and have demanding client assignments, they may not have clear thinking processes required during the process of documentation. Illegible writing is one of the most common complaints in written documentation as a result of messy handwriting (Rodríguez-Vera, Marín, Sánchez, Borrachero, & Pujol, 2002). A messy handwriting may occur if the nurses write the notes too quickly in order to save time or too many workloads on the same time. Messy handwriting can lead to misinterpretation of information and cause poor nursing care.
Nursing Shortage is a problem we all should be aware of. There are many factors that may lead to a nursing shortage, such as having stressful and unsafe working environments, and our nurses are being overworked. This is a problem we should be aware of because it is affecting the patient care. Nurses, would not have enough time to stay with a patient if they have more patients to worry about. Nurses play a big role in our hospitals and communities.
According to Nanwa, Sander, Krahn, Daneman, Lu, Austin, Govindarajan, Rosella, Cadarette, & Kwong (2017), the average additional cost due to hospital-induced Clostridium difficile is $8,083. The additional cost affects patients drastically, when the average overall cost of patients whom did not contract C. diff was $3,817. These additional costs can contribute to a population due to negative stigmas that can be attributed to a lack of willingness of patients to visit hospitals for much needed care. While these issues can be a concern and can be argued over, due to high overall costs of these infections, it can be considered negligible. The antibiotics given to the patients can treat infections that are considered more fatal than C. diff.
Palliative Care Simulation Reflection Palliative care is known to be a methodology structured to handle medical cases where patients have life-limiting illnesses (National Cancer Institute, 2018). This approach is often specialized and requires a multidisciplinary team to deliver relief to the patient through the management of physical and mental challenges that come with terminal diagnoses. The objective of this approach is to improve the quality of life for both the patient and their family (Ferrell, et al., 2007). Evidence based practice has come to support this methodology due to the measureable improvements in these patient’s lives (Kavalieratos, et al., 2016). Often, managing patients with life-limiting disease can present as a challenge,
There are many instances where hospital staff faces the embarrassment of not finding required assets. It leads to the situation where staff raises a request for purchase of new equipment and assets. Improper asset management damages financial structure of the hospitals – • Paying insurance premiums to Ghost assets – When an asset of high cost is disposed and if it is not recorded properly, and then Hospitals pay to insure premiums to these assets • Poor recording of assets also affects the reputation of hospitals – When hospital employees fail to remove depreciated equipment from the books after it has been disposed of, the hospital appears to be older on paper than it really is. This can be problematic for hospital executives looking to refinance existing debt or raising new capital for expansion • Unrecorded Assets – Hospitals sometimes have equipment that isn't on the books, which is a cause for concern when the hospital is
The duration a patient spends in the hospital also have a major role in affecting effective staffing in allocating staff in the ward, the head nurse have to check the type of patient in the ward. There are times when one patient will seem like eight patient because of the condition of the patient. The patient will require complete care and this will necessitate more number of staff on duty. Example, if there is a patient bleeding profusely and another patient having difficulty with breathing and still there are two or more patient who were just wheeled from the theatre. If the number of staff on duty are three and the total patient in the ward is twenty four, it will be very difficult for the staff to cope and this will be seen as inadequate staffing.
Hospitals now retrieve organs from patients who die in accidents and emergency departments – as well as those who die in Intensive Care Units (ICU’s). The move is expected to make hundreds of more organs available to reduce the waiting list. Despite decades and decades of public education about the virtues of organ donation, the waiting list just gets longer, and the time to transplantation just gets longer. It is past time to face the fact that altruism is just not enough. Many people need more of an incentive to give.
Here are some of the obstacles and weaknesses identified in the use of EMR in the patient care and management process is management change. Change of mind or thinking is the challenge required to ensure the culture of using a full computer system for dealing with medical records documentation from paper usage as medical personnel are more comfortable using paper and writing manually. Information technology literacy is also required for the use of EMR because there are sometimes technical problems in computer software and hardware that make medical personnel less easily using EMR for maintenance information records due to the disruption. Second, high costs for maintenance of ict systems and equipment. The cost of purchasing EMR software, ICT equipment and EMR regulation is high.