Sorensen L,Stokes JA, Purdie DM, Woodward M, Elliot R, Roberts MS. Medication reviews in the community: results of a randomised controlled effectiveness trial. British Journal of Clinical Pharmacology.2004;58(6):648-664 24. Spinewine A, Schmader,KE, Barber N, Hughes C, Lapane KL, Swine C, Hanlon JT. Appropriate Prescribing in Elderly people: how well can it be measured and optimised?
128 Treas, Wilkinson) in which include vitals, auscultation of breath sounds, observation of activity, and asking the patient how they are feeling and family for observation. The RN would record the evaluation summary in the nursing note or care plan about the conclusion whether the outcome was achieved and the reassessment data supports the judgment. In order to revise a care plan, an RN must " review all the steps of the nursing process. "(pg. 130 Treas, Wilkinson).
The creation of Joint Commission on Accreditation of Hospitals in 1951 allowed estimating the dynamics in key performance indicators of medical institutions: the quality of medical care to the personnel management system. The aim of JCAH is not only a quality assessment in itself but also finding the ways to improve medical quality. Specific standards that were first used in the US to control the sanitary condition and the conditions of patients in the hospitals, later on, were formed in the accreditation procedure. Today Joint Commission is the largest and most authoritative accreditation organization, not only in the US but also around the
Regulatory organizations and government officials began to focus on the need for quality in hopes to decrease medical errors and healthcare cost. The Joint Commission of Accredited Healthcare Organizations (JCAHO) was one of the first regulatory organizations to develop standards of care or goals around specific patient safety issues. The program is known as JCAHO’s National Patient Safety Goals and it originally started with six goals and was implemented in 2003 (Catalano, 2002). JCAHO remains at the forefront of patient safety by expanding, revising and developing the National Patient Safety Goal Program each year.
Introduction: Epilepsy is a common chronic neurological disease that the use of self-management strategies is essential to increase patient safety and quality of life. The aim of this study Identify the features and capabilities of epilepsy self-management application from Perspectives of Patient and physicians. Methods: In this cross-sectional study, the perspective of 100 patients with epilepsy who were members of the Iranian Epilepsy Society and 15 physicians who were member or colleagues of the Iranian Epilepsy Society were studied by using the questionnaire about training needs, essential data elements and features of the application. The data were analyzed by the use of descriptive statistics (mean and standard deviation) and Kruskal-Wallis
Healthcare organization becoming and maintaining the ability to be a highly reliable organization has developed into a critical focus for not only patient care but also regulatory agencies and managed care organization. In week 4, I chose for my health care organization, the staffing, and scheduling processes make the organization highly reliable through advanced-access scheduling which provides an efficient and patient-friendly method of scheduling to patients ' and the delivery of care. Through EHR we are able to provide patients with more fast, effective and efficient care with more easy access to their health record. EHR provide great benefits for the providers, patients, and health care organization. For providers, they are able to obtained
Queueing Theory has been studied in health care settings since 1952 . A considerable body of research has shown the use of queueing theory in real world health care situation. McClain  reviews research on models for evaluating the impact of bed assignments policies on utilization, waiting time and the probability of turning away patients. Nosek and Wilson  review the use of queueing theory in pharmacy application with particular attention to improving customer’s satisfaction. Customer satisfaction is improved by predicting and reducing waiting times and adjusting staffing.
The clinical decision support system have several functions: to provide drug information, cross-reference patient 's allergies to medications, and ensures you verify current medications to prevent future drug interactions. With the continuous growth of medical expertise, these functions deliver a safer and a much higher quality of care. As more clinical decision support systems are used, the patient will receive the best
HRM has increase efficiency through rewards and performance appraisal to assess individual's performance. It has equally increase equity or fairness through systematic planning of health services. Some of these strategies are introduction of financial protection mechanisms, and re deployment services. It also improve the quality of services and patient satisfaction, this is done by filling every position with the right people and at the right time. Because of interdisciplinary teamwork fut into place by HRM there has been a better coordination of patient services in the healthcare system all over the world.
Understanding the Healthcare system can be very challenging due to the system is constantly changing from new technology manage care, health care reforms, aging populations and other economic factors that have a significant impact in the service provided. Understanding plays an important role in the health care system because the improving quality in the healthcare system requires the implementation of internationally and recognized evidence based guidelines and protocols. EBP is necessary to integrate the best research with clinical expertise and patient value to establish best health outcomes. We believe that openly outlining and understanding some form of theory that explains the reason for why an intervention may work to induce planned
Initial Response 1.Describe how highly functioning interdisciplinary teams enhance the quality and safety of care provided in today’s complex healthcare organizations. Provide an example of a team approach used for quality and safety within your organization and discuss why you believe the team was or was not successful in achieving its goals. Use theoretical perspectives about team formation, membership, and tools to substantiate your response. Shoemaker, et al. (2016) wrote that interprofessional team-based medicine is viewed as a significant feature of delivery systems restructured to deliver more effective and higher quality care.
For my nursing experience, I have worked in research and specialist hospital in day medical unit. This unit receiving many of cancer patients to provide them routine chemotherapy doses. My focus was arranging their appointments and educating them how to adapt with routine chemotherapy and cancer disease environment. However, Roy, Callista adaptation theory is a grand theory that focuses on promoting adaptation for individuals and groups and responding positively to particular environment changes. Roy believed that "the goal of nursing is to improve adaptive for particular person" through using four adaptive mode (Physiologic needs, Self-concept, Role function, Interdependence) and specific information about the person.
Fraud is all around us. Especially in the health care industry. What is being done to prevent fraud from reoccurring over and over in the health care industry? In the article “New medical codes can better catch fraud, but training is needed” by Tami Rockholt, RN, BSN; Mike Fossey; Mary McLean, BS discuses the topic of health care organizations transferring from ICD-9 to ICD-10 to help decrease fraud in the coding and billing department.
While reviewing the posts for team one discussion this week it looks like they are all agreed that standardization would have a positive within the healthcare system. Collecting data and the exchanging of health information are essential in improving patient safety and quality care. Having standardized terminology will simplify the transference of data among providers and decrease misunderstandings. I feel that only a few individuals directly mentioned how big of an impact standardization will have on overall clinical workflow. Standardization will allow clinicians to dedicate more time to patient
Hi Prof. Antoisnne, It is imperative that the HIM professional establish data standards to ensure data quality and consistency. Establishing data standards would help to ensure patient safety, consistent delivery of health care services, plan coordination of care, and standardize healthcare reporting. Essentially, data standards are needed to assess the quality and consistency of collected data. Organizations need HIM professionals to familiarize themselves with these standards to create an organizational standardized data dictionary, format electronic health records, and standardize the exchange of health information across the continuum for general data management and to ensure the integrity and reliability of gathered data.