In our proposed system, besides basic patient demographics, pre-existing comorbidity data, and medication usage, we will emulate more event categories such as nurse-verified chart events, laboratory tests, and fluid balance records etc. to better assist ICU clinicians in making critical decisions. We are using these event based categories from the MIMIC-II data. Generally, event based categories are also includes the event duration. Since, for making critical decisions these events based categories with event duration are more helpful. For handling this event duration, we are proposing the temporal association rule mining in our proposed system.
The research gathered through this effort was then drafted and compiled into the “Compendium of Best Practices” and into the OB Hemorrhage Care Guidelines for recognition, response and prevention of OB hemorrhage. The guideline is available in three formats for ease of use including: beside checklist for team care, a table and flowchart to present key points. This also led way to develop a publicly available CMQCC OB Hemorrhage Toolkit for universal application.11 All of these tools allow clinicians act more efficiently in response to OB hemorrhage by defining roles and responsibilities according to the severity of the hemorrhage. Furthermore, key aspects of treatment, such as medication dosing and recommended ratios for replacement of blood products are clearly defined to allow the team to effectively respond to OB
What is Evidence-based practice? Evidence-based practice is an all-around systematic approach to patient care that was built up on research and proven treatment results within nursing in order to increase the patient outcomes. Evidence based practice is define as “the integration of current evidences and practices to make decisions about patient care”. (Medical Surgical Nursing, 2018). Evidence-based practice not only includes the best proven research for practicing patient-centered care, but also merges the patient’s preferences and values into consideration.
healthcare system. I found these trends very important, because they help the health care managers align the organization with the changing external environment. The first trend is eMedicine which enables patients to be more involved in their own care. The Food and Drug Administration (FDA) is continuously approving more medical softwares and physicians are becoming more interested to get advantage of this technology. Therefore, it is important for health care organizations to be prepared to adopt eMedicine.
They estimated the cost of pediatric stroke in the United States to $42 million in 2003, and the mean cost of acute hospital care was $20,927 per discharge, while the cost for ischemic stroke was $15,003, for intra-cerebral hemorrhage was $24,117, and for subarachnoid hemorrhage it was $31, 653.” (Perkins et al.). Pediatric stroke is costly, and the cost can evolve as high as those of an adult. The cost of pediatric stroke during admission, hospitalization and post stroke only tells us that cost can be massive as pediatric stroke can be of a lifetime cost, depending on its endurance and existence. The period and lifetime cost of a pediatric stroke can have a greater financial impact given the longer life anticipation for a child.
Development and implementation of new information technologies that allow global networking, give modern medicine the epithet of “informatical medicine”. Information technologies increasingly provide the help in system approach of solving medical problems [16]. Disposition of the right information enables the preparation of accurate reports, for example, usage of hospital capacities, or number of occupied beds. At the same time it is easier to monitor treatment and to check the information exchange. Use of information technologies enables change of the healthcare system - how to improve public health, the healthcare of the system users, reduce costs, save time and
The US government currently has an annual deficit over 400 billion dollars due to having a higher budget than revenues. Healthcare takes up 25% of the federal budget totaling almost 1 trillion dollars, and is extremely inefficient in its current state. But as Americans pay more, they get less for their health care than residents of other high income countries; of 16 surveyed countries America has the shortest life expectancy for men and women, and the highest rates of mortality for newborns and children under five, as well as the highest rates of death from heart and lung disease coupled with the highest rate of sexually transmitted diseases(Gayle).By incentivizing a healthy lifestyle, creating a more competitive market for health insurances,
The purpose of this paper will be first to identify a new model for nursing care delivery that will ensure improvement in both the quality and economic outcomes for our organization. Secondly, I will articulate how various key concepts of the new model will help improve the quality of service delivery in our organization while minimizing costs. Finally, well formatted empirical, scholarly evidence will be provided to support the raised ideas. Two areas where the hospital expenses due to patient injuries can be minimized and where the quality of patient care can be improved have been identified by the management of the operating room.
The theory of evidence based practice is not only an approach that targets for quality of patients but also highly improves the level of accountability in the health care sector by promoting a life-time learning process. Evidence based practice addresses the compulsory need for quality research evidence and quality practice all in struggle to support the care of a patient. Below is a brief description of the five models of evidence based practice(“ LibGuides at Oregon Health & Science University,” n.d.). Ask: Get some information about the consideration of people, groups, or populaces. Acquire: Secure the best accessible proof with respect to the inquiry.
It helps the physician to strengthen their decision making processes, by application of findings of scientific research, to individual patients’ requirements.
In this paper, computerized physician order entry (CPOE) systems will be discussed. The reduction of medication errors as a result of CPOE will be addressed, as well as, the possible errors or problems that it can still cause. The ease of use and how clinician input affects the efficiency, usability and safety will be included. Lastly, possible solutions to the problems and issues that arise from CPOE will also be provided. CPOE systems are very effective at reducing errors and assist with workflow.
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.
The healthcare industry generates a great amount of data every day, as a form of record keeping, patient care, compliance, and regulatory requirements. Just a decade ago, all this data was stored in the form of hard copy form, now it is rapidly transforming to digital data which is called EMR (Electronic Medical Record). The digitalization of the healthcare has not just reduced cost of care, but also improved quality of care due to the abundance data that organizations receive from the EMR to identify the flaws in their system. I work in the healthcare industry where improving quality of care is our primary goal. We use software called eCW , which is an integrated system.
Assessment and Intervention of Abuse, Neglect and Substance Disorders in Older Adults The older adult population is one of the fastest growing populations in the world and often time’s abuse, neglect and substance disorders in this population are under reported and or under diagnosed. This paper will help define elder abuse and neglect as well as discuss possible assessment tools and intervention that maybe used to help identify and deal with this growing problem.