Established in 2002 by the Joint Commission to address the issue of safety in healthcare were various patient safety goals which dealt with many safety problems the accredited organization might face including medication and communication errors. The Joint Commission has also established National Patient Safety Goals for accredited organizations to follow in order to encourage patient safety by reevaluating the sentinel events data collected every year and revising the goals by omitting achieved goals and creating new ones. Hospitals evaluated by the Joint Commission must demonstrate compliance with the NPSGs as part of the accreditation process (Ellis & Hartley,
1. Give us an example of a time during one of your placement when you did work which you felt was above the normal standard required. I am doing my QUM placement at Ipswich Hospital and was assigned a task that I have never done before as a pharmacy assistant. My project is about evaluating the compliance of antibiotic prophylaxis perioperatively during total joint replacement. To collect the data for this project, I had to pull out medical records and audit them.
According to a study by Rothman, Solinger, Rothman, and Finlay (2012), nursing assessments can act as a longitudinal source for quickly identifying indicators of a clinical problem a patient may encounter. In being able to efficiently and effectively identify these changes, appropriate medical intervention can occur quicker which can help to reduce overall mortality and morbidity. This goal, and experience with identifying a change and initiating intervention quickly, taught me just how valuable the head-to-toe assessment really is. I know that when I finally practice as an RN on my own, I will assure that I always have this baseline assessment down
Revision of Hospital and Post-acute Care Policies is Essential Hospitals and post-acute care facilities need to adjust practices so as to promote malnutrition screening and assessment consistently throughout a senior’s hospital stay or added to the routine blood work for seniors residing in assisted living communities. If these assessments are disregarded, an individual may be released from the hospital and then readmitted shortly thereafter; furthermore, a resident in an assisted living community may be admitted to the hospital due to complications related to
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. Many organizations and other regulatory agencies use JACHO’s safety goal program as the foundation to develop a “culture of safety.” Barnsteiner (2011), reported a “culture of safety is to lessen harm to patients and providers through both system effectiveness and individual performance (pg.
Even more important is the fact that the reports of the Institute of Medicine have a huge impact on how to evaluate the outcomes of health care the workers themselves. In 1999, the Institute of Medicine published a landmark report, " To Err is Human : creating a safe health care system." The outcome of the report is the statement about the necessity of measures to create safer health system. Since that time, the safety of patients - a problem that primarily was not clearly understood and rarely been the subject of discussion – began to strongly attract the attention of the government. Moreover, thanks to the publications of IOM the attention to patient safety has been drawn to the general public.
The purpose of the HIPAA transactions and code set standards is to simplify the processes and decrease the costs associated with payment for health care services. The transactions and code set standards apply to patient-identifiable health information transmitted electronically. Physician practices will continue to be able to submit paper claims. When the regulations take effect in October 2002, standard formats and code sets will take the place of any payer-specific or location-specific formats or requirements. ICD-9-CM Volume 1 and 2: Diagnosis Coding - ICD-9-CM is used to code and classify morbidity data from the inpatient and outpatient records, physician offices, and most National Center for Health Statistics (NCHS) surveys.
Medication reconciliation is a safe process that can benefit patients by providing accurate, up to date listing of current medications the patient is taking. Patients deserve high quality patient care that supports accurate medication list, eradicating potential medication errors, and providing superior safe patient care. Which then directs me to my clinical question, does accurate medication reconciliation (intervention) influence patient safety (outcome) in patent’s who have adverse drug events (problem) over a one year within ambulatory clinic settings (time)? My PICOT supportive research question has been further evaluated from the journal article, “Ambulatory Medication Reconciliation: Using a Collaborative Approach to Process Improvement at an Academic Medical Center” written by Keogh et al. (2016).
According to the Agency for Healthcare Research and Quality, between 700,000 and 1,000,000 people in the United States fall in a hospital each year. According to our reports, 20 of these falls occurred in our hospital last year. Research has identified risk factors for falling in a hospital, such as impaired balance, history of falling, vertigo, orthostatic hypotension, altered mobility, visual impairment, the use of certain medications, etc. Patients who fall are more likely to feel hopeless, become less confident, become depressed and more isolated socially, experience a loss of physical functioning, a loss of quality of life, etc. This is an issue that must be resolved as soon as possible because the safety and well-being of the patients in this hospital should be a top priority.
Patient-centered care places the patient “as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs.” (QSEN, 2012) Too often healthcare professionals look at the patient as only a medical problem, not as an individual person. In a 2013 publication, Chen and Snyder noted the traditional disease-focused model is changing to one where care is customized to each individual person. There are six dimensions of patient-centered care, including the previously mentioned definition to include: comfort, coordination and integration of care, free flow of information, spiritual awareness and involvement of family and friends (Drenkard, 2013). These dimensions show the importance of patient-centered care. Patient-centered care forces the providers, nurses included, to look at each patient as an individual person; not every patient diagnosed with pneumonia is the same, each has different values and cultures that must be treated exclusively.
By creating this comprehensive list of the medication plan given to the patient, the hospital pharmacist can then send this information to the community pharmacist and make sure that the information is held up to date. This would allow for a smoother transition for the patient and it would allow the patient to be more informed of their medications. The pharmacist is “poised to play an important role in improving medication management during transitions of care and reducing readmission rates” so the pharmacist should play a more active role to help ensure the best therapy for the patient (7). The pharmacist should ultimately design an ideal system for Medication Reconciliation to help reduce medication errors and better inform patients on ADEs to prevent any unnecessary medical