Medication administration errors occurs 34 percent more often than any other preventable error. These errors directly impact patient safety. According to the Institute of Medicine (IOM), there are approximately one million patients harmed in hospitals across the United States. Studies support barcode scanning medication during medication administration can prevent this type of medication error (Marx, K., Stoudenmire, L.L., & Manasco, K.B., 2013). It is report that barcode medication administration (BCMA) may reduce medication administration errors by 86 percent (Gooder, V., 2012). North Kansas City Hospital has adopted a BCMA scanning program to reduce the risk of patient harm. Hospital policy is to: Documentation of medication administration will be performed via barcode scan of: 1. The administering caregiver’s …show more content…
Clinical nurses were recognized as an initiative to improve BCMA rates during staff meetings in October 2015. The clinical nurse with the best BCMA rate received an award ribbon and recognition during staff meeting. During the staff meeting in November 2015, scanning rates for October were reported. The number of clinical nurses with BCMA rates below 80 percent dropped to 11. Again, in December 2015, the clinical nurse with the best scanning rate was recognized. As an added incentive to increase BCMA rates, a five dollar gift care was included in the recognition award. This took place the last week of December 2015 during a staff meeting. A second intervention was implemented in February 2016. All nursing staff with a scanning rate above 90 percent received a positive email from their director reporting their scanning rate and thanking them for doing an awesome job. Clinical nurses with BCMA rates below 80 percent were also sent an email encouraging them to
How ICD-10 impacts the revenue cycle management by Sashi Padarthy discusses the “opportunity” for facilities to improve on “clinical documentation, revenue cycle performance, and analytic capabilities for business intelligence” (Padarthy, July 2012, p. 7). Padarthy suggests the shift from ICD-9-CM to ICD-10 will require multi-departmental assessments to determine core factors within ICD-10 will that will directly influence coding, billing and reimbursement. Padarthy proposes facilities analyze their current diagnostic and procedural codes to assess whether their current codes accurately represent services provided. In addition, he asks facilities to determine “if an opportunity to leverage ICD-10” exists, and if so, what is needed; updated eligibility requirements, increased medical necessity
The data collected was over four weeks, from May 11, 2015 to June 5, 2015. Ten hours days four days a week for a total of 160 hours. The average patient volume assigned to the nurse was 8-10 per day. The method of recording was checks made on a calendar with brief notations of the conversation between the nurse and the patient care technician. CHECK (C)
AB-2024 Critical access hospitals: employment Summary/Analysis: This amended bill, AB-2024 Cortical access hospitals: employment, would call for a federally certified CAH (Critical Access Hospital) to employ licensees and charge for professional services rendered by those licensees until 2024. In that period of time, the Medical Board of California (MBC) will provide a report to the California Legislature on the impact of authorizing CAHs (Critical Access Hospital) to employ physicians and the CAH (Critical Access Hospital) shall not interfere with, control, or otherwise direct the professional judgment of a physician and surgeon. The current unamend law uses previous legislation including the CAH (Critical Access Hospital) program that was created by Congress in 1997 in response to numerous rural hospitals closing across the nation in the 1980s and
To accommodate for these challenges, the Canadian Nurses Association [CNA]
Dissemination Plan Internal. To best disseminate Braden screening internally, it is important to include all acute care staff nurses, charge nurses, nurse administrators, case managers, unlicensed assistive personnel and involved hospital administrators. It is also important to include the acute care physicians, so that they are aware of the problem and intervention on a collaborative basis. A series of lunch and learn sessions, where staff members from each acute care shift can be exposed to the problem (including the prevalence of HAPUs in the acute care setting), the Braden Scale Screening solution, as well as an overview of benefits, costs and savings. This would be an opportunity to gain rapport with staff, and gain traction with early-adopters who will be key to ensuring a culture of taking the intervention seriously, as well as following the protocols and reporting procedures.
NU 413 Week 9 Discussion Board Post student response to Katie-Lynn Fournier by Kathryn Moultrie Good afternoon Kathie, Enjoyed reading your post, and seeing how other organizations handle the operations of their facility and nursing departments. My biggest concern with improving quality care and patient safety issues in that, the responsibility is not ours alone, our Chief Nurse Executives (CNEs) and Director of Nursing (DON), and senior nursing management staffs to lead the journey Disch J. (2008). I find it overwhelming that the majority of the research literature (studies, surveys and reports believe nursing plays the pivotal role in changing the face of health care and improving quality care and patient safety.
In response to these tragic events, activists have introduced many best-practice approaches to minimize these occurrences. One instance is a new cleaning checklist developed from culture methods from other industries to reduce the risk of Staphylococcal infections. Another best-practice approach is the invention of a Pyxis medication dispensing unit, which is a form of medication management that includes barcode technology. This provides another safety check for the nurse as it implements the five rights of medication administration, and minimalizes any further medication errors.
At the time of the event, a bar coding system for all medication had been in effect for a duration of two weeks, however, Thao had been gone one of those crucial weeks. Because of her absence, she did not receive the adequate training, instead, she received a sped
Differentiating Roles and Main Activities of CMS and Joint Commission Centers for Medicare Medicaid Services (CMS) is affiliated to the Department of Health and Human Services which oversees federal programs. CMS aims at achieving better quality health care system, reduction of costs and improving health. CMS`s roles and main activities are to administer programs like Medicare and work with States to provide Medicaid. Also provides Children health insurance portability (CHIP), oversees Health Standards and Quality Bureau (HSQB) which “develops, interprets and implements health quality and safety standards and evaluates their impact on the utilization, quality, and cost of health care services”, (Social Security,2015, p.1).,and
Further research stated that the American Nurses’ Association have guidelines for making decisions on staffing, which “suggest that the number and acuity of the patients, the level of staff working
Wheeling hospital collected data for patient satisfaction was collected from 4/1/2016 to 3/31/2017. Wheeling hospital completed 1779 surveys in this period with a response rate of 26%. This was a bit shocking due to more people taking the survey than previous thought. The state average of patient’s reporting their nurses communicated well is 81%, while the national is 80%. The hospital’s average was only 77%, and was not very shocking due to the importance of nurses being advocates for their patients.
Medication Errors in Healthcare The nursing profession entails many responsibilities that range from providing emotional support to administering medications that could result in death for those receiving care. Approximately 40% of a nurse's day consists of passing medication, a duty that sets their level of liability above many other healthcare professions (McCuistion, Vuljoin-DiMaggio, Winton, Yeager, & Kee, 2018). Despite today's advances in technology and nursing education, the frequency of medication errors is still staggering. To ensure that the benefits of nursing outweigh the risks, nurses look to the Quality and Safety Education for Nurses (QSEN) six core competencies for guidance.
Problem-solving and critical thinking have been essential in overcoming challenges and making critical decisions. Moving forward, I will focus on refining caseload management, prioritizing open communication, and advocating for additional resources and growth opportunities for the nursing team. I will also strive for a collaborative decision-making approach, incorporating diverse perspectives to benefit the team and patients alike. Through self-care and professional development, I aim to grow in my role as the charge nurse, contributing to enhanced patient care and the overall success of the nursing team at Sentinel
Discussion #3 Negative Effects of Registered Nurse on the healthcare system and recommendations Nurse- 501 Brenda L. Santiago Vargas Ana G. Mendez, Orlando Campus Prof. Steve Seals, DNP, APRN, FNP, BC, ENP 5/24/2023 The nursing process, which consists of assessment, diagnosis, planning and outcomes, intervention, and evaluation, is the foundation and center of all nursing actions. The systematic practice of nursing is carried out through a purposeful, logical, and reasonable problem-solving procedure. Patients, their families, or communities are continuously involved in the nursing process at all stages, from assessment to evaluation. Based on fresh information from the patient or from any other source, diagnoses, planning,
In the modern healthcare industry of today technology plays a huge role for all parties involved whether it is the Physician accessing a patient’s X-ray while out of the office to make a diagnosis or a patient viewing his medical records from home. Both of these require the use of technology to view the sensitive information. Innovations in Technology have changed the way we provide healthcare to patients all across the world. Portable devices are now used by patients to access their medical records and by physicians to monitor patients’ progress. Handheld devices are used to scan medications and a patient’s wristband to confirm the patient identity and verify the medication assigned to the patient.