A., Fisman, D. N., Moineddin, R., & Daneman, N. (2014). The magnitude and duration of Clostridium difficile infection risk associated with antibiotic therapy: A hospital cohort study. PLoS One, 9(8), e105454. doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.1371/journal.pone.0105 Connelly, L. M. (2014). Use of theoretical frameworks in research.
One study by Arnold et al. (2010) directly compared the two drugs in question for this project and provided credible information to the development of an evidenced-based answer to the problem (Arnold et al., 2010). A second systematic review by Akl et al. (2014) researched the effects of the two drugs in question in the thromboprophylaxis treatment of patients (Akl et al.,
. . Hofbeck, M. (2015). Nurse-driven pediatric analgesia and sedation protocol reduces withdrawal symptoms in critically ill medical pediatric patients. Pediatric Anesthesia, 25(8), 786-794. doi:10.1111/pan.12649 New York-Presbyterian Hospital.
According to (Psnet.ahrq.gov, 2015) 5%-10% of patients die as a result of ADE’s, while 75% of these events are preventable. A simple factor such as illegible writing in patient documentation can result in errors with administration and monitoring. Certain medications may also cause serious side effects, which refer to a drug’s unwanted effects that occur within the therapeutic range (Reactions, 2015). It is clear that nursing and medical interventions need to be implemented immediately to prevent an adverse effect occurring, and a way in which this can be done is to assess and monitor the patient accurately. Professionals are trained to understand how the body reacts to the drug, and what the drug actually does to the body, which is known as pharmacokinetics and pharmacodynamics (Nursingboard.ie,
Medication Assisted Treatment, or "MAT" for short, is the use of FDA approved medication for the treatment of opiate/opioid addiction and substance abuse with counseling and behavioral therapies to treat addiction (Cormier, 2014). This treatment can be used concurrently with a 12-step addiction program. Common medications used with this treatment are Methadone, Buprenorphine, Naltrexone, Acamprosate and Disulfiram. Despite research demonstrating MAT’s effectiveness as an evidence-based practice, such treatment remains underutilized (Reardon, 2014). For example, less than one-half of the 2.5 million Americans aged 12 or older who abused or were dependent on opioids in 2013 received MAT with positive effects (Volkow, Frieden, Hyde, & Cha, 2014).
This interdisciplinary team provides multiple and collaborative treatments 61; clinicians work together to establish and achieve a common goal of treatment, make collective therapeutic decisions, and facilitate communication between clinicians and patients 62. Interdisciplinary intervention aims to improve patients’ health outcomes, decrease patients’ reliance on pain medication, reduce patients use of health care services, encourage feelings of success, support patients’ return to work, increase self-efficacy, and engage patients to be active and responsible for their own health 62. In the research field, interdisciplinary intervention and multidisciplinary intervention are used interchangeably, they refer to the patient care team 63. However, interdisciplinary intervention can be distinguished from multidisciplinary intervention as it is used to describe a comprehensive approach offered by clinicians from different disciplines who work together in the same facility 63.
(n.d.). Retrieved March 05, 2018, from http://www.epi.umn.edu/let/nutri/disparities/causes.shtm Chen, J. (2016, February). Retrieved March 05, 2018, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4711386/ Disparities in Healthcare Quality Among Racial and Ethnic Minority Groups | AHRQ Archive. (n.d.). Retrieved March 05, 2018, from https://archive.ahrq.gov/research/findings/nhqrdr/nhqrdr10/minority.html Healthy Aging.
According to my reflection in this situation, I am planning to develop myself to give high quality of care to the patient and listen to him, met his need. Always, let the client to know his right and ask me what he need. Improve my therapeutic relationship with patient. Increases level of satisfaction of care that provides to the patient.
For example, core value of a local healthcare facility can be “a better patient care”, now a hospital may grow form small beds facility to larger beds facility, but its core value of better patient care stays the same. Appraise the value offered by Leonard Berry’s Success Sustainability Model as a management tool for communication drivers of excellence that will yield sustained success. Provide at least two (2) specific examples of Leonard Berry’s Success Sustainability Model that apply within a health care organization with which you are familiar. Leonard Berry’s
CCOM has a patient-oriented philosophy with an emphasis on biological, psychological, and sociological approaches. I value this holistic technique of helping patients reach a high level of wellness by focusing on their health promotion and disease prevention. I look forward to learning how to give quality care to patients in a compassionate manner. CCOM 's years of experience, curriculum, and countless achievements exemplify these extraordinary principles. I have no doubt that CCOM is among the finest institutions and I would be honored to contribute to CCOM esteemed
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
ACOs is consider to be groups of doctors, hospitals and insurance companies that connection together to offer a higher-quality of patient care. By improving the quality of care and making more cost-efficient health care decisions. There are ACO core standards in place to ensure that health providers receive the appropriate incentives across the board. ACO’s also have to establish a system wide approach to continuous improvement, and communication, and education to ensure that the quality of care is cost effective. ACO 's Strategic Plan ACO’s require to meet certain benchmarks for keeping patients healthy without requiring a hospital stay.
Recognizing, acknowledging, and understanding medication safety is important when administering medications. Understanding which medications are high-risk ones, being familiar with the medications being given, remembering the five most important rights when administering medications, communicating clearly, developing checking habits, and reporting the medication errors will lead to safe outcomes for the residents. However, errors do occur from a lack of experience, rushing, distractions, fatigue, doing too many things at once, not double checking, poor communication, and lack of team work. It is not only the staff that commit errors, but also the work environment that contributes to the medication error. Two examples are poor reporting systems
Preventatives for Medication Errors Administration of medications has become more complex and the process more exacting. About 15% of adverse events occurring in hospitals are related to medication. An estimated 98,000 people die every year from medical errors in U.S. hospitals, and a significant number of those deaths are associated with medication errors (Tzeng, Yin & Schneider, 2013). About 700,000 emergency department visits and 120,000 hospitalizations are due to ADEs annually ("Medication safety basics," August ). These errors occur commonly when the nurse becomes easily distracted and loses focus on the task at hand.
Nurses' perceptions of how physical environment affects medication errors in acute care settings Introduction "Medication errors results from the interaction of multiple factors that include regulatory environment, organizational leadership and commitment, management policies and procedures, complexity of tasks involved, work culture, and physical environment" (Chaudhury, Mahmood, & Valente, 2009, p. 229). Health care services that nurses perform in the hospital environments are physically and psychologically intense, which can potentially result in burnout, stress, and medication errors. Crowded and poorly designed work spaces are factors that contribute to staff stress, resulting in the risk of increase medication errors (Chaudhury et al., 2009). Ulrich, Zimring, Quan, Joseph, and Choudhary, 2004 (as cited in Chaudhury et al., 2009) "argued that reduction of nursing staff stress and error by physical environmental dimensions (such as air quality, acoustics, lighting, and so on) can have a significant impact on staff health and efficiency" (p. 230). There is limited research on the how physical environment affects medication errors.