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.
They should be hold accountable for any breach in protocols. • Present format for electronic documentation does not allow for comprehensive clinical documentation during follow-up visit. Efforts should be made to upgrade the electronic medical record system to the standard of that expected for a medical center and research institute. This is to allow for proper documentation according to the industrial standard, and easy retrieval of patient’s information for clinical research. There is a need to employ a clinical documentation improvement specialist (CDIS) in this
Per FMLA regulations, ICA is excluded from being a covered employer due to the company size. Reviewing ICA’s employee handbook the company does honor FMLA on a case by case basis. Upon speaking with an ICA employee that recently requested FMLA, they were able to provide information on the process of applying for medical leave. For an employee seeking FMLA they must provide in writing to the executive officer at ICA reason for taking leave. The employee then must submit certification from their PCP documenting reason for medical leave and expected time off from work.
The broader intent of this study was to discover how the experiences of physicians in particular can be used to influence health policy in general, and specifically, whether physician’s experiences should and (or) can be used to
The Joint Commission’s tracer methodology is used to ensure compliance standards are met, as well as to “trace” and document the level of care provided to patients in order to make improvements to the facility’s health care delivery system. Patients requiring services that utilize the entire continuum of care spectrum are selected in an effort to gather sufficient information needed to identify areas with potential risks and safety concerns. As the patients’ course of care progresses across the system, Joint Commission surveyors evaluate each department 's policy and procedure on data management, infection control and medication management process. Health information management is impacted by the “tracer methodology” because HIM must ensure
We have designed and developed an ICU clinical decision support system (CDSS) to improve outcomes in critically ill patients by providing real-time decision support, decreasing medical errors, and minimizing life-threatening events caused by delayed or uninformed medical decisions. CDSSs are computer-aided ``active knowledge systems which use two or more items of patient data to generate case-specific advice'' and it can improve a physician's decision making performance for providing an evidence strongly . For optimal medical decision making, the CDSS needs to be data-driven, rapid, and
They assess, diagnose and treat acute and chronic illnesses as well as preventative healthcare for individuals and families. As their care is family-centered, they must also be able to understand the relevance of the family’s identified community. In addition to the nine essentials as outlined by the AACN, the FNP must meet competencies in advanced health assessment skills in order to differentiate between normal and abnormal findings. They should able to use screening and diagnostic strategies to develop diagnosis and they must be able to prescribe medications to enable them to work as independent practitioners (Competencies for Nurse Practitioners, 2012). In order to meet these competencies, the Consensus Model for APRN Regulation (2008) requires three separate graduate-level courses in advanced physiology and pathophysiology, health assessment and pharmacology as well as appropriate clinical experiences across the age
Future research should examine both advocacy and paternalism to overcome ethical dilemma of autonomy and wellbeing to help nurses make ethical decisions. A better understanding of the issue of advocacy and paternalism help in determining the development of more effective interventions for patients with dementia. Lastly, it is important that the health care professional evaluates and decides what level of supports the client requires to find the fine line between the advocacy and understanding of paternalism to make ethical decision for nursing care (Sjöstrand et al.,
The new health care reform will help reestablish the nursing concepts such as patient-centered care, integrated plan of care, and overall health and wellness to help aid in the quality of care the patient will receive. The new health care reform will focus on the individual before they become overtly ill, shifting away from its past procedure-based, fee-for-service patient care modalities, and into a preventative based health care approach. The new models of public health care will include new development of community based health centers (school, work and home based) with many more nurses and nurse practitioners serving as the primary care providers (Hokanson,2015).
Capstone Preceptorship Experience Xenia Garcia South Texas College Abstract Starr County Memorial Hospital provides quality healthcare and services for the overall wellbeing of individuals in the community. No one individual is denied care because of their race, religion, sex, age, nationality, economic status, and insurance status. Starr County Memorial Hospital gives back to the community by providing health education in preventive medicine. The organizational structure at Starr County Memorial Hospital follows the chain of command, beginning with the charge nurse and ending with the board of hospital. Problems that arise are presented in writing within 3 days of the alleged situation.
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.
CHANGE PROCESS Nurse-nurse handover or bedside handover has been proposed as to increase patient and their family involvement in their care. In carrying out the change to bedside reporting, the adaption of Spradley’s 8-step model in conjunction with Lewin’s 3-step model of unfreezing, moving and refreezing provides for a successful and smooth transition (Kassan & Jagoo, 2005). In part of the recognition of the existing problem, full understanding of issues undergoing patient quality care and satisfaction was communicated through with the Voice of the Patient Advisory Council and the Premier Patient Experience Steering Committee which reported lack of satisfaction of patients and their family members in regards to their knowledge of their