The scope of the nursing practice is changing with the improvement of technology. Computer and information technology is just as important to nurses as their stethoscopes, so implementing and using Medical Information Technology (MEDITECH) an Electronic Health Records (EHR) is vital in improving patient care. The importance and knowledge of the possibilities and limitations of EHR systems is brought up throughout this paper. Chilton Hospital and Fairmont General Hospital review their possibilities and limitations about using MEDITECH. Some possibilities include Evidence-Based Documentation, Multidisciplinary Collaboration, Patient Safety, Care Quality, Care Specialties, Time Efficiency, and so on. Some limitations of the MEDITECH
“Step away from the blue, son!” Those were the words shouted at me the first time I entered an operating room. The bright lights, shiny equipment, and blue gowns filled me with energy and left me awestruck. My clinical years grew my love for the OR and cemented my passion for a general surgery career. The sophisticated surgical technique, the interprofessional teamwork in the OR, and the immediate alleviation of suffering by our own hands left me enamored with surgery.
Pascale Carayon, K. (2010). Patient Safety: The Role of Human Factors and Systems Engineering.Studies in health technology and informatics, [online] 153, p.23. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057365/ [Accessed 24 Oct. 2015].
The information processing theory is a structure which rationalises how people obtain; process and store information and knowledge (Tangen & Borders 2017, p. 99). The Information processing theory involves the clinical reasoning cycle and the information processing model.
. Here is where I come in; graduating in 1998 from the title of a Medical Assistant II to State Certified, nurse and HHA nurse of 19 years.
Some of the databases that were searched for information about my PICOT questions were not directly related to patients in long-term care facilities. The Databases that were searched included CINAHL, National Guideline Clearing House, Ovid, and EBSCO, articles related to my PICOT was found on National Guideline Clearing House and Ovid. Some of the key words that were used during the search were Hendrich II fall risk tool, fall in Long-term care facilities, Geriatric falls, fall prevention and predicting fall. National Guideline Clearing (www.guideline.gov) produced about ten results directly related to the content in the PICOT question and CINAHL had thirty nine results.
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.
Healthcare organization becoming and maintaining the ability to be a highly reliable organization has developed into a critical focus for not only patient care but also regulatory agencies and managed care organization. In week 4, I chose for my health care organization, the staffing, and scheduling processes make the organization highly reliable through advanced-access scheduling which provides an efficient and patient-friendly method of scheduling to patients ' and the delivery of care.
An essential component of interaction among individuals is communication. This is especially true in healthcare settings where patient safety is contingent on effective communication. Rather than the mere presentation of information to patients, communication is the receiving, giving, and understanding of information between two or more people (Levett-Jones, Oates & MacDonald-Wicks, 2014). Additionally, communication involves two forms verbal and non-verbal wherein verbal communication involves language such as words and non-verbal communication involves body language such as facial expressions, posture, gestures, and others (Glew, 2017). Moreover, rather than linear communication, feedback loops for validation must be utilised for communicating
According to Media Health Leaders medical mistakes are the third leading cause of death in the United States. Hospitals today are making life threatening mistakes and are looking for a way to fix their ways of error. Three methods that would help lower the number of medical mistakes are the increasing patients’ engagement, improving physician guidelines, while decreasing faculty shifts hours.
Becoming compliant with surgical policies in the operating room will create a reactive system change to unit behavior fundamentally embracing change process. The process consists of a planned system change and responsibility of the change agent participating in the change. The change will solve the problem of inconsistent staff behaviors. The cause of the SSI problem is one of the top priorities in the world's departments of health to minimize and prevent healthcare-associated infections. Most occurring SSI can be largely avoided with EBP approaches. These strategies have been implemented in many facilities. The attention to safer surgery, SSI prevention resulted in the development of World Health Organization (WHO) Surgical Safety Standards. The intention of this strategy is to demonstrate the significance of effective communication and teamwork to evidence-based health care to prevent SSI. I plan to influence change by adhering to the implemented quality checklist encouraging an overview of the list of surgical standards. Having one standard list with the surgical process will promote a compliance checklist to encourage consistency to surgical standards. This list will also promote reminders of adhering to areas needing improvement based on quality data. The staff will bring awareness to areas for personal improvement to meet compliance standards.
An expert witness can be retained by counsel as a consultant or be used to testify in court. These witnesses perform two important functions. The first is to use their tools, experience, and education to evaluate the evidence of a case, then form an educated opinion of that evidence as it relates to a court case. The other function of expert witnesses is to communicate that opinion to those present in the courtroom; primarily the judge and/or jury as well as attorneys.
Quality improvement in medical care and health services has a long history. It has been debated whether focus should be on services meeting professional standards (process measures) or end results (Rohrer, 2014). The purpose of this paper will be to describe the quality program goals, objectives, and quality management structure of my respective organization. The way quality management projects are selected, managed, and monitored will be discussed as well as the methodology and tools/techniques that are utilized. Evaluation of the effectiveness of quality improvement activities will be discussed along with what happens when the activity is not effective.
Young adults who want to have plastic surgery often have a different intention and goal than adults. They decide to have plastic surgery to improve any physical features they feel are troublesome or imperfect. If these imperfections were left uncorrected, they could affect the teen later in life. Teens should be allowed to have corrective cosmetic surgery, because it can help improve self-confidence and self-esteem and it can help medically.
This essay will look at how interprofessional communication in health and social care can impact service-user safety. Interprofessional collaboration is when different health professions work together though the process of communication and shared decision making (Bridges, et al, 2011). In such a complex environment such as the NHS were one service-user could be treated by several different professions it’s important to service-user safety that these teams are cohesive. Communication between these different groups is imperative, failure in communication can be detrimental to service-user safety. Failures in communication and co-ordination can have massive adverse effect, such as in the case of Victoria Climbie were these failures lead to the