Patient education, tele-medicine, expanding urgent care and primary care hours, urgent care departments, and co-pays in combination could help curb the number of non-emergent visits. Overuse of the emergency department causes overcrowding, ambulance diversion, long waiting times, frustrated staff, and cost inflation. These impacts are caused by inconvenient urgent care clinic and primary care office hours, quick results, emergency department referrals from urgent care clinics and primary care providers, EMTALA, and finally lack of co-pay. If the number of emergency department visits are decreased, staff can focus on caring for those who have life threatening conditions, and could result in cost savings for the entire healthcare
In terms of the pathogenesis, the causes are various and must be implicated in one or several primary diseases, such as high blood pressure, diabetes, heart problem, infections, lupus, purpura, etc. Some of them will influence patient’s kidney function severely and result in kidney failure eventually, which is known as chronic kidney disease (CKD). Others can lead patients to have acute kidney injury (AKI) and cause severe reactions within a short time. During the treatment for renal parenchymal disease, to control the primary diseases is something necessary, but not
Older patients who do not suffer with these confused and delirious behaviours are much more able to communicate their medical wants and needs as well as self monitor their health whilst others that do suffer these behaviours find this process far more difficult, in turn reducing their overall safety due to challenging communication. Patients who do present with confused and delerious tendancies often portray symptoms very similar to that of a UTI, for instance incontinence It can be concluded that older patients who have such behaviour and present all of the symptoms relating to that of UTI must undergo further investigation to prevent misdiagonosis and ineffective treatment such as antibiotics. However the diagnosis is often more difficult with a high risk of health professionals misdiagnosing the patient based upon the assumption that the patient is suffering from a UTI based upon the prevalence of delirium and therefore treating the patient accordingly. This treatment is most often through unnecessarily prescribing antibiotics that are becoming less effective due to antibiotic resistance.One of the most common misdiagonosis has to do with bacteria within the urine. Asymptomatic bacteriueria (ASB) is common within older
One of the major reasons that preoperative communication is so important is to support informed consent. The practitioner’s role in this varies between NHS trusts, but in all situations the patient’s right to a choice in their treatment is sacrosanct. All actions carried out on the patient need his or her consent; otherwise the patient could claim to have been assaulted. Patients usually give consent either by implication, for example when a patient agrees to receive a drug. However, some procedures are so dangerous, or the choices for the patient so complex, that it is necessary to record the act of consent.
There are some issues in implementing balance scorecard in healthcare industries.As the balanced scorecard increase the performance measurement in healthcare industries,the issues such as the involving of high innovation need to be aware of. Based on Hudson et al. (2001),the main issue faced using the balanced scorecard is it fails in focusing the detail and information about performance measure.Based on Kollberg and Elg (2010),they conclude that healthcare organisations have introduced the Balanced Scorecard primarily as a system to improve health care quality.In implementing balanced scorecard,the important attributes of hospital performance are including the medical staff relations and its quality of care,either it can be difficult to measure,interprete
One barrier that embodies multiple categories of barriers is a circumstance where the loved ones of a vegetative patient are requesting all measures to be taken despite very low odds. Financially, these desperate measures are commanding a vast amount of resources that boost costs not only for the hospital but for the family as well. Legally, the healthcare professionals are required to respect the patient’s wishes and if they wish to remain attached to expensive machines, the healthcare professional must adhere to those desires. Another ethical and legal barrier for families is knowing when to pull the plug and when to wait for a miracle. Letting go of a family member is an excruciating task to ask of anyone; however, if a patient requests to not be hooked up to life preserving machines or requests to have a DNR code status, the family must legally respect those wishes although it may not seem ethical to them.
Communication Is Key. In the medical field I believe there may be a common misconception that taking care of an illness is taking care of a patient. When a patient gets sick it is not only the illness the caregiver needs to handle. Patient care, in most hospitals if not all, is the number one priority. This is stressed so heavily because an adequate patient caregiver communication is the key to positive treatment and results.
The lack of dexterity results in the underutilization of expensive resources (staff and equipment) and in delays in the patient flow. Moreover, it contributes to increased patient inconvenience due to longer waiting times. Hospitals are not aware of the importance of determining the earliest point in time at which the relevant information becomes available to order resources required further down in the patient
Based on the above observations, analysis, and discussions on various studies and systematic reviews on Task shifting model, we propose following suggestions while using Task shifting as an alternative survival strategy or health organizations which suffer due to a shortage of professionally qualified medical doctors to treat chronic and long intervention related diseases in their organizations. (1) Strategy for Patient cure & Satisfaction : With the concept of something is better than nothing, patients should get at least minimum care even if there is an acute shortage of qualified physicians, the alternative survival strategy of task shifting is suggested as an optimum solution to the problem. (2) Strategy of organizational sustainability
Venous thromboembolisms pose great risks and are a substantial source of morbidity and mortality to hospitalized patients. Although most venous thromboembolisms are considered preventable, the use of prophylactic treatment is underused in hospitals (National
HIPPA Breaches A Common Legal Issue in Healthcare When it pertains to patient health information discretion is paramount. Protecting patients from threats that could endanger their rights is essential and the primary reason for safeguarding their personal information is to secure the interest of the individuals who are entrusting the organization with their information. There are however breaches to individuals’ private health information. In the healthcare field one common legal issue is HIPPA and data breaches. These breaches and failure to comply with the rules can be detrimental to the healthcare organization and most importantly the patients.
Also, it can cost a patient’s life and the hospital thousands of dollars. Therefore, all medication errors must be reported following the appropriate protocol to prevent serious adverse events.” Although there are some consequences to each medication error, it is imperative to report it in order to improve patient care and safety. Medication errors can significantly affect patient safety (Elden & Ismail 2016). Medication errors do not only occur during the administration stage, they can occur from the ordering and down to the provision stage (Radley,
Security should always be required when accessing patient records. Data use agreements and connections between HIE organizations are also a concern with health information exchange. “The types of healthcare partners that are needed is a challenge when determining the trading area needed for a viable HIE” (PHII, 2005). Although there are challenges, there are opportunities with implementing a health information exchange system. One opportunity is HIE can improve reporting to public health and in return improve the health of the community.
End of Life Planning and the Importance of Advance Directives As people begin to age and become ill, the need for end of life planning becomes imminent. Thorough thought and consideration should be taken as one plans for some of the most life influencing moments of medical care. The use of Advance Directives allows for autonomy in choosing the medical treatment one receives, while offering the ability to die with ones dignity intact, and ensures that a person’s final wishes are honored. An Advance Directives main purpose is to appoint a surrogate to act on ones behalf when they cannot (Benson & Aldrich, 2012). Universally, decisions concerning life and death issues affect a large and increasing number of individuals, spurring the need for