Evidence-Based Practice

(2016) conducted a cross-sectional study in which they examined national representative data of hospitalized Medicare beneficiaries and they found that patients treated by female doctors had lower 30-day mortality and readmission rates when compared to those treated by male physicians within the same hospital. According to the researchers, female doctors are more likely to adhere to clinical guidelines, provide preventive care more often, use more patient-centered communication, perform as well or better on standardized examinations, and provide more psychosocial counseling to their patients than do their male peers. This differences among female physicians and their counterparts has profound implications for patient outcomes, satisfaction being one of them. Motivated by Tsugawa et al. (2016)’s study, Wallis et al.

I. INTRODUCTION 1.1 DRUG USE EVALUATION Drug use evaluation (DUE) can be defined as an authorized, structured, ongoing review of prescribing, dispensing and use of drugs. DUE encompasses a medication review against predetermined criteria that results in changes to medication therapy when these criteria are not fulfill. It includes a comprehensive evaluation of patients' prescription and medication data before, during and after dispensing inorder to ensure appropriate medication decision-making and leads to better patient results. As a quality assurance measure, DUE programs aims corrective action, prescriber feedback and further evaluations. DUE is classified in three categories:  Prospective - evaluation of a patient's drug therapy

based on evidence. Competence provides the underpinning to offer educational programs and conduct subsequent knowledge assessment related to utilization of an EBP framework (Porter-O’Grady, 2008). Table (3-1): Accountability Elements *

At the beginning of the shift, I would

The small sample size that took part in this study felt sexual counselling did not make them feel any more sexually attractive. More studies with bigger sample sizes have to be conducted in order to get a better representation of patient’s sexual relationships post-operatively (Hackshaw,

Since there is no cure for Parkinson’s disease, individuals have options such as surgery. Surgery does not really help stop Parkinson’s but it controls the symptoms a person may have a lot more. These individuals have to live off medications but they can also go under clinical trials. A clinical trial is a research study where they test different medications on people with the disease or even volunteers.

Physicians should be able to select the appropriate literature, evaluate the findings and results of the study, and understand whether the conditions match with the circumstances of patient. Most importantly, they should be able to find out whether the study is valid or not. Here, critical appraisal plays an important role. All these skills are known as critical appraisal skills.

Next priorities proceed up the hierarchy of needs from there. Once priority diagnoses are identified, patient-centered outcomes are established. Outcomes are patient-specific, able to be measured, Attainable by the patient, realistic and time-limited. These patient-centered outcomes provide direction for the assortment of nursing interventions. Once these are developed the care plan is communicated to health care team to set the plan into motion.

Ultimately, by providing services for acute injuries and illnesses, the urgent care center framework has been able to fill the void that exists between the primary care physician and the emergency department. However, a requirement has not been implemented to compel patients to turn to urgent care centers for non-emergency care. Therefore, the advantages of such a system which include reducing emergency department overcrowding, decreasing the financial responsibility of the patient, and making strides towards cost containment have not been fully realized. To bring to fruition the realization of the advantages of urgent care centers emergency department provider reimbursement must be limited and the coverage of emerge room visits be regulated.

Medication errors have a huge impact on health care system, patients and payers alike. It compromises the confidence of patients on health care system. Incidents and mistakes that occur during the period of administering medication goes on to be a big safety issue for patients in health institutions and hospitals globally. Interruptions to the administering of medication process have been noted as a major influence on medication error. Research reveals that some interruptions cannot be avoided; hence, to reduce errors, it is important to recognize how undergraduate nurses or health practitioners learn to control interruptions to how medication is administered to patients.

There needs to be an optimal method

Upon completing the clinical question there are four types of clinical categories used: therapy category, diagnosis category, prognosis

Before we even know what to do with patients we need to understand physiology viruses, infections, etc., in order to treat them accordingly. There are not enough of the understated groups involved in learning about the aliments that target our people, it is left to people who are not impacted as much which makes no sense because there could be something in our culture that could be the key ingredient to treating the aliment. A simple practice like the way womb is dressed could be a break in medical engineering but there isn’t a heavy presence of underrepresented groups and people don’t realize that a lot of this. I wasn’t even aware till these physicians opened up my eyes and I felt like my choice to become a cardiovascular surgeon had even more purpose besides my

However, they are many concerns on the assessment approach. The first one is about a lack of research on the best assessment method. The second problem is relation to how the data are collected during the assessment. Using only quantitative data to determine community health needs without a combination of qualitative data remains problematic. It is considered crucial to include the voices of the community during the assessment process.

An important advancement in computerization and regularity of center health processes can be accredited to these requests and databases. With healthcare databases, OLTP database permits storage of data externally and in backed up systems for security to prevent loss of data. The database also enforcement of data integrity, the stored data, therefore, it becomes more consistent and precise. Finally, since the data is electronic, it can allow for quicker processing of typical transactions such as lab results, payment claims, etc. The major benefits of the OLTP databases are the quantity of data the healthcare can capture.