Lesson 7 Small-Group Discussion. Patient Safety Step 1 In a report by the Institute of Medicine (2006), Titled, Preventing Medication Errors, “The committee concludes that there are at least 1.5 million preventable adverse drug events (ADE’s) that occur in the United States each year.” These numbers are astonishing given the number of adults that are taking prescription medications daily. Most of the errors occur during the prescribing and administering steps and during an average hospital stay, a patient can expect to have one medication error occur every day (Institute of Medicine, 2006). Medication errors are preventable adverse events and costly to patients, insurance companies and health care organizations (Institute of Medicine, 2006). It is estimated that for every adverse drug event that occurs in a hospital, adds over 8,000 to the hospital stay (Institute of Medicine, 2006).
TITLE SMILES Supporting the Modification of Lifestyle In Lowered Emotional States’ (SMILES). Objective: To evaluate if a structured dietary support, focusing on improving diet quality using a modified Mediterranean diet model, would be superior to a social support control condition (befriending) in reducing the severity of depressive symptomatology Design: A 12-weeks, parallel group, single blinded randomised controlled trial whereby researchers responsible for mental health assessment were blinded to the group allocation Population: All patients with moderate to severe depression based on the MADRS scale Sample: 67 patients recruited from two Health centres in Victoria, Australia (Barwon Health in Geelong and St. Vincent’s Health in Melbourne
Abstract Introduction: Maternal near misses are one of the quality indicators of obstetric care beside maternal deaths. According to United Nations Fund for Population Activity report in 2011, for each maternal death 20 others suffer due to maternal near misses in the world. Objective: The study was aimed to assess the prevalence of maternal near misses and associated factors in Amhara Regional State Referral Hospitals, Northwest Ethiopia. Methods: An Institution based cross sectional study was conducted from March 1, 2013 to August 30, 2013. During the study systematically selected 806 mothers who visited the maternal health care services at three Amhara Regional State Referral Hospitals were included.
U.S government Case Study 2 Antimicrobial Drugs Overview: Gerald Lake, 33 years old, endocarditis an infection he acquired from IV drug use. Vancomycin 1gm IV q6h set to infuse over 1 hour, after 15 minute, half of the antibiotic has been infused. Vancomycin is used only when the other antibiotics fail to resolve an infection. Vancomycin brand name is Vancovin. It is in a class of medication called glycopetide antibiotics.
4.5 Sample and sample size All the nurses and patients who were eligible based on inclusion and exclusion criteria were selected as sample.Sample size of patients was estimated assuming 15% improvement in patients spiritual wellbeing with an expected standard deviation of 25%.For a power of 90% and significance level of 5%, the estimated sample size was 60.Adding 10% as attrition, the final sample size was rounded off to 70. (SigmaPlot 13.0 systat software, USA was used for estimating sample size) 4.6 Sampling
Medication errors are “the most common single preventable cause of adverse events in medical practice” . According to the Institute Of Medicine report (IOM, 1999 ), as high as 98,000 patients die in hospitals each year as a result of preventable medical errors  which makes medical errors the second leading cause of death in US. . The report further estimates that, medical errors cost the nation approximately $37.6 Billion each year; about $17 billion of those costs are associated with preventable errors. Medication incidents are commonplace in healthcare [1, 2, 3, 4, 5].
According to the Centers for Disease Control and Prevention report, 33 twins born in every 1000 childbirth. After 1980 the birthrate of twins has increased to 76 percent. So you are not alone. So many parents have to deal with twin’s issue. I have ten essential practical tips for the parents who need to deal with twins.
Approximately 100,000 heart valve replacements are performed each year in the U.S. It is estimated that patients requiring heart valve replacements will be tripled from 290,000 in 2003 to 850,000 by 2050 (Yacoub and Takkenberg 2005). It is estimated that 5 million patients in India are suffering from heart valve disease and every year 50, 000 new patients are diagnosed with heart valve disease. Heart valves may become impaired either due to tightening of the valve preventing forward flow of blood which
Of these, 72% patients had duodenal perforation. 84% patients had a positive X-ray finding and 94% were positive on ultrasound examination (1). Hannan et al (2005) in their study of peptic perforation also reported highest incidence of 34% in the age group of 30-40 years. The mean age of the patients was 41 years (2). Duodenal perforation is a very common and fatal complication in patients of chronic peptic ulcer symptoms with inadequate or no medical treatment.
Mild atrophy of right medial quadriceps muscle is noted. Strength is 4/5 with knee extension on the right compared to the left. Patient is able to raise from a seated position with mild difficulty. Gait is antalgic. Current medications include Atenolol, Norco 10-325 mg 1 tablet every 6 hours as needed and Cyclobenzaprine 10 mg 1 tablet 3 times daily.
Supplemental Medical Benefit – One of the least known CSA Welfare Fund retiree benefit is the Supplemental Medical. Did you know, for example, this benefit partially covers a $300 hospital deductible up to a max of $750 per person in any calendar year? Also, the CSA Retiree Chapter augments many of the Supplemental Medical benefits, such as, the hospital $300 deductible. The purpose of the supplemental benefit is to provide coverage for items not covered, or completely covered by your health plan. After an annual $100 deductible per person, the Fund will cover 80% of the cost for covered items provided the expense is reasonable and customary.
According to MacKay’s research, in the year 2000, “2,583 Americans died while waiting for a kidney transplant” (120) and according to Matas, “over 6% of waiting candidates die annually” (2007). "With over 60,000 people in line in the United States alone, the average wait for a cadaverous kidney is ten long years" (120). As the reader can see, MacKay is very credible with stating factual statistics in regards to the urgent need of kidney donations and she has Matas to back her up with similar statistics. These statistics show the reader that MacKay’s argument is a strong
The flow sheet shown here is based on one developed by Family Health Associates, one of three Family Care Network pilot sites participating in a diabetes quality improvement project. Diabetes Flow Sheet Name: Date of Birth: HbA1c ≤ 7% (q 4-6 months) Date: Result: Date: Result: Blood pressure ≤130/85 mm Hg Date: Result: Date: Result: BUN/Creatinine ratio 8-22/0.4-1.1 mg/dL (annual) Date: Result: Urine albumin/Creatinine 0-20 mg/L (annual) Date: Result: Lipids (annual) Date: Chol: Trig: HDL: LDL: Retinal exam (annual) Doctor: Date: Foot screening (annual) High Risk: Yes No Date: Self-management Date: Goal: Diabetic Education Dietary Consult Home Blood Glucose Monitoring ADA Membership CAD Status: Past MI CABG PTCA Current Angina No History Smoking Status:
There are approximately 350 million individuals living with DM worldwide. In the United States, the rate of T2DM has increased in individuals of AA descent with the prevalence rate escalating in the past 30 years and has quadrupled. AAs above 20 years of age are 1.7 times more likely to be diagnosed with DM than the Caucasians. They accounted for 10.8% of all individual with diabetes (CDC, 2015). A comparison of rates of diagnosis of diabetes mellitus by ethnicity and race disclosed that in 2010 the AAs diagnosed for diabetes were 13.2% of 29.1 million Americans (ADA, 2014).