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Research topics for surgical site infections
Patients on a ventilator are at an increased rate of developing pneumonia
Ventilator-Associated Pneumonia in the ICU
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A powerful speech given by Don Berwick on December 2004 explains ways in which healthcare industries needs to implement in order to save lives and to reduce the mortality death rates that occur in the healthcare (i.e. no needless death). In his speech entitled “Some Is Not A Number…. Soon Is Not A Time” invites all healthcare care organization U.S. and the world to come together to save 100,000 lives by June 14th 2006 at 9am exactly 18 months from the day of the speech. In order to achieve this goal Dr. Berwick suggests there should be a high standards protocol that will help improve care and reduce patients harm. Dr. Berwick opens his speech by giving a history about the red sox coming together as a team and having the potential to end their …show more content…
losing streak of not winning a world series by implementing new methodology that will help to win the world series. After 86 years of not winning World Series, the red sox finally won a world series in 2004. Dr. Berwick suggests that if the Red sox has finally won a world series and our healthcare is still leading the wrong way and there needs to be steps that will help to improve our healthcare after a long time of patient being treated poorly. To achieve this goal, Dr. Berwick suggests that health organizations need to have the same intense idea that led the red sox to win world series after a long losing streak (i.e. applying a simple methodology within health organizations at work that can lead to a better care and relief patients from their suffering). With health system set to heal patients from their sickness, it has actually does the opposite of healing leading to unintended harm and unnecessary deaths at alarming rate.
Building on the successful work of health care providers will help with the campaign of saving 100,000 lives. Through his speech, Dr. Berwick introduce six changes that every hospital needs to implement in order to save lives that will bring family together. The six changes Dr. Berwick wish every health care organization needs work on that will help save these lives are to deploy rapid response team, deliver reliable care for acute myocardial infarctions, prevention of ventilator associated pneumonia bundles, prevention of central venous line bundles, prevention of surgical site infection prophylaxis medication and prevention of adverse drug events with reconciliation. Even though the lives save may not know who they are, it will bring community and family together. According to Dr. Berwick “The names of the patients whose lives we save can never be known. Our contribution will be what did not happen to them. And, though they are unknown, we will know that mothers and fathers are at graduations and weddings they would have missed, and that grandchildren will know grandparents they might never have known, and holidays will be taken, and work completed, and books read, and symphonies heard, and gardens tended that, without our work, would never have
been.” Each six changes were explain that will help in the campaign of saving 100,000 live that is, the rapid response team will be the first team to arrive at the first sign at patients’ decline.
The Texas Medical Institute of Technology, through programs such as Chasing Zero, is bringing a public voice to the issue of healthcare harm. The documentary is a stirring example of the quality issues facing the healthcare system. In 2003, the NQF first introduced the 30 Safe Practices for Better Healthcare, which it hoped all hospitals would adopt (National Quality Forum, 2010). Today the list has grown to 34, yet the number of preventable healthcare harm events continues to rise. The lack of standardization and mandates which require the reporting of events contributes to the absence of meaningful improvement. Perhaps through initiatives such as those developed by TMIT and the vivid and arresting patient stories such as Chasing Zero, change will soon be at hand.
The staff, physicians and board members were not ready to fail. They didn’t want to abandon all those who depended on their services, but they also knew closing the hospital's doors would hurt
When we see patients, we must remember that we are not simply treating a disease. We are caring for people with lives, hobbies, jobs, families, and friends, who are likely in a very vulnerable position. We must ensure that we use the status of physicians to benefit patients first and foremost, and do what we promised to when we entered the profession: provide care and improve quality of life, and hopefully leave the world a little better than it was
We demonstrate this by: providing ideal care for each of our patients and their families; collating the ongoing duty to the care of the poor and those most in need with the provision of highly specific services to an immense community; maintaining a work environment where each person is valued, respected and has the freedom for personal and professional advancement; encouraging quality in health services education; protect a culture of discovery in all of our activities and supporting outstanding health sciences research; reinforcing our relationships with universities, colleges, other hospitals, agencies and our community; showing social liability through the honorable use of our resources. The liability of our staff, physicians, volunteers, students, community partners and friends to our mission allows us to preserve a quality of presence and tradition of
The purpose of this paper is to identify a quality safety issue. I will summarize the impact that this issue has on health care delivery. In addition, I will identify quality improvement strategies. Finally, I will share a plan to effectively implement this quality improvement strategy.
I believe this can only benefit the hospital and patient care, and have a new way that the patient is cared for. Treating the whole family, instead of just the patient is what the future is all about. Implementation of this type of care requires creating a partnership between the patient, physicians, nurses, and patient’s families. This can only improve performance improvement, and treat the patient the way we would want to be treated. My goal is to decrease the patients and families anxiety throughout their hospital experience, and keep the whole family informed of the patients treatment plan.
Standards are important aspects of nursing that a nurse must learn and implement every day for the rest of their nursing career. These standards provide for a nurse’s competence in the quality of care they deliver to the public. Standards offer a necessary guidance to nurses everywhere in an effort to ensure that people are treated correctly and ethically. Patients expect nurses to have a general knowledge of the medical realm and to know exactly what it is they –as nurses- are responsible for. Nurses need to have a sense of professionalism that enable the patient to feel safe and secure, knowing that a competent person is caring for him. A lack of professionalism does the opposite, making it impossible for a patient to trust or respect the nurse caring for him. Standards of nursing, if utilized correctly, give the nurse that sense of professionalism the patient is expecting. It insures for the safety of the patient and allows the nurse to provide quality health care that is expected of a medical professional.
Each year this panel of experts put a microscope on patient safety across the board. They decide where upmost attention needs to be paid. Sometimes items leave the list because there are been strides take to improve in that area and sometimes it continues to stay on the list because they believe the relevance and importance is growing. Healthcare is evolving b...
Thus, it is imperative that evidence-based practice is conducted to provide the best current, valid and reliable evidence in an aim to close the gap between non-conformity and coincide with the professional obligation of providing the patient with the best possible care (Liamputtong, 2013).... ... middle of paper ... ... Patient safety and quality of care. Rockville, MD: Agency For Healthcare Research And Quality, U.S. Dept. of Health.
Healthcare is intriguing. The health and wellness of people always has been intriguing and always will be. My background in healthcare came as an environmental pass down with a father as a Registered Nurse and a mother in healthcare management. It was inevitable that the journey of healthcare started being instilled without my knowledge of it, as a young child. A constant learning in the health sciences and management directed my way. By the start of college, the intrigue lead to compassion, lighting a fire for the administration of healthcare. This calling spurred by a great woman, my mother, who is a national redesign award winner by the Bureau of Primary Healthcare in Health Disparities. These footsteps down her similar path with careful guidance, but not to be confused with an easy path.
“A healing hospital is built on the ancient tradition that love is at the center of healing. Within that framework, the Golden Thread – a symbol of our faith in God – requires that we strike a balance between the latest scientific advancements and the demands of the human spirit. As healthcare providers, we are called upon to tend to our patient’s heart and head. For a hospital to truly be healing, the Golden Thread must be continuous. As both healers and patients, it is the Golden Thread that connects us all” (Mercy Gilbert Medical Center, n.d.).
Keeping patients safe is essential in today’s health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled ” To err is human, building a safer health system”(Wakefield & Iliffe,2002).This report found that approx-imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency coordination task force with the help of government agencies. These government agencies are responsible for making health pol-icies regarding patient safety to which every HCO must follow (Schulman & Kim, 2000).
In today’s health care system, “quality” and “safety” are one in the same when it comes to patient care. As Florence Nightingale described our profession long ago, it takes work and vigilance to ensure we are doing the best we can to care for our patients. (Mitchell, 2008)
...d procedures are now being monitored to improve clinical processes. Ensuring that these processes are implemented in a timely, effective manner can also improve the quality of care given to patients. Management of the processes ensures accountability of the effectiveness of care, which, as mentioned earlier, improves outcomes. Lastly, providing reimbursements based on the quality of care and not the quantity also decreases the “wasting” and overuse of supplies. Providers previously felt the need to do more than necessary to meet a certain quota based on a quantity of supplies or other interventions used. Changing this goal can significantly decrease the cost of care due to using on the supplies necessary to provide effective, high-quality care. I look forward to this implementation of change and hope to see others encouraging an increase in high-quality healthcare.
Technology is defined as wasteful when considered unsafe and ineffective. This cost containment strategy will help save money without diminishing the quality of care. One of the most recent changes in health care within the last five years is the Affordable Care Act (ACA), or Obama Care. The main goal of the ACA is to make healthcare affordable for all citizens by changing many of the rules set my insurance companies (Snell, 2013). A major issue that contributes to the rising cost of healthcare is the lack of communication among healthcare providers leading to unnecessary repetition of expensive treatments. The ACA has planned to solve this buy establishing the Accountable Care Organization (ACO’s). This will be a group of healthcare providers working together to ensure effective treatment, while limiting the amount of unnecessary tools and test. The goal is to send patients to providers in the same network, with the hope of saving money. Another way the ACA plans to lower cost is by bundling payment systems. The system will provide patients a single payment that will cover all expenses, public and private. This will be extremely beneficial for patients who have chronic illnesses such as, hypertension and diabetes (Snell,