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Privacy and confidentiality for patients
Ethics and confidentiality in healthcare
Principles of data quality management
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In order for these three data sets to work there needs to be a standard that they all use to keep discrepancies to a minimum. The types of data collected are very important. There needs to be patient identifiers to help link data. This needs to be a unique patient identifier or registry identification number. Depending on the registries some patient identifiers may not be used due to privacy regulations treatments (Gliklich & Dreyer, 2017. Patient selection criteria are another category. Eligibility criteria in a protocol or study plan determined what group will be included in the registry. This information can be very restricted or very broad depending on what it’s being used for. Treatment and test are also important to describe the history
Generally, the development and adoption of Clinical Decision Support (CDS) systems is based on the necessity and essence of technical standards in enhancing healthcare. However, the various health IT tools must comply with some data interchange standards in order to enhance access to clinical records, lessen clinical errors and risks to patient safety, and promote innovation in “individual-based” care (Hammond, Jaffe & Kush, 2009, p.44). The need for compliance with standards is fueled by their role in enabling aggregation of informa...
...n Article Nielsen et al (2013) Diagnostic Accuracy hierarchy methods is applied which is review on second level (II) i.e. Randomised Controlled Trial and Meta-Analysis in the Pyramid level. These are also considered as gold standard in hierarchy of research design for evaluating the safety of a treatment. Also therapeutic study method is applied where different patients of age groups are used to treat with two different temperatures. There are two different trial methods used in this study. Here the level of hierarchy is high so that we can trust the result based on the data provided. We can also provide and opportunities to collect useful information about adverse affect such as temperature control over cardiac arrest. In the Meta-Analysis method multiple treatment groups are been treated with each other. There is also observational study performed in the article.
Regulate the clinical data by enforcing stringent data management practices and mitigate the deviation in data collection and recording. The study protocol will define the source of data collection with Case Report Forms (CRFs), method of storage paper/ electronic and information retained for data archiving. Each subject will be identified with unique ID and Subject Identification Log will be maintained separately from trail analysis documents. The DMS prevents unblinding of specific documents, which protect the privacy and confidentiality of the subject, unless required by the study protocol. Identifiable documents and records will be maintained in accordance with the data retention period as specified in the protocol and the requirement of the regulations and IRB. Any update or changes implemented will be recorded in the revision history of the respective documents. The clinical trial team will be trained on clinical documentation and
This essay will demonstrate an understanding of the clinical reasoning cycle which describes the procedure by which nurses gather prompts, process the data, come to an understanding of a patient’s problem, design and implement interventions, assess results, and reflect on and learn from the process (Hoffman, 2007; Kraischsk & Anthony, 2001; Laurie et al., 2001). The clinical reasoning cycle consists of five main stages, it comprises of; considering the persons condition, collecting indications and data, processing the information, recognizing problems/issues and detailing the assessment (Levett-Jones 2013). Throughout this essay these five main parts of the clinical reasoning cycle will be discussed and put into context. The first step of
Healthcare providers must make their treatment decisions based on many determining factors, one of which is insurance reimbursement. Providers always consider whether or not the organization will be paid by the patients and/or insurance companies when providing care. Another important factor which affects the healthcare provider’s ability to provide the appropriate care is whether or not the patient has been truthful, if they have had access to health, and are willing to take the necessary steps to maintain their health.
The Patient Self-Determination Act (PSDA) was implemented to allow patients to state “Do Not Resuscitate” (DNS), or to assign a surrogate decision maker in the event the individual is unable to make the decision. Closed cardiac massage was introduced in 1960 and still the health care provider operated in fear on who to actively resuscitate and they would sluggishly respond on patients who may not benefit based on extent of illness (Ball, 2009). The care providers operated in fear of litigation depending on the family’s response but was fairly relieved by introduction of the Patient Self-Determination Act (PSDA).
With Stage 2 Meaningful Use the amount of data collected on patient’s increases as well as its use for coordinating and communicating care with the patient and other providers.
Federal and state laws, including Public Law 94-142 and the Individuals with Disabilities Act (IDEA), require that children with emotional, behavioral, and learning disorders be given a diagnosis in order to receive the needed services and accommodations (Neukrug & Fawcett, 2015). An clinical diagnosis is also necessary when requesting reimbursement from managed care organizations and insurance companies, as they will base the number of authorized therapy sessions on the diagnosis and treatment plan goals. The DSM -5 is an important tool in determining a client’s diagnosis and should be used in combination with clinical interviews, family assessments, and standardized assessment instruments when developing a treatment plan (Neukrug & Fawcett, 2015).
I chose this study because it has a large cohort which eliminates sample bias. High quality data could be obtained from this longitudinal epidemiological ...
“Nursing is an art, and if it is to be made an art, requires as exclusive a devotion, as hard a preparation, as any painter’s or sculptor’s work...” (Nightingale, 1868)
Patient participation has been poorly defined especially in nursing practice due to lack of freedom from indistinctness or ambiguity in health care (Sahlsten, Larsson, Sjostrom, & Plos, 2008). The concept of patient participation plays an important role in health care nationally and globally. The meaning of patient participation varies greatly based on individual patient and nurse’s perception. This concept analysis it to gain clarity through Walker and Avant concept analysis method by identifying and presenting the purpose, attributes, model case, antecedents, consequences and empirical referents of the concepts.
The U.S. Congress passed the Patient Self-Determination Act (PSDA) of 1990 as an amendment to the Omnibus Budget Reconciliation Act that is legislation intended to guarantee that individuals are given the opportunity to determine the course of their own medical care, such as advanced directives, and that these decisions are protected. The Patient Self-Determination Act Amended titles ⅩⅧ (Medicare) and ⅩⅠⅩ (Medicaid) of the Social Security Act. This legislation requires healthcare providers including hospitals, nursing homes, home health agencies, hospice providers, HMOs, and other healthcare organizations to provide information about advanced health care directive to patients upon their admission to the healthcare facility.
The most challenging clinical assignment would have to be my very first clinical assignment where time management was a challenge for me. I didn’t want to seem too assertive towards my patients which caused me to get behind with obtaining vital signs, performing a head to toe assessment, and ADL’s in a timely manner. This was something I obviously needed to work on because as a nurse this can become a problem when caring for more than one patient. In addition to learning to be more assertive, I also had to learn to plan and prioritize care to be able to accomplish daily tasks effectively for my patient.
Nashville’s female population is slightly higher than male population but the clinics population is slightly higher in male population. The average age of Nashville’s population is in their middle thirties this is to be expected with the new job opportunities Nashville creates for young adults. However, as expected due to chronic disease, the clinic has a larger older population. The issues with Body Mass index much of Nashville’s population struggles with is also reflected in the recorded and charted information.
The practice of medicine in the 1960s saw a change in the doctor-patient relationship that ultimately cultivated the patients’ rights movement. Individuals sought to become proactive in the healthcare and the healing process of their bodies. Because the medical practice was evolving rapidly in technology and specialized care, patients’ healthcare and rights became a major concern that needed to be addressed. In 1973 the American Hospital Association published a patients’ bill of rights that provided the patient with most advantageous healthcare available. This bill of rights required all accredited hospitals to accept this standard moving forward (Patients' Rights, 2004).