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Joint commission on accreditation healthcare impact
The role of accreditation in healthcare
The role of accreditation in healthcare
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Regulatory and accreditation agencies have participated in the nursing community for several years. Regulation in healthcare started as a registry process to protect patients and healthcare givers. Currently, regulation serves the purpose of protecting patients. It also helps in defining healthcare practices and nursing education. In order to understand the function of regulatory and accrediting agencies and practices one must understand their definitions (McWay, 2003).
A regulatory agency has the responsibility of creating and enforcing rules or regulations of the law. Accreditation is a voluntary and self-regulatory process that non-governmental associations recognize programs put in place to meet or extend standards of quality healthcare. Accreditation also helps in the improvements of institutions or programs related to the use of resources, application of processes and achievement of results (Lundy & Janes, 2009).
There are several regulatory and accreditation standards that exist in the case study. First, preventable measures have been used as a regulatory standard. For instance, professionals have increased malpractice lawsuits after falls. Patients and their families institute these lawsuits to suggest that better care would have prevented the fall and injuries. Malpractice suits serve as a preventive measure. They are used to prevent many patient falls from occurring. The jury awards for the perceived unnecessary complications. The methodological explanation of malpractice suits is that fall prevention is a nursing assessment issue (Miller, 2006).
Secondly, healthcare organizations have developed preventive measures used for the prevention of patient falls. For example, healthcare agencies now collect data and use th...
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... safety interventions. Therefore, no agency can successfully adopt potential improvements without cost-effectiveness. This calls for applying cost-effective changes before applying regulatory and accreditation standards.
In conclusion, this case study shows that regulatory and accreditation standards exist. There are strategies that help in meeting these standards. However, the strategies do not function adequately to ensure that the standards are met because of several gaps that exist in practice. Therefore, regulatory and accreditation agencies should work closely with hospitals and other healthcare agencies, to close those gaps and develop a cost effective and appropriate way of meeting regulatory and accreditation standards. This will help healthcare agencies to provide adequate safety and care, for patients (Folland, Goodman, & Stano, 2007).
State and federal regulations, national accreditation standards, and clinical practice standards are created, and updated regularly. In addition, to these regulations, OIG publishes a compliance work plan annually that focuses on protecting the integrity of the program, and prevention of fraud and abuse. The Office of the Inspector General examines quality‐of‐care issues in nursing facilities, organizations, community‐based settings and occurrences in which the programs may have been billed for medically unnecessary services. The Office of the Inspector General’s work plan for the fiscal year 2011 highlights five areas of investigation for acute care hospitals. Reliability of hospital-reported quality measure data, hospital readmissions, hospital admissions with conditions
The key objective of the project is to produce a report on fall among the geriatric population, which will help to improve an awareness and knowledge of the importance of lessens falls in elderly and encourage action to lower falls and related
Jr, K. R., & Barber, C. E. (2011, August 29). Preventing falls in the elderly. Retrieved from http://www.ext.colostate.edu/pubs/consumer/10242.html
It is important that key factors in determining who is and who is not a risk to fall are sought out by the health care team. In this paper we will focus on how to determine who is a fall risk.
Patient falls in the hospital is a serious issue and challenging problem that could lead to prolonged hospital stay, longer recovery time for patients, increased costs for hospitals, and a source of distress and anxiety for patients, nurses, and families. Patient falls can cause minor or major serious physical injury depending on the situation and the age of the client. In addition to the physical harms, patients can suffer from psychological injuries which make them lose their independence and confidence on themselves and build a lot of anger, distress and fears of falling.
The standards of the Joint Commission are a foundation for an objective evaluation process the may help healthcare organizations measure, assess and improve performance. These standards are focused on organizational functions that are key for providing safe high quality care services. The Joint Commission’s standards set goal expectations of reasonable, achievable and surveyable performance of an organization. Only new standards that are relative to patient safety or care quality, have positive impact on healthcare outcomes, and can be accurately measured are added. Input from healthcare professionals, providers, experts, consumers and government agencies develop these standards.
Registered Nurses’ Association of Ontario (RNAO). (2005). Prevention of falls and fall injuries in the older adult. Retrieved from http://rnao.ca/sites/rnao-ca/files/Prevention_of_Falls_and_Fall_Injuries_in_the_Older_Adult.pdf
Fall can lead to serious injuries and death which, increase the health care cost. Hence prevention of fall is an important public health issue in the hospital for patient safety. We had many falls incidents reported in our unit every month. Therefore, it is essential to implement prevention strategies through multidimensional approach by interdisciplinary team. Through the proposed fall management program, we can reduce fall rate drastically.
Merwin, E & Thornlow, D. (2009). Managing to improve quality: the relationship between accreditation standards, safety practices, and patient outcomes. Health Care Managment Review, 34(3), 262-272. DOI: 10.1097/HMR.0b013e3181a16bce
“Peer review is the evaluation of nursing services, the qualification of a nurse, the quality of patient care rendered by nurses, the merits of a complaint concerning a nurse or nursing care, and a determination or recommendation regarding a complaint,” (Texas Board of Nursing, 2013). There are two types of nursing peer review: incident based peer review (IBPR) and Safe Harbor peer review (SHPR). The purpose of this paper is to discuss the Texas Board of Nursing’s (BON) Safe Harbor Peer Review (SHPR).
The Quality and Education for Nurses (QSEN) project has set several goals for future nurses to meet in terms of knowledge, skills, and attitude (KSAs), one of which is safety (2014). The definition of safety according to QSEN is minimizing risk of harm to patients through system effectiveness and individual performance (QSEN, 2014). Since falls are such a huge occurrence in health care, preventing falls is critical for patient safety. The Joint Commission (2011) has also noted fall prevention as a National Safety Patient Goal (NPSG) 09.02.01 requiring hospitals to reduce the risk of harm resulting from falls.
In this essay the author will rationalize the relevance of professional, ethical and legal regulations in the practice of nursing. The author will discuss and analyze the chosen scenario and critically review the action taken in the expense of the patient and the care workers. In addition, the author will also evaluates the strength and limitations of the scenario in a broader issue with reasonable judgement supported by theories and principles of ethical and legal standards.
When taking steps to analyze and apply intervention strategies for falls, we must examine the factors that cause these occurrences. There are numerous reasons that falls occur, such as intrinsic and or extrinsic risk factors. Intrinsic risk factors for falls may be due to changes that are part of the normal aging process and acute or chronic conditions. According to Zheng, Pan and Hua et al. (2013), about 35-45 percent of individuals who are usually older than 65 years and other 50 percent of the elderly individuals report cases of fall every year. Extrinsic factors are those related to physical environment such as lack of grab bars, poor condition of floor surfaces, inadequate or improper use of assistive devices (Currie). Patient falls is not an easy thing to eliminate. With many clinical challenges, there’s no easy answer to the challenges posed by patient falls; howe...
Fall prevention needs to be the target of many hospitals. Falls occur each year in hospitals and can be detrimental to the patient, especially the elderly patient (Peel, Travers, Bell, & Smith, 2010). Falls can lead to broken bones, longer stays in the hospital and potentially can lead to death. Falls are expensive to both the patient and the hospital (Trepanier & Hilsenbeck, 2014). This paper would like to take a look at a strategic action plan that would help to prevent falls. This plan of action will includes organizational changes that are geared towards fall prevention. The second part of this paper will include an evaluation plan that is designed to measure and monitor the plan.
Unit-specific satisfaction and fall data evaluated pre and post implementation of EBP nursing strategies. Beside the promptness of responses to the call bell, “hands off reports“ at the bedside now implemented new hourly rounds, which significantly decrease patient falls and improve satisfaction. “In the hospital setting, falls continue to be the number one adverse event with approximately 3-20% of inpatients falling at least once during their hospitalization. Of those, 30-51% of falls in hospitals result in some injury“ (Oliver, Healey, & Haines, 2010). This can cause serious injuries (fracture, subdural hematomas, bleeding), which can lead to death. For example falls in the elderly can lead to a downward, negative effect on emotional health, physical health, long term functioning, and quality of life. “All hospitals have to conduct fall risk assessments for hospitalized patients to identify patients’ risk for falls so that prevention measures can be implemented into the plan of care“ (The Joint Commission,