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¶ … Amin, B et al. (2013). Pitfalls of calculating hospital readmission rates based on nonvalidated administrative data sets. Journal of Neurosurgery: Spine, 18(2): 134-138.
This study examines the University of California's Medical Center in San Francisco in order to determine if its all-cause readmission rates accurately reflect the readmission rates for spine injury patients. The secondary purpose of the study is to identify readmission predictors. The researchers collected data from 5780 consecutive patient visits. 5% of the visitors were readmitted within a month of their discharge. The researchers examined variables that led to their readmission and regression analysis was conducted in order to spot predictors. A t-test was also used to see if there was any difference in admission vs. non-readmission incidents. The researchers found that infection was the number one variable leading to readmission, inoperable management the second most common variable, and planned surgery the third most common variable for readmission. The fact that planned surgery accounts for more than 10% of all readmissions indicates that the all-cause readmission rates do not accurately reflect that actually injury rates. Thus, the researcher concludes that new benchmarking algorithms should be implemented in order to remove planned surgery and unrelated reasons from the readmission rate/cost data. The study is helpful for showing that updates and revisions are necessary when it comes to collecting specific data regarding readmissions for this University hospital. American Journal of Infection Control, 40(6): 486-490.
Cimiotti, J., Aiken, L., Sloane, D., Wu, E. (2012).
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The researchers use nurse survey data from the American Hospital Association to collect information on urinary tract infection and surgical site infection. Linear regression analysis was conducted to measure the relationship between nursing care and infections. The researchers found a statistically significant correlation between burnout reductions in hospitals and fewer numbers of infections, with an estimated cost savings of more than $65 million per year. The conclusion of the researchers is that by reducing nurse burnout in hospitals (i.e., eradicating factors that lead to burnout), hospitals can save a large amount of money associated with treating infections. The article is helpful for showing that preventive care (via addressing the issue of nurse burnout by the administrative) is a cost-efficient, pro-active way to promote better quality care and safer working environments.
Kachalia, A. (2013). Improving patient safety through transparency. New England
Journal of Medicine, 369: 1677-1679.
This study provides a qualitative review…
Kachalia, A. (2013). Improving patient safety through transparency. New England
Journal of Medicine, 369: 1677-1679.
This study provides a qualitative review of why transparency is helpful in health care. The researcher shows that openness with patients and clinical health care providers is essential to maintaining a relationship of trust, accountability, and of improving patient safety. The more forthcoming with information that health care providers are with patients, the more forthcoming patients are likely to be with their providers. The research indicates that many health care organizations are still behind the curve when it comes to developing a workplace culture that actively promotes and facilitates transparency. The study indicates that a principled and formal approach to addressing errors in disclosure would go a long way in supporting a culture of transparency. This study is helpful in identifying an issue in nursing that requires attention for the good of both patient and practitioner.
Healthcare Organizations Health Organizations Patient Care in Healthcare Organizations Overview of the tracer methodology When indulging in tracer methodology systems, the key word is flexibility. The surveyors involve staff members through many processes of service provision. The processes include how the staff makes decisions towards the patient's safety, provision of care to patients, communication to other staff and also patients, and many other aspects. In other cases, the surveyors indulge in patients and other
Health Care Disparities Race Related Healthcare disparities Serial number Socioeconomic status and health Correlation between socioeconomic status and race Health insurance and health Who are the uninsured people? Causes of health care disparities Suggestions for better health care system The latest studies have shown that in spite of the steady developments in the overall health of the United States, racial and ethnic minorities still experience an inferior quality of health services and are less likely to receive routine medical
Health Care In the wake on new and very contentious health care reform, many firms have undergone extensive transformations. These transformations have been predicated on both cost control and quality management. In particular quality management has had a profound impact on the underlying business operations of many health care firms. For one, firms are now finding methods in which to enhance the overall patient experience while also mitigating potential loses due
Health Care Reimbursement and Billing Both Mrs. Zwick and Mr. Davis face significant issues in the presented scenarios. Mrs. Zwick has multiple considerations under Medicare Parts A, B and D, in addition to her hospital-acquired urinary tract infection. Meanwhile, Mr. Davis must address the severe time constraints and costs of COBRA in light of his job termination. These two scenarios underscore current difficulties and complexities of current health care in the
Health Care Issue and Operation Management Health care is the prevention, treatment and management of illness and the preservation of mental and physical well-being through services offered by the medical and allied health professions (Dictionary.com 2005). Health care covers disease management, emergency preparedness, emergency department overcrowding, pain management, and patient safety (Jayco 2005). These health care activities encompass immunizations, diagnostic tests, medical treatments, and laboratory examinations in protecting and restoring health
The penalties for being out of compliance when OSHA comes knocking should be enough to motivate any healthcare facility to devise a plan to make sure that they are in compliance with OSHA's regulations. The startling thing is that it took an initiative like NEP to wake these facilities up and get them thinking about being compliant. Since they deal with people and their well being on an everyday basis,