Health IT
The current hospital setting has only a basic information system in place, which performs many of the functions common to the most basic information systems in such areas as patient registration, certain aspects of patient billing, and medical records indexing and accessing (Kelker, 2010). Portions of other system administration functions are also included in the information system being used at the hospital, such as the logging and tracking of staff in leadership positions, however this is one of the only more "advanced" functions of the largely outdated information system. Many of the more specialized and sophisticated functions more recent information systems can include, such as ambulance tracking and communication, digital communication with the in-hospital pharmacy and with other departments such as radiology and laboratories, are not facilitated by the information system (Kelker, 2010). Some of these functions can be replaced by the internal email system for certain cases, but…...
mlaReferences
Haux, R. (2004). strategic information management in hospitals. New York: Springer.
Kelkar, S. (2010). Hospital information systems. New Delhi: PHI.
Vitera. (2012). Interfaced vs. integrated system. Accessed 6 March 2012.
A Hospital Based Practice Paradigm to Improve Patient Outcomes
Advanced practice nurses are well situated to assume leadership roles in improving patient outcomes through the development and implementation of evidence-based interventions that affect large patient populations (Curley & Vitale, 2011). All types of evidence-based interventions, however, are not necessarily appropriate or optimally effective in all circumstances, making the need for ongoing research an essential part of the process (Mateo & Foreman, 2013). Nevertheless, some interventions already have proven efficacy in a wide range of hospital settings, and it just makes good sense to draw on these in formulating new practice paradigms. The purpose of this paper is to describe a fall-prevention hospital based practice paradigm that can improve patient outcomes in virtually all inpatient settings.
Review and Discussion
With a growing percentage of the American population entering their elder years today, it is reasonable to suggest that a greater share of already scarce…...
Advance Information Management and the Application of Technology
In this modern age, the incorporation of information technology (IT) with the health care system is important. With the need of quality care within the industry, there is great significance in many institutions about the execution of electronic health record (EHs) and information support systems. The use of registries and IT support systems will enable the community hospital to monitor and track patients and improve patient safety and quality of care (Chin and Sakuda, 2012). The advantage of making use of computerized management systems is limited not only to reduced book-keeping and accounts for patients and physicians but is linked to continued access to reasonably priced healthcare, enhanced quality of care, prevention of medical blunders, reduction in health care expenses, improved administrative efficacies, and engagement of patients in their own health care (Chin and Sakuda, 2012).The following proposal will seek to investigate and…...
mlaReferences
Blavin, F., Ramos, C., Shah, A., Devers, K. (2013). Lessons from the Literature on Electronic Health Record Implementation. Urban Institute. Retrieved 16 October 2015 from: https://www.healthit.gov/sites/default/files/hit_lessons_learned_lit_review_final_08-01-2013.pdf
Chin, B. J., & Sakuda, C. M. (2012). Transforming and Improving Health Care through Meaningful Use of Health Information Technology. Hawai'i Journal of Medicine & Public Health, 71(4 Suppl 1), 50-55.
Health IT. (2013). Creating a Leadership Team for Successful EHR Implementation. The National Learning Consortium. Retrieved 16 October 2015 from: https://www.healthit.gov/providers-professionals/creating-leadership-team-successful-ehr-implementation
HealthIT. (2013). Capturing High Quality Electronic Health Records Data to Support Performance Improvement. Beacon: Health Information Technology.
Cultural Diversity
Healthcare providers deal with people and family during stressful and difficult situations. Professionals delivering palliative care must understand how culture and religious background affect this interaction. The provision of a favorable healing environment is possible via the understanding of culture and religion.
How cultural diversity affects the quality of services and health outcomes
egardless of the similarities, fundamental variations among people arise from nationality, culture, ethnicity, as well as from personal experience and family background. These variations affect the health behaviors and beliefs of both providers and patients have of each other. The provision of high-quality palliative care that is accessible, effective, affordable and requires medical care practitioners to exhibit an in-depth understanding of the socio-cultural backgrounds of a patient, their families, and the environments in which they live. Culturally competent palliative care facilitates clinical experiences with more favorable outcomes, support the possibility for an extremely rewarding patient experience, and increase…...
mlaReferences
Andrews, M.M., & Boyle, J.S. (2008). Transcultural concepts in nursing care. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Coward, H.G., & Ratanakul, P. (2009). A cross-cultural dialogue on health care ethics. Waterloo, Ont: Wilfrid Laurier University Press.
Daniels, R. (2014). Nursing fundamentals: Caring & clinical decision-making. Australia: Delmar Learning.
Srivastava, R. (2007). The healthcare professional's guide to clinical cultural competence. Toronto: Mosby Elsevier.
Reducing Falls on the Surgical Step Down Unit
Introduction
The problem of falls in acute care hospitals is one that continues to persist in spite of the existing literature available on this topic (Zhao et al., 2018). Hester, Tsai, Rettiganti and Mitchell (2016) note that inpatient falls account for the largest number of reported incidents in hospitals. One reason for the problem is that hospitals fail to implement proper and effective preventive strategies based on best practices (Melin, 2018). The purpose of this paper is to provide guidance on reducing the number of falls on the surgical step down unit by implementing evidence based fall precautions, effective communication, and education of the patient/family. The research question guiding this research paper is: What are the preventive strategies that can be put in place to reduce falls in a surgical step down unit? To answer that question, a literature review was conducted and a…...
mlaReferences
Fu, A.S., Gao, K.L., Tung, A.K., Tsang, W.W. & Kwan, M.M. (2015). Effectiveness of exergaming training in reducing risk and incidence of falls in frail older adults with a history of falls. Archives of physical medicine and rehabilitation, 96(12), 2096-2102.Growdon, M. E., Shorr, R. I., & Inouye, S. K. (2017). The tension between promoting mobility and preventing falls in the hospital. JAMA Internal Medicine, 177(6), 759-760.Hester, A. L., Tsai, P. F., Rettiganti, M., & Mitchell, A. (2016). Predicting injurious falls in the hospital setting: Implications for practice. American Journal of Nursing, 116, 24-31.Khalifa, M. (2019, July). Improving Patient Safety by Reducing Falls in Hospitals Among the Elderly: A Review of Successful Strategies. In ICIMTH (pp. 340-343).King, B., Pecanac, K., Krupp, A., Liebzeit, D., & Mahoney, J. (2018). Impact of fall prevention on nurses and care of fall risk patients. The Gerontologist, 58(2), 331-340.Lim, J., Cho, J.J., Kim, J., Kim, Y. & Yoon, B. (2017). Design of virtual reality training program for prevention of falling in the elderly: A pilot study on complex versus balance exercises. European Journal of Integrative Medicine, 15, 64-67.Melin, C. M. (2018). Reducing falls in the inpatient hospital setting. International journal of evidence-based healthcare, 16(1), 25-31.Titler, M. G., Conlon, P. C., Reynolds, M. A., Ripley, R., Tsodikov, A., Wilson, D. S., & Montie, M. (2016). The effect of translating research into practice intervention to promote use of evidence-based fall prevention interventions in hospitalized adults: A prospective pre-post implementation study in the U.S. Applied Nursing Research, 31, 52- 59. doi:10.1016/j.apnr.2015.12.004
Essay Topic Examples
1. The Role of Bylaws in Ensuring Quality atient Care:
Explore how comprehensive hospital bylaws contribute to the quality of patient care by establishing clear protocols, outlining professional expectations for medical staff, and ensuring compliance with health regulations. Investigate the relationship between well-crafted bylaws and patient satisfaction.
2. Evolution and Adaptation of Hospital Bylaws in a Changing Healthcare Landscape:
This essay could examine the evolution of hospital bylaws in response to technological advancements, new health care regulations, and evolving patient needs. An analysis of historical bylaws versus contemporary ones to reflect on how changes in healthcare have necessitated amendments to these vital governance documents.
3. Hospital Bylaws as a Mediator between Medical Staff and Administration:
Analyze how hospital bylaws serve as a mediator between medical professionals and hospital administration, facilitating a balance between administrative priorities and medical ethics. Discuss how bylaws define responsibilities, rights, and conflict resolution processes to create a harmonious working…...
mlaPrimary Sources
American Hospital Association. Model Hospital Bylaws, Regulations, and Policies. Chicago: American Hospital Association, Year Published.
State Health Department. [State] Hospital Licensing Rules and Regulations. [State] Department of Health, Year Published.Hospital Name. Bylaws of [Hospital Name]. [City]: [Hospital Name], Year Published.Joint Commission on Accreditation of Healthcare Organizations. Comprehensive Accreditation Manual for Hospitals: The Official Handbook. Oakbrook Terrace, IL: Joint Commission Resources, Year Published.Medical Staff Office. Medical Staff Bylaws of [Hospital Name]. [City]: [Hospital Name], Year Published.
Setting Policies and Procedures
In every organization the Human esource Manager plays a very critical role.as the Human esource Manager there are several things that I will be expected to do. This paper will look at some of the tasks that are set before me.
The influence of the Joint Commission on basic functions of the HM
The Joint Commission is a non-profit organization in the United States that is charged with the duty of the accreditation of both healthcare organizations and programs within the United States. The main mission of the organization is to improve the healthcare of the public. They also collaborate with other stakeholders through the evaluation of health care organizations and strive to inspire them into excelling in the provision of effective and safe care which is of high quality and value. The joint commission has had a significant impact on the basic functions of HM. This is because…...
mlaReferences
Anderson, A.(2011). What Are Behavior-Based Measures by Performance Review? Retrieved August 10, 2013 from http://www.ehow.com/info_8588256_behavior-based-measures-performance-review.html
Authenticity Consulting, LLC. (2010). How to Address Employee Performance Problems.Retrieved August 10, 2013 from http://managementhelp.org/employeeperformance/problems.htm
Rotan, B.L.(2012).Guide to Designing Benefit packages for cooperatives. Retrieved August 10, 2013 from http://www.rurdev.usda.gov/rbs/pub/sr36.pdf
Piney Woods Hospital
Satisfaction is the pivotal problem for Piney Woods Hospital to address. Satisfaction across all stakeholders has a substantive impact on the other key challenges the hospital is facing. When customers are satisfied with the service and care they receive at hospital, they let others in the community know about it. When hospital employees are satisfied, they provide superior hospital services. When physicians are satisfied, they provide excellent medical care. It is an obvious and intractable cycle. Further, levels of satisfaction are indicators of other symptoms or successes regarding the operations of the hospital and its relationship to the community. This paper will focus on the challenges of increasing patient and employee satisfaction within the Emergency Department at Piney Woods Hospital.
The health care industry has in common with other service industries the pivotal importance of employee engagement on the customer-facing -- or patient-facing, as the case may be --…...
mlaReferences
Atkins, P.M., Marshall, B.S., and Javalgi, R.G. (1996), Happy employees lead to loyal patients, Journal of Health Care Marketing, 16, 4, 14-23.
Brown, C.L. (2002), A theory of the process of creating power in relationships, Nursing Administration Quarterly, 26, 2, 15-33.
Cunningham, P. (2011, May11). Nonurgent use of hospital emergency departments. Center for Studying Health System Change (HSC) [BEFORE THE U.S. SENATE Health, Education, Labor and Pensions Committee Subcommittee on Primary Health and Aging Hearing on ?Diverting Non-urgent Emergency Room Use: Can It Provide Better Care and Lower Costs?]. Retrieved http://hschange.org/CONTENT/1204/1204.pdf
Electronic Health Records Overview (2006, April). National Institutes of Health National Center for Research Resources.
Memorial Hospital," the hospital is privately owned and contains 600 beds for patients. It also offers a wide range of services like X-ray facilities, an intensive care unit, a cardiac care unit, an emegency room, a complete laboratory, and a psychiatric ward. The hospital has great services however, these services are offered in other healthcare facities and hospitals in the surrounding area. In order to prevent additional costs, the hospital avoided hiring specialists and providing specialized services as these additional services and medical practioners were costly. In order to provide quality of care, the hospital places an emphasis on personal attention provided by a ursing staff to each and every, singlel patient. Patient-oriented care is there way of attracting new patients and thus have been used as the subject matter for their ads on television and in newspapers. Janice is instructed to discover a way to measure quality of…...
mlaReferences
Buyukozkan, G., Cifcci, G., & Guleryuz, S. (2011). Strategic analysis of healthcare service quality using fuzzy AHP methodology. Expert Systems With Applications, 38(8), 9407-9424.
Dixon-Woods, M., McNicol, S., & Martin, G. (2012). Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature. BMJ Quality & Safety, 1.
Hasnain-Wynia, R., Baker, D., Nerenz, D., Feinglass, J., Beal, A., & Landrum, M. et al. (2007). Disparities in health care are driven by where minority patients seek care: examination of the hospital quality alliance measures. Archives Of Internal Medicine, 167(12), 1233 -- 1239.
Jha, A., Orav, E., Li, Z., & Epstein, A. (2007). The inverse relationship between mortality rates and performance in the Hospital Quality Alliance measures. Health Affairs, 26(4), 1104 -- 1110.
Memorial Hospital
Discuss some ways that a hospital might measure quality.
There are many ways that a hospital can measure quality. To some extent, the quality as rated by the end user is one of the critical success factors. However, as the case mentions, this may not tell the full story. It is possible for clients to be satisfied with the care they received even though they did not receive adequate care. Therefore the metrics to measure quality must obviously be multifaceted. Patient perceptions should be a key component, but other considerations such as industry averages and industry metrics should be considered.
hat are the potential costs of quality for Memorial Hospital? How could the value of a human life be included?
It is difficult to associate a financial value to the cost of a human life. Some estimates can put the value in the millions while others place the value at some trivial…...
mlaWorks Cited
Bennet, L., & Slavin, L. (2009, April 3). What Every Health Care Manager Needs to Know. Retrieved from Continous Quality Improvement: http://www.cwru.edu/med/epidbio/mphp439/CQI.htm
Malik, S. (2007, May 2). Creating Departmental Dashboards. Retrieved from Dashboard Insight: http://www.dashboardinsight.com/articles/digital-dashboards/building-dashboards/departmental-dashboards.aspx
Translational ResearchCurrent Nursing Practice in the Healthcare Setting Requiring ChangeThere are numerous areas within nursing that demand change in everyday healthcare practice. More often than not, irrespective of the healthcare setting, an inventive group is required to conduct research and facilitate change. I presently work as a clinical educator in my hospital. There are numerous practices that require change or upgrading. Subsequent to conducting a review and research analysis, my decision is to include bedside reporting, which is lacking within the hospital. Bedside report occurs between the outward-bound and inward-bound nurse alongside a patients bedside while conducting a shift change. The meeting is purposed to facilitate patient engagement in trade of real-time information during shift change. This provides both the inward-bound nurse and the patient the prospect to ask questions and authenticate significant information regarding the history of the patient and care plan prior to the outgoing nurse leaving (Rush,…...
Many women have today started to complain about their bitter experiences, and this has led to the creation of a birthing room at the hospital. The room is made to look more like a warm and cozy room at home, rather than a cold medically equipped room at a hospital. Since birthing is a warm and beautiful experience, most women do feel that they must be provided with an atmosphere conducive to give birth in. A birthing room therefore, would be equipped with articles like rocking chairs, cozy seats, warm lighting, a variety of different kinds of stools, and railings, all of which would allow a woman to try out different birthing positions, and finally choose the one that suited her the best.
All the equipment in a birthing room must be designed to accommodate the entire team of medical personnel attending to the woman, and also accommodate her family…...
mlaReferences
Brenner, David. (2003) "I think there's a terrorist in my soup: how to survive personal and word problems" Andrews McMeel Publishing.
Bruess, Clint E; Greenberg, Jerrold S. (2004) "Sexuality Education, Theory and Practice" Jones and Bartlett Publishers
Choudhri, Nihara K. (2005) "Parent Savvy, Straight Answers to your family's financial"
Nolo.
Medical care at Home Vs. Medical Care at the HospitalAround 4.5 million people in the United States require end-of-life or long-term care annually. Also, the United States has, in a pretty big way, changed healthcare delivery perspectives within the last few years (Bentur, 13). Though there are significant changes in how healthcare payments are made, where the healthcare is delivered has equally undergone substantial changes as more care continues to shift to various outpatient settings (Foust et al. 24). Also, elderly citizens cannot increasingly perform primary activities by themselves due to medical conditions or advanced age (Balatbat, Celynne, et al. 5). As a result, they need extra care to continue benefiting their quality of life. They, therefore, need professional care providers to give necessary care. The place of care, which can be Hospital or home-based, chiefly determines which options are best for the loved one. Nonetheless, according to this paper,…...
mlaWorks CitedBalatbat, Celynne, et al. \\\\\\\\\\\\\\\"No place like home: hospital at home as a post-pandemic frontier for care delivery innovation.\\\\\\\\\\\\\\\" NEJM Catalyst Innovations in Care Delivery 2.4 (2021).Bentur, Netta. \\\\\\\\\\\\\\\"Hospital at home: what is its place in the health system?\\\\\\\\\\\\\\\" Health Policy 55.1 (2001): 71-79.Foust, Janice B., Nancy Vuckovic, and Ernesto Henriquez. \\\\\\\\\\\\\\\"Hospital to home health care transition: patient, caregiver, and clinician perspectives.\\\\\\\\\\\\\\\" Western journal of nursing research 34.2 (2012): 194-212.
Executive SummaryThe systemic problem identified in this gap analysis is medication errors in a hospital setting, which contribute to adverse patient outcomes, including hospitalization, disability, and even death. To address this issue, several practice changes have been proposed, including the implementation of Bar Code Medication Administration (BCMA), use of Electronic Prescribing Systems (EPS), medication reconciliation, nursing education and training, and improved communication and collaboration among healthcare providers.Key Quality and Safety Outcome Measures1. Medication error rates: This measure tracks the number of medication errors (e.g., incorrect drug, dose, or patient) that occur in a hospital setting.2. Adverse drug events (ADEs): ADEs measure the incidence of harmful consequences resulting from medication errors, including allergic reactions, drug interactions, and overdoses.3. Medication reconciliation accuracy: This measure assesses the accuracy and completeness of the medication reconciliation process in ensuring that patients receive the correct medication, dosage, and frequency.4. Nursing competency in medication administration: This measure…...
Counselor Trainee Resource List
Rachel Faybyshev
Foundations of MHC
Mary Owens
Resource 1: Name of the organization - Care Counseling Center
Address, phone, fax, email address and website address.
• Address - 214-216 West 116th Street, NY 10026
• Phone *** Fax ***
• Email address - [email protected]
• Website Address - http://www.carecounselingny.com/
Jim Malewicz
Summary of the organization's mission and services provided.
• Care Counseling Center is an approved alcohol and substance abuse center that nurtures health, growth and development. This center provides help to individuals and families in need of prevention or intervention counseling, domestic violence, parenting skills, anger and stress management, alcohol/substance abuse, mental health disorders, and LGBT issues. Through an intensive outpatient program model, Care Counseling Center offers individual and group therapy.
Student rationale
• Alcohol and drug abuse has grown into an epidemic across the globe and the need for professionals in this field has increased tremendously. I feel that observing and working in this center would be of…...
Community-Acquired Pneumonia (CAP)
Community-acquired pneumonia (CAP) is an infection of the lungs that occurs outside of a hospital setting. It is a common and potentially serious infection, especially among the elderly, very young children, and people with underlying health conditions.
Risk Factors for Community-Acquired Pneumonia
Numerous risk factors have been identified that increase the likelihood of developing CAP. These risk factors can be broadly categorized into:
1. Host-Related Factors:
Age: The risk of CAP increases with age, particularly in individuals over 65 years old.
Underlying Medical Conditions: Certain medical conditions, such as chronic obstructive pulmonary disease (COPD), heart disease, diabetes, kidney disease, and immunosuppression,....
Barrier nursing technique knowledge is an essential aspect of healthcare education, especially for nursing students who will be responsible for providing direct patient care. Understanding the best practices for infection control and prevention is crucial to ensuring patient safety, as well as the safety of healthcare providers themselves. Several studies have been conducted to assess the level of barrier nursing technique knowledge among nursing students, with the goal of identifying any gaps in knowledge and improving education and training programs. One study by Caceres et al. (2019) aimed to evaluate the knowledge and skills of nursing students in barrier nursing....
1. The impact of pediatric nursing on children's physical and emotional well-being
2. The role of child life specialists in improving the hospital experience for pediatric patients
3. The challenges and rewards of caring for children with chronic illnesses in a hospital setting
4. The importance of family-centered care in pediatric nursing
5. Strategies for addressing the unique needs of pediatric patients in a multicultural society
6. The role of play therapy in promoting healing and resilience in pediatric patients
7. Ethical considerations in pediatric nursing, especially when it comes to decision-making for non-verbal or non-consenting patients
8. The use of technology in pediatric nursing care, and....
1. The impact of evidence-based practice on patient outcomes in nursing care
2. Strategies for effectively managing medication administration errors in the healthcare setting
3. The role of cultural competence in promoting holistic care for diverse patient populations
4. Implementing fall prevention measures in the hospital setting to reduce patient injuries
5. Utilizing technology to enhance patient education and engagement in self-care management
6. Addressing ethical dilemmas in nursing practice through effective communication and decision-making
7. Implementing strategies to improve nurse to patient ratios and workload management for better patient outcomes
8. The importance of interprofessional collaboration in promoting safe and effective care delivery
9. Implementing quality improvement....
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