Implementation and Evaluation of Patient Safety

Implementation and Evaluation of Patient Safety
Implementation and Evaluation of Patient Safety

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Implementation and Evaluation of Patient Safety

  1. 1 Read the article “Patient Safety: A Priority for Healthcare and for Healthcare Design” located in this week’s Electronic Reserve Readings. “Patient Safety’’ is it a Priority for Healthcare and for Healthcare Design.
  2. Read the article “Nursing’s Impact on Healthcare Facility Design” located in this Week’s Electronic Reserve Readings. What is the impact of nursing in health care Design?
  3. There are many ways to evaluate a project’s success. What are some ways you might evaluate the success of your project?
  4. Read the following scenario.

A new Ambulatory Surgical Center (ASC) owned and operated by a hospital system, recently opened for patient services following the final inspections by all jurisdictional authorities, including state licensure. Approximately 90 days following occupancy, the state licensing agency contacted the hospital to inform them that the new ASC patient access site plan does not meet with their approval and must be changed immediately.

Although no specific code reference was cited, the licensing agency stated that ASC patients should not cross or use driveways or sidewalks that are intended for hospital patients, staff, etc. The hospital contacted the project architect to address the site concerns and to seek resolution that would not significantly affect day-to-day operations or impede access to either the hospital campus or the ASC.What are some possible solutions to the problem faced in this scenario?

5. Read the article “Evaluating Intention and Effect: The Impact of Healthcare Facility Design on Patient and Staff Well-Being” in this week’s Electronic Reserve Reading

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Implementation and Evaluation of Patient Safety

Question one

Article 1- Patient Safety: A Priority for Healthcare and for Healthcare Design

(Stichler, J., F, 2016)

Patient safety is a priority for healthcare and for healthcare design. The lack of professional diligence in healthcare can result in patient care errors that have far reaching consequences. Patient care errors affect the families of the patient in as much as it affects the patient (Stichler, 2016). It results in increased suffering, pain and potentially also to death. At the same time it has psychological long lasting effects on the healthcare professional. Therefore patient safety is the number priority in the provision of healthcare services from the perspective of the patient and the care giver….

Question two

Article 2- Nursing’s Impact on Healthcare Facility Design- Stichler J., F. (2016).

The impact of Nursing in Healthcare Design can be seen in several ways. The first is the important role that nurses have played in the design of labor, delivery, and recovery rooms (LDRs) and labor, delivery, recovery, and postpartum rooms (LDRPs). Stichler (2016), states that this was the improvement from the initial alternative birth centers (ABCs) that had earlier been designed. This evidence-based input from nurses was important in eliminating the need to transfer patients multiple times in different rooms depending on the medical care they needed….

Question three- Measuring Project Success

One of the ways in which the success of a project can be measured is the customer or client satisfaction. The client who contracted for the project will expect to be satisfied with the outcomes at the end of the project. Within the parameters of healthcare facilities and organizations, the client may be an investor or the government (both national and local). The Post Occupancy Evaluation (POE) is useful in evaluating the occupancy rates for buildings that are newly constructed (Alvaro et al. 2016). The occupancy rate will be an indicator of how quickly they will recoup their investment. This will assist the client to know if the project was successful or not…..

Question four- Ambulatory Scenario

One way to address the problem is to work with the architect in order to meet the stipulations set out by the licensing agency. The architect will have to evaluate the current design and suggest where how the hospital can construct pathways that do not interfere with the main hospital system. In case the architect can come up with recommendations that new pathways may be constructed, the hospital should consider doing so in order to be compliant with the requirements of the regulating agency. The supplementary construction should seek to minimize any interference with the day-to-day operations of the main hospital….

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Fibroids Presentation Assignment

Fibroids
Fibroids

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Fibroids

Order Instructions:

  • Develop a 30-minute presentation, with detailed speaker notes, on Fibroids.
  • Analyze the etiology, pathophysiology, and general clinical manifestation of symptoms of the disease based on relevant literature.
  • Consider how age or overall health status might alter the normal clinical manifestation of the disease.
  • Evaluate the patient’s overall social and medical history, clinical symptoms, and clinical assessment from the perspective of the previously cited literature.
  • Evaluate the diagnostic work-up and clinical findings, including a rationale for each diagnostic test and expected findings, and recommend a diagnosis based on the findings.
  • Develop a plan of care based on diagnosis, including age-appropriate modifications of proposed therapy and dose modifications based on clinical guidelines.
  • Include medications, assistive therapies, and specific limitations of activities.
  • Address any age-appropriate modifications of proposed therapy or dosage modifications.
  • Analyze the potential complications of care and any possible side effects of medication based on literature that includes instructions for notification of the clinician.
  • Create a patient education plan that shows understanding of the patient’s developmental age, sexuality, health literacy, socioeconomic status, cultural sensitivity, and health belief models.
  • Analyze current condition and how it may relate to underlying health issues, the proposed plan of care, and possible side effects or complications.
  • Include patient/family engagement in the plan of care using the teach-back method.
  • Analyze how the principles of Watson’s theory of human caring are integrated into the plan of care and patient education.
  • Conclude the presentation with a question-and-answer session (8 to 10 questions and answers).

Prepare a one-page summary as a handout for the other students. Reference needs to include UpToDate

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Fibroids

Fibroid are the most common tumors that affect women’s reproductive system. They are benign tumors that made of smooth muscle cells that grow in the uterus. Further, these tumors affect women in their reproductive and almost fifty percent of such women in their child bearing age have fibroids. Generally, thirty to seventy percent of women will develop fibroids at some point in their reproductive age (Stewart, 2017).

However, although fibroids are dangerous and cause disruption in women’s lives, they are not cancerous in nature and their development do not increase the risk of developing cancer. Additionally, the cause of fibroid development in the uterus remains remain unknown. Despite its cause being unknown, women with a family history of tumors, those who are obese, African American women, women who commence their periods early and those who are nulliparous are at risk of developing fibroids (Stewart, 2017).

Generally, the main symptoms indicating the presence of fibroids are heavy and prolonged bleeding, pain and discomfort in the pelvis and abdomen, urinary tract and bowel problems such as frequency in passing urine and incontinence, infertility issues and pain during menses and sexual intercourse. These presence of these symptoms and there severity will depend on the size and location of the fibroid.

When one visits a doctor, a thorough diagnosis has to be so as to exclude the possibility of other tumors, which may even be cancerous (Stewart, Barbieri, Goff, Falcone, & Falk, 2015). A history of the patient is taken including the manifested symptoms, the obstetric history and medical history. After that the patient is subjected to a physical examination which involves palpation of the abdomen. A pelvic ultrasound is the used to image the reproduction structure. This is the basic method used for the diagnosis of fibroids. In other cases, Magnetic Resonance Imaging is done in complex cases (Stewart, 2017)…..

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Age Specific Scenarios PowerPoint Presentation

Age Specific Scenarios
Age Specific Scenarios

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Age Specific Scenarios

Order Instructions:

Develop 20 min presentation on Depo-Provera

Include one page summary as a handout for other people

Identify and describe this contraceptive method (Depo-Provera)

Describe the risks and benefits of method

Explains the effectiveness of method

Identifies contraindication of method

Explain how the contraception method is used

Address patient education

Age Specific Scenarios

PowerPoint Guide

1. A title slide – Name, Title and what the paper is about

2. Never use less than 24 point font. If you use smaller font, people will not be able to see your information and you will have too much information on the slide.

3. Use bullet points. PowerPoint slides do not need full sentences, and should never have a paragraph full of information.

4. Use images effectively. You should have as little text as possible on the slide. One way to accomplish this is to have images on each slide, accompanied by a small amount of text (a max. of 4 bullets).

5. You must include speaker notes (of about 120 -150 words per slide) below

6. Use only one message per slide. If you have more than one message, add a slide.

7. Use only elements that add to the content of the message. Use graphics that clearly support your message. Good graphics can significantly add to learning, bad graphics can confuse and distract your audience.

8. Slide Design. Each slide should address a single concept.

9. Slides should follow a logical progression, each building on the other

10. Use no more than 4 bullet short lines of text on any one slide (The rest of the what you want to say should be in the speaker notes).

11. Use upper and lower case text, NOT all caps

12. Choose a color appropriate to the mood you want to convey

13. Avoid using too many colors (maximum of 3)

14. Use photographs (images) to help the audience relate slide information to real world situations.

15. Cite/reference always to avoid plagiarism.

16. Color, Dark Blue to project a stable, mature message – has a calming effect

Red or Orange to trigger excitement or an emotional response, Green to make audience comfortable, Yellow to get audience attention quickly (more so than any other color), Gray to promote the idea of “quality”, White to project honesty/sincerity. Black is not appealing to most viewers so be balanced!

17. Maintain a consistent design with regard to colors, font styles, and graphics.

Age Specific Scenarios

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Emergency Contraception Essay Paper

Emergency Contraception
Emergency Contraception

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Emergency Contraception

Identify and describe this contraceptive method (Emergency Contraception)

Describe the risks and benefits of method

Explains the effectiveness of method

Identifies contraindication of method

Explain how the contraception method is used

Address patient education

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Emergency Contraception

Summary

Emergency contraception is suitable for any woman who has had unprotected sex. This could be due to sexual assault, or failure of regular method of birth control. Those who cannot use other birth control methods for routine contraception due to their medical conditions can use the emergency contraception successfully. There is no need for a physical exam or any lab tests to get the emergency contraception. Those who want to use them as soon as possible after unprotected sex since they are more efficient if used within 72 hours after unprotected sexual intercourse but can also work five days after.

The most effective method is the copper intrauterine device (IUD) and is the preferred method of emergency contraceptive and can also be used as a regular birth control method. Those who prefer pills should go for levonorgestrel instead of estrogen-progesterone tablets since they are more efficient and does not cause nausea nod vomiting. The levonorgestrel is taken as a single dose of two pills at the same time and another dose 12 hours after. Women who are more than 75 kilograms should consider using copper IUD since the tablets may not be sufficient for them.

There is no need for one to visit a doctor after using the emergency contraceptives but it is necessary to have a pregnancy test if the period does not occur within 21-28 days or if they develop unusual vaginal bleeding. One can still get pregnant if they have unprotected sexual intercourse after taking the emergency contraception pills. If this happens, one can repeat dose of emergency contraceptive but use a more effective one to prevent pregnancy…..

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Diversity in Health Care: Benchmark Assignment

Diversity in Health Care
Diversity in Health Care

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Diversity in Health Care

Order Instructions:

Write a paper (825-1,250 words) that addresses the impact diversity has on health care, and the changes that occur to support diverse populations. Include the following:

  1. Define diversity. Explain how diverse demographics influence the health care industry. Consider culture, gender, religion and spirituality, and social and economic status.
  2. Define the meaning of cultural competence and the role it plays in organizational behavior.
  3. What is meant by the term “diversity management”? How have changes in U.S. demographics impacted the health care industry, diversity of customers, and diversity within the organization itself?
  4. How does understanding diversity support awareness, empathy, and understanding with a community? How does it support a national and global community?

Prepare this assignment according to the APA guidelines

 Diversity in Health Care

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Diversity in Health Care

Diversity

Diversity is the essence of a given subject being composed of different elements (Merriam-Webster Online Dictionary, 2017). In healthcare, diversity implies the need for the provision of quality health services to a broad range of populations with varying characters (Betancourt, Green, Carrillo, & Ananeh-Firempong, 2003, p. 296 ). As such, diversity in healthcare implies the meeting of various providers with different backgrounds with a uniform goal that is the provision of quality healthcare services to individuals from as varied backgrounds as they are.

The influence of diversity in demographics on the health care industry

The growing globalization and the interaction of various cultures is an important factor in the efficient delivery of healthcare. The priority given by healthcare providers to diversity is due to these increasing changes. Changes within the global and local demographics and economies of a multicultural setting create more disparities in health statuses and the need for focused attention (Campinha-Bacote, 2003). Such increasing diversity in demographics has a number of effects on the healthcare industry as illustrated below.

Better research on issues related to racial and cultural diversity. Owing to the increased diversity in the target populations of various healthcare facilities, there is a need for better research into the various cultural factors and their influence on health care. Such information helps the industry and providers to identify various diseases and conditions correctly, which has a positive impact on the provision of quality healthcare (Betancourt, Green, Carrillo, & Ananeh-Firempong, 2003).

Improved cultural competence. In order to operate in the culturally diversified world successfully, the healthcare industry needs to develop cultural competence. This phenomenon is a set of attitudes, behaviors, and policy that come together to create a workplace that is ready to operate and compete effectively in a culturally diverse setting. Through various government agencies, the healthcare industry has embarked on programs to enhance cultural competence.

This includes education and training on different cultures, the launch of cultural and linguistically appropriate services the creation of cultural desire, cultural awareness, and cultural skills that enhance the encounters between health care providers and the patients at the facilities (Campinha-Bacote, 2003). The health care facilities replicate the same concept at the organizational level through the creation of various frameworks and models, which allow for wider implementation and impact in the healthcare industry.

Cultural competence

Betancourt, Green, Carrillo, and Ananeh-Firempong provide a definition of cultural competence as the acknowledgement of culture, cross-cultural relations, vigilance in handling the dynamics resulting from cultural differences, expansion of knowledge about culture, and the adoption of services to meet health care needs that are unique to culture (2003, p. 294 ).

The role cultural competence plays in organizational behavior.

The integration of cultural competence in a health care facility enables various changes in organizational behavior. Cultural competence helps to streamline various operations, primarily through the introduction of new efforts. Such efforts promote the inclusion of under-represented minorities as providers and leaders in the healthcare industry (Betancourt, Green, Carrillo, & Ananeh-Firempong, 2003). Through such efforts, change in the healthcare industry is possible through focused and structured changes in the organizational behavior…..

Diversity in Health Care

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Developing a treatment plan

Developing a treatment plan
Developing a treatment plan

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Developing a treatment plan

Order Instructions:

You are at a managers’ meeting and are asked to develop a standardized, flexible treatment plan that can be used in all aspects of your facility.

•What will the plan look like? 

•What information will it include, and how will you engage the client in developing his or her plan to ensure a higher rate of success? 

•Put this in a formal proposal to be presented at the next meeting. 

Make sure your proposal includes the following:

•Title page 

•Abstract 

•600–800 words of content 

•Conclusion ?Convince other managers that your idea is sound and should be considered 

•References, including at least 2 scholarly sources dated within the last year

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Catheter Associated Urinary Tract Infections

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Catheter Associated Urinary Tract Infections

Catheter Associated Urinary Tract Infections
Catheter Associated Urinary Tract Infections

Use evidence-based nursing interventions to research whether early removal of indwelling urinary catheters and shunning non-evidence based interventions does contribute to a significant decline in the risk of catheter-associated urinary tract infections among inpatients with indwelling urinary catheters.

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Catheter Associated Urinary Tract Infections

Statistics indicate that nearly 13,000 deaths occur annually due to urinary tract infections (UTIs). Approximately 75% of UTIs are linked to urinary catheters. Statistics further show that approximately 15-25% of inpatients use catheters. Still, UTIs constitute the fourth most prevalent healthcare related infection in the U.S, with over 93,000 reported inpatient incidences in 2011.

Besides, UTI’s constitute 12% of the total infections reported in acute care, while 12-16% of hospitalized adult patients have higher chances of using indwelling urinary catheters. The study of catheter-associated urinary tract infections (CAUTI) is essential as it highlights evidence-based nursing interventions needed for early removal of indwelling urinary catheters aimed at containing possible risks of CAUTIs among inpatients with indwelling urinary catheters.

Catheter Associated Urinary Tract Infections

Abstract

The research has established that the use of evidence-based nursing interventions for early removal of indwelling urinary catheters and shunning non-evidence based interventions does contribute to a significant decline in the risk of catheter-associated urinary tract infections among inpatients with indwelling urinary catheters.

Catheter Associated Urinary Tract Infections

According to Huang (2016), a urinary tract infection is a type of infection that affects the urinary tract and other parts of the urinary system including the bladder, urethra, kidney, and ureters and is the most prevalent healthcare related infection.

Center for Disease Control (CDC) statistics indicate that 13,000 deaths occur annually due to urinary tract infections (UTIs).Nearly 75% of the UTIs are linked to urinary catheters, while approximately 15-25% of inpatients use catheters (Hartley, 2015). Piechota (2016) defines indwelling urinary catheter as the urinary discharge tube that is inserted into the patient’s urinary bladder via the urethra and left in situ while continuously connected to a closed urinary drainage system. Urinary Tract Infections (UTIs) constitute the fourth most prevalent healthcare related infection with over 93,000 reported incidences in hospitalized patients in 2011 (Hartley, 2015).

Thus UTI’s constitute 12% of the total infections reported in acute care. Statistics further suggests that nearly all-healthcare related urinary tract infections occur as a result of the improper instrumentation of the urinary tract. CDC Statistics also shows that 12-16% of hospitalized adult patients have higher chances of using indwelling urinary catheters. 

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Best-practices for providing health care to a nation Policy discussion

Best-practices for providing health care to a nation Policy discussion
Best-practices for providing health care to a nation Policy discussion

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Best-practices for providing health care to a nation Policy discussion

Order Instructions:

What are some of the “best-practices” for providing health care to a nation and why?

Consider what you currently know about the US health care system. Identify the major problems encountered in the US. Upload any evidence you can find on-line to substantiate the problems. Note: you may use (indeed, are encouraged to use)

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Global Health as a focus for governments

Global Health as a focus for governments
Global Health as a focus for governments

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Global Health as a focus for governments

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The 21st century opened a new era when global health emerged as a focus for governments, foundations and organizations seeking to raise up vulnerable populations around the world. Yet mechanisms to power that human development have lagged. Disease-specific efforts were once needed, but now it is time to look forward to holistic approaches. This Forum event explored transforming the global health agenda through factors such as global education, innovative financing, and the increased role of low- and middle-income countries in shaping the future.

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After watching the webinar Transforming Global Health: A New Vision for the Future, provide your thoughts and reasoning on which of the factors discussed will have the most beneficial impact on the global health agenda?

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