Transitions to new teams are common during healthcare, esp. perioperative care, and are a potent source of error. How do we reduce this source of problems?
System design to produce safer care culture meassurement and infrastructure f...Proqualis
Apresentação de Carol Haraden durante o SIMPÓSIO EINSTEIN-IHI: Implantação e Disseminação de Programas de Segurança do Paciente aconteceu de 3 a 5 de novembro de 2013, em São Paulo - Brasil.
Carol Haraden é PhD, Vice Presidente do Institute for Healthcare Improvement (IHI), é membro do time responsável por desenvolver desenhos inovadores no cuidado ao paciente. Atualmente, ela lidera os trabalhos do IHI na Escócia, Sul da Inglaterra, Dinamarca e Estados Unidos.
NURS 6051 week 1 The Application of Data to.docx4934bk
The document discusses using data to improve patient placement and care quality at a hospital. Specifically:
1) The hospital currently struggles with correctly placing patients on the appropriate units due to a lack of notifications to physicians about patient criteria and care needs. This results in patients being misplaced and resources being wasted.
2) Implementing a new system using data like orders and patient criteria could help flag when specialists are needed or if patients should be placed in specific units. This would help ensure patients are directed to the right areas and prevent issues.
3) Collecting data on current placement problems and trials of safety programs could provide information to improve the placement process or identify other solutions. Proper patient flow using this data could
Bronwyn Shumack, Clinical Excellence CommissionSax Institute
The document discusses a scholarship recipient's trip to study how other health jurisdictions apply human factors principles in healthcare. Some of the locations visited included hospitals in Paris, Toronto, Vancouver, Calgary, and conferences. The key learnings were that few presentations or organizations demonstrated a thorough understanding of applying human factors concepts to healthcare, and that specialist skills are required to properly incorporate human factors into areas like clinical redesign and medical device procurement.
This document discusses quality improvement in healthcare. It begins by posing questions about defining quality, what quality improvement is, and how quality can be improved. It then discusses the safety paradox in healthcare - that despite highly trained staff and technology, errors are common and patients are frequently harmed. Several studies on adverse event rates in hospitals are summarized. The document discusses concepts for safety and quality improvement like reliability, variation, measurement, and change management. It provides examples of quality improvement tools and approaches like process mapping, care bundles, measurement, and the PDSA (Plan-Do-Study-Act) cycle. Overall, the document provides an overview of key issues and approaches related to quality and safety in healthcare.
This document discusses the importance of electronic health records and clinical decision support systems for improving healthcare quality and reducing costs and errors. It notes that healthcare information is essential for providing and managing patient care. Clinical decision support systems can help ensure best practices are followed and reduce unnecessary tests and costs. However, the document also finds that healthcare practices still vary greatly between regions and clinicians due to complexity, uncertainty and lack of evidence. More high-quality data and decision support are needed to address these issues and improve consistent high-value care.
A Standards-based Approach to Development of Clinical Registries - Initial Le...Koray Atalag
This is the prezo I presented at HINZ 2014 conference.
Gestational diabetes has implications for both mother and child with risk of complications during pregnancy, and type 2 diabetes later in life. This paper presents the initial lessons learned from the development of a clinical registry. The aims of the Registry are: 1) 100% successful diabetes screening within 3 months of delivery; 2) Annual type 2 diabetes screening; 3) Early warning in subsequent pregnancies.
We have employed the openEHR standard which underpins our national interoperability reference architecture to represent the dataset and also to build the web-based registry system. Use of this rigorous methodology to tackle health information is expected to ensure semantic consistency of Registry data and maximise interoperability with other Sector projects. The development work has been facilitated by the ability to transform the dataset automatically into software code – ensuring clinical requirements accurately translated into technical terms.
Dataset has been finalised, registry system has been developed and deployed for pilot implementation. Data entry is underway for participants after consenting.
This registry is expected to increase the screening of women leading to earlier detection of diabetes. It should provide a valuable picture of the condition and is intended for extension and wider roll-out after evaluation.
System design to produce safer care culture meassurement and infrastructure f...Proqualis
Apresentação de Carol Haraden durante o SIMPÓSIO EINSTEIN-IHI: Implantação e Disseminação de Programas de Segurança do Paciente aconteceu de 3 a 5 de novembro de 2013, em São Paulo - Brasil.
Carol Haraden é PhD, Vice Presidente do Institute for Healthcare Improvement (IHI), é membro do time responsável por desenvolver desenhos inovadores no cuidado ao paciente. Atualmente, ela lidera os trabalhos do IHI na Escócia, Sul da Inglaterra, Dinamarca e Estados Unidos.
NURS 6051 week 1 The Application of Data to.docx4934bk
The document discusses using data to improve patient placement and care quality at a hospital. Specifically:
1) The hospital currently struggles with correctly placing patients on the appropriate units due to a lack of notifications to physicians about patient criteria and care needs. This results in patients being misplaced and resources being wasted.
2) Implementing a new system using data like orders and patient criteria could help flag when specialists are needed or if patients should be placed in specific units. This would help ensure patients are directed to the right areas and prevent issues.
3) Collecting data on current placement problems and trials of safety programs could provide information to improve the placement process or identify other solutions. Proper patient flow using this data could
Bronwyn Shumack, Clinical Excellence CommissionSax Institute
The document discusses a scholarship recipient's trip to study how other health jurisdictions apply human factors principles in healthcare. Some of the locations visited included hospitals in Paris, Toronto, Vancouver, Calgary, and conferences. The key learnings were that few presentations or organizations demonstrated a thorough understanding of applying human factors concepts to healthcare, and that specialist skills are required to properly incorporate human factors into areas like clinical redesign and medical device procurement.
This document discusses quality improvement in healthcare. It begins by posing questions about defining quality, what quality improvement is, and how quality can be improved. It then discusses the safety paradox in healthcare - that despite highly trained staff and technology, errors are common and patients are frequently harmed. Several studies on adverse event rates in hospitals are summarized. The document discusses concepts for safety and quality improvement like reliability, variation, measurement, and change management. It provides examples of quality improvement tools and approaches like process mapping, care bundles, measurement, and the PDSA (Plan-Do-Study-Act) cycle. Overall, the document provides an overview of key issues and approaches related to quality and safety in healthcare.
This document discusses the importance of electronic health records and clinical decision support systems for improving healthcare quality and reducing costs and errors. It notes that healthcare information is essential for providing and managing patient care. Clinical decision support systems can help ensure best practices are followed and reduce unnecessary tests and costs. However, the document also finds that healthcare practices still vary greatly between regions and clinicians due to complexity, uncertainty and lack of evidence. More high-quality data and decision support are needed to address these issues and improve consistent high-value care.
A Standards-based Approach to Development of Clinical Registries - Initial Le...Koray Atalag
This is the prezo I presented at HINZ 2014 conference.
Gestational diabetes has implications for both mother and child with risk of complications during pregnancy, and type 2 diabetes later in life. This paper presents the initial lessons learned from the development of a clinical registry. The aims of the Registry are: 1) 100% successful diabetes screening within 3 months of delivery; 2) Annual type 2 diabetes screening; 3) Early warning in subsequent pregnancies.
We have employed the openEHR standard which underpins our national interoperability reference architecture to represent the dataset and also to build the web-based registry system. Use of this rigorous methodology to tackle health information is expected to ensure semantic consistency of Registry data and maximise interoperability with other Sector projects. The development work has been facilitated by the ability to transform the dataset automatically into software code – ensuring clinical requirements accurately translated into technical terms.
Dataset has been finalised, registry system has been developed and deployed for pilot implementation. Data entry is underway for participants after consenting.
This registry is expected to increase the screening of women leading to earlier detection of diabetes. It should provide a valuable picture of the condition and is intended for extension and wider roll-out after evaluation.
1. The document discusses building knowledge networks for quality improvement and patient safety in the Irish health service.
2. It emphasizes that networks allow for the exchange of information, contacts, and experience between professionals. This helps disseminate innovation and provide support.
3. The document provides examples of existing networks and resources in Ireland that can be leveraged, such as programs in chronic disease, surgery, and quality improvement. It also discusses challenges around data, IT systems, and culture.
The development of a Patient Safety Programme for Primary Care is being informed by the learning from two ongoing primary care safety projects. This session highlights the approaches used, the early findings and describes how to sustain and spread the success of this work.
3.A Basic Overview of Health Information Exchange.pdfBelayet Hossain
What is health information exchange? A hie software enables healthcare providers to securely communicate clinical data in line with HIPAA regulations. In other words, it’s a system for securely moving a client’s health information from one county to another.
https://itphobia.com/a-basic-overview-of-health-information-exchange/
A standards-based approach to development of clinical registries - Initial lessons learnt from the gestational diabetes registry. Presented by Koray Atalag, National Institute for Health Innovation, University of Auckland, at HINZ 2014, 12 November 2014, 12pm, Plenary Room 2
MedTech clinical data collection problems have been found throughout our ten years of work with over 250 medical device studies from across the globe. We keep running across these seven hazards while working in the MedTech business and clinical operations.
The Large Data Demonstration Project aims to create a timely and workable national health data network design through a test project. It seeks to concurrently address governance issues and demonstrate improvements in care. The project intends to validate the temporal and cost efficiencies of such a network system. Overall, the demonstration project explores building the foundation for a national Learning Health System to improve American healthcare through increased data sharing and analysis.
This document discusses redesigning the healthcare system and the role of computerized physician order entry (CPOE) in improving care delivery. It summarizes reports from the Institute of Medicine that found the current system is fragmented, lacks information sharing, and is not designed for chronic care management. The reports outlined 10 rules for redesign, including continuous healing relationships, customization based on patient needs/values, and transparency. Traditional CPOE focused on reducing medication errors but modern CPOE aims to integrate evidence-based order sets and clinical decision support tools to improve outcomes. The document examines problems with manual ordering and outlines how CPOE, when combined with workflow redesign and decision support, can help address issues like wasted time
Correctional Health Care AssignmentCourse Objective for Assignme.docxAbhinav816839
You have been assigned as the Case Coordinator for a state female correctional health care facility. Your task is to develop a strategic plan to organize the 300 monthly outside specialty medical appointments for inmates without impairing internal services. As your first step, you must write a memorandum addressing the challenges of providing health care in a correctional setting according to the 1976 Supreme Court ruling of Estelle v. Gamble and for the unique needs of the female inmate population. You will apply a strategic planning framework to guide your strategic thinking and decision making.
Correctional Health Care AssignmentCourse Objective for AssignmeAlleneMcclendon878
Correctional Health Care Assignment
Course Objective for Assignment:
· Relate strategic management principles and decision logic to current complex health care management challenges and formulate effective solutions.
You applied and were accepted in an internship program of a state-level, Female Correctional Health Care Operation in the Southeastern United States and your primary responsibility is to work on
the assigned projects related to the provision of inmate health care.
Case Study Associated Materials:
***Correctional Health Care Delivery: Unimpeded Access to Care Section 2 and 4 are recommended for the main reference in working on this assignment.
The Health and Health Care of US Prisoners: Results of a Nationwide Survey
Public Health Behind Bars
Sample Tool Control Policy
Inmate Sick Call Procedures-Corrections
Case Study Details: For the incarcerated population in the United States, health care is a constitutionally guaranteed right under the provisions of the eight amendments which is the prohibition against cruel and unusual punishment (
see Estelle v. Gamble). This particular prison can hold in excess of 1,728 offenders and routinely houses between 1,600 and 1,700 women on any given day. This institution incarcerates all custody classes to include minimum security, medium security, close custody, death row, and pretrial detainees.
The health care operation provides the highest level of care for female offenders in the state. The health care facility is a 101 thousand square foot, 150 bed, three-story building that cost the taxpayers $50 million dollars to construct and is a hybrid of an ambulatory care center, long-term care center, and behavioral care center. The health care facility also houses an assisted living dorm.
The patient demographic includes women who have multiple co-morbidities including substance abuse, seriously persistent mental illnesses (SPMI), diabetes, cardiovascular disease, cancer, morbid obesity, HIV / AIDs, hepatitis, etc. On any given day there will also be 30 to 60 offenders who are pregnant, with 98% of those offenders having a history of substance abuse; all pregnant offenders are considered high-risk. The dental health of this patient population is exceptionally horrendous because of excessive drug abuse coupled with a sugary diet and poor oral hygiene practices. It is not uncommon for a 23-year-old to need all of her teeth extracted.
There are approximately 300 FTEs to include correctional staff that operate the facility and provide care to the offender population. The healthcare facility is comprised of the following directorates: (a) Medical, (b) Nursing, (c) Behavioral Health, (d) Pharmacy, (e) Dental, (f) Medical Records, (g) Health Service Support, and (h) Operations and Security.
Although the health care facility has a vast amount of capability, there limitations: (a) This facility does not have advanced cardiac life support cap ...
Lean thinking principles were implemented in the emergency department of The Mission Hospital in Durgapur, India to improve patient flow and reduce waste. Key aspects of lean thinking used included value stream mapping to identify non-value adding activities, applying the 5S methodology to organize the workspace, and conducting gemba walks to observe processes firsthand. This led to reductions in patient length of stay, wait times, and overcrowding in the emergency department. Bottlenecks like long wait times for radiology, inpatient teams, and available beds were identified and addressed through lean problem solving techniques. Implementing lean thinking also helped prevent physician burnout by streamlining workflows and reducing clerical burdens.
The document discusses various aspects of electronic medical records (EMRs) and their implementation. EMRs can help reduce medical errors, improve patient-physician interaction, and make patient charts easier to access. However, EMR implementation also faces challenges like system crashes, security breaches, decreased initial physician productivity due to training needs, and resistance to change. Overall, while EMRs provide benefits like improved billing accuracy and payment speed, their adoption involves significant costs, training requirements, and workflow adjustments.
Kelly Dice is seeking a position as a Regional Sales Manager. She has over 15 years of experience in clinical operations, sales, and safety management. Her resume highlights her expertise in areas such as contract negotiations, inventory control, field training, leadership, accreditation, and Lean process improvement. She held the role of Director of Clinical Sales and Service at Respira Medical where she led a team of over 30 employees across 7 locations, exceeded sales objectives, and developed key customer relationships. Prior to that, she worked as a Pediatric Respiratory Care Practitioner at Johns Hopkins Hospital.
This hand hygiene compliance report discusses an investigation into improving hand washing among staff at an outpatient dialysis facility. Poor hand hygiene compliance was noted as an issue. An assessment of baseline hand hygiene was conducted according to Joint Commission standards. Educational interventions and covert observations were used in an effort to increase compliance and determine if changes were effective. The goal was to improve patient safety and outcomes by reducing infection rates and healthcare costs through better hand hygiene.
59 minutes agoLuke Powell Initial post - Luke PowellCOLLAP.docxtroutmanboris
59 minutes ago
Luke Powell
Initial post - Luke Powell
COLLAPSE
Top of Form
Introduction
As nurses, we are guided by evidence-based practice to ensure that the care we deliver is safe and appropriate for our patients. During nursing school, we are encouraged to seek out scientific research to support why we do what we do and are taught to continue to do so even after we leave the classroom. We make decisions based from sources including coursework, our textbooks, and clinical experience (Polit & Beck, 2017). However, I have caught myself asking “what does the research say?” especially when completing cares. In particular, do sequential compression devices (SCD) actually contribute to the prevention of deep venous thrombosis (DVT). Nursing research is conducted to answer questions or solve problems (Polit & Beck, 2017). As I have began to ask my coworkers as to why we use SCDs, the answer is always that this is what we have always done. According to Polit and Beck (2017), this is described as unit culture, and these interventions are based on tradition rather than sound evidence.
PICOT Question
Many of the patients that I see in the intensive care unit (ICU) can expect to be there for at least three days. Most are too sick to be able to get out of bed and move around the room. This inactivity can potentially put them at risk for developing a DVT. To help prevent this from happening, knee high SCDs are utilized. However, the organization that I work for does not have the evidence they found listed anywhere to support the use of SCDs. In fact, when looking at unit council notes from years ago, the same question was brought up and it was noted that there is no evidence to support their use in the ICU. When conducting research for evidence-based practice (EBP), it is important to create a clinical question that can be answered with research evidence (Polit & Beck, 2017). My PICOT question is “In patients admitted to the ICU, does the utilization of SCDs reduce the risk of DVTs as compared to the use of low dose subcutaneous heparin during a three day admission?” My background questions include: what is a DVT, and what is its pathophysiology? Using PICOT, I can turn this research question into search terms that help to prevent my search from being too broad (Walden Student Center for Success, 2012).
Adoption of Evidence-Based Practices
Overall, I do believe that my organization is willing to change processes or procedures, if the evidence is there to support such a change. The only problem that I can identify with making those changes is that they must be presented to a committee who reviews our current policies and procedures every two years. Unless there is a strong need to make changes, it could take some time before the specific policy or procedure is up for review. As for my coworkers, we are constantly reevaluating and questioning why we do what we do. It is not that we are trying to find faults within our organization rather that we are try.
The document discusses the multiple lives of clinical data. It begins by describing how clinical data is first used in patient care by being documented in the electronic medical record. It then discusses how clinical data can be transformed and used for research purposes by analyzing aggregate data from clinical documentation. The document provides examples of how clinical data from a clinic was analyzed over time to enable new research studies. Finally, the document discusses how clinical data can have a third life in an enterprise data warehouse, where operational and strategic questions can be answered by analyzing and reporting on clinical data. It provides examples of the types of analyses that can be done using an enterprise data warehouse.
Meeting healthcare challenges: what are the challenges and what is the role o...Mohammad Al-Ubaydli
The document discusses the challenges facing healthcare systems and the role that e-health can play in addressing these challenges. The major challenges are quality and safety, access, responsiveness, and affordability. E-health can help by providing access to electronic patient records, reducing complexity, optimizing information processing, and increasing efficiency. It can also help with navigation through the healthcare system and engaging patients in their own health. The document advocates for free access to research information and using data to identify at-risk patients in need of care.
Health Care Change Managent Student’s NameProfessor’s ShainaBoling829
Health Care Change Managent
Student’s Name
Professor’s Name
Date
Health care
the healthcare facility in which I work is called Upper Hill Care located in California. Some of the characteristic that make our c healthcare facility distinct from others are tied to our culture which is characterized by
Friendly communications
Respects for all people
Embracing diversity
Equality and
Prioritizing the needs of our clients
Readiness for change
Our organization is always prepared for changes such as outbreaks of pandemics that can lead to surges in number of patients in various ways such as:
Training of employees on working in stressful environment
Having extra care equipment's like beds, ventilators and others
Preparing for risks through insurance covers ("Preparing for change in your organization: A how-to guide," 2019)
Some factors that prepare our firm for changes include. Flexible, secure infrastructure
Data mastery
Digitally savvy, open talent networks
Ecosystem engagement
Intelligent workflows
Unified customer experience
Business model adaptability
Again, a digital maturity model is essential for any organization undergoing change – especially those undergoing digital transformation.
3
Current challenge and opportunity for change
Some of the current challenges facing our healthcare facility include
Lack of adequate trained nurses and doctors
Financial deficits
Increased employee turnover
Misappropriation of the firm resources
Increased burden of medical errors
Low wages
Little time to spend with clients (Shannon Barnet, Molly Gamble, Heather Punke, Emily Rappleye, Ellie Rizzo and Tamara Rosin, n.d.)
According to the CareerBuilder survey, the provider shortage is hitting every healthcare organization in the country — especially when it comes to nurses. Forty percent of healthcare workers responded that they felt challenged by work overload at their jobs; the number jumped to 48 percent when the pool was limited to only nurses. The survey also identified a key turnover issue in healthcare workers taking on additional responsibilities above their comfort level. The provider shortage means fewer staff members must divide a significant workload, pushing some employees to the brink of exhaustion and decreasing job satisfaction considerably.
4
orpptunities
Some of the orpptunities available for the firm include
Diversifying the health care services
Opening new branches in other towns
Outsourcing employees form hiring agencies
Increasing research and development
Smart contracts among others (Medal, n.d.)
Evidence based idea for change
The evidence based idea for change is available for conditions like
Asthma
Heart failures and
Diabetes
The changes in the healthcare is believed to have potential of
Transforming clients and healthcare workers behavior
Minimizing case of asthma, heart failure and diabetes
Create a more conducive working environment
Increase customers satisfaction ("evidence for evidence-based practice implementati ...
STH 2017_Day 3_Track 1_Session 1_Caralis_Preventing Medical Errors Compatibil...Benghie Hyacinthe
The document discusses medical errors and strategies to reduce them. It defines medical errors and notes that they are common, causing thousands of deaths annually in the US. Root cause analysis seeks to identify underlying factors in the healthcare system that contribute to errors in order to implement fixes. Strategies discussed include improving communication, using checklists, increasing staff supervision, and optimizing workload and resources to reduce risk. The goal is to learn from errors by examining the system failures that led to them, rather than blaming individuals.
Healthcare redesign is problematic worldwide. A missing ingredient is the ‘last mile’ - connecting the front-line workers with the redesign principles. A variety of models are presented to assist design-led thinking that includes all healthcare’s levels - macro-, meso- and micro-. Engagement of individuals engages teams, and leads to healthcare redesign.
Quality data reporting, can private hospitals take the lead? (Clinician presentation to Panel session)
Consumers demand transparency and ‘data geeks’ promise use ‘visualisation’, but how and why should private hospitals report their data? Can the private hospital sector take a lead?
See the clinician perspective (we are all consumers - not just patients) from a panel containing a private hospitals chain CEO, a clinician and the policy manager of Consumers Health Forum.
1. The document discusses building knowledge networks for quality improvement and patient safety in the Irish health service.
2. It emphasizes that networks allow for the exchange of information, contacts, and experience between professionals. This helps disseminate innovation and provide support.
3. The document provides examples of existing networks and resources in Ireland that can be leveraged, such as programs in chronic disease, surgery, and quality improvement. It also discusses challenges around data, IT systems, and culture.
The development of a Patient Safety Programme for Primary Care is being informed by the learning from two ongoing primary care safety projects. This session highlights the approaches used, the early findings and describes how to sustain and spread the success of this work.
3.A Basic Overview of Health Information Exchange.pdfBelayet Hossain
What is health information exchange? A hie software enables healthcare providers to securely communicate clinical data in line with HIPAA regulations. In other words, it’s a system for securely moving a client’s health information from one county to another.
https://itphobia.com/a-basic-overview-of-health-information-exchange/
A standards-based approach to development of clinical registries - Initial lessons learnt from the gestational diabetes registry. Presented by Koray Atalag, National Institute for Health Innovation, University of Auckland, at HINZ 2014, 12 November 2014, 12pm, Plenary Room 2
MedTech clinical data collection problems have been found throughout our ten years of work with over 250 medical device studies from across the globe. We keep running across these seven hazards while working in the MedTech business and clinical operations.
The Large Data Demonstration Project aims to create a timely and workable national health data network design through a test project. It seeks to concurrently address governance issues and demonstrate improvements in care. The project intends to validate the temporal and cost efficiencies of such a network system. Overall, the demonstration project explores building the foundation for a national Learning Health System to improve American healthcare through increased data sharing and analysis.
This document discusses redesigning the healthcare system and the role of computerized physician order entry (CPOE) in improving care delivery. It summarizes reports from the Institute of Medicine that found the current system is fragmented, lacks information sharing, and is not designed for chronic care management. The reports outlined 10 rules for redesign, including continuous healing relationships, customization based on patient needs/values, and transparency. Traditional CPOE focused on reducing medication errors but modern CPOE aims to integrate evidence-based order sets and clinical decision support tools to improve outcomes. The document examines problems with manual ordering and outlines how CPOE, when combined with workflow redesign and decision support, can help address issues like wasted time
Correctional Health Care AssignmentCourse Objective for Assignme.docxAbhinav816839
You have been assigned as the Case Coordinator for a state female correctional health care facility. Your task is to develop a strategic plan to organize the 300 monthly outside specialty medical appointments for inmates without impairing internal services. As your first step, you must write a memorandum addressing the challenges of providing health care in a correctional setting according to the 1976 Supreme Court ruling of Estelle v. Gamble and for the unique needs of the female inmate population. You will apply a strategic planning framework to guide your strategic thinking and decision making.
Correctional Health Care AssignmentCourse Objective for AssignmeAlleneMcclendon878
Correctional Health Care Assignment
Course Objective for Assignment:
· Relate strategic management principles and decision logic to current complex health care management challenges and formulate effective solutions.
You applied and were accepted in an internship program of a state-level, Female Correctional Health Care Operation in the Southeastern United States and your primary responsibility is to work on
the assigned projects related to the provision of inmate health care.
Case Study Associated Materials:
***Correctional Health Care Delivery: Unimpeded Access to Care Section 2 and 4 are recommended for the main reference in working on this assignment.
The Health and Health Care of US Prisoners: Results of a Nationwide Survey
Public Health Behind Bars
Sample Tool Control Policy
Inmate Sick Call Procedures-Corrections
Case Study Details: For the incarcerated population in the United States, health care is a constitutionally guaranteed right under the provisions of the eight amendments which is the prohibition against cruel and unusual punishment (
see Estelle v. Gamble). This particular prison can hold in excess of 1,728 offenders and routinely houses between 1,600 and 1,700 women on any given day. This institution incarcerates all custody classes to include minimum security, medium security, close custody, death row, and pretrial detainees.
The health care operation provides the highest level of care for female offenders in the state. The health care facility is a 101 thousand square foot, 150 bed, three-story building that cost the taxpayers $50 million dollars to construct and is a hybrid of an ambulatory care center, long-term care center, and behavioral care center. The health care facility also houses an assisted living dorm.
The patient demographic includes women who have multiple co-morbidities including substance abuse, seriously persistent mental illnesses (SPMI), diabetes, cardiovascular disease, cancer, morbid obesity, HIV / AIDs, hepatitis, etc. On any given day there will also be 30 to 60 offenders who are pregnant, with 98% of those offenders having a history of substance abuse; all pregnant offenders are considered high-risk. The dental health of this patient population is exceptionally horrendous because of excessive drug abuse coupled with a sugary diet and poor oral hygiene practices. It is not uncommon for a 23-year-old to need all of her teeth extracted.
There are approximately 300 FTEs to include correctional staff that operate the facility and provide care to the offender population. The healthcare facility is comprised of the following directorates: (a) Medical, (b) Nursing, (c) Behavioral Health, (d) Pharmacy, (e) Dental, (f) Medical Records, (g) Health Service Support, and (h) Operations and Security.
Although the health care facility has a vast amount of capability, there limitations: (a) This facility does not have advanced cardiac life support cap ...
Lean thinking principles were implemented in the emergency department of The Mission Hospital in Durgapur, India to improve patient flow and reduce waste. Key aspects of lean thinking used included value stream mapping to identify non-value adding activities, applying the 5S methodology to organize the workspace, and conducting gemba walks to observe processes firsthand. This led to reductions in patient length of stay, wait times, and overcrowding in the emergency department. Bottlenecks like long wait times for radiology, inpatient teams, and available beds were identified and addressed through lean problem solving techniques. Implementing lean thinking also helped prevent physician burnout by streamlining workflows and reducing clerical burdens.
The document discusses various aspects of electronic medical records (EMRs) and their implementation. EMRs can help reduce medical errors, improve patient-physician interaction, and make patient charts easier to access. However, EMR implementation also faces challenges like system crashes, security breaches, decreased initial physician productivity due to training needs, and resistance to change. Overall, while EMRs provide benefits like improved billing accuracy and payment speed, their adoption involves significant costs, training requirements, and workflow adjustments.
Kelly Dice is seeking a position as a Regional Sales Manager. She has over 15 years of experience in clinical operations, sales, and safety management. Her resume highlights her expertise in areas such as contract negotiations, inventory control, field training, leadership, accreditation, and Lean process improvement. She held the role of Director of Clinical Sales and Service at Respira Medical where she led a team of over 30 employees across 7 locations, exceeded sales objectives, and developed key customer relationships. Prior to that, she worked as a Pediatric Respiratory Care Practitioner at Johns Hopkins Hospital.
This hand hygiene compliance report discusses an investigation into improving hand washing among staff at an outpatient dialysis facility. Poor hand hygiene compliance was noted as an issue. An assessment of baseline hand hygiene was conducted according to Joint Commission standards. Educational interventions and covert observations were used in an effort to increase compliance and determine if changes were effective. The goal was to improve patient safety and outcomes by reducing infection rates and healthcare costs through better hand hygiene.
59 minutes agoLuke Powell Initial post - Luke PowellCOLLAP.docxtroutmanboris
59 minutes ago
Luke Powell
Initial post - Luke Powell
COLLAPSE
Top of Form
Introduction
As nurses, we are guided by evidence-based practice to ensure that the care we deliver is safe and appropriate for our patients. During nursing school, we are encouraged to seek out scientific research to support why we do what we do and are taught to continue to do so even after we leave the classroom. We make decisions based from sources including coursework, our textbooks, and clinical experience (Polit & Beck, 2017). However, I have caught myself asking “what does the research say?” especially when completing cares. In particular, do sequential compression devices (SCD) actually contribute to the prevention of deep venous thrombosis (DVT). Nursing research is conducted to answer questions or solve problems (Polit & Beck, 2017). As I have began to ask my coworkers as to why we use SCDs, the answer is always that this is what we have always done. According to Polit and Beck (2017), this is described as unit culture, and these interventions are based on tradition rather than sound evidence.
PICOT Question
Many of the patients that I see in the intensive care unit (ICU) can expect to be there for at least three days. Most are too sick to be able to get out of bed and move around the room. This inactivity can potentially put them at risk for developing a DVT. To help prevent this from happening, knee high SCDs are utilized. However, the organization that I work for does not have the evidence they found listed anywhere to support the use of SCDs. In fact, when looking at unit council notes from years ago, the same question was brought up and it was noted that there is no evidence to support their use in the ICU. When conducting research for evidence-based practice (EBP), it is important to create a clinical question that can be answered with research evidence (Polit & Beck, 2017). My PICOT question is “In patients admitted to the ICU, does the utilization of SCDs reduce the risk of DVTs as compared to the use of low dose subcutaneous heparin during a three day admission?” My background questions include: what is a DVT, and what is its pathophysiology? Using PICOT, I can turn this research question into search terms that help to prevent my search from being too broad (Walden Student Center for Success, 2012).
Adoption of Evidence-Based Practices
Overall, I do believe that my organization is willing to change processes or procedures, if the evidence is there to support such a change. The only problem that I can identify with making those changes is that they must be presented to a committee who reviews our current policies and procedures every two years. Unless there is a strong need to make changes, it could take some time before the specific policy or procedure is up for review. As for my coworkers, we are constantly reevaluating and questioning why we do what we do. It is not that we are trying to find faults within our organization rather that we are try.
The document discusses the multiple lives of clinical data. It begins by describing how clinical data is first used in patient care by being documented in the electronic medical record. It then discusses how clinical data can be transformed and used for research purposes by analyzing aggregate data from clinical documentation. The document provides examples of how clinical data from a clinic was analyzed over time to enable new research studies. Finally, the document discusses how clinical data can have a third life in an enterprise data warehouse, where operational and strategic questions can be answered by analyzing and reporting on clinical data. It provides examples of the types of analyses that can be done using an enterprise data warehouse.
Meeting healthcare challenges: what are the challenges and what is the role o...Mohammad Al-Ubaydli
The document discusses the challenges facing healthcare systems and the role that e-health can play in addressing these challenges. The major challenges are quality and safety, access, responsiveness, and affordability. E-health can help by providing access to electronic patient records, reducing complexity, optimizing information processing, and increasing efficiency. It can also help with navigation through the healthcare system and engaging patients in their own health. The document advocates for free access to research information and using data to identify at-risk patients in need of care.
Health Care Change Managent Student’s NameProfessor’s ShainaBoling829
Health Care Change Managent
Student’s Name
Professor’s Name
Date
Health care
the healthcare facility in which I work is called Upper Hill Care located in California. Some of the characteristic that make our c healthcare facility distinct from others are tied to our culture which is characterized by
Friendly communications
Respects for all people
Embracing diversity
Equality and
Prioritizing the needs of our clients
Readiness for change
Our organization is always prepared for changes such as outbreaks of pandemics that can lead to surges in number of patients in various ways such as:
Training of employees on working in stressful environment
Having extra care equipment's like beds, ventilators and others
Preparing for risks through insurance covers ("Preparing for change in your organization: A how-to guide," 2019)
Some factors that prepare our firm for changes include. Flexible, secure infrastructure
Data mastery
Digitally savvy, open talent networks
Ecosystem engagement
Intelligent workflows
Unified customer experience
Business model adaptability
Again, a digital maturity model is essential for any organization undergoing change – especially those undergoing digital transformation.
3
Current challenge and opportunity for change
Some of the current challenges facing our healthcare facility include
Lack of adequate trained nurses and doctors
Financial deficits
Increased employee turnover
Misappropriation of the firm resources
Increased burden of medical errors
Low wages
Little time to spend with clients (Shannon Barnet, Molly Gamble, Heather Punke, Emily Rappleye, Ellie Rizzo and Tamara Rosin, n.d.)
According to the CareerBuilder survey, the provider shortage is hitting every healthcare organization in the country — especially when it comes to nurses. Forty percent of healthcare workers responded that they felt challenged by work overload at their jobs; the number jumped to 48 percent when the pool was limited to only nurses. The survey also identified a key turnover issue in healthcare workers taking on additional responsibilities above their comfort level. The provider shortage means fewer staff members must divide a significant workload, pushing some employees to the brink of exhaustion and decreasing job satisfaction considerably.
4
orpptunities
Some of the orpptunities available for the firm include
Diversifying the health care services
Opening new branches in other towns
Outsourcing employees form hiring agencies
Increasing research and development
Smart contracts among others (Medal, n.d.)
Evidence based idea for change
The evidence based idea for change is available for conditions like
Asthma
Heart failures and
Diabetes
The changes in the healthcare is believed to have potential of
Transforming clients and healthcare workers behavior
Minimizing case of asthma, heart failure and diabetes
Create a more conducive working environment
Increase customers satisfaction ("evidence for evidence-based practice implementati ...
STH 2017_Day 3_Track 1_Session 1_Caralis_Preventing Medical Errors Compatibil...Benghie Hyacinthe
The document discusses medical errors and strategies to reduce them. It defines medical errors and notes that they are common, causing thousands of deaths annually in the US. Root cause analysis seeks to identify underlying factors in the healthcare system that contribute to errors in order to implement fixes. Strategies discussed include improving communication, using checklists, increasing staff supervision, and optimizing workload and resources to reduce risk. The goal is to learn from errors by examining the system failures that led to them, rather than blaming individuals.
Healthcare redesign is problematic worldwide. A missing ingredient is the ‘last mile’ - connecting the front-line workers with the redesign principles. A variety of models are presented to assist design-led thinking that includes all healthcare’s levels - macro-, meso- and micro-. Engagement of individuals engages teams, and leads to healthcare redesign.
Quality data reporting, can private hospitals take the lead? (Clinician presentation to Panel session)
Consumers demand transparency and ‘data geeks’ promise use ‘visualisation’, but how and why should private hospitals report their data? Can the private hospital sector take a lead?
See the clinician perspective (we are all consumers - not just patients) from a panel containing a private hospitals chain CEO, a clinician and the policy manager of Consumers Health Forum.
Healthcare System problems have significant effects on humans - both patients and healthcare workers. Risk, cost, efficiency and satisfaction are affected.
How can we improve this?
Presentation delivered to healthcare leaders in Adelaide in 07/2019
What are the social and technological trends driving the transition in healthcare from reactive disease-care, to proactive health optimisation?
How will this affect your work?
A presentation delivered to healthcare leaders in Sydney, Melbourne, Adelaide and Brisbane in 2018
Recommendations for change in healthcare
> Leading practice within complex projects
Translate to a Project
> Teams create change
What does this mean in practice
> Use workflow mapping
This document provides an overview and update on issues in neuroanesthesia. It discusses recurrent issues such as patient positioning, monitoring, fluid management and more that have not changed significantly over time. It also reviews cerebral physiology concepts like blood flow regulation and the effects of anesthetic agents. The document outlines current surgical trends like minimally invasive procedures and equipment trends like intraoperative CT. It concludes by emphasizing the importance of multidisciplinary team training to continually improve neuroanesthesia care.
The Perioperative Method for Healthcare
- Profit through Reputation
- Integrate clinical and commercial factors
- Reduce risk, reduce cost and improve the patient and clinician experience
Mehr von Douglas Fahlbusch Healthcare Consulting (8)
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...rightmanforbloodline
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
The Importance of Black Women Understanding the Chemicals in Their Personal C...bkling
Certain chemicals, such as phthalates and parabens, can disrupt the body's hormones and have significant effects on health. According to data, hormone-related health issues such as uterine fibroids, infertility, early puberty and more aggressive forms of breast and endometrial cancers disproportionately affect Black women. Our guest speaker, Jasmine A. McDonald, PhD, an Assistant Professor in the Department of Epidemiology at Columbia University in New York City, discusses the scientific reasons why Black women should pay attention to specific chemicals in their personal care products, like hair care, and ways to minimize their exposure.
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
CHAPTER 1 SEMESTER V COMMUNICATION TECHNIQUES FOR CHILDREN.pdfSachin Sharma
Here are some key objectives of communication with children:
Build Trust and Security:
Establish a safe and supportive environment where children feel comfortable expressing themselves.
Encourage Expression:
Enable children to articulate their thoughts, feelings, and experiences.
Promote Emotional Understanding:
Help children identify and understand their own emotions and the emotions of others.
Enhance Listening Skills:
Develop children’s ability to listen attentively and respond appropriately.
Foster Positive Relationships:
Strengthen the bond between children and caregivers, peers, and other adults.
Support Learning and Development:
Aid cognitive and language development through engaging and meaningful conversations.
Teach Social Skills:
Encourage polite, respectful, and empathetic interactions with others.
Resolve Conflicts:
Provide tools and guidance for children to handle disagreements constructively.
Encourage Independence:
Support children in making decisions and solving problems on their own.
Provide Reassurance and Comfort:
Offer comfort and understanding during times of distress or uncertainty.
Reinforce Positive Behavior:
Acknowledge and encourage positive actions and behaviors.
Guide and Educate:
Offer clear instructions and explanations to help children understand expectations and learn new concepts.
By focusing on these objectives, communication with children can be both effective and nurturing, supporting their overall growth and well-being.
Sectional dentures for microstomia patients.pptxSatvikaPrasad
Microstomia, characterized by an abnormally small oral aperture, presents significant challenges in prosthodontic treatment, including limited access for examination, difficulties in impression making, and challenges with prosthesis insertion and removal. To manage these issues, customized impression techniques using sectional trays and elastomeric materials are employed. Prostheses may be designed in segments or with flexible materials to facilitate handling. Minimally invasive procedures and the use of digital technologies can enhance patient comfort. Education and training for patients on prosthesis care and maintenance are crucial for compliance. Regular follow-up and a multidisciplinary approach, involving collaboration with other specialists, ensure comprehensive care and improved quality of life for microstomia patients.
End-tidal carbon dioxide (ETCO2) is the level of carbon dioxide that is released at the end of an exhaled breath. ETCO2 levels reflect the adequacy with which carbon dioxide (CO2) is carried in the blood back to the lungs and exhaled.
Non-invasive methods for ETCO2 measurement include capnometry and capnography. Capnometry provides a numerical value for ETCO2. In contrast, capnography delivers a more comprehensive measurement that is displayed in both graphical (waveform) and numerical form.
Sidestream devices can monitor both intubated and non-intubated patients, while mainstream devices are most often limited to intubated patients.
NURSING MANAGEMENT OF PATIENT WITH EMPHYSEMA .PPTblessyjannu21
Prepared by Prof. BLESSY THOMAS, VICE PRINCIPAL, FNCON, SPN.
Emphysema is a disease condition of respiratory system.
Emphysema is an abnormal permanent enlargement of the air spaces distal to terminal bronchioles, accompanied by destruction of their walls and without obvious fibrosis.
Emphysema of lung is defined as hyper inflation of the lung ais spaces due to obstruction of non respiratory bronchioles as due to loss of elasticity of alveoli.
It is a type of chronic obstructive
pulmonary disease.
It is a progressive disease of lungs.
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
Care Transitions 2021.pptx
1. A/Prof. Douglas Fahlbusch, MBBS, FANZCA, GDM,
GAICD
Reimagining Healthcare Transitions in Care
Calvary Adelaide Hospital Grand Round, 6 MAY 2021
2. What this talk is about
❖ Handover of data
❖ Human element of healthcare
❖ Making sense of healthcare complexity
❖ Examples of success
❖ Examples for possible improvement
3. You’re a Patient
❖ Health data with GP
❖ Health data with Surgeon/Specialist
❖ Health data with Hospital
❖ Process repeated in admissions,
holding bay, theatre, ward, discharge
4. Grocott et al. Perioper Med (Lond). 2017; 6: 9. (Open Access - Creative Commons Attribution 4.0 International
License)
Data Siloes - repeats in
hospital
Largely inaccessible
Repeated data entry
Minimal cross-checking
5. The Case for Better Use of Healthcare Data
What Do People Want?
Patients
- Information
- Know we care
(Not forms)
Healthcare Workers (HCW)
- Helping patients
- Enjoyable/Meaningful work
(Not forms)
6. Source: Australian Institute of Company Directors
Has healthcare kept
up?
Not everything has evolved at
the same rate
7. Healthcare is complex
How do we pursue
this?
Identify things that matter to:
- Patients
- HCW
Typically:
- Safety
- Efficiency
- Great Patient/HCW Experience
11. Case Example
Team Time Out
Von Willebrand’s Disease
- preop Factor VIII
Spinal Cord Stimulator
- switch off in theatre
No mechanism to ensure this critical information handed
over - even though appropriate actions had been taken
12. Post-operative (Pre-landing) Check
Team Sign Out
Previous Case Example applies:
- no mechanism to ensure critical data handed
over
- no mechanism to gather team input to potential
problems and improvements
What about preparing for the next case?
- time-saved by alerting relieving staff member
13. Putting it into practice
Reinventing Healthcare
How do we achieve this
Find a process: something that matters to patients
and/or HCW
Organise a team: critical for innovative ideas
Don’t reinvent the wheel!
Document variations: some necessary, some not
so much
Hypothesise an improvement - to test
13
14. What this talk was about
❖ Handing over data is important
❖ Humans in healthcare are important
❖ Improve something meaningful
❖ Follow a process
15. –W. Edward Deming
“94% of failure is a result of the system … Not people.”
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www.douglasfahlbusch.com