Departmental managers and staff from laboratory, radiology, cardiopulmonary and nursing participated as committee members. The committee members reviewed Joint Commission National Patient Safety Goal 2 safety reports (2010), scrutinized communication processes and additional patient charts were audited for critical lab value documentation. The committee members discovered a breakdown at the point of documentation in the read back procedure. The read back procedure was being carried out, however the nurses had difficulty in consistently documenting when a report was received due to lack of computer…
hospitalized patients. The goal of the discharge treatment plan is to facilitate successful patient selfmanagement, minimize symptoms, and prevent readmission.…
The term constructive discharge is by definition when an employee feels they are forced to resign their job because the employer has made working conditions unbearable (Doyle,2013). In the circumstance presented, the employee felt compelled to resign because the work schedule was changed and would require him to work on his religious holy day. The business changed the production team schedule to accommodate growth and expansion, changing the schedule from 8:00am-5:00pm, Monday thru Friday, to four twelve hour shifts. The employees would rotate four days on and four…
the client and his counselor met for his 1x1 session to discuss the six components of his treatment plan and to dress any issues with client reaching his treatment goals. The client at this time has been in compliance with this treatment goals. (legal)The client is working towards getting his license back, being a support to his mother while she goes to court to custody of his daughter. The client reported that he will seek custody of his daughter in future when he is stable enough to take care of her. Client reported that he still has plans on going to sober living . The client at this time appears to serious about getting clean and sober. The counselor will meet with client next week to complete his discharge planning…
Medications assume an imperative part in the lives of individuals (Procedures and Protocol Research. These are critical in enhancing human wellbeing, in the meantime they are debilitating for the human wellbeing. Methodology and conventions in a medicinal services office are imperative with respect to the taking care of, putting away and checking of medications. You require an exceptionally strict graphing framework set up and a particular arrangement of rules and principles to take after. You require a hierarchy of leadership with uncommon morals, and more than one individual staying informed regarding each and every solution conveyed and disseminated inside of you office. We have extremely strict conventions with regards to taking care of, putting away, and checking medications that must be taken after once a…
Data quality is vital to patient safety. If information is inaccurately recorded it can lead to all sorts of complications. “Patient safety is affected by inadequate information, illegible entries, misinterpretations, and insufficient interoperability.” (Wager, Lee, & Glaser, 2009, p.…
References: Asepden, P., Wolcott, J., Palugod,R. Bastien, T. (2006) Preventing Medication Errors. Retrieved December 1, 2012 from http://www.iom.edu/~/media/Files/Report%20Files/2006/Preventing-Medication-Errors-Quality-Chasm-Series/medicationerrorsnew.pdf…
Self schedule some time it can bring a lot of stress to the manager who deal with scheduling.especially when nurses fail to follow the rules of self scheduling .But on the other hand most nurses feel like when they have control of their schedule they deliver better care to the patient due to higher empoyees satification. I do believe that some people will certainly take advantage of this and never want to work a weekend or holiday.These are the situations in which the manager needs to step in and assist with the schedule to meet the patient’s needs.Great post Kelli!…
Establishing safety procedures by all healthcare professionals can help to reduce medication errors. Errors occurring during the administration process the five rights of medication administration being omitted: the right patient, medication, dose, route, and time, with the most frequent errors resulting from omission, wrong dose, and wrong medication (Lippincott & Wilkins, 2009). Factors that can result in medication errors include problems with the drug distribution system, inadequate staffing levels, distractions, nurses working in areas they have never worked in, and not following standard policy and procedure. According to Lippincott and Wilkins (2009) the following strategies are useful in addressing safety issues that revolve around medication errors: 1) reporting and analyzing errors using a multidisciplinary approach; 2) providing adequate staffing and training; 3) establishing and monitoring policies and procedures to ensure effectiveness and safety; and 4) all members of the healthcare team should have an awareness of how medication errors occur and be conscientious when administering medications. Attention to safe drug administration and safety guidelines is of particular importance in efforts to reduce medication errors and increase patient safety; it is an…
Once a patient has been discharged, several items should have been conveyed to the patient. Some of the items are diagnosis, treatment recommendations (any new medications or a change in current medications), routine follow up plans, and what, if any, symptoms warrant an immediate return to the emergency room. In other words, once a patient has received the discharge orders leading up to discharge should follow policies and procedures as set forth by Omnibus Budget Reconciliation Act of 1987.…
Therefore, handoff is an integral part of professional communication throughout patient care. Some of the most common mistakes in the transition of patient care occur in the fields of communication, information sharing practices, and human factors (Abraham et al., 2012). Patients that are in the intensive care unit are at even more risk of being impacted due to the vulnerability and complexity of care that is required along with the critical nature of their condition (Colvin, Eisen, & Gong, 2016). according to the Joint Commission miscommunication among healthcare providers has lead to an approximate 80 percent of serious medical errors compromising patient safety (Joint Commission Perspectives, 2012). These mistakes, depending on the degree and the condition of a patient, may lead to dreadful consequences for the patients such as “delays in treatment and ordering of tests, incongruence in patient data, and increased patient length of stay (Abraham et al., 2011, p.28). Given these facts, it becomes evident that the need for an intervention is…
Items to ensure that is within their policies are education to patients about how to use their medications properly, that patients have their follow up appointments scheduled prior to discharge or at minimum knows when to get the appointment scheduled and knows who to call, they should also ensure their providers information is included in their discharge papers, and during discharge all follow up care discussed with the patient. There should be a quality model such as PDSA adopted for HRRP to help safety net hospitals and other hospitals to identify where they need to make improvements and adjust policies and procedures according to their findings to ensure they are meeting the goals set forth by congress and…
Failure to safely and appropriately discharge patients from the hospital is placing patients at risk, not to mention the increase costs to hospitals, providers, and insurers. Many acknowledge that the hospital discharge is non-standardized, unsystematic, and fragmented process (Anthony, Chetty, Kartha, McKenna, DePaoli, & Jack, 2005; Minott, 2008). Furthermore, the inefficiencies in the discharge planning process have also shown to have life-threatening implications, especially in association with Adverse Drug Events (ADEs) (Forster, Murff, Peterson, et al., 2003). It has also been recognized that ADEs are also a result of medication non adherence (----) and medication non adherence may be correlated to a harried discharge process…
Distracted ED staff without the proper skill sets may lead to delays or errors in diagnosis and treatment, including delayed or omitted laboratory testing, procedures, and medication administration. In a study conducted by Penska, communication errors were the root cause in about 70% of cases when sentinel events occur (Pesanka, et al., 2009). Medication safety is a critical area to consider when examining process measures related to boarded ED patients. The risk of medication errors in ill boarded ED patients can lead to poor patient outcomes such as a decrease in blood pressure and oxygenation, heart arrhythmias, and multi-organ dysfunction (Richardson & Mountain, 2009). This serves as an example of process measures directly affecting the health outcomes of boarded ED…
This is another approach that I feel is necessary in providing a positive patient outcome and quality care, watch for medical errors. Why? According to Stevens, there are over 50,000 people that die every year in a hospital or healthcare institution due to a medical error. Training employees and having an administrator over parts of the facility would help improve on errors. Training is the key to the problem. If an employee gets adequate training, then there is less of a chance for a mistake.…