In July 2003, a male patient underwent abdominal surgery for an ulcer. He developed an…
GROSS DESCRIPTION: The specimen is received in formaling and labeled with patient’s name, patient’s ID number, and appendix. It consists of an appendix measuring 6 x 1.5 x 1.5 cm. There is periappendiceal fat attached to it which measures 6 x 4x 1 cm. The serosal surface is hemorrhagic. Upon opening the appendix there is purulent exudative material. The wall thickness measures 0.3 cm. Representative sections are submitted in 1 cassette. Microscopic description preformed.…
References: JCI Accreditation Standards for Hospitals, 4th edition (e-book); July 2010 Philip Stahel; Patient Safety Surgery Journal, 2009, 3:14…
Huntsville Hospital strives for perfection as well, unfortunately “never events” have occurred within the walls of the hospital. The National Quality Forum literally defines a “never event” as a preventable adverse event occurring in a health care setting that should never happen; like, wrong site surgery, patient falls, and medication errors as examples (Gitlow et al., 2013) A patient admitted to the hospital to receive right wrist surgery woke up with surgery to the left wrist. The event was researched, evaluated, reported, and resulted in changes within the institution. A malpractice case filed against the surgeon and the hospital existed and was settled. The adoption of the mandates of JCAHO allowed for implementation within Huntsville hospital to prevent wrong site surgery consists of many valuable steps such as; asking the patient what surgery and where, marking the surgical site with a permanent marker or using the alternative site marking form to identify, limb alert bands, and also the time-out, allowing anyone involved in the patient care to stop the procedure to ensure accuracy. The responsibility to improve quality patient care is assigned to each individual employee that works for a facility and will proceed in continuing to develop even higher quality, on top of the existing quality, CQI (Hashmi…
Postoperatively, the information can be used by many different factions in a variety of ways…
Biology, 7e (Campbell) Chapter 19: Eukaryotic Genomes: Organization, Regulation, and Evolution Chapter Questions Under the electron microscope, unfolded chromatin resembles "beads on a string." What do the "beads" represent? A) nucleosomes B) ribosomes C) beadosomes D) molecules of DNA polymerase E) molecules of RNA polymerase Answer: A Topic: Concept 19.1 Skill: Knowledge…
When people in Georgia, and throughout the U.S., go in for a surgical procedure, they often put their trust in their surgeons and the medical staff assisting them. All too often, however, surgical errors occur. In fact, American Medical News reports that patients across the country experience surgical mistakes approximately 80 times per week. Frequently, such errors result in additional or worsened medical conditions for patients, as well as death.…
However, sources D and E are only useful to a certain extent as both sources tell us only one aspect surrounding surgical practice when there were many others. Both sources talk about infection in surgical practice and how it was an obstacle which mainly surrounds the negatives of surgery. This information is only useful to a certain extent as we are not told the positives of surgical practice and whether there were other factors that affected surgery at the time.…
Dunscombe,A. (2007) ‘Sutures, needles and instrument’,in Rothrock J (ed)Alexander’s care of the patient in surgery. 13th edn. Missouri: Mosby. pp. 158 - 181.…
The Centers for Medicare & Medicaid Services (CMS) requires all their participating hospitals to disclose all hospital acquired conditions and would deny reimbursement for cost acquired from such events. The HACs identified by the Center for Medicare & Medicaid Services include the following: objects left in patients after surgery, air embolism, blood incompatibility, catheter-associated urinary tract infection, pressure ulcers, surgical site infections, hospital acquired injury due to external causes such as fractures, dislocations, intracranial injury, crushing injury, burns etc (Dalcon, 2010). In an effort to provide and pay for better quality care, CMS is investigating ways to prevent and eliminate the occurrence of never events that contribute to serious and costly errors that happens in the…
According to Kennedy, Bakir & Brauer (2012) measuring heath systems quality is rapidly becoming a priority for the government, the public in addition to the private sector. Surgical complications continue be on the rise in both adult and pediatric populations and health system improvements within our government have become a priority to ensure a safer environment for our patients. Surgical complications are said to cost the public billions of dollars; in 2004 alone it was noted to have cost Canadians 19.8 billion dollars for both intentional and unintentional surgical injuries (2012). Quality Indicators have mandated the evolution of surgical performances over the past decade, adult surgical procedures have been the main focus, however; the shift has been moving towards pediatric surgical procedures in more recent years (2012). “Quality Indicators refer to clear, measurable items related to outcomes” (2012). The Quality Indicators established and supported by the Agency for Healthcare Research and Quality are one response towards the need for multidimensional, accessible quality measures that can…
Cutting out the stoma size on the sticky paper was harder than I thought it would be, the paper is tuff and hard to cut in a straight circle. The chocolate pudding and applesauce that was inserted into the bag helped make the experience even more realistic. After having my ostomy bag placed on by one of our instructors I kind of forgot about it. Luckily I had on a large white shirt so nobody could see the imprint of the bag. Once I left school I had some errands to take care of and decided that I would just have to go to the grocery store with the bag in place. While walking threw the grocery store I noticed that the bag had a little gas and was starting to grow. Buy the time I reached the check out counter my white shirt was covered in chocolate and applesauce.…
For specific procedures, surgical site infections will be included in the CMS’s denial of payment for hospital-acquired complications. (Banschbach, CNOR Professional Accountability in Perioperative Nursing, 2009) “In the battle to improve patient safety, surgical site infection is a major focus of the various quality assurance associations as well as the Centers for Medicare and Medicaid Services (CMS).” (Banschbach, CNOR Professional Accountability in Perioperative Nursing, 2009) Banschbach further states that in light of the growing global economic crisis, this also presents an added challenge to hospitals trying to maintain fiscal well being. If accredited hospitals are to be successful they must develop a zero tolerance for hospital-acquired infections.…
Patient safety is defined by as the avoidance, prevention, and improvement of adverse outcomes stemming from the healthcare process (Cole, 2011). “Healthcare-associated infection (HCAI), is defined as an infection that is acquired as a consequence of a person’s treatment by a healthcare provider, is an example of an adverse incident” (Cole, 2011, p. 1122). In the surgical area, the…
A surgical conscience means attention to aseptic principles during the perioperative period. A "surgical conscience" is the foundation upon which the skill and techniques employed by the OR team are built. He must know the principles of sterile technique and must apply them. Breaks in technique may allow the entrance of infectious organisms. Thus, any infection is potentially a threat to the life of a patient. The OR team should be acutely aware that there is no substitute for sterile technique and, therefore, principles must be followed meticulously.…