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Nightingale Community Hospital (NCH) is committed to upholding the core values of safety, accountability, teamwork, and community. In preparation for the upcoming readiness audit, NCH will be launching a corrective action plan in direct response to the recent findings in the tracer patient. Background information on the tracer patient is as follows: 67 year old female postoperative patient recovering from a planned laparoscopic hysterectomy turned open due to complications. Patient developed infection that formed an abscess and was readmitted to the hospital for surgical abscess removal and central line placement for long term IV antibiotics. The tracer methodology was employed when auditors reviewed this patient’s course. Many things were done well and right with this patient and NCH is pleased to know that the majority of items analyzed with this patient proved that NCH was in compliance with regulatory standards; however, there were some troublesome areas that we need to focus on. The primary focus area that we will put our energies into will be the fact that there was not a history and physical completed on the patient within 24 hours of admission, and in fact it was greater than 72 hours before one was completed. The Joint Commission mandates standards that are to be met in order to maintain compliance. Standard PC.01.02.03 states that history and physicals must be documented and placed in the patient’s medical record within 24 hours of admission and prior to procedures involving conscious sedation or anesthesia. History and physicals are also considered in compliance if documented 30 days prior to procedures as long as there are no changes documented or the changes in status are specifically noted. (Joint Commission Update, n.d.)…
The author mentions that this study was approved by the “National Health Service South-West 3 Research Ethics Committee (10/H0106/13)” (Betts et al, 2014). This study meets the conduct and procedures that were set by the Consolidated Standard of Reporting Trials (CONSORT) guideline. Diagrams, flow charts, and descripted details and rational for that aligns with the CONSORT guidelines can be obtained online.…
Healthcare professionals should understand the basics of informed consent, they should also never fall short of relaying the information in detail, so it would allow the patient or guardian to make an informed judgement that would be in the care seeker’s best interest. As healthcare providers, our society as a whole trusts their opinion and holds their opinion at a high regard, which is why professional standards forces them to inform the society, in this case their patients, of all the possible treatments and the pros and cons that follow the treatment, in order to bring the individual to their standard of status quo. Physicians have a series of questions to ask themselves, which assist them in justifying that the patient has all the information necessary to…
The client is a 46 year old hispanic woman. She is a single parent of two child. She has a 17 and 14 year old sons. Her 14 year old son was diagnosed with Autism at the age of 2. Her ex-ex husband was deported back to Mexico and because she wanted her children to have a different life and education she decided to stay here. The client feels guilty over making that decision because she has not be able to devote as much time with her children as she would like. Furthermore, with her 14 year old being autistic it has taken a lot of attention off her 17 year old. The client states that the relationship with her 17 year old son is strained and in fact he has told her that all she cares about is his brother and not him. The…
The informed consent was not documented appropriately, according to 45 CFR 46.115 and 21 CFR 56.111, the IRB should have an appropriate documentation of the IRB-approved informed consent Records from the inspection showed that there were several instances where the clinical investigator failed to submit consent form changes, and there was no administrative action which is a huge mistake during the informed consent documentation process. The role of IRB is to review and approve changes in the clinical investigation, revisions of the consent form and any accompanying changes to the protocol. The role of the the investigator is to ensure that an investigation is conducted according to applicable regulations and protecting the rights, safety and welfare of the subjects as well as obtaining the informed consent according to 21 CFR 50.25 In case of changes to the informed consent, the investigator should revise the consent form to address changes to the protocol or new information, such as significant new…
All the subjects that participated in this study were pre-screened and made fully aware of what the research entailed and how long this study would last. Michael Scullin did not discuss ethics in his article because of the research that was being conducted safety was not an issue for the participants. As for confidentiality, no one that participated was named in his research only…
This is a request for your participation in my research focusing on the effect of cognitive behavioural therapy (CBT) in conjunction with medication, in the treatment of Body Dysmorphic Disorder (BDD). The purpose of this study is to assess if both treatment strategies, delivered concurrently, are more successful in treating BDD. Within psychology research, there has been ample evidence documenting the efficacy of both CBT and the drug fluoxetine in treating BDD, but there no studies have assessed the effectiveness of both treatments in conjunction. This research can potentially provide evidence for a novel approach to BDD treatment.…
Research Summary and Ethical Considerations select either the qualitative or quantitative study method for this assignment.…
This is an appropriate design to establish causal connection between interventions and outcomes. The drawback of this design is a threat to internal validity which caused by contamination (bias) because the both infection control personal and ICU team were not blind to the study. Both the independent and dependent variables were well defined conceptually. The researchers didn’t mention the theoretical framework of their study. The study was conducted in a single medical center in three Saudi Arabian intensive care units (ICUs) (Medical, Surgical, and Coronary care units). Conducting a study in one sitting is a threat to external validity (generalizability). All adult on mechanical ventilation between 2006 and 2008 was approached to participate in the study, the study was conducted over a three-year period; a one year period for the pre-intervention group (before implementation of the VAP bundle) from January to December 2006, and another two-year period for the post intervention group (after implementation of the VAP bundle) from January 2007 to December 2008. There was no information provided about the demographic data for each group. The researchers didn’t mention about the participants recruitment procedure or approval of their study. The study’s sample size is lacking which may affect the external…
The Austin Community located on the Westside of Chicago is plagued by a series of problems involving African American youth between the ages of 7-17. One of the problems is that many of these youth participate in gang affiliation, drug use, crime, unhealthy eating habits and sexual habits, gang and domestic violence, abuse, bullying, teen pregnancy and the list goes on. Another major reason why the Austin area is plagued by some many social concerns is due to poverty. This harsh reality is also stated in the Chicago data mapping which states, “35.6% of Austin residents live below the poverty level” (). Being that my internship site BUILD is located in the Austin Community and that I intern and work with the youth at Leland Elementary in this community all of the youth participants I work with are currently affected or associated with these issues in some way.…
Informed consent is when you get permission from someone before giving care to that person and they have the choice to accept or refuse the care. Some issues a health care professional might face could be confidentiality, relationships with patients and matters related to consent, especially in the treatment of minors. Also you may have issues with making a decision to turn-off life support. The laws of HIPAA would need to be kept up to date as they do change often. With the HIPAA laws, discussing patients with those involved such as family and friends can be done under certain conditions. Although there are many efforts to keep confidentiality safe, it is still difficult to accomplish. Staff should be trained on how to discuss patient information…
Before the study, the researchers would have to obtain informed consent from the boys they wish to have participate in the study. They would do this by outlining to the boys what the research concerns and asking their permission to take part. The boys must be given information relating to the research’s purpose, the procedures that the research will involve, any foreseeable discomforts they might be subjected to and the length of time they’re expected to participate. This would be addressed by the researchers themselves talking to the boys directly explaining the study to them, or giving them a form with all the information on it that they would sign their consent on. Also, from the very start of the study, the participants must be aware of their right to withdraw from the study. This right would be held by the participating boys till the very end of the study, with any boy being able to pull the data he provided out of the results at any time. To address this issue, the boys would ideally be reminded at the beginning and end of each research method of their right to withdraw.…
This study is satisfying as an additional support, because this will be helpful in providing additional information or evidence from an expert opinion on the impact of bedside handover. According to ACN (2016) this type of study can be use as the basis to our practice if the research no available evidence; but a thorough evaluation is recommended if using this type of study to produce better…
ICD Research strictly follows a standardized research methodology to ensure high levels of data quality and…
ICD Research strictly follows a standardized research methodology to ensure high levels of data quality and…