Surgical Safety Checklists and Patient Safety JoAnna L. McLeod Washington State University Abstract Patients are at heightened risk of complications while undergoing surgery. The use of a checklist for surgical safety has been utilized to lower these rates of complications. This paper was developed to respond to the question: When health care professionals implement a surgical safety checklist‚ compared to regular procedure without use of a checklist‚ do incidence of complications in patients
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Surgical Safety Checklist Before induction of anaesthesia (with at least nurse and anaesthetist) Has the patient confirmed his/her identity‚ site‚ procedure‚ and consent? Yes Is the site marked? Yes Not applicable Is the anaesthesia machine and medication check complete? Yes Is the pulse oximeter on the patient and functioning? Yes Does the patient have a: Known allergy? No Yes Difficult airway or aspiration risk? No Yes‚ and equipment/assistance available Risk of >500ml blood loss (7ml/kg in children)
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Evidence Based Practice Anonymous A 3. Analysis of the five areas The literature reviews and other studies suggest that hourly rounding have positive effects on patient fall rates‚ call light usage‚ and patient satisfaction. This study also resulted in a decrease in patient falls. Although statistically patient satisfaction did not improve‚ patients did however express increased satisfaction. Post discharge patient satisfaction surveys were analyzed. It is possible that the surveys did not
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Introduction There is a need for health services stipulation to apply the best evidence instead of applying the customary methods (Stevens et al‚ 2001). However‚ this is only possible if practitioners‚ researchers‚ scholars‚ politicians‚ managers and public in general conducted a high quality research. Different methods of researches that are evident-based tend to have lack support from most users. This is because those researches are lack of proper referencing which the reviewer could not access
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Control Evidence-based practice (EBP) is the conscientious‚ explicit and judicious use of current best evidence in making decisions about the care of individual patients. EBP is the integration of clinical expertise‚ patient values‚ and the best research evidence into the decision making process for patient care. Good doctors and health professional’s use both individual clinical expertise and the best available external evidence‚ and neither alone is enough. Without clinical expertise‚ practice risks
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1007/s15010-010-0047-7 REVIEW Educating healthcare workers to optimal hand hygiene practices: addressing the need ¨ E. Mathai • B. Allegranzi • W. H. Seto • M.-N. Chraıti H. Sax • E. Larson • D. Pittet • Received: 14 May 2010 / Accepted: 14 July 2010 / Published online: 21 September 2010 Ó Urban & Vogel 2010 Abstract The education of healthcare workers is essential to improve practices and is an integral part of hand hygiene promotional strategies. According to the evidence reviewed here‚ healthcare
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Change Management Contents Introduction…………………………………………………………….3 Evidence Based Practice……………………………………………….4 Clinical Governance…………………………………………………...5-6 Findings from the literature……………………………………………6-7 Implementing the change………………………………………………7-9 Leadership…………………………………………………………….9-10 The Un-freezing Stage………………………………………………10-11 The Moving Stage…………………………………………………...11-13 The Re-freezing Stage……………………………………………….13-15 Resistance and barriers to change…………………………………...15-16 Conclusion…………………………………………………………
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has relied on tradition‚ authority‚ trial and error and research (Lee 2003‚ p. 618). However‚ more recently the appreciation and application of evidence based practice (EBP) has caused a shift in clinical nursing decision making (Lee 2003‚ p. 618). EBP is defined as ‘integrating individual clinical expertise with the best available external clinical evidence from systematic research’ (Sackett et al. 1996‚ cited in Rolfe‚ Segrott & Jordan 2008‚ p. 448). EBP must take into account patient values
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Examine the ways that health professionals can use the five steps of evidence-based practice (EBP) as a practical framework to overcoming barriers to locating‚ appraising and applying best research evidence. Use an occupational health and safety practice as an example. Examples of occupational health and safety practices include: Use of professional protective equipment (e.g. gloves) Safety considerations when using equipment (e.g. sharps) (or a topic you select yourself in negotiation
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to Acute Stroke Care Appreciating Evidence for Practice Module Code: UZWSN3-15-1 Student Number: 14005518 In a rapidly developing electronic environment‚ the expectations for nurses to provide the highest quality of service whilst delivering the best possible patient care have widened considerably. The Department of Health (DH) (2000) stipulates that clinical effectiveness should be combined with a patient-centred approach‚ with evidence-based practice (EBP) forming the backbone of nursing
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