Bed side management and safety
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This document discusses the importance of bedside manner for patient safety. It defines bedside manner as a healthcare professional's approach and attitude towards patients, which includes skills like active listening, communication, and reading body language. Good bedside manner is critical for diagnosis and improves patient satisfaction. Several studies show that poor communication among healthcare workers is a major factor in hospital errors. The document then outlines the C.L.E.A.R. model for effective bedside manner and discusses how maintaining high standards of etiquette and respect in interactions with patients can positively impact health outcomes and the healing process. It emphasizes that both bedside manner and explicit focus on patient safety are equally important.
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King Fahd National Library Cataloging-in-Publication Data
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1) Patient-centered care is a philosophy that encourages shared control of medical decisions between the patient and doctor and focuses on treating the whole patient, not just their disease.
2) The concept developed in the 1950s and key components include understanding the patient's experience of illness and social context, finding common ground on treatment goals, and enhancing the patient-doctor relationship.
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The physician plays several key roles and responsibilities in society and hospitals. They are the highest paid healthcare worker and undergo extensive education and training, including 4 years of medical school and residency. Physicians must be licensed and board certified in their specialty. Their primary responsibilities are to provide caring, patient-centered medical care and commit to lifelong learning. They oversee various medical specialties and subspecialties focused on different body systems and diseases. Physicians work as part of a treatment team and communicate regularly with patients, families, and other healthcare providers.
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This document discusses patient privacy and confidentiality in healthcare. It states that a patient's health information is private and sensitive data. Most governments have policies to balance a patient's right to privacy with the need for medical professionals to share health information. These policies regulate how health information can circulate and be accessed. Medical professionals are trained to collect only relevant patient information with consent. They must protect the privacy and confidentiality of patient health records according to guidelines and privacy laws. Patient consent is required before disclosing information to other parties, except in emergencies or as required by law.
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This is first module of the recently published book:
"PEHR (Professionalism and Ethics Handbook for Residents) by the © Saudi Commission for Health Specialties, 2015
King Fahd National Library Cataloging-in-Publication Data
Saudi Commission for Health Specialties, Riyadh - 2015
Professionalism and Ethics Handbook for Residents
232p; 14.8cm × 21cm
ISBN: 978-603-90608-2-6
1-Medical ethics 2-Professional ethics I-Title
174.2 dc 1436/2924
L.D. no. 1436/2924
ISBN: 978-603-90608-2-6.
By the end of this module, the resident will be able to:
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1. Define the doctor‟s duties towards self, colleagues, patients (and
families), the profession, and the community in general.
2. Describe the relationships that the doctor has with others during the
provision of health care.
3. Appreciate the significance of maintaining professional relationships
with colleagues in achieving the best health care.
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This document outlines policies and procedures for caring for vulnerable patients. It defines vulnerable patients as those unable to protect or care for themselves. It identifies groups like young children, older adults, terminally ill, and those with medical or psychiatric conditions as vulnerable. The document describes assessing fall risks and other vulnerabilities. It provides tools to assess fall risk and outlines policies like conducting regular assessments, providing a safe environment, and documenting any falls. It stresses the importance of identifying vulnerable patients and taking appropriate care and safety measures to prevent potential harms during hospitalization.
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This document outlines a patient education program, beginning with defining key terms like patient education and patient teaching. It identifies common problems in patient education like noncompliance and fiscal implications. The roles of staff nurses and patient education coordinators are described. Steps in developing an effective patient education program are provided, including assessing needs, determining goals and objectives, and evaluating outcomes. Examples of patient education programs like the 12 steps of Alcoholics Anonymous are also included.
Definition: Patient-Centered Care
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Definition Patient-centered care (patient centred care): “Is a model in which providers partner with families to identify and satisfy the full range of patient needs and preferences.”
To expand this definition, patient-centered care is dependent on the involvement of the staff and care team as well.
“To succeed, a patient-centered approach must also address the staff experience as staff’s ability and inclination to effectively care for patients is unquestionably compromised if they do not feel care for themselves" (Picker Institute).
Researchers from Harvard Medical School, on behalf of Picker Institute and The Commonwealth Fund, defined seven primary dimensions of patient-centered care model.
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Respect for patients’ values, preferences and expressed needs
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Physical comfort
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Involvement of family and friends
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- The document encourages readers to practice using ISBAR through examples and roleplays to improve referral quality and patient safety.
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- Sociologist Talcott Parsons was among the earliest to examine the doctor-patient relationship and viewed illness as a form of social deviance. The roles of doctors and patients are socially prescribed.
- Relationships have evolved from a traditional paternalistic model to ones emphasizing mutuality and shared decision making. Consultation styles can be doctor-centered or patient-centered.
- Factors like time, the patient's characteristics, and structural contexts influence relationships. Good communication and compliance are important for positive outcomes.
Patient doctor relationship
The document discusses the patient-doctor relationship and how it has evolved. It describes the traditional paternalistic model where doctors make all decisions and the modern informed model where patients have more autonomy. The ideal model is described as mutuality, where doctors and patients communicate collaboratively to make the best decisions. Effective communication and understanding each other's perspectives and values are keys to success under this model.
Doctor-Patient Relationship
The doctor-patient relationship is defined as the interaction established between the physician and patient to restore health, alleviate suffering, and prevent illness. It is characterized by the physician's knowledge, wisdom, and humanity. The relationship requires empathy, rapport, and effective communication from the doctor and anxiety and a desire for help from the patient. A good relationship improves understanding, treatment compliance, and avoids unnecessary interventions and medical errors, making for better care and results.
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This document outlines the key aspects of hospital administration. It discusses how hospital administration has evolved from poor houses to complex medical institutions. An effective hospital administrator must balance internal management with community expectations by maintaining positive relations with staff, patients, and other health organizations. The document then provides details on the administrative setup of Dr. RML Hospital, including the roles and responsibilities of the medical superintendent and other positions. It also describes the important skills, roles, and responsibilities required of a successful modern hospital administrator.
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ROLE AND RESPONSIBILITY OF THE PHYSICIAN IN SOCIETY AND HOSPITAL. “PATIENT-CE...
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MODULE 3 - DOCTORS’ PROFESSIONAL RELATIONSHIPS AND DUTIES
MODULE 3 - DOCTORS’ PROFESSIONAL RELATIONSHIPS AND DUTIES
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Shelfariinstructions
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Evaluation question 1
The document discusses how the media producer's short horror film "Ominous" uses and develops conventions from real horror films while also challenging some conventions. Specifically:
1) Shots, angles, lighting, sound and narrative structure from films like "Insidious" and "Dollface" were adapted to create tension and scare audiences.
2) Some conventions were slightly developed, like changing a hallway shot to include a ghost instead of a clock.
3) A convention around happy environments in horror was challenged by starting the film in a busy school setting.
4) The film poster and double-page film review applied conventions from research on existing examples in those media, while the review added sarc
Evaluation question 4
Vishal Panwar used various media technologies at different stages of his film project. In the research stage, he used YouTube to find short horror films and Blogger to annotate findings. For poster research, he used Google to find posters and Word to annotate them. Film reviews were researched using Google and annotated in PowerPoint. The film was recorded using a Panasonic camera but some clips required a backup Sony phone. Storyboards were drawn, photographed, edited in Paint and Word. The film was initially edited in Movie Maker but issues prompted a switch to Premier Pro. The poster was created in Photoshop and the review in Fireworks.
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· Normalize the following ER diagram.
TABLE TALK
The Growing Role of Patient
Engagement: Relationship-based
Care in a Changing Health Care
System
A
s health care providers, we rarely partici-
pate in discussions, watch interviews, or
read articles about our changing health
care system that do not concern patient engage-
ment. The Center for Advancing Health defines
patient engagement as
Actions individuals must take to obtain the
greatest benefit from the health care services
available to them. . . . Engagement is not syn-
onymous with compliance. . . . [Engagement]
signifies that a person is involved in a process in
which he [or she] harmonizes robust information
and professional advice with his [or her] own
needs, preferences, and abilities in order to
prevent, manage, and cure disease.
1
Patient engagement strategies have been shown
to improve care delivery and translate into better
outcomes related to patient satisfaction and re-
covery. One author captured the importance of
patient engagement with this statement: “If pa-
tient engagement were a [medication], it would
be the blockbuster [medication] of the century
Patient engagement begins with relationship-based care. (Nurse’s warm-up jacket
and cap not shown.)
http://dx.doi.org/10.1016/j.aorn.2014.02.007
� AORN, Inc, 2014 April 2014 Vol 99 No 4 � AORN Journal j 517
http://dx.doi.org/10.1016/j.aorn.2014.02.007
and malpractice not to use it.”
2
Yet widespread
consensus among health care providers about how
to engage patients is still being determined.
The nursing profession’s role in patient engage-
ment and advocacy is key to the care that we de-
liver and continues to evolve to meet the needs of
patients. For example, before the 1970s, there was
not a high demand for patient’s rights.
3
In 2006,
AORN published a position statement on creating
an environment of safety, which set the ground-
work for patient-centered care as an important
element in defining the perioperative culture.
4
A
number of ethical, philosophical, and professional
considerations related to the rights of patients
have led to the nurse’s role as patient advocate.
According to one author, the three components of
this role are
1. informing patients of their rights,
2. providing patients with information necessary
to making informed decisions, and
3. supporting patients in their decisions.5
Regarding the patient’s role in engagement, one
author, who is also a perioperative RN, shared his
experiences as a surgical patient. In his article,
McGowan suggested that almost every patient en-
ters the surgical suite with anxiety and looks to
the perioperative team for reassurances. He be-
lieves that inaccurate portrayals of surgery in the
media “contribute to patients’ perceptions of sur-
gery and not always in a positive way.”
6(p493)
Critical to the health care provider’s ability to
establish trust is communicating in a manner that
informs and empowers the pa ...
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Doctor Patient Relationship
This document discusses the doctor-patient relationship and communication. It outlines Parsons' model of the sick role and doctor's role, and types of doctor-patient relationships including paternalism, mutuality, consumerism, and default. It covers influences on the relationship like time constraints, patient/doctor characteristics, and structural context. Effective communication skills, health literacy, consent, and partnerships in treatment decision making are also examined. The relationship has evolved from traditional paternalism to emphasize patient-centered care and shared decision making.
TABLE TALKThe Growing Role of PatientEngagement Relatio.docx
TABLE TALK
The Growing Role of Patient
Engagement: Relationship-based
Care in a Changing Health Care
System
A
s health care providers, we rarely partici-
pate in discussions, watch interviews, or
read articles about our changing health
care system that do not concern patient engage-
ment. The Center for Advancing Health defines
patient engagement as
Actions individuals must take to obtain the
greatest benefit from the health care services
available to them. . . . Engagement is not syn-
onymous with compliance. . . . [Engagement]
signifies that a person is involved in a process in
which he [or she] harmonizes robust information
and professional advice with his [or her] own
needs, preferences, and abilities in order to
prevent, manage, and cure disease.
1
Patient engagement strategies have been shown
to improve care delivery and translate into better
outcomes related to patient satisfaction and re-
covery. One author captured the importance of
patient engagement with this statement: “If pa-
tient engagement were a [medication], it would
be the blockbuster [medication] of the century
Patient engagement begins with relationship-based care. (Nurse’s warm-up jacket
and cap not shown.)
http://dx.doi.org/10.1016/j.aorn.2014.02.007
� AORN, Inc, 2014 April 2014 Vol 99 No 4 � AORN Journal j 517
http://dx.doi.org/10.1016/j.aorn.2014.02.007
and malpractice not to use it.”
2
Yet widespread
consensus among health care providers about how
to engage patients is still being determined.
The nursing profession’s role in patient engage-
ment and advocacy is key to the care that we de-
liver and continues to evolve to meet the needs of
patients. For example, before the 1970s, there was
not a high demand for patient’s rights.
3
In 2006,
AORN published a position statement on creating
an environment of safety, which set the ground-
work for patient-centered care as an important
element in defining the perioperative culture.
4
A
number of ethical, philosophical, and professional
considerations related to the rights of patients
have led to the nurse’s role as patient advocate.
According to one author, the three components of
this role are
1. informing patients of their rights,
2. providing patients with information necessary
to making informed decisions, and
3. supporting patients in their decisions.5
Regarding the patient’s role in engagement, one
author, who is also a perioperative RN, shared his
experiences as a surgical patient. In his article,
McGowan suggested that almost every patient en-
ters the surgical suite with anxiety and looks to
the perioperative team for reassurances. He be-
lieves that inaccurate portrayals of surgery in the
media “contribute to patients’ perceptions of sur-
gery and not always in a positive way.”
6(p493)
Critical to the health care provider’s ability to
establish trust is communicating in a manner that
informs and empowers the patient. For example,
he stated that, as a pa.
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Wilkins shared with attendees a definition of patient-centered communications, provided practical examples of patient-centered communication skills in a hospital setting, contrasted a patient-centered style of communications with the more traditional physician-directed or paternalistic communication style and shared evidence demonstrating the benefits of clinician adoption of a patient-centered communication style and skills.
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1EU HCM505 - 146Research Methodology in Health Cri
1
EU HCM505 - 146
Research Methodology in Health
Critical Thinking Assignment: Research Paper_ Module 12
130 Points
/
Saami Comment by Dale Gooden: Hello Saleh,
Thank you for the hard work on this submission. I enjoyed reading it and have provided my feedback below.
Warmly,
Dr. Gooden
November 26, 2021
Patient Safety Culture in hospitals.
Introduction. Comment by Dale Gooden: You provided a solid introduction, background, and overview of the central theme of your research.
Patient safety is an issue of global public health concern. It refers to preventing patients from harm by implementing a care system that contains errors and learns from medical errors to build a safety culture involving healthcare workers, patients, and healthcare organizations. The safety of patients is critical in care quality. Many patients worldwide have suffered injuries, disabilities, and death due to medical errors or unsafe care. Patient safety culture can be defined as healthcare organizations' values about what is essential and how to operate to protect patients. To achieve a safety culture, organizations and their members need to understand the values, norms and beliefs about the essential attitudes and behaviors associated with patient safety (Ali et al., 2018).
To achieve a culture of safety, organizations should emphasize addressing disparities in the quality of care because the current challenges may worsen the efforts to narrow the gap. Quality and safety are key issues in establishing and delivering accessible, responsive and effective healthcare systems. Poor quality and unsafe patient care increase mortality and morbidity rates throughout the world. About 75% of the healthcare delivery gaps are preventable, and approximately 10% of inpatient admission result from preventable patient harm (Amiri et al., 2018).
Patient safety cultures with strong collaboration and leadership drive and prioritize safety (Wu et al., 2019). Strong leadership and commitment from manger are essential because their attitudes and actions influence the wider workforce's behaviors, perceptions, and attitudes. Other important aspects of the patient safety culture are; effective communication, mutual trust, shared views on the importance of patient safety, engaging the healthcare workforce, acknowledging mistakes, and having a system that recognizes, responds, and gives feedback on adverse events (Alquwez et al., 2018). Patient safety culture is influenced by burnouts, hospital characteristics, communication, position, work area, commitment to the patient safety program, leadership, and patient safety resources and management.
Thesis statement. Comment by Dale Gooden: Include a research question supported with peer-reviewed references to improve your grade.
Patient safety culture focuses on safety in health care by emphasizing the prevention, reporting, and investigation of medical errors that may cause patients' adverse effects, thus reducing harm by implementing n ...
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Bed side management and safety
- 1. Bed side manner and Patient safety Prepared by Dr. Bhupendra P Makwana, MHM, PGDHA, PGDHR, BHMS. Hospital administrator, Bankers Heart and Multi Specialty Hospital, Vadodara.
- 2. What is bed side manner ??? In short “a doctor's or any health proffesion approach or attitude to a patient.” Healthcare professionals neglect interpersonal skills in favor of clinical ones. It is easy to forget that a good bedside manner is one of the main tools for diagnosis. As a physician, you should be able to read your patients’ body language and master your own in order to put those you treat at ease. You should also know how to listen and communicate effectively so that you can fully understand the patient’s condition. These skills are collectively referred to as "bedside manner."
- 3. Important of Bedside manner Growing awareness of the need for interprofessional cooperation in healthcare. The Countless studies have shown that genuine teamwork and team intelligence are critical to patient safety. Poor communication among health care personnel is a major factor in hospital errors, even more so than the level of staff competence and experience. This is why many schools for health professionals and major health care employers now promote interprofessional education and cooperation. Bedside Manners is a play about workplace relations among physicians, nurses, others who work in health care, and patients—and how their interaction affects the quality of patient care, for better or worse. ( Refer book and review of Bedside Manners,Play and Workbook by author Suzanne Gordon, Lisa Hayes, Scott Reeves foreword by Lucian L. Leape)
- 4. Who involved Consultant and doctors. Nursing staff. Technicians. House keeping staff. Managers and administrator. Even security and drivers also.
- 5. Bed side manner value:- Patient satisfaction can be improved if patients are encouraged to express their ideas, concerns, and expectations. A healthcare provider’s bedside manner encompasses their medical knowledge, personality, and ability to understand the patient and communicate their concern for them. Healthcare involves many personal interactions with a variety of people. Etiquette in healthcare is more than just good manners; it is about establishing respectable relationships with patients, colleagues, and supervisors. In a medical setting, healthcare professionals must set the tone for the interaction with patients and visitors. They are constantly in contact with people who will assess them based on the way they communicate, body language, and appearance. Healthcare professionals have a tremendous obligation,” says Dr. Robert J. Wolff, PhD, program director of Health Science at South University, Columbia. “The most important thing is that healthcare professionals have higher standards than most professions because they are dealing with the dignity of patients and their ability to be healed.”
- 6. Simple term to gauge BM San Diego, California-based medical marketing firm Sullivan Luallin Group created the C.L.E.A.R. protocol. According to the Sullivan Luallin Group, service performance is as important as clinical performance; just as there are clinical guidelines, service protocols are necessary too. http://source.southuniversity.edu/healthcare-professionalism-how-important-is- proper-bedside-manner-132067.aspx
- 7. C.L.E.A.R. Healthcare Service Model Acknowledge immediately Establish eye contact and smile Use the patient’s name Use a friendly, helpful voice tone Say “please” and “thank you” 1. Connect
- 8. Listen Maintain eye contact Be relaxed Don’t interrupt Use “active” listening techniques Repeat information for accuracy
- 9. Explain Describe what’s going to happen Answer questions with patience Let patients know about expected delays Speak slowly; repeat as necessary
- 10. Ask “Were all your questions answered?” “Is there anything else I can do…?” “Did you understand…”
- 11. Re-connect Check back frequently with waiting patients Direct patient where to go next End with a friendly parting comment
- 12. Bed side manner and patient safety relation Both have equal relationship. Increase bed side manner increase patient safety with patient satisfaction. As per JCI safety check list
- 13. Patient safety. Safety full form :- 1. S – sense the error. 2. A – Act to prevent it. 3. F – Follow safety Guidelines. 4. E – Enquire into accidents/Deaths. 5. T – Take appropriate remedial Measure. 6. Y – Your responsibility.
- 15. Patient safety is the absence of preventable harm to patient during the process of health care. The discipline of patient safety is the coordinated efforts to prevent harm to patients caused by the process of health care itself. It is generally agreed upon that the meaning of patient safety is …” please do not harm.
- 17. Goal 1 :- Improve the accuracy of patient identification. Goal 2 :- Improve the effectiveness of communication among caregivers. Goal 3 :- Improve the safety of using medications. Goal 6 :- Reduce the harm associated with clinical alarm systems Hospital National Patient Safety Goals Effective January 1, 2015 Goal 7 :- Reduce the risk of health care–associated infections. Goal 15 :- The hospital identifies safety risks inherent in its patient population