Over 120 UCLA Hospital staff inappropriately accessed the medical records of celebrities. To address this issue of non-compliance with patient privacy policies, management strategies need to be implemented such as requiring a second witness or passcode to access sensitive patient information. Routine training and education on confidentiality policies is also needed to clarify expectations and inform staff of the consequences of non-compliance, which include disciplinary action. Developing improved systems that continuously monitor for compliance issues and close loopholes is crucial to preventing such violations of patient privacy at medical facilities.
Medical errors are ubiquitous and the costs (human and financial) are substantial. The top priority must be to redesign systems geared to prevent, detect and minimise effects of undesirable combinations of design, performance, and circumstance.
Medical errors are ubiquitous and the costs (human and financial) are substantial. The top priority must be to redesign systems geared to prevent, detect and minimise effects of undesirable combinations of design, performance, and circumstance.
Computerized Physician Order Entry: A Case Studyslvhit
Dr. Pappas describes the planning, implementation, and lessons learned of a Computerized Physician Order Entry (CPOE) launch at a small community hospital in Chicago, IL. He shares his experience as the director overseeing the project, its challenges and solutions. The goal of his presentation gives administrators, providers, and analysts information on what to expect when trying to implement CPOE and Health Information Systems.
In this presentation, we highlight 10 drivers of healthcare costs in the US. The US spends over $2.6 trillion on healthcare or about 18% of GDP. Other nations are able to provide healthcare services for considerably less: U.K. – 9.6% GDP, Germany – 11.6% GDP and Japan – 9.5% GDP. Despite our high level of spending on healthcare, the US lags in healthcare quality. This level healthcare spending is an unsustainable burden on the United States economy, more specifically businesses, employees and consumers. Businesses who provide health insurance are less competitive internationally, employees experience stagnation of wages and consumers spend more on healthcare and less on other necessities.
Five cost saving tactics for healthcare providers that lead to better outcomes on the income statement and individually can help providers with their bottom line, including reducing, reusing, refurbishing, reprocessing and reimbursement. For the full article, visit http://www.mdbuyline.com/blog/power-re/.
Onboarding Compliance in the Healthcare Professional EnvironmentEquifax
Healthcare is easily one of the most tightly regulated industries in the US and without a targeted onboarding compliance strategy in place for your Health Care Professional hires (HCP), you could be exposing your organization to significant risks.
How can an effective electronic referral management system improve care coord...GaryRichards30
The relationships between PCPs and specialty care providers must evolve and improve to enhance care coordination. In order to do that healthcare organizations must adopt the advanced medical technologies. However, in the recent decades, the healthcare industry has been slow in adopting new technologies.
Five Reasons to Outsource Patient Insurance Authorizations InfographicDavid McKanna
Healthcare organizations spend up to $31 billion annually interacting with health insurance companies about authorizations and payments. For most providers, it’s still a manual process. Outsourcing saves time, reduces denials and increases revenue.
Presentation from California Homecare Association 2013 Annual event. Technology brings additional resources to the fingertips of nurses and homecare professionals at the frontline to support their clinical decision-making and contribute to improved client outcomes. With day to day changing patient needs, there is increasing evidence that technology and applications will transform the industry and facilitate faster and better communications, prevent fraud, and proactively manage compliance requirements.
Computerized Physician Order Entry: A Case Studyslvhit
Dr. Pappas describes the planning, implementation, and lessons learned of a Computerized Physician Order Entry (CPOE) launch at a small community hospital in Chicago, IL. He shares his experience as the director overseeing the project, its challenges and solutions. The goal of his presentation gives administrators, providers, and analysts information on what to expect when trying to implement CPOE and Health Information Systems.
In this presentation, we highlight 10 drivers of healthcare costs in the US. The US spends over $2.6 trillion on healthcare or about 18% of GDP. Other nations are able to provide healthcare services for considerably less: U.K. – 9.6% GDP, Germany – 11.6% GDP and Japan – 9.5% GDP. Despite our high level of spending on healthcare, the US lags in healthcare quality. This level healthcare spending is an unsustainable burden on the United States economy, more specifically businesses, employees and consumers. Businesses who provide health insurance are less competitive internationally, employees experience stagnation of wages and consumers spend more on healthcare and less on other necessities.
Five cost saving tactics for healthcare providers that lead to better outcomes on the income statement and individually can help providers with their bottom line, including reducing, reusing, refurbishing, reprocessing and reimbursement. For the full article, visit http://www.mdbuyline.com/blog/power-re/.
Onboarding Compliance in the Healthcare Professional EnvironmentEquifax
Healthcare is easily one of the most tightly regulated industries in the US and without a targeted onboarding compliance strategy in place for your Health Care Professional hires (HCP), you could be exposing your organization to significant risks.
How can an effective electronic referral management system improve care coord...GaryRichards30
The relationships between PCPs and specialty care providers must evolve and improve to enhance care coordination. In order to do that healthcare organizations must adopt the advanced medical technologies. However, in the recent decades, the healthcare industry has been slow in adopting new technologies.
Five Reasons to Outsource Patient Insurance Authorizations InfographicDavid McKanna
Healthcare organizations spend up to $31 billion annually interacting with health insurance companies about authorizations and payments. For most providers, it’s still a manual process. Outsourcing saves time, reduces denials and increases revenue.
Presentation from California Homecare Association 2013 Annual event. Technology brings additional resources to the fingertips of nurses and homecare professionals at the frontline to support their clinical decision-making and contribute to improved client outcomes. With day to day changing patient needs, there is increasing evidence that technology and applications will transform the industry and facilitate faster and better communications, prevent fraud, and proactively manage compliance requirements.
Principles of Surgical Audit presented by Meeran Earfan, Kurdistan Board Trainee/General Surgery in Sulaimaniyah Teaching Hospital, As Sulaimaniyah, Iraq
Behavior of Physician adversely affect other health care provider and reduce their performance,This significantly hit the quality care.
This problem should be addressed all health care provider.
Chapter 13 Whose responsibility are professional ethics.docxcravennichole326
Chapter 13: Whose responsibility are professional ethics?
Must a SW make an ethical decision all alone?
https://www.youtube.com/watch?v=UeUjAwFI9P0
No! These decisions are just too big to make completely alone!
“Morality is first and foremost a social institution, performing a social role, and only secondarily, if at all, a field for individual self-expression”
W. D. Walsh, philosopher (1969)
Support is always available
Social workers are always responsible for their own ethical decisions
But, she is a participant in a number of networks and social systems that support – or should support – her ethical decision-making
The agency employing her
The service delivery team, unit, or office
The professional association
Resources that support ethical decision-making
Client’s Bill of Rights
Agency Risk Audits
Peer Review and Committees on the Ethics of Social Work Practice
Accountability Systems
Training and Consultation
Agency Appeals Procedures and Ombudsmen
Professional Associations
NASW Professional Complaint Procedures
Client’s Bill of Rights
Brief statements informing people of the type of information they are entitled to know about their situation
Transmitting this information verbally is not enough; this is not considered a Bill of Rights
Bills of Rights must be in writing; it can only be issued by the agency, no the individual SW (unless in private practice)
Often include:
A person should expect to be treated with dignity and respect
He or she will be included in any decision-making practices related to his/her situation
He or she will be informed about available options
He or she has the right to speak to an ombudsman or other person if he or she is dissatisfied with his or her treatment
Agency Risk Audits
Many types of audits are conducted in human service agencies: financial, safety, quality control, utilization review, etc.
An Agency Risk Audit is related to the ethical dimensions of the work being done
Social workers’ knowledge of identified ethics-related risks (complaints or law suits filed against the worker, court cases and updates that are relevant to practice, etc.)
Current agency procedures for handling ethical issues, dilemmas, and decisions
Agency Risk Audits allow an agency to strengthen their own ethical performance while also allowing supervisors and workers to work together to share the burden of ethical decision-making
Strategies to prevent risk or ways to be proactive in ethical decision-making:
Assume a proactive stance by considering the preventive aspects of risk management
Minimize risk through familiarity with policies and procedures so as to minimize risks that occur because of lack of knowledge
Take a comprehensive look at the context and eliminate or reduce risk wherever possible
Stress education in the area of ethics, good practices, transference, and counter-transference
Supervision and consultation should be available
Share the burden of risk by being aware of agency policies and procedures, a ...
Top Goals for Physicians to Implement In Their Facility.pptxalicecarlos1
Let's understand how our medical billing and coding experts help with Top Goals for Physicians to Implement In Their Facilities.
Read More: https://bit.ly/3LFPThv
This work was kind of presentation which was made by me and a friend of mine in the Middle East Technical University as Erasmus Mundus Scholar-psychology
Assignment 1 Legal Aspects of U.S. Health Care System Administrat.docxbraycarissa250
Assignment 1: Legal Aspects of U.S. Health Care System Administration
Due Week 3 and worth 200 points
Prevailing wisdom reinforces the fact that working in U.S. health care administration in the 21st Century requires knowledge of the various aspects of health laws as they apply to dealing with medical professionals. Further, because U.S. health care administrators must potentially interact with many levels of professionals beyond the medical profession, it is prudent that they be aware of any federal, state, and local laws that may be applicable to their organizations. Thus, their conduct is also subject to the letter of the law. They must evaluate the quality of their professional interactions and be mindful of the implications and ramifications of their decisions.
Nearly 65 million surgical operations were performed in 2015 in the U.S. resulting in an estimated 200,000 deaths from complications or other post-operative issues (Ghaferi, Myers, Sutcliffe, & Pronovost, 2016). Ongoing innovation in healthcare can improve patient outcomes. According to the Harvard Business Review article, The Next Wave of Hospital Innovation to Make Patients Safer, over the past several decades, there have been three distinct waves of surgical improvement: technical advancements, standardizing procedures, and high reliability organizing.
Assume the role of a top health administrator at We Care Hospital. You are interested in propelling the hospital to the next level by applying for the Malcolm Baldrige National Quality Award. However, you want to ensure surgical outcomes for patient morbidity and mortality rates. You begin by researching the Surgical Care Improvement Project (SCIP) aimed to improve adherence to quality protocols. You need to ensure the hospital policy is consistent with the law and that the hospital is correctly reporting Sentinel Events to the Joint Commission, a hospital regulatory agency.
Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.
Write a three to four (3-4) page paper in which you:
1. Analyze how standardizing procedures and documenting steps can improve outcomes when performing a complex procedure. Review the peer-reviewed journal article, The Next Wave of Hospital Innovation to Make Patients Safer. Articulate your position as the top administrator concerned about the importance of professional conduct and negligence in SCIP quality guidelines.
2. High Reliability Organizing emphasizes the varying actions that can affect patient safety given that standardized systems ignore the fact that each patient is different. Ascertain the major ramifications when the health care team “fails to rescue” the patient. Identify what hospital policies should be in place and identify previous case laws.
3. Analyze the four (4) elements required of a plaintiff to prove medical negligence.
4. Discuss the overarching duties of the health care governing board in mitigating the effects of medical non- ...
Running head CHANGECHANGE5Managing and Leadin.docxhealdkathaleen
Running head: CHANGE
CHANGE
5
Managing and Leading Change: EHR Selection
Purdue Global University
HS450-01: Strategic Planning and Organizational Development
January 25, 2020
Running head: CHANGE
1
CHANGE
Managing and Leading Change: EHR Selection
In the healthcare industry, it is essential to adapt and adjust to new ways of thinking to deliver the best outcomes for our patients. Like many industries, technology has made improvements in healthcare that have allowed for increased productivity, better care coordination, and better quality of care. Electronic health records (EHR) is one tool that can be used to help achieve all of those measures and can be an asset to the clinic moving forward into the future. With any change, proper steps must be taken to ensure optimal success is achieved with implementing the new process. A collaborative approach is necessary for exploring priorities, processes, and obstacles that will need to be addressed during implementation.
Part 1
The first step with implementing a new EHR system will be to establish two teams to help with planning and decision making. The first team that will be developed will be a clinician based team to give input on the clinical wants and needs from the EHR system. This team will consist of a physician, nurse practitioner, radiologist, pathologist, and pharmacists. These roles are chosen to represent the various departments that will be on the frontline of using the new EHR. Physicians and nurse practitioners provide patient care, and their input will be a valuable resource with ensuring that the system delivers quick and efficient ways to accomplish clinical tasks. The radiologist will represent the imaging department, and the pathologist will represent the laboratory department. Their input will ensure that the EHR provides functionality to improve workflow while allowing quick access to labs, pathology, imaging, and other clinical reports. The pharmacist will represent the pharmacy and will provide input on ways for the EHR to increase productivity and optimize medication delivery.
The next team that will be put together will consist of administrative staff that will include a medical biller/ coder, an office manager, an IT specialist, a patient account, and a patient service representative. The representative from billing and coding will help provide input on what is needed from the EHR to help improve workflow, reduce errors, and improve processes involving claims. The IT specialist will provide their expertise suggesting what equipment will need to be updated, security measures put in place, and network requirements for the project. As the office manager, there will be reports, tracking systems, and other managerial tools that will be desired options in the EHR. Finally, the representatives from account services and patient services will also provide input on scheduling, access to patient information, and desired options to improve productivity.
Next, a leade ...
Running head CHANGECHANGE5Managing and Leadin.docxgemaherd
Running head: CHANGE
CHANGE
5
Managing and Leading Change: EHR Selection
Purdue Global University
HS450-01: Strategic Planning and Organizational Development
January 25, 2020
Running head: CHANGE
1
CHANGE
Managing and Leading Change: EHR Selection
In the healthcare industry, it is essential to adapt and adjust to new ways of thinking to deliver the best outcomes for our patients. Like many industries, technology has made improvements in healthcare that have allowed for increased productivity, better care coordination, and better quality of care. Electronic health records (EHR) is one tool that can be used to help achieve all of those measures and can be an asset to the clinic moving forward into the future. With any change, proper steps must be taken to ensure optimal success is achieved with implementing the new process. A collaborative approach is necessary for exploring priorities, processes, and obstacles that will need to be addressed during implementation.
Part 1
The first step with implementing a new EHR system will be to establish two teams to help with planning and decision making. The first team that will be developed will be a clinician based team to give input on the clinical wants and needs from the EHR system. This team will consist of a physician, nurse practitioner, radiologist, pathologist, and pharmacists. These roles are chosen to represent the various departments that will be on the frontline of using the new EHR. Physicians and nurse practitioners provide patient care, and their input will be a valuable resource with ensuring that the system delivers quick and efficient ways to accomplish clinical tasks. The radiologist will represent the imaging department, and the pathologist will represent the laboratory department. Their input will ensure that the EHR provides functionality to improve workflow while allowing quick access to labs, pathology, imaging, and other clinical reports. The pharmacist will represent the pharmacy and will provide input on ways for the EHR to increase productivity and optimize medication delivery.
The next team that will be put together will consist of administrative staff that will include a medical biller/ coder, an office manager, an IT specialist, a patient account, and a patient service representative. The representative from billing and coding will help provide input on what is needed from the EHR to help improve workflow, reduce errors, and improve processes involving claims. The IT specialist will provide their expertise suggesting what equipment will need to be updated, security measures put in place, and network requirements for the project. As the office manager, there will be reports, tracking systems, and other managerial tools that will be desired options in the EHR. Finally, the representatives from account services and patient services will also provide input on scheduling, access to patient information, and desired options to improve productivity.
Next, a leade ...
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
3. Common Practices & Methods
One of the common practices in the medical
setting for those dealing with sensitive
materials for medications/narcotics is a
second witness/passcode.
This method has the effect of having a second
set up eyes, opinion, and monitoring to
ensure compliance. As a manager I would
suggest this same tactic be carried over
regarding gaining access to patient
information.
4. Provisions of Access
Those who need access because they are
providing direct care wouldn’t need a second
password/witness; but for those who do not
provide care to specific individuals would
require more than himself or herself to access
information.
5. In-Service/Education
In addition to the monitoring component, I
would suggest a routine training or in-services
to provide a forum to provide clarity to any
grey areas in question, discuss results of non-
compliance, and to give general information
regarding confidentiality.
7. Proper Practices in Healthcare
Initially, this demonstrates that these types of
incidents occur and can happen at the most
prestigious facilities. The UCLA Hospital is
nationally recognized for its high level of
medical performance, research and modern
intervention strategies. This serves to show
that even the facilities that carry the highest
level of ratings must comply with the
standards implemented by the governing
body.
8. Compliance & Consequences
Secondly, it demonstrates that all those
associated with non-compliance must be
reprimanded and held accountable for their
actions. From the literature it is a direct
reflection that staff members, those in
supervisor positions, as well as the facility
itself were held responsible
9. Compliance & Consequences
Secondly, it demonstrates that all those
associated with non-compliance must be
reprimanded and held accountable for their
actions. From the literature it is a direct
reflection that staff members, those in
supervisor positions, as well as the facility
itself were held responsible
10. Developing Strategies Improve
Compliance
Lastly, this material illustrates that there is
work that needs to be done in order to
develop the appropriate systems/operations
to put in place that continues to track this type
of non-compliance, but to also to close to
loopholes for those few individuals that have
issues with following the legal implications
that are put into place to avoid this type of
defiance.
