Listening to the Family
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The document discusses a case where a mother brought her 18-month old daughter to the clinic with rash, diarrhea, and concerns about a possible fracture from a fall. The resident physician examined the child but did not order an x-ray, dismissing the mother's concerns. That evening, an x-ray at the emergency department revealed a tibia fracture. The document emphasizes the importance of using open-ended questions to understand the full patient agenda, addressing patient expectations to improve satisfaction, and adopting a patient-centered approach to care.
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Quality of Care Measurement To assess the quality o.docx
Quality of Care Measurement
“To assess the quality of medical care one must first unravel a mystery: the meaning of quality itself. It remains to be seen whether this can be done by patiently teasing out its several strands or whether one must, in despair, use a sword to cut the Gordian knot”.
Avedis Donabedian,1980
The Triple Aim
Proposed by Donald Berwick as the previous Administrator of the Centers for Medicare and Medicaid Services
An attempt to transform the American healthcare system in accord with the vision set forth in his 2008 “Triple Aim” Health Affairs article.
Consists of three overarching goals:
Better care for individuals (described by the six dimensions of health care performance listed in the Institute of Medicine’s 2001 report “Crossing the Quality Chasm”: safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity).
Better health for populations (by addressing “the upstream causes of so much of our ill health,” such as poor nutrition, physical inactivity, and substance abuse).
Reduction in per capita healthcare costs
Romano, P.S. (March 1, 2012). Quality Measurement 101 A Framework for CVEs. CVE Annual Meeting.
Hospital Quality: M&M cases
“Monday Mornings”
Morbidity and mortality (M&M) conferences: recurring conferences conducted by medical services at academic medical centers, most large private medical and surgical practices, and other medical centers
Usually peer reviews of mistakes occurring during the care of patients
Main objectives: to learn from complications and errors, to modify behavior and judgment based on previous experiences, and to prevent repetition of errors leading to complications.
Non-punitive and focus on the goal of improved patient care
Proceedings generally kept confidential by law, occur with regular frequency (often weekly, biweekly or monthly), highlight recent cases of concern, and identify areas of improvement for clinicians involved in the case.
Also important in identifying systems issues (e.g., outdated policies, changes in patient identification procedures, arithmetic errors, etc.) which affect patient care
Wikipedia
Case: Right Regimen, Wrong Cancer
A 48-year-old man with a history of metastatic penile cancer was admitted to an inpatient internal medicine service for his fourth round of chemotherapy.
He had three previous uncomplicated admissions where he received a standard protocol of 3 days of paclitaxel, ifosfamide, and cisplatin.
The patient received this regimen for 3 days with minimal adverse effects.
On hospital day 4, based on his previous admissions for chemotherapy, the patient was expecting to go home.
6
6
Case: Right Regimen, Wrong Cancer
In the morning his nurse for the day came in and stated that she would be giving him his fourth day of chemotherapy.
Th ...
Current Issues Paper FINAL4252014
This document discusses patient satisfaction and describes a case study involving a patient, Ms. Jones, who had a medical procedure and was dissatisfied with her pain management. It then reviews literature on factors that influence patient satisfaction, such as communication, trust in healthcare providers, and continuity of care. Decision analysis theory is presented as a framework for evaluating options to improve patient satisfaction by defining problems, alternative actions, outcomes, costs, and probabilities to determine the optimal course of action.
Effective nursing care through researh
Nursing students are often required to participate in research studies to earn their nursing degree. This provides benefits to both the student and the nursing field. Students gain first-hand experience and build their knowledge in a particular subject. Their research also contributes to the overall body of nursing knowledge used to train new nurses. Research is necessary to determine best practices and improve nursing care quality based on evidence. Some students may even choose to pursue careers in nursing research due to their experience.
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The document discusses the 2012 Joint Commission National Patient Safety Goals. It aims to improve patient identification, communication among caregivers, and medication safety. Case studies are presented that illustrate medication errors related to issues like look-alike drugs, lack of labeling, and failure to clarify orders. The document emphasizes clear communication, questioning inconsistencies, and following safety protocols to prevent errors.
Revisedpart iipme lecture 2012presentationpart2
The document discusses the 2012 Joint Commission National Patient Safety Goals. It provides 3 goals: 1) improve patient identification, 2) improve communication among caregivers, and 3) improve safety of medication use. It also presents several case studies on medication errors and discusses root causes, prevention strategies, and recommendations to reduce errors.
Am j crit care 2004-meltzer-202-8
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1) The potential for learning from negative patient experiences and using them as catalysts for positive change.
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3) Examples of how open communication, transparency, and inclusion of patients can help align culture and expectations to better ensure safe, high-quality care.
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Course 2 the need for a careful and thorough history
The medical literature reports that 40%-80% of chronic pain patients are misdiagnosed. Clearly, misdiagnosis leads to ordering the wrong tests, and thereby obtaining an incorrect diagnosis, or overlooking a diagnosis totally, which results in mistreatment. Many reports in the medical literature indicate the best way to get an accurate diagnosis, is to obtain a complete and thorough history. However, this is a time consuming process, and most physicians don’t spend the needed time with a patient. Therefore, a team of doctors from Johns Hopkins Hospital developed a 72 question test, with 2008 possible answers, available over the Internet. When a patient completes the questionnaire, diagnoses are returned within 5 minutes. These diagnoses have a 96% correlation with diagnoses of Johns Hopkins Hospital doctors. This is the highest level of accuracy of any expert system available. The efficacy of this approach is proven by outcome studies, which prove that this approach results in a far higher return to work rate and reduced use of medication and doctors visits, when compared to other techniques. This is similar to the techniques used by Johns Hopkins Hospital to reduce their workers compensation payments by 54%.
Read the case study presented at the end of Chapter 11 (Guido, p. .docx
Read the case study presented at the end of Chapter 11 (Guido, p. 222)
Did the facility have sufficient evidence to suspend the nurse?
How should the testimony of the other nurses in the unit affect the outcome of this case?
What additional questions should the institution address before the court rules in this case?
How would you have ruled in this case?
Read the case study presented at the end of Chapter 12 (Guido, p. 238)
Did the ANP have a duty to consult with the child's physician or another emergency center physician regarding the possibility of child abuse before she reported her findings to the case worker?
What questions would you anticipate might be asked regarding the injury itself and the possibility that the child had caused her own injury?
Did the ANP have a duty to report the injury, even though the diagnosis was not absolutely conclusive at the point that the child was initially examined?
How would you determine liability in this case, assuming that the trial court found liability against any of the three defendants?
Read the case study presented at the end of Chapter 16 (Guido, p. 329)
Did the nurse manager have a responsibility to supervise the care of the patient?
Was the care of this patient appropriately assigned to the LPN by the charge nurse, or could the charge nurse have delegated this patient's care more appropriately?
If the charge nurse assigned the care of the patient to the LPN, did she retain any supervisory responsibility that would result in her liability in this case?
How do the principles associated with delegation and supervision figure into this case?
How would you decide this case?
e
your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.
Assignment:
Professional Development Exercises :
Read the case study presented at the end of Chapter 11 (Guido, p. 222)
A nurse had been working in a critical care unit for more than 25 years, gaining respect for her competence and dedication before suspicions began to gather that she was diverting narcotics for her
own use. The acute care hospital had recently installed a “computerized medicine cabinet” for enhanced distribution and better monitoring of narcotics. The cabinet recorded the nurse’s per
222 Part 4 • Impact of the Law on the Professional Practice of Nursing
nurses testified that they often deviated from the physician’s
order
for an IM injection, electing to give the medication by an IV route. Finally, there was testimony that the hospital had no formal policy for which nurse was to document narcotics in the paper record when two nurses, such as a preceptor and a mentee, both had responsibility for the patient. The nurse who was suspended testified that she, too, frequently entered data into the paper record long after she had administered the medication and, in some rare instances, entered the data on the following day.
QUESTIONS 1. D id the facil.
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TEST BANK For Principles of Pediatric Nursing Caring for Children, 8th Editio...rightmanforbloodline
TEST BANK For Principles of Pediatric Nursing Caring for Children, 8th Edition by Kay Cowen; Laura Wisely, Verified Chapters 1 - 31, Complete Newest Versionlegal and ethical.docx
1. The nurse was suspended for discrepancies between the electronic medication records and handwritten records. Other nurses testified they often completed documentation later.
2. Additional questions around hospital policies on documentation and who is responsible when multiple nurses care for a patient should be addressed.
3. How the testimony of other nurses affected standard practices could impact the outcome.
What Is A Legal Nurse Consultant
The document provides an overview of the role of a Legal Nurse Consultant (LNC). It defines an LNC as a nurse consultant who offers advice on medical-legal matters. The primary role of an LNC is to evaluate healthcare delivery and outcomes and provide an informed opinion. LNCs assist attorneys by identifying standards of care, reviewing medical records, and educating on medical issues related to a case. They work in various legal settings, including law firms, and integrate nursing knowledge with challenges in civil and criminal litigation.
What Is An Lnc
If you would like to know more about what a Legal Nurse Consultant can do in the legal arena, please take a moment to view the power point presentation.
Medication Non Adherence X
The document discusses medication non-adherence and strategies for improving adherence and ensuring safe hospital discharges. It notes that 50% of prescribed medications are not taken correctly and identifies barriers to adherence like cost, side effects, and health literacy. It introduces the Case Management Adherence Guidelines (CMAG) which assess patient knowledge, motivation, and skills to improve adherence using tools like health literacy tests. CMAG provides an algorithm to improve understanding and motivate patients to take medications as prescribed. The document emphasizes the importance of educating patients before discharge to maintain treatment and ensure a safe transition to outpatient care.
Kachalia 2007 missed and delayed diagnoses in the emergency department
1) The study reviewed 122 malpractice claims from 4 insurers involving missed or delayed diagnoses in the emergency department.
2) 79 claims (65%) involved missed ED diagnoses that harmed patients, with 48% resulting in serious harm and 39% in death.
3) The leading causes of missed diagnoses were failures to order appropriate diagnostic tests or perform adequate exams, incorrect test interpretations, and failures to order appropriate consultations. The most common contributing factors were cognitive errors, patient factors, lack of supervision, and excessive workload.
6Medical Mistakes and Patient SafetyFlirtSuperStock.docx
6Medical Mistakes and
Patient Safety
Flirt/SuperStock
Learning Objectives
After reading this chapter, you should be able to
1. Explain reasons for the prevalence of medical mistakes.
2. Describe mistakes that threaten patient safety.
3. Analyze how ethical health care organizations address the vexing problem of medical mistakes.
4. Examine the legal, regulatory, political, and administrative attempts to reduce threats to
patient safety.
5. Understand tort law and what is meant by tort reform.
6. Examine the ethical implications of health care organizations’ responses to medical mistakes.
7. Comprehend the significance of landmark legal cases that shape the current climate of quality
improvement and risk management.
© 2019 Bridgepoint Education, Inc. All rights reserved. Not for resale or redistribution.
Section 6.1The Extent of Medical Mistakes
Introduction
In this chapter we will analyze how ethical health care organizations address the serious
problem of medical mistakes. We will also take an in-depth look at some legal, regulatory,
political, and administrative solutions that may lessen the risk to patients while also protect-
ing organizations from legal liability. Throughout this chapter we will also explore the ethical
implications of this issue and how an awareness of the ultimate ends of health care can yield
practical solutions.
6.1 The Extent of Medical Mistakes
Until 1999, most Americans were unaware of the extent of medical errors in health care. That
year, the Institute of Medicine (IOM) released the report “To Err Is Human: Building a Safer
Health System” (IOM, 1999). Based on a series of studies, “To Err Is Human” concluded that up
to 100,000 people die from preventable medical errors every year in the United States (IOM,
1999). The shocking statistic thoroughly shook the collective trust in American health care.
Another IOM report, published in 2001 and titled “Crossing the Quality Chasm,” furthered
the point that health risks to patients from health care providers due to preventable human
errors were much too high. (See Figure 6.1 for a comparison of the percentage of medical
errors made in various countries.)
Figure 6.1: Medical, medication, or lab test errors, 2009–2011
This graph compares the percentage of medical errors made in various countries. Why do you think
that the United States has the highest percentage of medical errors of the seven countries listed?
Source: Schoen, C., Osborn, R., Squires, D., Doty, M. M., Pierson, R. & Applebaum, S. (2011). New 2011 survey of patients with complex
care needs in 11 countries finds that care is often poorly coordinated. Health Affairs. Data retrieved from https://www
.commonwealthfund.org/chart/medical-medication-or-lab-test-errors-past-two-years
Case Study: A Tragic Medical Mistake
In early December of 1995, a seven-year-old boy was admitted to a South Florida hospital
to undergo ear surgery to remove scar tissue resulting from two ea.
Err is human
Err is human ....how could we minimize the preventable medical errors in our healthcare organization
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Listening to the Family
- 1. Spotlight Case February 2007 The ‘Customer’ Is Always Right
Editor's Notes
- 1. Marvel MK, Epstein RM, Flowers K, Beckman HB. Soliciting the patient's agenda: have we improved? JAMA. 1999;281:283-287. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=9918487 2. Dyche L, Swiderski D. The effect of physician solicitation approaches on ability to identify patient concerns. J Gen Intern Med. 2005;20:267-270. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=15836531
- 2. Dyche L, Swiderski D. The effect of physician solicitation approaches on ability to identify patient concerns. J Gen Intern Med. 2005;20:267-270. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=15836531
- 1. Marvel MK, Epstein RM, Flowers K, Beckman HB. Soliciting the patient's agenda: have we improved? JAMA. 1999;281:283-287. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=9918487 3. Beckman HR, Frankel RM. The effect of physician behavior on the collection of data. Ann Intern Med. 1984;101:692-696. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=6486600
- 8. Kravitz RL, Callahan EJ, Paterniti D, Antonius D, Dunham M, Lewis CE. Prevalence and sources of patients' unmet expectations for care. Ann Intern Med. 1996;125:730-737. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=8929006 9. Bell RA, Kravitz RL, Thom D, Krupat E, Azari R. Unmet expectations for care and the patient-physician relationship. J Gen Intern Med. 2002;17:817-824. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=12406352 10. Peltenburg M, Fischer JE, Bahrs O, van Dulmen S, van den Brink-Muinen A. The unexpected in primary care: a multicenter study on the emergence of unvoiced patient agenda. Ann Fam Med. 2004;2:534-540. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=15576537
- Speaker: elicit audience response
- 11. Committee on Quality of Health Care in America, Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001.
- 12. The Institute for Alternative Futures on behalf of The Picker Institute. Patient-Centered Care 2015: Scenarios, Vision, Goals & Next Steps. Camden, ME: The Picker Institute; July 2004.
- 16. Audet AM, Davis K, Schoenbaum SC. Adoption of patient-centered care practices by physicians: results from a national survey. Arch Intern Med. 2006;166:754-759. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=16606812
- 17. Rutherford P, Lee B, Grelner A. Transforming Care at the Bedside [white paper]. Boston, MA: Institute for Healthcare Improvement; 2004. 18. American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Emergency Medicine Committee, O'Malley P, Brown K, Mace SE. Patient- and family-centered care and the role of the emergency physician providing care to a child in the emergency department. Pediatrics. 2006;118:2242-2244. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&dopt=abstract&list_uids=17079599 19. Patient- and Family-Centered Care and the Role of the Emergency Physician Providing Care to a Child in the Emergency Department [policy statement]. American College of Emergency Physicians Web site. Available at: http://www.acep.org/webportal/PracticeResources/PolicyStatements/peds/ptfamctredcare.htm . Accessed January 26, 2007.