Needs Analysis of Primary Care Physicians and Other Providers in Terms of Obe...Clinical Tools, Inc
Tanner, B. Needs Analysis of Primary Care Physicians and
Other Providers in Terms of Obesity Training. Poster
presented Overcoming Obesity: Diagnose. Personalize.
Treat. Conference of the American Society of Bariatric
Physicians, September 12, 2014 Austin Texas.
In first of two-part series, Pamela Greenhouse explores the differences and similarities of the Patient and Family Centered Care Methodology and Practice (PFCC M/P) and leean process improvement approachs, such as Lean, Six Sigma and Toyota. She believes that the PFCC M/P can be the unifying theme for health care, incorporating both process improvement and performance improvement.
A presentation, describes basics of Clinical Governance
What do we have in common
as Medical Doctors/Medical
Practitioners?
1. We are technical experts in our fields
2. We are leaders
3. We are managers
4. We are accountable for the patient care and health services
5. We are change agents
6. We are respected highly in the community
7. We are responsive
8. We are good communicators and negotiators
9. We are kind and empathic
10. We are decent and disciplined
Clinical Governance is a strategic framework for the development of high quality healthcare
"A framework through which organizations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish" – NHS, UK
“clinical governance is a way of making sure that everyone who passes through health system is well cared for”
or
System that enable staff to work in the best possible way
+
Staff performing to the highest possible standards
Seven pillars of Clinical Governance
Patient and public involvement (PPI)
Risk management
Staffing and staff management
Education and training
Clinical effectiveness & Research
Using clinical information & IT
Clinical audit
Patient and public involvement
Ensuring services meet the need of the patients
Patient and public feedback is used to improve services
Patients and the public are involved in the development of services and the monitoring of treatment outcomes
Risk management
Complying with protocols
Learning from mistakes and near-misses
Reporting adverse events
Assessing the risks – probability of occurrence, impact
Promoting blame free culture
Staffing and staff management
Appropriate recruitment and management of staff
Ensuring that underperformance is identified and addressed
Encouraging staff retention by motivating and developing staff
Providing good working conditions
Education and Training
Providing appropriate support available to enable staff to be competent in doing their jobs and to develop their skills so that they are up to date
Professional development needs to continue through lifelong learning
Clinical effectiveness & Research
Clinical effectiveness implies ensuring that everything we do is designed to provide the best outcomes for patients
Clinical audit
Clinical audit is a quality improvement cycle that involves measurement of the effectiveness of healthcare against agreed and proven standards for high quality, and taking action to bring practice in line with these standards so as to improve the quality of care and health outcomes
Clinical audit is a systematic process of looking at your practice and asking:
What should we be doing?
Are we doing it?
If not, how can we improve?
Literature Evaluation TableStudent Name Joyce NwakorPIC.docxcroysierkathey
Literature Evaluation Table
Student Name: Joyce Nwakor
PICOT Question: For patients and healthcare workers in the hospital (p) does hand washing protocol (I) compared to an alcohol-based solution (C) reduce hospital-acquired infection (O) within a period of stay in the hospital (T)
Criteria
Article 1
QUANT
Article 2
QUANT
Article 3
QUANT
Article 4
REVIEW
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
Daisy, V. T., & Sreedevi, T. R.
Link:
http://eds.a.ebscohost.com.lopes.idm.oclc.org/eds/detail/detail?vid=4&sid=72619044-c224-4bc5-9982-cf6c3953f7d2%40sessionmgr4007&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=110819455&db=ccm
Fox, C., Wavra, T., Drake, D. A., Mulligan, D., Bennett, Y. P., Nelson, C., … Bader, M. K. (2015). Use of a Patient Hand Hygiene Protocol to Reduce Hospital-Acquired Infections and Improve Nurses' Hand Washing. American Journal of Critical Care, 24(3), 216-224. doi:10.4037/ajcc2015898
Knighton, S. (2017). The Use of Instructional Technology to Increase Independent Patient Hand Hygiene Practice of Hospitalized Adults in an Acute Care Setting. Open Forum Infectious Diseases, 4(suppl_1), S411-S412. doi:10.1093/ofid/ofx163.1029
João Manuel Garcia do Nascimento Graveto, Rita Isabel Figueira Rebola, Elisabete Amado Fernandes, & Paulo Jorge dos Santos Costa. Link:
https://doi-org.lopes.idm.oclc.org/10.1590/0034-7167-2017-0239
Article Title and Year Published
Effectiveness of a Multi-Component Educational Intervention on Knowledge and Compliance with Hand Hygiene among Nurses in Neonatal Intensive Care Units. 2015Use of a Patient Hand Hygiene Protocol to Reduce Hospital-Acquired Infections and Improve Nurses' Hand Washing
Published May 2015
The Use of Instructional Technology to Increase Independent Patient Hand Hygiene Practice of Hospitalized Adults in an Acute Care Setting. Open Forum Infectious Diseases.
Published in 2017
Hand hygiene: nurses’ adherence after training.
2018
Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
The study was aimed to assess the effectiveness of a multi-component educational intervention on the knowledge and compliance with handhygiene guidelines among nurses working in Neonatal Intensive Care Units.
The research investigated the reduction of infections in the hospital through observation of hand hygiene.
What handwashing procedures were performed by the medical personnel before patient contact part 1.
What is the level of effectiveness of training (I) in improving nurses’(P) adherence to hand hygiene(O)?”.
Design (Type of Quantitative, or Type of Qualitative)
A pre-experimental pre-test post-test design was adopted for the study. QUANT
Pre-experimental study design
. QUANT
A quantitative study was done using quasi observational data
Qualitative/ quantitative studies
This is a review
Setting/Sample
This study was conducted in 3 level III NICUs of selected private hospitals in Kerala
Total sample compri ...
Needs Analysis of Primary Care Physicians and Other Providers in Terms of Obe...Clinical Tools, Inc
Tanner, B. Needs Analysis of Primary Care Physicians and
Other Providers in Terms of Obesity Training. Poster
presented Overcoming Obesity: Diagnose. Personalize.
Treat. Conference of the American Society of Bariatric
Physicians, September 12, 2014 Austin Texas.
In first of two-part series, Pamela Greenhouse explores the differences and similarities of the Patient and Family Centered Care Methodology and Practice (PFCC M/P) and leean process improvement approachs, such as Lean, Six Sigma and Toyota. She believes that the PFCC M/P can be the unifying theme for health care, incorporating both process improvement and performance improvement.
A presentation, describes basics of Clinical Governance
What do we have in common
as Medical Doctors/Medical
Practitioners?
1. We are technical experts in our fields
2. We are leaders
3. We are managers
4. We are accountable for the patient care and health services
5. We are change agents
6. We are respected highly in the community
7. We are responsive
8. We are good communicators and negotiators
9. We are kind and empathic
10. We are decent and disciplined
Clinical Governance is a strategic framework for the development of high quality healthcare
"A framework through which organizations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish" – NHS, UK
“clinical governance is a way of making sure that everyone who passes through health system is well cared for”
or
System that enable staff to work in the best possible way
+
Staff performing to the highest possible standards
Seven pillars of Clinical Governance
Patient and public involvement (PPI)
Risk management
Staffing and staff management
Education and training
Clinical effectiveness & Research
Using clinical information & IT
Clinical audit
Patient and public involvement
Ensuring services meet the need of the patients
Patient and public feedback is used to improve services
Patients and the public are involved in the development of services and the monitoring of treatment outcomes
Risk management
Complying with protocols
Learning from mistakes and near-misses
Reporting adverse events
Assessing the risks – probability of occurrence, impact
Promoting blame free culture
Staffing and staff management
Appropriate recruitment and management of staff
Ensuring that underperformance is identified and addressed
Encouraging staff retention by motivating and developing staff
Providing good working conditions
Education and Training
Providing appropriate support available to enable staff to be competent in doing their jobs and to develop their skills so that they are up to date
Professional development needs to continue through lifelong learning
Clinical effectiveness & Research
Clinical effectiveness implies ensuring that everything we do is designed to provide the best outcomes for patients
Clinical audit
Clinical audit is a quality improvement cycle that involves measurement of the effectiveness of healthcare against agreed and proven standards for high quality, and taking action to bring practice in line with these standards so as to improve the quality of care and health outcomes
Clinical audit is a systematic process of looking at your practice and asking:
What should we be doing?
Are we doing it?
If not, how can we improve?
Literature Evaluation TableStudent Name Joyce NwakorPIC.docxcroysierkathey
Literature Evaluation Table
Student Name: Joyce Nwakor
PICOT Question: For patients and healthcare workers in the hospital (p) does hand washing protocol (I) compared to an alcohol-based solution (C) reduce hospital-acquired infection (O) within a period of stay in the hospital (T)
Criteria
Article 1
QUANT
Article 2
QUANT
Article 3
QUANT
Article 4
REVIEW
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
Daisy, V. T., & Sreedevi, T. R.
Link:
http://eds.a.ebscohost.com.lopes.idm.oclc.org/eds/detail/detail?vid=4&sid=72619044-c224-4bc5-9982-cf6c3953f7d2%40sessionmgr4007&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=110819455&db=ccm
Fox, C., Wavra, T., Drake, D. A., Mulligan, D., Bennett, Y. P., Nelson, C., … Bader, M. K. (2015). Use of a Patient Hand Hygiene Protocol to Reduce Hospital-Acquired Infections and Improve Nurses' Hand Washing. American Journal of Critical Care, 24(3), 216-224. doi:10.4037/ajcc2015898
Knighton, S. (2017). The Use of Instructional Technology to Increase Independent Patient Hand Hygiene Practice of Hospitalized Adults in an Acute Care Setting. Open Forum Infectious Diseases, 4(suppl_1), S411-S412. doi:10.1093/ofid/ofx163.1029
João Manuel Garcia do Nascimento Graveto, Rita Isabel Figueira Rebola, Elisabete Amado Fernandes, & Paulo Jorge dos Santos Costa. Link:
https://doi-org.lopes.idm.oclc.org/10.1590/0034-7167-2017-0239
Article Title and Year Published
Effectiveness of a Multi-Component Educational Intervention on Knowledge and Compliance with Hand Hygiene among Nurses in Neonatal Intensive Care Units. 2015Use of a Patient Hand Hygiene Protocol to Reduce Hospital-Acquired Infections and Improve Nurses' Hand Washing
Published May 2015
The Use of Instructional Technology to Increase Independent Patient Hand Hygiene Practice of Hospitalized Adults in an Acute Care Setting. Open Forum Infectious Diseases.
Published in 2017
Hand hygiene: nurses’ adherence after training.
2018
Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
The study was aimed to assess the effectiveness of a multi-component educational intervention on the knowledge and compliance with handhygiene guidelines among nurses working in Neonatal Intensive Care Units.
The research investigated the reduction of infections in the hospital through observation of hand hygiene.
What handwashing procedures were performed by the medical personnel before patient contact part 1.
What is the level of effectiveness of training (I) in improving nurses’(P) adherence to hand hygiene(O)?”.
Design (Type of Quantitative, or Type of Qualitative)
A pre-experimental pre-test post-test design was adopted for the study. QUANT
Pre-experimental study design
. QUANT
A quantitative study was done using quasi observational data
Qualitative/ quantitative studies
This is a review
Setting/Sample
This study was conducted in 3 level III NICUs of selected private hospitals in Kerala
Total sample compri ...
Person-Centred Improvement - What Does it Look Like, and How Does it Fit with...KaiNexus
August 15 from 1:00 pm - 2:00 pm ET
Presented by Seán Paul Teeling, Programme Director for the Professional Certificate and Graduate Certificate in Process Improvement in Health Systems at UCD Health Systems.
Lean is one of the most internationally popular process improvement methodologies around the world. Similarly, person-centred approaches have risen in popularity since the millennium with political and policy intentions now widely advocating that person-centredness should be at the heart of the health system. In this webinar, we discuss the first research internationally into the combined use of Lean and person-centred improvement approaches, lessons learnt, and how to be a person-centred improver in any industry or setting.
Learning objectives:
Understand what is meant by person-centred improvement
Identify the synergies between Lean and person-centred improvement
Understand where person-centred improvement diverges from Lean and how to address it
Be able to incorporate person-centred approaches into your Lean work
Seán Paul Teeling is the Programme Director for the Professional Certificate and Graduate Certificate in Process Improvement in Health Systems at UCD Health Systems. Prior to this, he worked as Lean Manager at the Mater Misericordiae University Hospital Dublin, working closely with the Hospital and the UCD School of Nursing, Midwifery and Health Systems on the development of the highly successful Process Improvement in healthcare programmes.
Seán Paul is an accredited facilitator of Person-centred Cultures in Healthcare. He completed his PhD with and is a member of, and honorary lecturer with, the Centre for Person-Centred Practice Research, Queen Margaret University, Edinburgh. He is also an affiliate of the Stanford Medicine Centre for Improvement, Stanford University, CA. His research is in the use of process and quality improvement methodologies in healthcare including the Model for Improvement, Lean, Six Sigma, Lean Six Sigma and Agile and in particular the influence and contribution of Process Improvement methodologies on Person-centred Cultures. In January 2011, he was appointed by the Minister for Health as a member of the Health Products Regulatory Authority Advisory Committee on Medical Devices, on which he served for two terms.
Let's Talk Research 2015 - Michael Harrison Blount - An Action Research appro...NHSNWRD
An Action Research approach to facilitating the integration of best practice in the Assessment and Management of Diabetes Related Lower Limb Problems in India.
Michael Harrison-Blount MSc. BSc (Hons). MChS. MFPM RCPS (Glasg). CSci
Lecturer in Podiatry
School of Health Sciences University of Salford
t: +44 0161 2953516
email; m.j.harrison-blount@salford.ac.uk | www.salford.ac.uk
Course Project Part 3—Translating Evidence Into PracticeIn Part.docxbuffydtesurina
Course Project: Part 3—Translating Evidence Into Practice
In Part 3 of the Course Project, you consider how the evidence you gathered during Part 2 can be translated into nursing practice.
Now that you have located available research on your PICOT question, you will examine what the research indicates about nursing practices. Connecting research evidence and findings to actual decisions and tasks that nurses complete in their daily practice is essentially what evidence-based practice is all about. This final component of the Course Project asks you to translate the evidence and data from your literature review into authentic practices that can be adopted to improve health care outcomes. In addition, you will also consider possible methods and strategies for disseminating evidence-based practices to your colleagues and to the broader health care field.
To prepare:
Consider Parts 1 and 2 of your Course Project. How does the research address your PICOT question?
PLEASE REFER TO FILES ATTACHED BELOW
With your PICOT question in mind, identify at least one nursing practice that is supported by the evidence in two or more of the articles from your literature review. Consider what the evidence indicates about how this practice contributes to better outcomes.
Explore possible consequences of failing to adopt the evidence-based practice that you identified.
Consider how you would disseminate information about this evidence-based practice throughout your organization or practice setting. How would you communicate the importance of the practice?
To complete:
In a 3- to 4-page paper:
1) Restate your PICOT question and its significance to nursing practice.
My PICOT question is:
does hand washing and appropriate staff dressing among the surgical ward nurses reduce cross infection during patient management?
2) Summarize the findings from the articles you selected for your literature review. Describe at least one nursing practice that is supported by the evidence in the articles. Justify your response with specific references to at least 2 of the articles. Please refer to the articles below:
Aiken, A. M., Karuri, D. M., Wanyoro, A. K., & Macleod, J. (2012). Interventional studies for preventing surgical site infections in sub-Saharan Africa.
International Journal of Surgery
, 242-249. Doi: 10.1016/
j
.ijsu.2012.04.004
Al-Khawaldeh, O., Al-Hussami, M., & Darawad, M. (2015).
Influence of Nursing Students Handwashing Knowledge, Beliefs, and Attitudes on Their Handwashing Compliance
.
Scientific Research Publishing
. Doi:
http://dx.doi.org.ezp.waldenulibrary.org/10.4236/health.2015.75068
Bukhari, S., Hussain, W., Banjar, A., Almaimani, W., Karima, T., & Fatani, M. (2011).
Hand hygiene compliance rate among healthcare professionals.
PubMed - NCBI
.
Ncbi.nlm.nih.gov
. Retrieved 1 April 2016, from
http://www.ncbi.nlm.nih.gov/pubmed/21556474
3) Explain how the evidence-based practice that you identified contributes to better outcomes. In addi.
Course Project Part 3—Translating Evidence Into PracticeIn Pa.docxbuffydtesurina
Course Project: Part 3—Translating Evidence Into Practice
In Part 3 of the Course Project, you consider how the evidence you gathered during Part 2 can be translated into nursing practice.
Now that you have located available research on your PICOT question, you will examine what the research indicates about nursing practices. Connecting research evidence and findings to actual decisions and tasks that nurses complete in their daily practice is essentially what evidence-based practice is all about. This final component of the Course Project asks you to translate the evidence and data from your literature review into authentic practices that can be adopted to improve health care outcomes. In addition, you will also consider possible methods and strategies for disseminating evidence-based practices to your colleagues and to the broader health care field.
To prepare:
Consider Parts 1 and 2 of your Course Project. How does the research address your PICOT question?
With your PICOT question in mind, identify at least one nursing practice that is supported by the evidence in two or more of the articles from your literature review. Consider what the evidence indicates about how this practice contributes to better outcomes.
Explore possible consequences of failing to adopt the evidence-based practice that you identified.
Consider how you would disseminate information about this evidence-based practice throughout your organization or practice setting. How would you communicate the importance of the practice?
To complete:
In a 3- to 4-page paper:
1) Restate your PICOT question and its significance to nursing practice.
My PICOT question is:
does hand washing and appropriate staff dressing among the surgical ward nurses reduce cross infection during patient management?
2) Summarize the findings from the articles you selected for your literature review. Describe at least one nursing practice that is supported by the evidence in the articles. Justify your response with specific references to at least 2 of the articles. Please refer to the articles below:
Aiken, A. M., Karuri, D. M., Wanyoro, A. K., & Macleod, J. (2012). Interventional studies for preventing surgical site infections in sub-Saharan Africa.
International Journal of Surgery
, 242-249. Doi: 10.1016/
j
.ijsu.2012.04.004
Al-Khawaldeh, O., Al-Hussami, M., & Darawad, M. (2015).
Influence of Nursing Students Handwashing Knowledge, Beliefs, and Attitudes on Their Handwashing Compliance
.
Scientific Research Publishing
. Doi: http://dx.doi.org.ezp.waldenulibrary.org/10.4236/health.2015.75068
Bukhari, S., Hussain, W., Banjar, A., Almaimani, W., Karima, T., & Fatani, M. (2011).
Hand hygiene compliance rate among healthcare professionals.
PubMed - NCBI
.
Ncbi.nlm.nih.gov
. Retrieved 1 April 2016, from http://www.ncbi.nlm.nih.gov/pubmed/21556474
3) Explain how the evidence-based practice that you identified contributes to better outcomes. In addition, identify potential negative outcom.
The fifth webinar continues the momentum of the series as it focuses on providing concrete approaches for identifying barriers and enablers, emphasising behaviour change approaches.
READ MORE: http://bit.ly/2LOwbj0
PEER RESPONSES FOR Patient Outcomes and Sustainable ChangeQUES.docxpauline234567
PEER RESPONSES FOR Patient Outcomes and Sustainable Change
QUESTION: Reflecting on the "IHI Module PS 101: Introduction to Patient Safety," summarize why it is essential to improve patient safety. Use one of the articles from this week's topic Resources and describe the framework or theory that was used to improve the patient outcome. What outcome measures were identified and how did they align with the improvement project? Explain how the authors learned from the error or unintended events to ensure patient safety. Provide supporting evidence.
Dr. Mary Sizemore
Thank you for your response. You provided some good information regarding the quality of care and patient safety. In my practice, many facilities work to improve patient outcomes through the use of electronic health records to reduce errors with medication prescribing. Consider ordering a new medication for a patient. What are some measures you can take as a provider to reduce possible errors with the process?
Kristen Williams
Dec 2, 2022, 12:11 PM
The Institute for Healthcare Improvement (IHI) Module PS 101: Introduction to Patient Safety provides the structural foundation of the vital role patient safety has in a healthcare institution. High reliability was a central theme of the module. A culture of safety is when the employees share a central belief that a healthcare organization supports root cause analysis in patient care (Leape, 2021). It is a significant theme that humans have a predisposition to error, and it is vital to create systems and a safety culture to have a safe environment for patients. It is crucial to develop systems to track and analyze errors as they occur to improve future outcomes by creating safer systems.
When people interact with a healthcare system, they are often at their most valuable state. The number of people dying from medical errors in 2018 was equivalent to a daily jumbo crash (Leape, 2021). Our society would not stand for one plane crash a day, yet often a place whose purpose is to heal hurts. Although humans are prone to error, it is essential to create policies, procedures, and phycological safety to increase safety when people seek healthcare. A facility that commits to embedding safety into policy and procedures and a culture of phycological safety are often referred to as a high-reliability organization (HRO).
Education and empowerment of staff are essential components of building physical safety. Haley & Fritz (2019) used a framework of education and empowerment to improve the rate of urinary tract infections (UTI) in a long-term care (LTC) facility. Haley & Fritz (2019) assessed that evidenced-based signs and symptoms were not consistently utilized in obtaining urine samples to diagnose UTIs. A culture of safety examination showed improvement that could be made. Education and empowerment were done to improve the signs and symptoms used to initiate obtaining a urine sample (Haley & Fritz, 2019). Phycological safety is a vital found.
The Good News, newsletter for June 2024 is hereNoHo FUMC
Our monthly newsletter is available to read online. We hope you will join us each Sunday in person for our worship service. Make sure to subscribe and follow us on YouTube and social media.
Lesson 9 - Resisting Temptation Along the Way.pptxCelso Napoleon
Lesson 9 - Resisting Temptation Along the Way
SBs – Sunday Bible School
Adult Bible Lessons 2nd quarter 2024 CPAD
MAGAZINE: THE CAREER THAT IS PROPOSED TO US: The Path of Salvation, Holiness and Perseverance to Reach Heaven
Commentator: Pastor Osiel Gomes
Presentation: Missionary Celso Napoleon
Renewed in Grace
The Chakra System in our body - A Portal to Interdimensional Consciousness.pptxBharat Technology
each chakra is studied in greater detail, several steps have been included to
strengthen your personal intention to open each chakra more fully. These are designed
to draw forth the highest benefit for your spiritual growth.
The Book of Joshua is the sixth book in the Hebrew Bible and the Old Testament, and is the first book of the Deuteronomistic history, the story of Israel from the conquest of Canaan to the Babylonian exile.
Homily: The Solemnity of the Most Holy Trinity Sunday 2024.docxJames Knipper
Countless volumes have been written trying to explain the mystery of three persons in one true God, leaving us to resort to metaphors such as the three-leaf clover to try to comprehend the Divinity. Many of us grew up with the quintessential pyramidal Trinity structure of God at the top and Son and Spirit in opposite corners. But what if we looked at this ‘mystery’ from a different perspective? What if we shifted our language of God as a being towards the concept of God as love? What if we focused more on the relationship within the Trinity versus the persons of the Trinity? What if stopped looking at God as a noun…and instead considered God as a verb? Check it out…
In Jude 17-23 Jude shifts from piling up examples of false teachers from the Old Testament to a series of practical exhortations that flow from apostolic instruction. He preserves for us what may well have been part of the apostolic catechism for the first generation of Christ-followers. In these instructions Jude exhorts the believer to deal with 3 different groups of people: scoffers who are "devoid of the Spirit", believers who have come under the influence of scoffers and believers who are so entrenched in false teaching that they need rescue and pose some real spiritual risk for the rescuer. In all of this Jude emphasizes Jesus' call to rescue straying sheep, leaving the 99 safely behind and pursuing the 1.
The PBHP DYC ~ Reflections on The Dhamma (English).pptxOH TEIK BIN
A PowerPoint Presentation based on the Dhamma Reflections for the PBHP DYC for the years 1993 – 2012. To motivate and inspire DYC members to keep on practicing the Dhamma and to do the meritorious deed of Dhammaduta work.
The texts are in English.
For the Video with audio narration, comments and texts in English, please check out the Link:
https://www.youtube.com/watch?v=zF2g_43NEa0
What Should be the Christian View of Anime?Joe Muraguri
We will learn what Anime is and see what a Christian should consider before watching anime movies? We will also learn a little bit of Shintoism religion and hentai (the craze of internet pornography today).
2. Topic for Quality Improvement
Disasters
Polluted Drinking Water
Staffing Shortages
3. Theories for Quality Improvement
• Focus on a concrete issue and use
baseline data
FADE Model
• Provides practical steps for
Microsystems designing/redesigning components
of the microsystem to perform
Model optimally in alignment with
guidelines and policies
4. Tools for Quality Improvement
Plan
Act Do
Study
People
Purpose Patients Patterns
Processes
5. Measurement for Quality Improvement
• What: hand washing
• How:
quantitative (numerical based e.g. amount of hand washing done,
effectiveness of hand washing and compliance from the staff
qualitative ( data that approximates and characterise)e.g
providing feedback based on the quantitative research
• Why; Know Impact on Diarrhea Incidence and Prevalence, to know if
Change Needed, Know Effect of Hand Washing Programs, Know Staff
Habit changes
• Impact; breached patient confidentiality, measuring techniques
questionable , perceived trust and temporary compliance
Measurement can tell us whether or not the hand washing
programs have increased the amount and quality of employee
hand washing and if the incidence and prevalence of diarrhea
cases in the hospital has decreased.
6. Exploitation Low level of risk if
Informed Consent proper measures taken
Breach of Simple measures
Confidentiality Potential for program
expansion and
modification
Duty to protect
patients from harm
dictates that action
must be taken
Cons Pros
7. Bartter, K.( 2001). Ethical Issues in advanced nursing practice. Edinburgh: Elsevier science limited.
Cleary, B. A. (1995). Supporting empowerment with Deming′s PDSA cycle. Empowerment in
Organizations, 3(2), 34-39. doi:10.1108/09684899510089310
The Canadian Encyclopedia. (2012). Medical ethics. Retrieved April 25, 2012, from
http://www.thecanadianencyclopedia.com/articles/medical-ethics
Duke Medical Center Department of Community and Family Medicine. (2005). Patient safety: Quality
improvement. Retrieved April 19, 2012, from
http://patientsafetyed.duhs.duke.edu/module_a/methods/fade.html
Harris, J. L., & Roussel, L. (2010). Initiating and sustaining the clinical nurse leader role: A practical guide.
Sudbury, MA: Jones and Bartlett.
Ludwick, R., & Silva, M.C. (2006). Ethics: What would you do? Ethics and infection control. Online Journal of
Issues in Nursing, 12(1), doi 10.3912/OJIN.Vol12No01EthCol01
Malm, H., May, T., Francis, L.P., Omer, S.B., Salmon, D.A., & Hood, R. (2008). Ethics, pandemics, and the duty to
treat. American Journal of Bioethics, 8(8), 4-19
Nelson, E. C., Batalden, P. B., & Lazar, J. S. (2007). Practice-based learning and improvement: A clinical
improvement action guide (2nd ed.). Oakbrook Terrace, Illinois: Joint Commission Resources.
Oxford University Press. (2008). A framework for ethical analysis. Retrieved April 25, 2012, from
http://fds.oup.com/www.oup.com/pdf/13/9780199214303.pdf
Oxford University Press. (2012). Oxford dictionary. Retrieved April 25, 2012, from
http://oxforddictionaries.com/definition/utilitarianism
Path. (2010). Keeping a focus on diarrheal disease control in Viet Nam. Retrieved April 18, 2012, from
http://healthmarketinnovations.org/sites/healthmarketinnovations.org/files/VAC_ddc_vietnam_fs[1].pdf
Rumbold, G.( 1999). Ethics in Nursing Practice. 3rd edition. Philadelphia: Elsevier limited
Stanford Encyclopedia of Philosophy. (2012). Virtue ethics. Retrieved April 25, 2012, from
http://plato.stanford.edu/entries/ethics-virtue/
To, K. G., Graves, N., Huynh, V. N., & Le, A. T. (2011). Structure of infection control and prevention in Cho Ray
hospital: An analysis of the current situation. International Journal of Infection Control, 8(1), 14-20.
doi:10.3396/ijic.v8i1.004.12
Wasson, J.H., Godfrey, M.M., Nelson, E.C., M, J.J., & Batalden, P.B. (2003). Microsystems in healthcare: Part 4.
Planning patient-centered care. Joint Commission Journal on Quality and Safety, 29(5), 227-237
Weber, J. R., & Kelley, J. (2011). Health assessment in nursing (4th ed.). Philadelphia: Lippincott Williams &
Wilkins.
8. Reviewed previous presentations and
summarized each
Utilized appropriate references from previous
presentations
9. Split the presentations between group
members
Combined each member’s summary into a
final presentation
Supported presenting member in preparation
Editor's Notes
The problem we chose to study was diarrhea outbreaks in Viet Nam with a specific focus on the post-disaster outbreaks where the medical system is extremely over-taxed. Diarrhea is an issue because of common and recurrent disasters such as typhoons and floods which lead to contaminated water suppliesPolluted drinking water and swampy conditions substantially increase the risk of cholera, diarrhea, dengue fever, and malaria outbreaks in Viet NamShortages of nursing staff and hospital beds due to inadequate funding in Viet Nam -> diarrheal patients being treated as outpatients and only a few can be hospitalised. ReferencesPath. (2010). Keeping a focus on diarrheal disease control in Viet Nam. Retrieved April 18, 2012, from http://healthmarketinnovations.org/sites/healthmarketinnovations.org/files/VAC_ddc_vietnam_fs[1].pdf
We chose two models to apply to the problem of controlling diarrhea outbreak in a Viet Nam hospital.FADE ModelMicrosystems ModelFADE ModelThe FADE model allows forfocus on a concrete issue (diarrhea post disaster) and use baseline data (how many cases of cholera -> diarrhea/ what are the rates of morbidity and mortality) to either:Improve care/implement careReduce errors that are leading to high rates or morbidity or mortalityMicrosystems ModelProvides practical steps for designing/redesigning components of the microsystem to perform optimally in alignment with guidelines and policies Places patient at the forefront using the four P’s: patients, people, processes, patternsReferencesDuke Medical Center Department of Community and Family Medicine. (2005). Patient safety: Quality improvement. Retrieved April 19, 2012, from http://patientsafetyed.duhs.duke.edu/module_a/methods/fade.htmlWasson, J.H., Godfrey, M.M., Nelson, E.C., M, J.J., & Batalden, P.B. (2003). Microsystems in healthcare: Part 4. Planning patient-centered care. Joint Commission Journal on Quality and Safety, 29(5), 227-237
We looked at both the PDSA and the 5 ‘s Microsystems tools to implement the hand washing program for quality improvement in Veitnam Hospitals in order to reduce the transmission of diarrhea. These tools were chosen as they best accounted for the patient focus and was appropriate for implementation in an under-developed medical system where statistical data will most likely not be available and trying to get such information may be too demanding on the current system. These two tools allowed for the primary use of qualitative data rather than a strict focus on quantitative data. The PDSA tool is very appropriate for staging the hand washing plan from development to review while the 5 P’s microsystem’s tool was more appropriate in the actual plan development process as it ensures that the many microsystems involved in a quality improvement program are engaged and accounted for. PDSAPlan:Increase ease, education and incentive to wash handsWhat is needed to accomplish this?Do:Staff education days, place hand wash stations at each bed, initiate infection control monitoring, implement incentive programStudy:Was an improvement seen? Were there less hospital acquired cases? Has the staff all received training?Act:Positive results = carry on with current action or add/tweak small portionsNegative results = new plan to attain goal5 P’s microsystem ToolPeople: NursesPatterns: Lack of compliance, lack of ease, incentive and monitoringProcesses: Hand washing, Staff monitoring, incentive measuresPurpose: Reduction of disease transmissionPatients: All under nurses’ care in hospitalReferencesCleary, B. A. (1995). Supporting empowerment with Deming′s PDSA cycle. Empowerment in Organizations, 3(2), 34-39. doi:10.1108/09684899510089310Nelson, E. C., Batalden, P. B., & Lazar, J. S. (2007). Practice-based learning and improvement: A clinical improvement action guide (2nd ed.). Oakbrook Terrace, Illinois: Joint Commission Resources.Cleary, B. A. (1995). Supporting empowerment with Deming′s PDSA cycle. Empowerment in Organizations, 3(2), 34-39. doi:10.1108/09684899510089310Nelson, E. C., Batalden, P. B., & Lazar, J. S. (2007). Practice-based learning and improvement: A clinical improvement action guide (2nd ed.). Oakbrook Terrace, Illinois: Joint Commission Resources.Harris, J. L., & Roussel, L. (2010). Initiating and sustaining the clinical nurse leader role: A practical guide. Sudbury, MA: Jones and Bartlett.PATH. (2010). Keeping a focus on diarrhea disease control in Viet Nam [PDF]. Retrieved from http://healthmarketinnovations.org/sites/healthmarketinnovations.org/files/VAC_ddc_vietnam_fs[1].pdfTo, K. G., Graves, N., Huynh, V. N., & Le, A. T. (2011). Structure of infection control and prevention in Cho Ray hospital: An analysis of the current situation. International Journal of Infection Control, 8(1), 14-20. doi:10.3396/ijic.v8i1.004.12Weber, J. R., & Kelley, J. (2011). Health assessment in nursing (4th ed.). Philadelphia: Lippincott Williams & Wilkins.
Our ethical conclusion was that our program had the capacity to adapt to the current situation of the Vietnamese hospitals in question and to take into account ethical issues or questions while still having a positive impact on the occurrence of hand washing and the incidence/prevalence of diarrhea.Some of the possible ethical issues we identified are exploitation, informed consent, confidentiality and appropriate to system. In all cases we were able to find ways to minimize the risks and thus rendering the program ethical to be implemented. Despite a constant level of risk existing, as is with all programs, there is also the duty of the health care community to keep patients safe and to do no harm. One way to fulfil this duty is to reduce the transmission of diarrhea through hand washing.ReferencesBartter, K.( 2001). Ethical Issues in advanced nursing practice. Edinburgh: Elsevier science limited.The Canadian Encyclopedia. (2012). Medical ethics. Retrieved April 25, 2012, from http://www.thecanadianencyclopedia.com/articles/medical-ethicsLudwick, R., & Silva, M.C. (2006). Ethics: What would you do? Ethics and infection control. Online Journal of Issues in Nursing, 12(1), doi 10.3912/OJIN.Vol12No01EthCol01Malm, H., May, T., Francis, L.P., Omer, S.B., Salmon, D.A., & Hood, R. (2008). Ethics, pandemics, and the duty to treat. American Journal of Bioethics, 8(8), 4-19Oxford University Press. (2008). A framework for ethical analysis. Retrieved April 25, 2012, from http://fds.oup.com/www.oup.com/pdf/13/9780199214303.pdfOxford University Press. (2012). Oxford dictionary. Retrieved April 25, 2012, from http://oxforddictionaries.com/definition/utilitarianismRumbold, G.( 1999). Ethics in Nursing Practice. 3rd edition. Philadelphia: Elsevier limitedStanford Encyclopedia of Philosophy. (2012). Virtue ethics. Retrieved April 25, 2012, from http://plato.stanford.edu/entries/ethics-virtue/
