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.
An electronic health record (EHR) is a collection of patient’s electronically-stored health information in a digital and systematic format. EHR system can store data accurately.
University of Texas at Austin Health Information Technology Poster Presentation.
Facilitating Improvements in the System of Care for Heart Attack Patients using Health Information Technology
Computerized physician order entry (CPOE), sometimes referred to as computerized provider order entry or computerized provider order management (CPOM), is a process of electronic entry of medical practitioner instructions for the treatment of patients (particularly hospitalized patients) under his or her care.
CPOE - Computerized Physician Order EntryKristie Brown
CPOE is now a requirement for ARRA. This talks about the items that need to be focused on for CPOE implementations. It is geared towards MEDITECH, but the ideas can be used for any EMR system. Check out the excelhcg youtube channel for a video presentation.
In this presentation, you’ll learn all about electronic health records (EHRs), what types of data they can store, what their benefits are and why they are needed for achieving Meaningful Use.
Looking for more info? The last slide has a list of resources for you to continue learning about EHRs.
An electronic health record (EHR) is a collection of patient’s electronically-stored health information in a digital and systematic format. EHR system can store data accurately.
University of Texas at Austin Health Information Technology Poster Presentation.
Facilitating Improvements in the System of Care for Heart Attack Patients using Health Information Technology
Computerized physician order entry (CPOE), sometimes referred to as computerized provider order entry or computerized provider order management (CPOM), is a process of electronic entry of medical practitioner instructions for the treatment of patients (particularly hospitalized patients) under his or her care.
CPOE - Computerized Physician Order EntryKristie Brown
CPOE is now a requirement for ARRA. This talks about the items that need to be focused on for CPOE implementations. It is geared towards MEDITECH, but the ideas can be used for any EMR system. Check out the excelhcg youtube channel for a video presentation.
In this presentation, you’ll learn all about electronic health records (EHRs), what types of data they can store, what their benefits are and why they are needed for achieving Meaningful Use.
Looking for more info? The last slide has a list of resources for you to continue learning about EHRs.
Learn more about Patient Reported Outcome Measures (PROMS) and how this information supports better care.
This presentation was delivered at EHI Live 2013.
Prof Devlin discusses the rationale for the PROMs programme and provides an overview of the various uses of the EQ-5D in England—for example by NICE in health technology assessment, in population surveys and in the English NHS PROMS program. The presentation also reviews how EQ-5D data are collected, analysed and used in the UK to inform decisions by health care providers, payers and patients.
Making the most of your PROM data, pop up uni, 10am, 2 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
This is the HSCIC's draft five-year strategy. A consultation is now open, until February 27th, to gather your feedback. Please have your say and help to shape our future. http://bit.ly/16o8zfk
The specialized industry of collecting electronic patient-reported outcomes is increasing linearly, in part because global government regulators want to hear directly from the patient, and because the acceleration and availability of electronic collection (vs. paper collection) improves data quality and efficiencies for data analysis and trial management. This document will review the ePRO market, and outline the five ePRO methods what successfully support the collection of patient-reported data
Patient activation: New insights into the role of patients in self-managementMS Trust
This presentation by Helen Gilburt, Fellow at The King's Fund, looks at why some people are active at managing their health while others are quite passive, and how levels of patient activation impact on health outcomes.
It was presented at the MS Trust Annual Conference in November 2014.
An Introduction Patient Reported Outcome Measures (PROMS)Keith Meadows
An introduction to the key concepts of patient Reported Outcome Measures, including reliability and validity, generic versus disease specific,selection criteria and their adaptation for different cultural groups.
Abstract
To assess the patient satisfaction level in emergency
department of a level 1Trauma Centre in India.
Shallu Chauhan, Dr.Deepak AgrawaL.
JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi-110029, India
Introduction
Patient satisfaction is an important indicator of the quality of care and service delivery in the
emergency department (ED). The objective of this study was to evaluate patient satisfaction
level in the E.D. of a level 1 Trauma Centre,AIIMS,New Delhi.To determine the effects of
actual waiting time,perception of waiting time,information delivery and expressive quality on
patient satisfaction.
Methods
This study was carried out for 2 months during all shifts mostly for those patients who triaged
as green.We made two groups:1) control group{ not explained anything to the patient} and
2) test group{patient explained for time management & treatment}. Patients/relatives were
asked to complete the questionnaire prior to discharge. For the first month, eight questions
were based on descripitve information were distributed to the control group { questions
including explanation of procedures to the patient,communication of staffs,problems faced
by patient/relatives, and overall patient satisfaction level}.Then, following second month
another study questionnaire included 11 questions based on a Likert scale concerning
waiting time{ie,overall time management,waiting for X-ray or C.T,scan,review by doctor, for
discharge & treatment},promptness & behaviour of staff and cleaniness of hospital given to
the test group.
Observation
Ninety patients who attended our ED were included in this study.The perception that waiting
times for placebo injection & T/t were less than expected was associated with a positive
overall satisfaction rating for the ED encounter[p is 0.033] as compared to actual waiting
time.Actual waiting time were not predictive of overall patient satisfaction. The highest
satisfaction rates were observed in cleaniness of hospital in both the groups and most of them
rated it as very good. For overall treatment, in control group 34% rated as poor & fair and
67% rated as good and very good,whereas in test group only 22% rated as poor and fair
but78% rated as very good and excellent.At the same time,both the groups were rated as
good for overall time management but they were not satisfy with the time taken by doctor
to review the reports and 33% rated as fair in control group and 22% rated as fair in test
goup.The assigned waiting time for particular physician to review a report was 60minutes
but average time taken to consult a particular physician was >60mins which mostly occur
in control group.The overall satisfaction rate was dependent on the mean waiting time. The
highest waiting time for a low rate of satisfaction of patient was 180minutes and for very
good level of satisfaction was just 15minutes. In control group,30% and 17% of patients
rated as fair and poor
patient safety and staff Management system ppt.pptxanjalatchi
Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities. It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
patient safety and staff Management system ppt.pptxanjalatchi
What is Patient Safety? Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities. It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
Chapter 9 Patient Safety, Quality and ValueHarry Burke MD P.docxmccormicknadine86
Chapter 9: Patient Safety, Quality and Value
Harry Burke MD PhD
Learning Objectives
After reviewing the presentation, viewers should be able to:
Define safety, quality, near miss, and unsafe action
List the safety and quality factors that justified the clinical implementation of electronic health record systems
Discuss three reasons why the electronic health record is central to safety, quality, and value
List three issues that clinicians have with the current electronic health record systems and discuss how these problems affect safety and quality
Describe a specific electronic patient safety measurement system and a specific electronic safety reporting system
Describe two integrated clinical decision support systems and discuss how they may improve safety and quality
Patient Safety-Related Definitions
Safety: minimization of the risk and occurrence of patient harm events
Harm: inappropriate or avoidable psychological or physical injury to patient and/or family
Adverse Events: “an injury resulting from a medical intervention”
Preventable Adverse Events: “errors that result in an adverse event that are preventable”
Overuse: “the delivery of care of little or no value” e.g. widespread use of antibiotics for viral infections
Underuse: “the failure to deliver appropriate care” e.g. vaccines or cancer screening
Misuse: “the use of certain services in situations where they are not clinically indicated” e.g. MRI for routine low back pain
Introduction
Medical errors are unfortunately common in healthcare, in spite of sophisticated hospitals and well trained clinicians
Often it is breakdowns in protocol and communication, and not individual errors
Technology has potential to reduce medical errors (particularly medication errors) by:
Improving communication between physicians and patients
Improving clinical decision support
Decreasing diagnostic errors
Unfortunately, technology also has the potential to create unique new errors that cause harm
Medical Errors
Errors can be related to diagnosis, treatment and preventive care. Furthermore, medical errors can be errors of commission or omission and fortunately not all errors result in an injury and not all medical errors are preventable
Most common outpatient errors:
Prescribing medications
Getting the correct laboratory test for the correct patient at the correct time
Filing system errors
Dispensing medications and responding to abnormal test results
5
While many would argue that treatment errors are the most common category of medical errors, diagnostic errors accounted for the largest percentage of malpractice claims, surpassing treatment errors in one study
Diagnostic errors can result from missed, wrong or delayed diagnoses and are more likely in the outpatient setting. This is somewhat surprising given the fact that US physicians tend to practice “defensive medicine”
Over-diagnosis may also cause medical errors but this has been less ...
Chapter 9 Patient Safety, Quality and ValueHarry Burke MD P.docxtiffanyd4
Chapter 9: Patient Safety, Quality and Value
Harry Burke MD PhD
Learning Objectives
After reviewing the presentation, viewers should be able to:
Define safety, quality, near miss, and unsafe action
List the safety and quality factors that justified the clinical implementation of electronic health record systems
Discuss three reasons why the electronic health record is central to safety, quality, and value
List three issues that clinicians have with the current electronic health record systems and discuss how these problems affect safety and quality
Describe a specific electronic patient safety measurement system and a specific electronic safety reporting system
Describe two integrated clinical decision support systems and discuss how they may improve safety and quality
Patient Safety-Related Definitions
Safety: minimization of the risk and occurrence of patient harm events
Harm: inappropriate or avoidable psychological or physical injury to patient and/or family
Adverse Events: “an injury resulting from a medical intervention”
Preventable Adverse Events: “errors that result in an adverse event that are preventable”
Overuse: “the delivery of care of little or no value” e.g. widespread use of antibiotics for viral infections
Underuse: “the failure to deliver appropriate care” e.g. vaccines or cancer screening
Misuse: “the use of certain services in situations where they are not clinically indicated” e.g. MRI for routine low back pain
Introduction
Medical errors are unfortunately common in healthcare, in spite of sophisticated hospitals and well trained clinicians
Often it is breakdowns in protocol and communication, and not individual errors
Technology has potential to reduce medical errors (particularly medication errors) by:
Improving communication between physicians and patients
Improving clinical decision support
Decreasing diagnostic errors
Unfortunately, technology also has the potential to create unique new errors that cause harm
Medical Errors
Errors can be related to diagnosis, treatment and preventive care. Furthermore, medical errors can be errors of commission or omission and fortunately not all errors result in an injury and not all medical errors are preventable
Most common outpatient errors:
Prescribing medications
Getting the correct laboratory test for the correct patient at the correct time
Filing system errors
Dispensing medications and responding to abnormal test results
5
While many would argue that treatment errors are the most common category of medical errors, diagnostic errors accounted for the largest percentage of malpractice claims, surpassing treatment errors in one study
Diagnostic errors can result from missed, wrong or delayed diagnoses and are more likely in the outpatient setting. This is somewhat surprising given the fact that US physicians tend to practice “defensive medicine”
Over-diagnosis may also cause medical errors but this has been less.
[Type here]Rasmussen University Be sure all outside soTatianaMajor22
[Type here]
Rasmussen University
Be sure all outside sources are cited using current APA style.
Write from nursing perspective
In text citation
Three references
Used the medical diagnosis (gestational diabetes) by giving their pathophysiology, causes, risk factors, signs and symptom/clinical, complication, and treatment and fill all the concept map below
CONCEPT MAP
Pathophysiology – (to the cellular level)
Medical Diagnosis
Preterm Labor
Signs & Symptoms/Clinical Manifestations (all data subjective and objective: labs, radiology, all diagnostic studies) (What symptoms does your client present with?)
Complications
Treatment (Medical, medications, intervention and supportive)
Causes/Risk Factors (chemical, environmental, psychological, physiological and genetic)
.
REMEMBER THAT THE EXPECTED OUTCOMES MUST BE MEASURABLE. THE INTERVENTIONS ARE WHAT YOU DO TO ASSURE THE OUTCOME AND THE CLIENT’S RESPONSE IS SPECIFICALLY HER RESPONSE.
PLAN OF CARE:Use your top two priorities
NANDA NURSING DIAGNOSIS use NANDA definition
Expected outcomes of care (Goals)
Interventions
Patient response
Goal evaluation
NRS DX:
Problem Statement:
R/T: (What is the cause of the symptom)
Manifested by: (Specific symptoms)
Short term goal: Create a SMART goal that relates to hospital stay/shift/day.
Long term goal: Create a SMART goal that is appropriate for discharge.
This is specific to the patient that you are caring for. A list of planned actions that will assist the patient to achieve the desired goal. (i.e. obtain foods that the patient can eat/ likes)
Interventions for short-term goal:
1.
2.
3.
Interventions for long term goal:
1.
2.
3.
Identify what the patients response or “outcome is to the goal or care that you have provided. i.e. patient ate 45% of lunch)
Reassess for short-term goal:
1.
2.
3.
Reassess for long-term goal:
1.
2.
3.
Was it met or not met there is no partially met.
Summer 2021 JM 9
[Type here]
Be sure all outside sources are cited using current APA style.
Write from
nursing
perspective
In text citation
Three references
Used the medical diagnosis
(gestational
diabetes)
by giving their pathophysiology, causes, risk factors, signs and
symptom/clinical, complication, and treatment
and
fill all the concept map
below
CON
CEPT MAP
Pathophysiology
–
(to the cellular level)
Medical Diagnosis
Preterm Labor
Signs &
Symptoms/
Clinical
Manifestations
(all data subjective
and objective: labs, radiology, all
diagnostic
studies) (
What symptoms
does your client present with?)
Complications
Treatment
(Medical, medications,
intervention and supportive)
Causes/
Risk Facto
rs
(chemical,
environmental, psychological, physiological
and genetic
)
[Type here]
Be sure all outside sources are cited using current APA style.
Write from nursi ...
November 1999I N S T I T U T E O F M E D I C I N E S.docxIlonaThornburg83
November 1999
I N S T I T U T E O F M E D I C I N E
Shaping the Future for Health
TO ERR IS HUMAN:
BUILDING A SAFER HEALTH SYSTEM
Health care in the United States is not as safe as it should be--and can be. At least 44,000 people, and perhaps as many as 98,000 people, die in hospitals each year as a result of medical errors that could have
been prevented, according to estimates from two major studies. Even using
the lower estimate, preventable medical errors in hospitals exceed attributable
deaths to such feared threats as motor-vehicle wrecks, breast cancer, and
AIDS.
Medical errors can be defined as the failure of a planned action to be
completed as intended or the use of a wrong plan to achieve an aim. Among
the problems that commonly occur during the course of providing health care
are adverse drug events and improper transfusions, surgical injuries and
wrong-site surgery, suicides, restraint-related injuries or death, falls, burns,
pressure ulcers, and mistaken patient identities. High error rates with serious
consequences are most likely to occur in intensive care units, operating rooms,
and emergency departments.
Beyond their cost in human lives, preventable medical errors exact
other significant tolls. They have been estimated to result in total costs (in
cluding the expense of additional care necessitated by the errors, lost income
and household productivity, and disability) of between $17 billion and $29
billion per year in hospitals nationwide. Errors also are costly in terms of loss
of trust in the health care system by patients and diminished satisfaction by
both patients and health professionals. Patients who experience a long hospi
tal stay or disability as a result of errors pay with physical and psychological
discomfort. Health professionals pay with loss of morale and frustration at
not being able to provide the best care possible. Society bears the cost of er
rors as well, in terms of lost worker productivity, reduced school attendance
by children, and lower levels of population health status.
A variety of factors have contributed to the nation’s epidemic of medi
cal errors. One oft-cited problem arises from the decentralized and frag
mented nature of the health care delivery system--or “nonsystem,” to some
observers. When patients see multiple providers in different settings, none of
whom has access to complete information, it becomes easier for things to go
Errors…are costly
in terms of loss of
trust in the health
care system by pa
tients and dimin
ished satisfaction
by both patients
and health profes
sionals.
Types of Errors
Diagnostic
Error or delay in diagnosis
Failure to employ indicated tests
Use of outmoded tests or therapy
Failure to act on results of monitoring or testing
Treatment
Error in the performance of an operation, procedure, or test
Error in administering the treatment
Error in the dose or method of using a drug
Avoidable delay in treatmen.
Current Situation of Medical ErrorsPrepared byAsOllieShoresna
Current Situation of Medical Errors
Prepared by Asma Alshammari Alhanoof Alaniz Teflah Ali Mai Alrweeli Munyfaa Aldhafeeri Norah Almoteri
Introduction
Health care processes are increasingly being implicated in causing harm to patients. Medical errors and adverse events are primarily responsible for this harm. These errors, which may occur at every level of the custom are both common and diverse in nature.
Medical errors can occur anywhere in the health care system in hospitals, clinics, surgery centers, doctors' offices, nursing homes, pharmacies, and patients' homes and can have serious consequences. Errors can involve medicines, surgery, diagnosis, equipment, or lab reports.
Medical errors represent a serious public health problem and pose a threat to patient safety. As health care institutions establish “error” as a clinical and research priority, the answer to perhaps the most fundamental question remains elusive: What is a medical error? To reduce medical error, accurate measurements of its incidence, based on clear and consistent definitions, are essential prerequisites for effective action.
Despite a growing body of literature and research on error in medicine, few studies have defined or measured “medical error” directly. Instead, researchers have adopted surrogate measures of error that largely depend on adverse patient outcomes or injury (i.e., are outcome-dependent).
A lack of standardized nomenclature and the use of multiple and overlapping definitions of medical error have hindered data synthesis, analysis, collaborative work and evaluation of the impact of changes in health care delivery.
Medical error is defined as “failure of a planned action to be completed as intended or use of a wrong plan to achieve an aim”. A medical error is a threat to patient safety and has a negative effect on health as well.
Definition of Medical Error
Medical error the term “error” has been variously defined. The Oxford Dictionary of Current English (1998) defines it as “mistake” or the condition of being morally “wrong”. Error has also been defined in a wider context as the failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim (Reason, 1990). Although the definition of “error” has its origins in behavioral psychology, the term is appropriate for medical usage. Using Reason's definition, IOM has tried to separate medical error into two parts (Kohn et al., 2000): the first half of the definition constitutes “error of execution” and the latter half, “error of planning.” In this context, two other related terms, “adverse event” and “patient safety.” Bates et al. (1997) defined adverse events as injuries that result from medical management, rather than from the underlying disease. Patient safety, as defined by IOM, is freedom from accidental injury (Kohn et al., 2000). All three terms, “medical error,” “adverse event,” and “patient safety” complement one another.
Type ...
Respond to at least two of your colleagues offering additionalal.docxaudeleypearl
Respond to at least two of your colleagues* offering additional/alternative ideas regarding opportunities and risks related to the observations shared.
Eliverta
Discussion - Week 6
Top of Form
Electronic Health Record (EHR) is continuing to evolve in today’s medical facilities. The American Recovery and Reinvestment Act mandated health organizations to transition to Electronic Medical Records (EMR) by January 1, 2014 in order to maintain Medicaid and Medicare reimbursement (USF Health, 2019). For this week’s discussion I will reflect on the module resources on digital information tools and technologies. I will discuss the healthcare technologies used in the health organization I work for. Lastly, I will reflect on any possible health technologies and the impact it has on nursing practice and healthcare delivery.
The health organization I work for switched to EPIC software for EMR two years ago. EPIC is user friendly for nurses as well as patients. EPIC corresponds to MyChart giving patients access to on their medical records (MyChart, 2019). I work in outpatient Endoscopy clinic where part of patient After Visit Summary (AVS) we educate patients on the use of MyChart and provide them with a code so they can access MyChart from home. Patients can access their medical records, and view lab results, make appointments, communicate with their provider, and pay their medical bills with MyChart (2019). ProVation is another form of technology used in the facility I work for. ProVation is used by the physicians where they document the Endoscopy procedure outcomes and results noted by the physician (ProVation, 2019). The physicians can document their findings as well as list out orders or management solutions for the patients (ProVation, 2019).
EHR has made it possible for nurses to provide efficient patient care as it has given us the ability to share patient information with other providers and health care organization departments, such as pharmacy, laboratory, etc (HealthIT, 2018). Patient care and experiences are improving because patients are being included in their care and they can make decisions in the plan of care. Having quick access to medical records and information results in increased patient satisfactions. Also, by combining patient portals inpatient healthcare facilities has resulted in a decrease of medical errors and adverse events (Dyes et al, 2017).
EHR poses a list of challenges with the main one being security safety. Web-based technology does put us at increased risk of breach of information by hackers. It can also be challenging for individuals to navigate web-based health technology, resulting in decreased patient satisfaction. Our older population is reluctant when it comes to using technology, they prefer paper written information. Documentation errors are associated with improper utilization, due to insufficient training (David, 2017).
In conclusion, EHR comes with many benefits as well as challenges. It has improved qu ...
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
2.
Evaluating health status
Patient reported outcomes
Patient safety
Preventing medical errors
Technology and its impact on patient safety
and patient care
Introduction
3.
In order to improve patient safety, evaluation
process of some kind needs to exist.
EHR is enabling the US Health Care system to
monitor patient safety more accurately.
EHR allows monitoring of all patients in real time.
Chronic Disease Management: patients who comply
with prescribed medications are typically healthier.
This is where data collection, data sharing, and data
analysis come in.
Evaluating Health Status
4.
Human error is inevitable, i.e. to err is human,
and poses risks to patient safety.
US Medical Health Care System: medical error
estimated 98,000 deaths and $38 billion per year.
Human error is based on cognition, and thus is
predictable.
If we can predict risks for human error, health
systems can be designed to minimize risk for
human error.
Patient Safety
5.
Most cases of errors are not willful negligence, rather
systemic flaws, lack of communication, patient
ignorance.
One unintentional error is unfortunate. But, repeated
error is a crime.
Error
6.
Illegible writing prescription by doctors.
Wrong medicine or wrong dose, wrong route of
administration.
Drip sets, iatrogenic fluid overload.
Poor handing over of patients “sign-out” during
shift change.
Healthcare staff exhaustion.
Sources of Error in
Health Care Setting
7.
Adverse Health Care Event
Adverse Drug Reaction
Medication Error
Sentinel Event: Surgery on wrong body part,
surgery on wrong patient, patients receiving wrong
medication.
Healthcare Near Miss: Situation in which an event
or omission arising during clinical care fails to
develop further, thus preventing injury.
Different Types of
Errors
8.
Airline industry has very little room for error, as a
result
Voluntary (without jeopardy) reporting of error
culture.
Recurring statutory examinations.
Systems development.
Safety analysis of data.
Acceptance that mistakes will be made.
Teamwork mentality.
Airline Industry Safety
Lessons
9.
Morbidity and Mortality Conferences: held in all
specialties in all hospitals around the world. Focused
not on blame, but on prevention and identification of
why the error happened. Focused on systems
prevention.
Important to cultivate a culture of open
communication in the hospital and less on blame so
as to facilitate every error recognition and ultimately
solution to improve patient safety.
Importance of Reporting
and Learning
10.
Design system to prevent errors
Design procedures to make error visible when they
occur so the error may be stopped.
Design procedures for mitigating the adverse effects
of errors when they do occur or could not be
intercepted.
Strategies for Design of
Safe Systems of Care
11.
Encouraging team work mentality and speaking up
freely when an error is observed.
Double checking such as when a prescription is
ordered by a pharmacist or nurse.
EMR automated checks for allergy and prescribed
medication ordered.
Education of patients and creating a safe
environment where questions by patients can be
asked and answered.
Preventing Errors
13.
Errors cannot be reduced to zero, thus, need to know
how to mitigate errors to avoid catastrophic results.
Ex: Antidote drugs available if an error resulted in
overdose of drug.
Mitigating Errors
14.
Reduce complexity: reduce steps in task, number of choices,
duration of execution, distracting tasks.
Optimize information processing: reduce reliance of memory
or preserve short term memory for essential tasks by utilizing
checklists, protocols , etc.
Automate wisely: use technology to support not supplant the
human operator.
Use constraints: restrict actions, such as informed consents,
computer order systems that prevent abnormally high doses of
medication from being ordered.
Mitigate the unwanted side effects of change: time during
learning curve for a new procedure/equipment exits, during
which harm and error are increased – take precautions.
Tactics
15.
A lot of emphasis on EMR to avoid medical error. But,
can too much hope be placed on a computer to avoid
medical error?
Do protocols apply to every individual in the same way?
What about faulty programming and technical
dysfunctions?
Some argue that new mistakes may be generated by
utilizing computerized systems to prevent medical errors.
Important to be aware of computer system limitations in
healthcare to prevent these mistakes from happening.
Information Technology
and Healthcare
16.
Study found that length/maturity of hospital quality
improvement system correlates with better patient
outcomes.
Promising results that with time, adjustments will be
made and patient safety will improve as a result of
recent changes to the US healthcare system.
As these changes are being made, evaluation of
changes and health programs is crucial in adjusting,
changing, or stopping certain changes.
Conclusion
17.
1. Nolan, T.W. (2000). System changes to improve patient safety. British
Medical Journal, 320, 771- 773.
2. Ash, J.S., Berg, M., & Coiera, E. (2004). Some unintended consequences of
information technology in health care: The nature of patient care
information system-related errors. Journal of the American Medical
Informatics Association, 11, 104-112.
3. Wiedemann, L.A. (2012). A look at unintended consequences of EHRs: the
industry needs to focus on building EHRs that decrease medical errors
and enhance patient care. Health Management Technology, 33(2), 24-25.
4. Groene, O., Mora, N., Thompson, A., Saez, M., Casas, M., & Sunol, R.
(2011). Is the maturity of hospitals’ quality improvement systems
associated with measures of quality & patient safety? BMC Health
Services Research, 11, 344.
5. Davis, A.M. (2011). Teaching quality and cost in the tumultuous era of
health care reform. Perspectives in Biology and Medicine, 54(2), 256-266.
6. Maynard, A., & McDaid, D. (2003). Evaluating health interventions:
exploiting the potential. Health Policy, 63, 215-226.
Referecnes