Thursday, December 26, 2019

Team Performance Improve Patient Safety and Quality Essay

Outline I. Background II. Literature Review III. Nursing Implications IV. Strategies to Address Issue V. Conclusion Background A culture of safety requires the commitment of leadership to positively impact outcomes. Recent emphasis on the new CMS guidelines and third party reimbursement initiatives associated with patient outcomes, has grabbed the attention of leadership at all healthcare organizations. Additionally, our system wide organization’s employee culture of safety survey has shown that communication and teamwork are areas were improvements are needed. Years of research on communication and teamwork in highly reliable organizations support a correlation with safety. (XX) One of the most important and highly†¦show more content†¦Application of these same principles in healthcare, have been identified as a strong means to mitigating adverse events and negative outcomes. Creating team oriented culture as an approach to patient care can effectively strengthen the goal for enhancing communication and ultimately lead to positive safety and quality outcomes. (XXX) The goal for our organization is to systematically implement a formal team program beginning with training trainers and then implementing the program starting with the high risk areas and proceeding to all patient care environments. The high-risk environments will include Perioperative, Operative, ICU, ED and Obstetrics, with one area selected to pilot. The programs to be utilized will be TeamStepps and Team Performance Plus. Literature Review A search through MEDLINE, and PubMED, with the search terms, teamwork, quality, safety, TeamStepps, collaborative work, communication and interdisciplinary action. Initially I used the years 1999-2013, which provided more than a thousand of articles. This was narrowed with inclusion criteria of the dates 2005-2013, in acute care, full text, and written in English, which produced greater than 400 articles. Further screening with the assistance of the facility librarian, for the purpose of thisShow MoreRelatedTeam Performance And Patient Safety Initiatives1305 Words   |  6 PagesTeam Performance and Patient Safety Initiatives Patient safety and quality care is the center of every health care provider’s initiatives. According to the Institute of Medicine (IOM) report â€Å"To Err is Human†, adverse events and medical errors happen at an alarming rate with approximately 400,000 deaths a year (Epps Levin, 2015). An evidence-based practice, team strategies and tools to enhance performance and patient safety (TeamSTEPPS), is a comprehensive program that brings staff together toRead MoreEvaluation Of Beaumont Hospital s Risk Management1106 Words   |  5 Pagesobjective of Beaumont Hospital is to provide high quality, efficient, accessible services, in a caring environment for Southeastern Michigan residents. Beaumont Hospital believes that patient safety is just as important as medical progression. Therefore, Beaumont Hospital’s risk management program consists of identifying hazard associated risks, controlling risks, and monitoring the effectiveness of procedures/practices. Risk is a part of patient care and services because everything doesn’t alwaysRead MorePreventing Errors, Training And Track And Reduce Risks1567 Words   |  7 Pagesprevent errors, training to improve safety and track and reduce risks to patient were low with a score of 14.55/40 and 80/129. The preventive measures to reduce infection for handwashing was 30/30 and steps to prevent ventilator problem was 11.67/20. Communication in order to prevent medication errors was 35/35. The hospital has a Never Events policy, in the event of errors or adverse event the hospital takes responsibility to apologize to patient, report to external agency, perform a root causeRead MoreBenchmarking Process Implementation Of Measuring Products, Services And / Or Practices Against Competition1435 Words   |  6 Pageswhich are similar and considered having best quality performance. Based on the data collected from Amerinet, a healthcare solutions organization and one of the biggest healthcare group purchasing organizations in US; organizations that perform benchmarking process have created a competitive environment by promoting improvement and growth, decreased financial burden by 3% along with enhanced caseload by 10% and most importantly reduced waiting times of patients by 350%. This benchmarking process followRead MoreOrganizational Culture And Leadership Assessment933 Words   |  4 Pagesis the fifth largest hospital in Florida. The hospital’s mission core is on the Quality- caring Model and the value it places on human relationship. Additionally, the hospital’s promise of integrity with the professional standards as a commitment to deliver excellence to the community (intranet citing). The hospital leadership outcome approach is through encouragement, relationship, goal orientation, engagement, patients and staff satisfaction, and adaptati on to changes. The organization takes prideRead MoreThe Quality Of Health Care844 Words   |  4 PagesThe quality of health care is one of the agenda in the health care system due to the dramatic transformation of health care system accompanied by new organizational structure and reimbursement strategies (Chuan, 2003). Quality is the degree to which services for individuals and populations increase the likely hood of desired health outcome and are consistent with current professional knowledge (Powell, 2008). Clinical indicators help to monitor the health care quality and it is related to structureRead MoreAssess The Planning For Accreditation1070 Words   |  5 PagesHospitals are on continuous mission for quality improvement; utilizing new technology, techniques, and research on what works and what does not, as well as persistently training new personnel and meeting the needs of patients. Still, hospitals are devoted to quality improvement but follow different courses, which su pport increasing observance to treatment etiquette and improve patient outcomes. Hospitals make the most of different approaches and models of quality improvement, such as the use of LeanRead MoreDefinition Of Health Care Quality1657 Words   |  7 PagesThe definition of health care quality has changed significantly over the years. Depending on who is asked (doctor, patient, nurse etc.), the definition can vary; however there are always some similarities. There are two definitions expressed by the National Committee for Quality Assurance (NCQA) that I believe adequately express my view on health care quality. One definition is from the Institute of Medicine that states health care quality is â€Å"safe, effective, patient-centered, timely, efficient andRead Morecost and quality analysis842 Words   |  4 Pagesï » ¿ Cost and Quality Analysis: Agency for Healthcare Research and Quality Commonwealth Fund Paul Hamel Grand Canyon University: NUR 508 Dr. Forester February 27, 2013 Presently, cost and quality in health care are both indicators that are benchmarked in determining best healthcare practice. Two organizations both work towards meeting these objectives in healthcare, The Agency for Healthcare Research and Quality (AHRQ), a public agency and the Commonwealth FundRead MoreRoot Cause Analysis And Rca1597 Words   |  7 PagesA. Root Cause Analysis or RCA Root Cause analysis is an effective tool used both reactively, to investigate an adverse event that already has occurred, and proactively, to analyze and improve processes and systems before they break down. Roost cause analysis helps dissolve the problem, not just the symptoms. In health care, it is important to analyze the root cause because: (1) deficiencies and weaknesses in the system can lead to human errors (2) evidence shows that in organizations with high

Wednesday, December 18, 2019

The First Recorded Dolphin Drive Occurred Between 1936 And...

In 1933, the finding of the first recorded dolphin drive occurred between 1936 and 1944. According to the ‘History of Taiji’ these hunts in 1969 were being led in a larger scale, this commencing what influenced the Taiji hunts that are happening today. The main aims of these hunts were to capture pilot whales to be ‘initiated’ as prized attractions for the Taiji Whale Museum. Thus, the dolphin drive was purely for profit, having nothing to do with cultural history. As some local fishermen might claim (Whiting, 2014, para. 6). Taiji is a town in Japan that has become notoriously known for it’s annual dolphin hunting drive held between the months of September until March. During these gruelling 7 months, dolphins are either slaughtered for their meat or taken to captivity where they will spend their lives performing tricks for little to no amounts of food. But alas, as the world views these as a form of animal cruelty and unjust behaviour, community me mbers of Taiji view the hunting’s as a long held tradition. The so-called ‘fisherman’ (a select few) work in unison with wildlife park trainers who would inspect the dolphins personally and chose the one’s that are ‘pretty’ and are able to follow given directions for certain tricks to live their lives in captivity. Which subsequently is just as much as the same fate as their fellow porpoises. The hunters use specific ‘equipment’ when dealing with these animals, banger poles are used to strike against the boat to drive the

Tuesday, December 10, 2019

Truman Line free essay sample

This source was a cartoon published in Punch, a satirical British magazine, so therefore this source would have been over-exaggerated to make to poke fun at the situation but not meant to be taken very seriously. Also as it is British, they would want to support the US in this context as they are an ally of theirs and received the most help from the Marshall Aid and Truman Doctrine.It was also written in 1947 around the time of the Marshall plan for educated people who would read this magazine, so its purpose would have most likely been to re-assure the people that Western Europe is being defended from communism. This source depicts Truman hammering down a line of dollars to defend Western Europe from communism as there are stormy clouds coming from Eastern Europe, showing the takeover of communism.Also in the Truman doctrine, the main aim was to defend Western Europe with American dollars as they instilled a policy of containment, meaning that communism would not spread and remain w ithin its existing boundaries. We will write a custom essay sample on Truman Line or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page To do this, the congress granted $400 million to support Greece and Turkey as Turkey was in charge of the Dardanelles and if they came under the influence of the USSR Greece would be surrounded by communism and fall too – this is a domino effect which was prevented in 1949. However when it comes to the Marshall Plan one may say that that was his main aim. This is because the aim of the Marshall Plan was to help restore normal economic activity in Europe so that they would not turn to communism for help in desperate measures. To do this the congress granted $13 billion to aid fuel, raw materials, goods, loans and food, machinery and advisers. Therefore I agree with this source as by using US dollars Truman was able to defend Western Europe from communism as they did not turn to the USSR for help and managed to jump start their economies.Furthermore the only way Truman defended Western Europe against communism with the Truman Doctrine was with American dollars as if they did not use American arms and money, Britain could not have stayed in the Greek civil war and they could not help Turkey. If turkey had been surrounded so would have Greece and a domino effect would have taken place so the USSR could take over Europe. If it wasn’t for the US dollar s Truman would have been able to defend Western Europe.

Monday, December 2, 2019

Science And Inventions Essays - Giftedness, Renaissance Painters

Science And Inventions Leonardo Da Vinci is one of the greatest and most ingenious men that history has produced. His contributions in the areas of art, science, and humanity are still among the most important that a single man has put forth, definitely making his a life worth knowing. Da Vinci, born on April 15, 1452, is credited with being a master painter, sculptor, architect, musician, engineer, and scientist. He was born an illegitimate child to Catherina, a peasant girl. His father was Ser Piero da Vinci, a public notary for the city of Florence, Italy. For the first four years of his life he lived with his mother in the small village of Vinci, directly outside of the great center of the Renaissance, Florence. Catherina was a poor woman, with possible artistic talent, the genetic basis of Leonardos talents. Upon the realization of Leonardos potential, his father took the boy to live with him and his wife in Florence (Why did). This was the start of the boys education and his quest for knowledge. Leon ardo was recognized by many to be a Renaissance child because of his many talents. As a boy, Leonardo was described as being handsome, strong, and agile. He had keen powers of observation, an imagination, and the ability to detach himself from the world around him. At an early age Leonardo became interested in subjects such as botany, geology, animals (specifically birds), the motion of water, and shadows (About Leonardo). At the age of 17, in about 1469, Leonardo was apprenticed as a garzone (studio boy) to Andrea del Verrocchio, the leading Florentine painter and sculptor of his day. In Verrocchios workshop Leonardo was introduced to many techniques, from the painting of altarpieces and panel pictures to the creation of large sculptural projects in marble and bronze. In 1472 he was accepted in the painters guild of Florence, and worked there for about six years. While there, Leonardo often painted portions of Verrocchios paintings for him, such as the background and the kneeling a ngel on the left in the Baptism of Christ (Encarta). Leonardos sections of the painting have soft shadings, with shadows concealing the edges. These areas are distinguished easily against the sharply defined figures and objects of Verrocchio, that reflect the style called Early Renaissance. Leonardos more graceful approach marked the beginning of the High Renaissance. However, this style did not become more popular in Italy for another 25 year (Gilbert 46). Leonardo actually started the popularization of this style. For this reason Leonardo could be called the Father of the High Renaissance. Leonardos leading skills emerged through his paintings and his techniques. Leonardos talents soon drew him away from the Guild and in 1472 Leonardo finished his first complete painting, Annunciation. In 1478 Leonardo reached the title of an Independent Master. His first large painting, The Adoration of the Magi (begun in 1481), which was left unfinished, was ordered in 1481 for the Monastery of San Donato a Scopeto, Florence. Other works ascribed to his youth are the Benois Madonna (1478), the portrait Ginevra de Benci (1474), and the unfinished Saint Jerome (1481). Leonardo expanded his skills to other branches of interest and in 1481 Leonardo wrote an astonishing letter to the Duke of Milan, Ludovico Sforza. In this letter he stated that he knew how to build portable bridges; that he knew the techniques of constructing bombardments and of making cannons; that he could build ships as well as armored vehicles, catapults, and other war machines; and that he could execute sculpture in marble, bronze, and clay. Thus, he entered the service of the Duke in 1482, working on Ludovicos castle, organizing festivals, and he became recognized as an expert in military engineering and arms. Under the Duke, Leonardo served many positions. He served as principal engineer in the Dukes numerous military enterprises and was active as an architect (Encarta). As a military engineer Leonardo d esigned artillery and planned the diversion of rivers. He also improved many inventions that were already in use such as the rope ladder. Leonardo also drew pictures of an armored tank hundreds of years ahead of its time. His concept failed because the tank was too heavy to