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Impact on hospital acquired pressure ulcer 2016 article
Importance of patient safety in healthcare
Importants of patient an staff safety
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Thank you for your all information. Your answer is very organized and well addressed the question. I agreed with you the Joint Commission's mission and goal now is to focus on continuously improving health care for the public by evaluating health care organizations and inspiring them to excel in providing the safest and effective care of the highest quality and value. According to the Joint Commision (JC), there are no new National Patient Safety Goals in 2015, but JC continuously determines the highest priority patient safety issues and how best to address them. For exxample, for hospital setting, the goals focus on following problems: identify patients correctly, improve staff communication, use alarms safely, prevent infection, identify
The nursing departments in our hospital formed a joint pressure ulcer prevention task force and the task force created voluntarily. Two nurses come from each of medical and surgical units to create the task force. The task force thus comes together every Wednesday to make rounds on nursing units and check for a pressure ulcer on patients whose Braden score is less than 18. The task force is very successful in catching missed and potential pressure ulcers. The task force then reports its finding and recommendation for wound care nurse for further evaluation and treatments.
The Joint Commission is involved in making sure the health care facilities are providing the patient and family members of patients the effective and safe care that the patient needs and deserves. There is a close relationship between the National Patient Safety Goals (NPSG) and the results of the Joint Commission survey. If the facility were following the NPSG’s then the facility would have more of likelihood that the organization will receive a good survey results from the Joint Commission. There are serious consequences for the health care organization if the organization does not meet the benchmarks set by the Joint Commission. Multiple tools out there will aid this author in determining if the organization that this author works in is
Each year, the goals are analyzed and if necessary, updated. The 2016 National Patient Safety Goals aim to: 1) Improve the accuracy of patient and resident identification; 2) Improve the effective communication of caregivers; 3) Improve the safety of medication use; 4) Improve the safety of clinical alarm systems; 5) Reduce the risk of health care associated infections; 6) Organize identification of safety risks evident in patient populations; and 7) Set universal protocol for preventing wrong site/procedure/person surgeries (TJC, 2016). These safety goals are mandated so that medical errors are reduced and patients are given the best quality care possible. Some of the steps nurses can take in association with these goals include: using at least two patient identifiers to ensure correct patient treatment and reduce patient misidentification; making timely reports of critical test and diagnostic results; maintaining accurate patient medication information, and labeling all medications and containers removed from original containers; quickly responding to medical equipment alarms, and maintaining their upkeep; following hand hygiene guidelines, and using evidence-based practices to prevent infections due to multi drug-resistant organisms, surgical sites, or indwelling catheters; identifying patients at risk for suicide; and ensuring that sites are correctly marked for surgery through marking the procedure site and undergoing a verification process (Cherry & Jacobs,
Patient safety component explains how important it is that as nurses, patients safety is kept as a priority. It is our job to help minimize risk of harm
There is much overlap when discussing quality and safety in nursing, but it is important to realize that both have their own skills and knowledge essential to the competency. Quality is measuring the rendering of a specific process or action and comparing the data to benchmarks. If the standards are not met then quality improvements are implemented in the hopes of meeting those standards. Were safety is the proactive action of preventing mistakes from occurring, such as knowing a patient is at risk for following and taking precautions such as assisting the patient during ambulation’s. Safety is looking at the environment around you for potential areas of hazard and using critical thinking to make changes for the better of you, co-workers, and patients (Sherwood,
Pressure ulcer is defined as skin breakdown and continuum of tissue damage of ischemic etiology secondary to high external pressure which usually occurs over prominences. Over bony prominences for 2 hours or more is enough to cause an ischemic wound.1 Individual who cannot independently reposition tend to be at the greatest risk for ulcer development.2 Pressure ulcers are the result of interplay of various intrinsic and extrinsic factors. The intrinsic factor includes immobilization, cognitive deficit, chronic illnesses, poor nutrition, use of steroids and aging.3 Orthopaedic wards already contain a higher proportion of beds with pressure sores than those of any other specialty. Orthopaedic patients with pressure ulcers experience greater morbidity and
In recent years, the number of inpatient services, especially from the elderly clients who are at risk for skin breakdown, admitted ED (emergency department) staffs has been on the increase. The ED environment was meant for short-term care in response to emergent situations. However, pressure related injuries originating in the ED have led to both financial and physical afflictions. Some measures have been put in place to address this issue, one such measure is the PUP (Pressure Ulcer Prevention) which may not be largely embraced in the ED environment. However, the Pus is within the scope of the nursing practice and can be amended to improve the standard of healthcare.
- Safety provi¬sions are interpreted to protect patients from illnesses caused in the course of medical treatment as well as to provide hygienic and injury-free experience in the health care setting. Special provisions exist for safety in pharmaceuticals, blood supply, infectious disease treatment and diagnostics, and mental health services, among others. Ethical codes for doctors, nurses, and other health care workers contain provisions applicable to the patients’ right to safety. Medical errors and other actions that fail to meet safety standards can carry civil, criminal and administrative penalties
“Systematic prevention programs have been shown to decrease hospital-acquired pressure ulcers by 34% to 50%” (ICSI, 2003). It is critical to identify all the risk factoEarly detection of risk status is critical because timely interventions can be designed to address specific risk factors. When the patients first get admitted to the hospital, an admission risk assessment is usually performed. In the assessment, nurses consider patient’s age, medical history, medications and prior history of pressure ulcers. These factors play an important part in providing the nurses with initial information about the patient.
As seen in the case study above prevention should always be the focus in managing pressure ulcers, and should be commenced upon initial assessment, ensuring a complete medical and nursing history is taken, followed by a skin examination and completion of risk assessments. The Francis report (2010) investigated the inadequate care in an acute hospital, within his report he made recommendations on the importance of the fundamental aspects of care, including pressure ulcer prevention as a key element of maintaining patient safety (Francis, 2010). The ‘Stop the Pressure’ campaign was originally launched in Midlands and East region in 2011 to raise awareness of the risk factors and early warning signs of pressure ulcers with amongst healthcare professionals. It aimed to use an engagement programme, a SKIN care bundle for patient facing clinical staff, a pressure ulcer collaborative and a communications campaign. Research in the Midlands and East Region showed that 47% of pressure ulcers were occurring in non-acute setting, so community led
The level of patient care in any facility dictates the reputation of the facility in the community, and consequently their financial success. Hospital Data of specific nursing quality indicators could be used in this particular scenario as a background information about the prevalence of pressure ulcers, falls, and restraints use. Using this information and the measures implemented to prevent this events to happened would give the nursing staff the needed elements to place the required appropriate interventions applying evidence based experiences in the care of any particular patient, consequently providing patient centered care. Hospital acquired infections, or pressure wounds are some of the outcomes of the fails in nursing care. It represents failure in hospital policies, procedures, quality of care, and they are followed for medicare and medicaid services, as far as reimbursements sources.
Abstract : Pressure ulcers are wounds caused to skin and tissue lying beneath because of persistent pressure on the skin. Bedsores most often develop on skin that covers bony areas of the body, such as the heels, ankles, hips and tailbone. People mostly affected by bedsores are those with a poor medical condition that has removed their ability to adjust positions, necessitate them to use a wheelchair or confines them to a bed for a long time. Bedsores can easily develop and are often difficult to treat.. Pressure ulcer, also known as pressure sores or bed sores is found to be prevail in 10% of hospitalized patients as per the statistical report provided by the National Center of Health Statistics (NCHS) in the year 2009.
Patient safety experts have demonstrated that “patient safety increases when teamwork and collaboration skills are taught and empowered; when teamwork and collaboration are not present, medical errors will result” (Creasia & Friberg, 201, p. 348). As a nurse, it is imperative to collaborate with other interdisciplinary members in health care and also strive to research and implement evidence-based practices. Evidence-based practice is necessary to “ensure the highest quality of cost-effective care and the best patient outcomes” (Fineout-Overholt, 2011, para. 16). With a collaborative and innovative attitude on safe health care practices, an increase in patient safety and effectiveness of care will
This initial investigation can also include interviews of the staff involved as well as the patient and the any family members that were present. This information includes the data that was collected and is useful in deciding how the performance improvement department selects candidates to serve as members on the team. It is important to involve facility leaders to prioritize the project and proceed with the RCA. My facilities justification for examining why patients continue to develop pressure ulcers was due to the fact that the performance improvement department acted on reports received from the orthopedic department. After the initial investigation period the team they assembled included the nurse manager on our floor, several of the senior clinical nurses, as well
