Databases are a useful tool for collecting
Databases are a useful tool for collecting
Improving the health care system can play a crucial role in the delivery of safe, cost effective patient care. Many governing bodies mandate quality improvement in healthcare. Quality improvement initiatives are a result of systems failure. A thorough investigation into the failure can reveal where and how the system can make improvements.…
Unfortunately, there are approximately“One million catheter-associated urinary tract infections (CAUTIs) per year, associated with an additional cost of $676 per admission (or $2836 when complicated by bacteremia)” (Meddings et al., 2013, p.1). It is evident by the statistics presented, catheter-associated urinary tract infections remain a problem…
Increase in knowledge will increase compliance in use of the nurse-driven protocol, and cause a subsequent decrease in catheter usage hence a drop in CAUTI rates. Studies indicate that the use of nurse-driven protocol to remove unnecessary catheter showed a significant decrease in CAUTI rates. (Mori, 2014;Center for Disease Control and Prevention (CDC), 2015; Institute for Health CareImprovement (IHI), 2011). In a study by an accountant (Scott, 2009), the annual cost for hospital due to CAUTI was between 340-370 million dollars. Therefore, a decrease in CAUTI rates could mean millions of dollars in savings annually for the hospital (Kennedy, et al., 2013).…
in 2011 used a must larger study population (n=1009), but follow up was relatively poor at only 720 after 1 year. It showed anaemia had a prevalence of 36% at 12 months and the follow up at 2 years had dropped to 35.4% and therefore would highly likely to not be a fair estimation of prevalence due to other factors that encourage this population to maintain contact with the study clinicians. This is relevant to Mrs X as she was still seeking medical assistance after 18 months post surgery due to the anaemia related symptoms she was…
In particular, NPSG 07.06.01 focuses on the prevention of catheter associated urinary tract infections (CAUTIs). Under this guideline, Joint Commission outlines three elements of performance that must be validated for compliance during a Joint Commission survey. First, indwelling catheters must be inserted according to evidence-based guidelines which include limiting the use and duration of indwelling catheters as well as inserting them using aseptic technique. Second, the indwelling catheters must be maintained using evidence-based guidelines which include maintaining a closed, sterile system, securing catheters and allowing for unobstructed flow and replacing collection system, as needed. Finally, health care facilities must monitor for catheter associated urinary tract infections, as well as develop and track prevention processes and outcomes (TJC, 2016).…
When a surgical technologist is performing that role, he or she counts aloud, and the circulator documents everything that is being said. Once the documentation is completed, the circulator repeats aloud what has been said, and then the documentation must be verified. Keeping a physical count can save a patient’s life. Inaccurate documentation can lead to complications for the patient, and the responsibility for those complications falls directly on the circulator and surgical technologist. In a matter of eight years, almost eight hundred patients had materials left in their bodies.…
This article relates to the PICO question by promoting patient adherence to post surgical interventions to prevent deep vein thrombosis. These interventions include early ambulation and compression hose. These are important interventions that the nurse has control of. It is the nurses' responsibility to assist with these interventions. It is also noted in the study that it is the staff's responsibility to encourage patient compliance with these interventions.…
As a future adult/gerontology nurse practitioner (AGNP), my role will be focusing on helping patients to manage chronic illnesses, illness prevention, and health promotion. In addition, The AGNP collaborate with other health care providers such as physicians and specialist to better manage and treat patient illness. The problem I am really interested in researching is catheter-associated urinary tract infections (CAUTIs) in hospitalized patients. Working as a registered nurse in a medical/surgical unit I have been exposed to different patients with indwelling Foley catheters and other requiring placement of the Foley catheter for various reasons. However, research has found that many patients tend to be at risk of unnecessary catheterization and are also at a greater risk of both infectious and non-infectious complications from the procedure (Carter, Reitmeier, & Goodloe, 2014).…
Infections are a common risk factor for any patient in the hospital. The occurrence of an infection is an even greater concern when the patient receives an invasive procedure, such as placement of a Central Venous Access Device. With proper technique and licensed staff placing a central venous access device, the risk for complications can be minimized. Champions for Central Line Care is a journal that explains “the team approach for reducing CLABSIs. (Reed, Brock, & Anderson, 2014, p. 40)” CLABSI can be defined as a Central Line-Associated Blood Stream Infection (Giddens, 2014, p. 469).…
As discussed in the previous assignment, the issue that has been examined is major decreases in Medicaid reimbursement. This posed challenges in the way that Boston Medical Center (BMC) surgical department delivers efficient care, specifically dealing with patients’ needs. Applying the SWOT analysis tool is significant for BMC’s surgery department to reduce costs and provide quality care. The SWOT analysis concept consists of strength, weakness, opportunities, and threats (Walston, 2014. p.182). Strength is the first level of the SWOT analysis.…
Overview Venous thromboembolism (VTE) is the collective term used to describe deep vein thrombosis (DVT) and pulmonary embolism (PE). What is DVT? DVT is a clot formation within the deep vasculature in the legs. What is PE?…
“A Walk to Beautiful: Women with Obstetrical Fistulas in Ethiopia” Movie Review “A walk to beautiful” is a heartrending and all to common story of the struggle many women, in middle to low-income countries, are facing when faced with obstetrical fistulas. The story begins with a woman who, because of her obstetrical fistulas has been casted away from her family and community. The woman is then faced with thoughts of despair and loneness in her attempt to raise her daughter, and often contemplates thoughts of suicide. Another women within the community gives her hope has she encourages, Ayehu to seek treatment for her condition in Ethiopians capital Addis Ababa. The remainder of the film focus on Ayehu journey and the journey of other women…
Arteriovenous fistula (AVF) is less common but well known complication of trauma. Posttraumatic arteriovenous fistula is one of curable causes of congestive heart failure. Heart failure due to traumatic AVF is a rarely encountered problem and often underdiagnosed and treatment is delayed.. Although the history of trauma is clear, the development of AVF is insidious and sometimes not obvious. Traumatic AVFs are usually caused by penetrating trauma, accounting for as many as 90 % of cases.…
On further review of John’s blood results and presenting symptoms the doctor decided to insert a temporary line to administer haemodialysis (HDx). The doctor discussed the treatment option with John enabling informed consent (Department of Health 2009). John was feeling apprehensive about the need for dialysis as he perceived it as set back as John was managing conservatively until now so the doctor discussed with John if he would like to be referred to a…
c. Anemia /blood loss during the procedure: Anemia is compounded by blood lost during hemodialysis (Smeltzer et. al., 2010, p. 1335). d. Gastric ulcers: May result from physiologic stress of chronic illness, medication and preexisting medical condition (Smeltzer et. al., 2010,…