Coronary artery bypass graft surgery is a procedure that can be life-saving for patients with heart disease, but it also carries risks after the procedure that can impact patient outcomes negatively. Because over 395,000 Americans have CABG surgery each year, and the risk-adjusted mortality rate for patients is 2%, according to Centers for Disease Control (CDC) statistics, health care professionals must find ways of reducing risks and complications to improve the outcomes for many patients (Ferguson, 2012). Heart disease is often comorbid with other conditions, like lung disease, peripheral arterial disease, hypertension, and diabetes, which can raise the risk of complications (Ferguson, 2012; Nejati-Namin, Ataie-Jafari, Amirkalali, Hosseini, Sheik Hathollahi, & Najafi, 2013). Complications that can arise following surgery include atrial fibrillation, prolonged inflammatory reactions, a build up of fluid near the heart, accelerated atherosclerosis, and nearby vein or artery blockage (Gokalp, Ilhan, Gurbuz, Cetin, Kocaman, Erdogan, & … Satiroglu, 2013; Ferguson, 2012; Scheiber-Camoretti, Mehrotra, Ling, Raman, Beshai, & Bowman, 2013; Sicaja, Starcevic, Sebetic, Raguz, & Vuksanovic, 2013). These complications can lead to increased lengths of stay, increased readmission rates, risk of further complications, failure of the bypass graft, cognitive dysfunction and memory loss, patient suffering, and even death (Ferguson, 2012; Gokalp et al., 2013; Sicaja et al., 2013). In turn, nurses, other care providers, and institutions may face negative consequences themselves, including a risk of lawsuits, increased employee workload, higher per-patient costs, reduced or withheld private insurance, Medicaid, and Medicare reimbursements, auditing... ... middle of paper ... ...low CABG surgery, and contribute to a risk-adjusted mortality rate of 2% (Ferguson, 2012). Many of these problems do have treatments, but would require teamwork between nurses and other health care professionals to implement. Teamwork can also help to reduce risks that would arise from interventions that are undertaken without informing other health care professionals providing care to a given patient, which could result in issues such as medication interactions, patient confusion, and reduced treatment compliance (Swallow, Nightingale, Williams, Lambert, Webb, Smith, & … Allen, 2013). A QSEN project based on establishing inter would help generate process and policy improvements in an institution, which would be focused on delivering post-CABG care via interdisciplinary teams. These teams would most likely contribute to improved patient and organizational outcomes.
Baseball players and fans call it Tommy John surgery, after the pitcher who was the first to have the surgery 29 years ago. By any designation, it is one of the major advancements in sports medicine in the last quarter century. Technically it is a ulnar collateral ligament replacements procedure.
Revascularization strategies including coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) are recommended as treatments for coronary artery disease. [8-11] CABG generally cost more ...
The QSEN initiative is the progression of quality and safety of education for nurses that began in 2005 and has been continued over the past eight years. It is a multi-phase process that shows current and future nurses how to apply knowledge, skills, and attitudes to their everyday nursing activities(QSEN, 2013, 1). Nurses and student nurses can use their knowledge, skills and attitudes to help prevent never events such as hospital acquired conditions. Never events are medical errors that could have been serious and preventable. They could have been caused by poor communication, lack of proper nursing skills, or simply just negligence. QSEN can also be used to improve nursing outcomes for everyone involved in the healthcare field.
There are many heath risks associated with any medical procedure. Gastric bypass beyond a doubt helps people shed on average about half their original weight, however, with such a dramatic weight loss and decrease in stomach size comes substantive side effects. David Bjerklie emphasizes that “there are risks, including… patients [that]… developed nerve damage ranging from minor tingling in the feet to incapaciting pain and weakness,” but many of the problems can be avoided by taking proper care by enrolling in nutrition programs. In many cases people “complain of increased sensitivity or reduced tolerance to the effects of alcohol compared with their experience before the operation.
an “interdisciplinary team approach integrates distinct disciplines that come together into a single consultation……The patient is intimately involved in any discussions regarding their condition or prognosis and the plans about their care.”1
The healthcare world has simply grown too large, too quickly and, as a result, has forgotten the reason behind which it stands: the patient. Continuity of care is in dire need of repair and without effective communication and coordination of care, the problem will not be corrected.
Through collaborative, multidisciplinary teamwork a significant contributed to John being able to recover quicker, keep his independence and maintain a high quality of life. There was constant communication between John and the MDT ensuring patient centred care which empowered John to take control of his long term treatment plan.
In health delivery system, one common goal for all providers, doctors and administrators is to provide high quality health care services at low costs. But in the United States, health care spending has increased drastically, but outcomes are not efficient. In the recent study conducted by common wealth fund shows that United States health care spending is 50 percent more when compared to 13 top nations in the world. [1] This report also shows that despite of having high health care expenditure in the United States, the health care outcomes are worse when compared to other countries whose health expenditure is low. To address these problems and improve outcomes, patient safety and satisfaction, in the field of surgery the American
There are also several limitations to the solution. Most surgeries related to cardiovascular diseases success rate is very high but there is a chance of failing. If the surgery fails, very likely, the patient will die. During surgeries, there are risks. Some of the risks are bleeding, infection, stroke, kidney failure, or lung complications.
In healthcare, we are accustomed to changes that are usually made in hopes of improving quality of patients care. A way to improve quality of care is through joint projects. Joint projects come in different forms, such as clinical team working together to provide patient care after discharge. Also, joint projects are when a healthcare facility work with a clinical team. These partnerships could be seen as helping improve the quality of care.
Working in the health care setting, teamwork and collaboration are used frequently to insure that everything runs correctly and efficiently. According to qsen.org, teamwork and collaboration consists of functioning effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care. While assessing the patient a nurse can come into contact and work with many different individuals. These can include other nurses, doctors, therapists, and family
Among the pros the patient will have a significantly lower chance of having a first-time stroke. Also following the procedure, the arteries remain clear for an extended period depending on the patient’s lifestyle and post-operative care. Some cons of the procedure are complications including postoperative stroke, heart attack, breathing problems, and nerve damage of the tongue or vocal cords. Another con is the possibility for restenosis or plaque redeveloping in the artery. Normally this is caused by the patient’s postoperative lifestyle. It is encouraged by doctors for patients to exercise regularly, eat healthy, and ensure their BP is controlled to prevent the reformation of plaque.8 As long as the patient understands the risks and benefits associated with the procedure they can make a clinical decision with the help of their
outcome for what’s best for the patient. The importance of the teamwork and collaboration to
...as become increasingly necessary to obtain a second and even a third opinion because surgery is expensive, and physically invasive and traumatic for the heart patient.
Complications create the question as to whether surgeries are widely unnecessary. Why would we perform or want to receive such invasive surgeries not knowing the exact outcome? When the risks outweigh the benefits, especially if a medical history exists I don’t believe it is worth it. “A study in 2000 reported that 1 out of 5,000 patients undergoing liposuction died; 23.1 percent of these deaths results from postoperative blood clots in the lungs.” This statement supports evaluating possible patients for conditions that may increase risk during surgery. There are other complications that occur other than just surgeries that have gone wrong. There are psychological effects, body response effects, and the patient still being unsatisfied.