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Hughes (2008) quoting from the , the Agency for Healthcare Research and Quality handbook stated that “many view quality health care as the overarching umbrella under which patient safety resides”. Friedman, Encinosa, Jiang & Mutter (2009) found that “safety events that result in hospital readmissions lead to hefty a financial burden on the institution”. In addition they believe that if more attention is given to address and “ assess the full extra cost of safety events and the factors influencing the rate of safety events, that strategies could be developed for health plans to improve incentives for safety” Friedman, Encinosa, Jiang & Mutter (2009). The Institute of Medicine (IOM) considers patient safety “indistinguishable from the delivery of quality health care.” (Hughes, 2008) believes that “Moving toward and securing a culture of safety throughout health care will, by definition, acknowledge the influence of human factors in all clinicians and the impact that the human- system interface , system factors and technology will have, in institutionalizing processes which will make near errors and errors very rare” (Hughes, 2008)
The proposed project would be to look specifically at readmissions- and initiative to improve care and lower the cost of healthcare (James & Hall 2013). “Readmission refers to a patient's being admitted to the hospital within a certain time period from the initial admission (James & Hall 2013). Readmission following an acute care hospitalization is a costly and often preventable event and is not only disruptive to patients and caregivers, but puts patients at additional risk of hospital-acquired infections and complications (Horwitz, L., Partovian, C., Lin, Z., Herrin, J., Grady, J., Conover,...
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...013), Engaging Health Care
Recasting Readmissions by Placing the Hospital Role in Community Context, Journal of the American Medical Association, Jan 23–30 2013 309(4):351–52
Minott, J., (2012), Reducing Hospital Readmissions: Medicare Hospital Readmissions Reduction Program
RAU, J., (2013) Armed With Bigger Fines, Medicare to Punish 2,225 Hospitals For Excess Readmissions
Sebilius K, (2014) A Safer World: Prevention, Detection, & Response-Can Inpatient Hospital Experiences Predict Central Line-Associated Bloodstream Infections.
Tarverner, K., (2009).Hospital rate readmission reduction: Building better interfaces within the community, Vree Health, White Paper
Friedman B1, Encinosa W, Jiang HJ, Mutter R. (2009). Do patient safety events increase readmissions? Med Care. May;47(5):583-90. doi: 10.1097/MLR.0b013e31819434da.
Orlando Regional Healthcare, Education & Development. (2004). Patient Safety: Preventing Medical Errors. Retrieved on March 2014 from world wide web at http://www.orlandohealth.com/pdf%20folder/patient%20safety.pdf
Monitoring staff levels is an important factor. Also leveling the flow of patients in and out institutions could help to reduce wide fluctuations in occupancy rates and prevent surges in patient visits that lead to overcrowding, poor handoffs, and delays in care. Studies show that overcrowding in areas such as the emergency rooms lead to adverse outcomes, because physicians and nurses having less time to focus on individual patients. One study found that for each additional patient with heart failure, pneumonia, or myocardial infarction assigned to a nurse, the odds of readmission increased between 6 percent and 9 percent (Hostetter and Klein, 2013). All of which costs the hospital money.
Hospital readmission can impact the patient, nursing practice, the hospital, and the health care system. The patient’s quality of life can be altered physically, psychologically, and economically (Whittaker, 2014) and recurrent hospitalization is a good predictor of increased risk of mortality (Hummel, Katrapati, Gillespie, DeFranco, & Koellig, 2013). Moreover, a patient in an acute care setting has an increased risk of contracting hospital-acquired infections such urinary tract infections, sepsis, C. difficile, and methicillin resistant Staphylococcus aureus (medicare.gov|Hospital Compare, 2013). Nursing practice is impacted as patients spend the majority of their acute care stay with the bedside nursing staff. According to...
Area I have selected for the field is Long-Term Acute Care Hospital (LTACH) specializing in pediatrics. Long-Term Acute Care Hospital, specializes in treatment for special needs such as patients with concurrent acute illnesses, recovering from acute illness due to multisystem failures, requires direct care by multiple specialists, ventilator services (weaning or decannulation), needing of daily physician visits or have complex respiratory-relevant diagnoses. Which in terms focuses on patients who have complex medical problems and the rehabilitation needs that one may require special or intensive treatment over an extended period of time. Patients who come to LTACH have been in an ICU or CCU at a hospital and now require specialized care (as
The purpose of this paper is to identify a quality safety issue. I will summarize the impact that this issue has on health care delivery. In addition, I will identify quality improvement strategies. Finally, I will share a plan to effectively implement this quality improvement strategy.
Safety is a primary concern in the health care environment, but there are still many preventable errors that occur. In fact, a study from ProPublica in 2013 found that between 210,000 and 440,000 patients each year suffer preventable harm in the hospital (Allen, 2013). Safety in the healthcare environment is not only keeping the patient safe, but also the employee. If a nurse does not follow procedure, they could bring harm to themselves, the patient, or both. Although it seems like such a simple topic with a simple solution, there are several components to what safety really entails. Health care professionals must always be cautious to prevent any mishaps to their patients, especially when using machines or lifting objects, as it has a higher
O’Daniel, M., & A.H., R. (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville: Agency for Healthcare Research and Quality. Retrieved from: http://www.ncbi.nlm.nih.gov/books/NBK2637/
Each year this panel of experts put a microscope on patient safety across the board. They decide where upmost attention needs to be paid. Sometimes items leave the list because there are been strides take to improve in that area and sometimes it continues to stay on the list because they believe the relevance and importance is growing. Healthcare is evolving b...
Patient safety is the basis of quality health care in the hospital. Works applied to patient safety and practices that have not prevented hazard have focused on negative outcomes of care, such as mortality and morbidity. Healthcare employees are important to the surveillance and coordination that will reduce such adverse effects.
Hospitals recognized the need for the case management model in the mid 1980’s to manage the lengths of stay of hospitalized patients and the treatment plans (Jacob & Cherry, 2007). In 1983, the Medicare prospective payment program was implemented which allowed hospitals to be reimbursed a set payment based on the patient’s diagnosis, or Diagnosis Related Groups (DRG), regardless of what treatment was provided or how long the patient was hospitalized (Jacob & Cherry, 2007). To keep the costs below the diagnosis related payment, hospitals ...
In today’s health care system, “quality” and “safety” are one in the same when it comes to patient care. As Florence Nightingale described our profession long ago, it takes work and vigilance to ensure we are doing the best we can to care for our patients. (Mitchell, 2008)
Kohn, L., Corrigan, J., & Donaldson, M. (1999). To err is human: building a safer health system. Committee on Quality of Health Care in America Institute of Medicine National Academy Press Washington, D.C.
The rate of errors and situations are seen as chances for improvement. A great degree of preventable adversative events and medical faults happen. They cause injury to patients and their loved ones. Events are possibly able to occur in all types of settings. Innovations and strategies have been created to identify hazards to progress patient and staff safety. Nurses are dominant to providing an atmosphere and values of safety. As an outcome, nurses are becoming safety leaders in the healthcare environment(Utrich&Kear,
Keeping patients safe is essential in today’s health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled ” To err is human, building a safer health system”(Wakefield & Iliffe,2002).This report found that approx-imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency coordination task force with the help of government agencies. These government agencies are responsible for making health pol-icies regarding patient safety to which every HCO must follow (Schulman & Kim, 2000).
...d procedures are now being monitored to improve clinical processes. Ensuring that these processes are implemented in a timely, effective manner can also improve the quality of care given to patients. Management of the processes ensures accountability of the effectiveness of care, which, as mentioned earlier, improves outcomes. Lastly, providing reimbursements based on the quality of care and not the quantity also decreases the “wasting” and overuse of supplies. Providers previously felt the need to do more than necessary to meet a certain quota based on a quantity of supplies or other interventions used. Changing this goal can significantly decrease the cost of care due to using on the supplies necessary to provide effective, high-quality care. I look forward to this implementation of change and hope to see others encouraging an increase in high-quality healthcare.