Inventory decisions – The minute clinics are a new way to see patients that may have less urgent needs such as; sore throat, pink eye, minor cuts and burns, or chronic diseases that may need monitoring. The clinics offer walk-in services to anyone, and they have the ability to look up patient records through Electronic medical records (EMR) leaving no paper record needing to be stored. Centers are being staffed by nurse practitioner and physician assistants with assistance of proprietary technology designed to help diagnose and
During the second week, I had the opportunity to accompany Mr. Price to meetings that he had with the managers of the nurses and schedulers. During those meetings, the managers discussed the ideal approach of how to accommodate patients who call the schedulers to acquire appointments for urgent medical concerns. There seemed to be a problem with patients taking up appointment slots when they do not have a true need to be assessed by their doctor. It was ultimately concluded that the schedulers would coordinate communication between the patient and the registered nurse. The nurse would then triage the patient’s concerns over the phone and provide medical guidance,
DOI: 11/5/2004. Patient is a 58-year-old male pitcher driller who sustained a work-related injury to his low back when he slipped and fell backwards while cleaning a tub with a shovel. As per OMNI entry, the patient underwent laminectomy with decompression at L3-4 and L4-5 with degenerative disc disease and spondylolisthesis at L5-S1 on 07/14/2005; however, the surgery failed.
Would you please resubmit the patient DOS 09122017 v#15852640. The patient guarantor just call me very upsed b/c he receive the EOB and he said that we are billing ot his insurance one E&M CODE that we are not suppost to be billed b/c that was a procedure order that the patient needs to get done outside and not at WFH. I review the office notes and the provider order a ECHO exam of heart(93307) but, the provider by mistake select this procedure as a billed procedure and PMG FWD to the payer. Would you please re-bill the service back to the payer with the billing correction ASAP so the patient can get done this procedure. I advise the guarantor that are we are going to make the necessary corrections ASAP. The guarantor understood and he said
Ms. Okoro worked closely with the mental health clinical pharmacist on the medication refill project of the crises clinic; that reviewed the numbers of patients presenting to the mental health crises clinic for medication refills; it was determined that several of the patients did not know they had refills or the process of obtaining refills. Ms. Okoro worked with the pharmacists, the nursing staff and provided educational material for the patients, clinicians and the clerical staff and this decrease medication refill related visit.
This is a complaint about the treatment my wife and I received from your Emergency Room physician, Dr. Skonieczki and two members the nursing staff. Over the past five years my wife and I have used the Wayne Memorial Hospital Emergency Room extensively, and have never experienced the level of discourteousness, and complete disregard for our feelings, in an extremely stressful situation, exhibited by this Doctor.
I received a call from Neely Muratet, RN, BSN; Transition of Care, Nurse at My Care Alabama regarding the patient’s pending discharge from the hospital. The patient has been accepted into Brookshire Healthcare Center, as reported by Neely Muratet, although he will not be discharged until the transportation to and from his dialysis treatment can be arranged. At this time he cannot receive his dialysis at Brookshire because it is a liability issue and they cannot provide transportation to his treatment because his appointment is at 5 AM and they do not provide transportation at that time. Neely reported that the patient will remain at the hospital until this can be worked out, additionally the patient’s status is declining and his kidney’s
Since the implementation of the Affordable Care Act, emergency department (ED) volume has expanded, exceeding 15% over budget in our hospital in approximately one-year. This phenomenon is not isolated to our organization, it is a nationwide issue (American College of Emergency Physicians, 2014). In addition, ED lobby wait time has increased and the left without being seen (LWBS) numbers have climbed to over 6%. Furthermore, the ED has been to a greater extend, boarding admitted patients.
Allison, smart pumps are a useful tool developed to improve patient outcomes by reducing medication errors however, according to the newsletter published by the Institute of Safe Medication Practices (IMSP), smart pumps are not smart on their own. The smart pump depends on an accurate medication library, and complete adoption of the smart pump technology by the nursing staff. (Institute of Safe Medication Practices (ISMP), April 19, 2007). You stopped a near medication error by following through when the smart pump denoted there was an error when you attempted to program a medication. The ISMP indicates that with any technology, safety has a maximum impact when the end user does not bypass the safety that has been implemented (ISMP, 2009).
Therefore, the organization’s medical supplies services would be based locally and order in advance. Order would be place through the software that the vendor has available and offer. Which would automatically place orders when it reaches a certain stock number. Supplies are to be properly tracked with barcode by support staffs to use to check their supplies off and use. According to McKesson (2015), Strengthening Your
-make sure to send out no more than two statements to the patient. Always phone call the patient as a follow up. If the bill has not been paid by the patient after the first two statements, do not bill a third statement because it would not be effective at that point.
Patient did not show for his appointment on 03-21-17. SPT failed to contact the patient by phone. The patient will be put on the waiting list until further notice.
Our patient in room 3032 is bringing in her own Sodium Chloride (Inhalant) 7 % NEBU 4 mL which is order BID. In order for us to see the medication you have to go under the MAR and click the all button not our respiratory tab. Please make sure that we are assigning this treatment BID. We almost missed this treatment today due to this mishap.
As healthcare continues to develop, so too has the technology involved. In the article, “A Controlled Trial of Smart Infusion Pumps to Improve Medication Safety in Critically Ill Patients” the authors seek to understand the impact of smart pumps, how they are used in the clinical setting and how this technology effects medication errors and adverse drug events. The thesis of this article recognizes that while the medication administration process is complex and allows many opportunities for error, the impact of advancing technology has great promise in improving the safety of infusion-based medications. The study also provides an opportunity to understand how critical care nurses are (or are not) integrating new technology into their practice. This non-blinded, prospective time series study sheds light on the fact that both the technology and the nurse’s performance were the critical factors in the current rates of intravenous infusion errors (Rothschild et al., 2005, p. 13, 20).
Medical errors caused by human oversight are the main issue inside Emory Healthcare. In 1986, it was calculated that 37% of the patient cases had medication treatment fault. The problems are due to the lack of standard for orders by physicians. Physicians would place orders by hand writing, and then they would call a nurse and ask him/her to write the