For this week discussion, I have selected the topic Ambulatory Health Care from 2016 National Patient Safety Goals. Ambulatory Healthcare is an outpatient medical care such as regular check-ups, observation, diagnosis, treatment and follows ups.Proper Ambulatory health can prevent recurrent hospital admissions as many medical treatments for acute and chronic health illness can be done in ambulatory health care.Some minor surgical and preventive ways of many diseases and other services can be done in ambulatory health care. In ambulatory care patient not only can get the advantage of high-quality service in their convenient location but also with low treatment cost. Ambulatory Health National 2016 has many goals, and one of the focused goals is to improve patient safety by doing proper use of identification and medicine in outpatient care.
The research article I have chosen is “Adverse Drug Events in Ambulatory care” by Tejal k.Gandhi. This article mainly focuses on adverse side effect caused by medicine error in community based outpatient center and hospital. According to meta-analysis data recorded on 1994, hospitalization of the patient because of drug reaction was 1 million.In outpatient care, patients take their own medicine so that the chances to have adverse drug effect are
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1202 patients were involved who usually need at least one prescription in a month.Among all order, the physician used, a handwritten prescription for two practice and computerized for another two method.Only 661 patient responded to the survey. 162 patients had adverse drug events, and just 51 patient condition was able to improve.Out of 51 improvable cases,32 incidents were because of physician’s failure to respond to medication-related symptoms and 19 were patient’s failure to inform the physicians on
Q2-Evaluate Vegemite’s brand image based on the social media research undertaken by Talbot and his team .In light of these historic factors, Why did Talbot want to revitalize the brand?
In the United States today there is an epidemic in heath care costs and medical benefit coverage not covering all a patients need; leaving victims with large medical expenses. Today raising cost of heath care has effected the lower middle class tens of thousands in debt that lead them to bankruptsy; but resent laws passed by the Bush administration (undoubtedly lobbied by hospitals boards) making it nearly impossible for people in the middle class to file chapter 7 bankrupsy that starts them off with a clean start. Instead forcing them to file for chapter 13 that involves large sum of money be produced in *5 yrs with penalties ranging to imprisonment if the debtors defaults on payment. President Bush in a speech on the topic said people
emerge as a professional entity until the beginning of the 20th century, with the progress in biomedical science. Since then, the
Research shows that medication error in hospitals and other health care settings leads to 373,000 preventable adverse drug events (ADEs) per year and that these events would increase to 478,000 within 20 years in the absence of additional preventive measures (Federal Register, 2004).
This article talks about human errors in dispensing drugs. Adverse drug reactions have reportedly claimed more than 100,000 lives in America. Pharmacy mistakes may have contributed to the deaths as a result. Studies uncovered that these human errors were mainly caused by distractions and interruptions. Other contributing factors include long working hours, heavy workloads, complicated procedures, misinterpretation and work stress. Pharmacists were generally asked to handle a huge amount of tasks within a short span of time. The tasks include reviewing patient’s profile, verifying with patient for any drug allergies, dispensing drugs and counseling for new drugs. Studies have also shown that over the years, the demands for prescriptive drugs
Medication errors have contributed to healthcare issues and created problematic discrepancies affecting healthcare costs, safety issues, qualitative concerns, and economic effects. This review will provide the background, rationale, and the overview of multiple issues causing medication errors. Many issues contributing to negative effects of the health system will be identified including how issues affect patients and adverse drug effects accompanied by statistical measures. The effects on health costs will be reviewed relating to higher health costs, and the impact higher costs have on the economy.
There is significant opportunity and a tremendous need to improve health system performance in the United States. The U.S. health care system is the costliest in the world, yet it ranks last or next to last on five dimensions of a high-performance health system quality, access, efficiency, equity, and healthy lives. Within our own borders, there is wide variation in performance across states on indicators of access, quality, and costs, demonstrating that. Although, there is much to learn about improving quality and efficiency better performance is clearly achievable with targeted policies and actions.
Westmount Nursing Inc. is a for profit chain with seven different nursing homes. It has a grown from a small few bed facility to a facility with 4 different divisions that made to help make seniors more independent. The Westmount Nursing Homes were in search for a chief executive officer and president, which was filled by Shirley Carpenter. After Shirley Carpenter came on to the company, many changes were made and implemented. Some implementations were successfully, but she was also challenged with many problems with the Union Federation of Nurses and the Board of directors regarding wages and total quality management implementation. My recommendation would be for Shirley to stop the implementation of total quality management and focus on
Striking up a conversation about healthcare has been an uncomfortable topic for Americans for quite some time. Other industrialized countries around the world are able to insure their entire population with quality healthcare, at no expense to any citizen. In 2010, President Barack Obama issued the Affordable Care Act (ACA), making it a law to make sure that every American is provided healthcare. The United States took a big step to attain this goal, but cost, quality and access continue to be restraints.
Between the years of 1910 to now, healthcare in the United States has tremendously transformed, from modest techniques of home remedies, natural care and doctors with inadequate to no training, to a complex, scientific, technological, and more in-depth approach. Today, the quality of healthcare has implemented innovative practices to treat disease, a rigorous training for of doctors, technological advancements medical equipment, the rise of great institutions of medical training and healing, and the introduction of medical insurance. Governmental institutions, health care programs, drug regulations, and medical insurance also evolved during this period, including Medicare, Medicaid and Blue Cross Blue Shield to name a few. Most recently, the
Health care organizations are motivated by social transformations that occur in their environment that affect economic, demographic and technological aspect of care and services in a positive way. More so, health system innovation process is directly linked to the degree of consistency of professional, technological, organizational, personal and social skills. The combination of this process and management will help create a valid strategic plan that will be based on measure of performance, benchmarking, and continuous improvement. Every health care organization clinical support must be consistent with the organization mission and strategic plan; which can be determined by its annual goals that are approve by the governing board. This report covers the concept of Ambulatory care center that will be using a free market perspective as a pattern to design the new
In the United States an estimated 1.3 million people are injured every year for “medication errors”. One of the main errors would be involving where the patient would take an improper dose of the medicine. This has even cause 41% of fatal medication errors. Patients would either be taking more than needed or not enough. Another medication error would be prescribing the wrong type of medication for the patient and it tied in with using the wrong route of administration. This error accounted for 16% of deaths in the United States. The medication error for prescribing the wrong type of medication could happen when there are two medications with a similar name. A physician could also prescribe more than one drug but not realize that they would
There are certain credentials the health care industry require to regulate the profession, its members, and their performance. The three major ways for this to be done are through licensure, certification, and accreditation. According to Alleman & Houle (2013) “licensure is the granting of authority to practice” (p. 221). It can be further described as a process by which government agencies give permission (time-limited) to an individual to undertake a specific occupation after verifying that he/she is qualified for this privilege. Licensure is usually granted through standardized criteria, such as education, experience, and examination. Licensure is required in health care organizations as “licensing is
The United States of America is current facing a financial crisis of biblical proportions. The central to this crisis is the catalyst of health care costs. Most American’s spend over half of their yearly income on their health. Only a tenth of the nation’s population has health insurance and a chronic or prolonged illness can and does bankrupt people. Without a plan for the salvation of the national, as well as the citizen’s economic wellbeing, we all will go bankrupt. It will take the entire leadership of this nation, along with individual efforts is needed to prevent this catastrophe from coming to true.
Health Care Economics: Managed Health Care and its Effect on Health Care Delivery in the United States