Evidence-Based Implications For Evidence Based Interventions

14 million Canadians visit Emergency Departments (ED) every year, and also reported to having the highest use of EDs (Ontario Hospital Association, 2006). ED overcrowding in Canada has become an epidemic. ED overcrowding has been defined as “a situation in which the demand for emergency services exceeds the ability of an (emergency) department to provide quality care within acceptable time frames” (Ontario Ministry of Health and Long Term Care, 2014). This has been an ongoing problem across Canada. Ontario has developed an initiative to reduce ED wait times by implementing a variety of strategies and collaborating with other institutions. This paper describes the Emergency Room National Ambulatory Intuitive (ERNI), an

Within the Electronic Health Record program, the nurse has access to evidence-based practice tools that can assist the nurse in making decisions regarding the patients plan of care (Linder, J., Bates, D., Middleton, B., & Stanfford, R., 2007). The most important feature of the Electronic Health Record is the ability to instantly provide real-time patient-centered data to all authorized providers (HIT, 2013). The Electronic Health Record is real-time, providing nurses with the most up to the moment patient information the significance of this feature can be explained in the following example. For example, if a patient is in surgery, the patient's health record is available to the circulating nurse in the Operating Room, the Post Anesthesia Care Unit nurse and can be shared with the unit staff nurse the patient will be transferred to after recovering in the Post Anesthesia Care Unit. This is of particular importance because having access to the patient's chart, allows the nurses at each phase on the patient's care the ability to prepare supplies, gather necessary equipment and arrange for supplementary staff. Evidence-based practice suggests appropriate planning is a key factor in promoting positive, cost efficient patient outcomes (Anderson, 2012). In the profession of nursing when time is of the essence, and time loss can mean loss of a life, this is a feature that is very

The most recent data collected by the Centers for Disease Control and Prevention (CDC) shows that 1 in 68 children are diagnosed with Autism Spectrum Disorder (ASD) (CDC, 2014). Children diagnosed with ASD often have difficulty with functional performance in several key areas including; social participation, communication, school based activities, motor performance and play. These impairments in functional performance are not exclusive to the child alone as the caregiver often assumes a great deal of burden in managing the symptoms of a child with ASD. Furthermore, these difficulties along with the rising diagnosis rate has pushed ASD to the forefront of clinical research and has raised issues regarding which Ayres

Evidence based practice (EBP) is an important part of social work. Every social policy and interaction with individuals is based on experience and careful selection of research. Moreover it aims to empower individuals and reduce discrimination. Therefore it promotes productive interactions, which is crucial in this economic climate. Therefore. Social workers have to be competent and confident in analysing the latest research and being able to judge whether it is suitable in practice. Moreover this is supported by Standards of proficiency (SOP) section 14 “Be able to draw on appropriate knowledge and skills to inform practice”.

The value to using specific approaches such as CBT is that they are evidence based interventions that teach the client a better way to think which then leads to making better behaviors and choices. If a social worker uses their own approach as an intervention, then the outcome to the treatment may not be a proper one. Barth et. al (2011), explain that evidence based approaches are not always used by social workers in their interventions even though it is important to do so. On the other hand, I think that using common factors approach gives social workers a chance to be more original in their practice and give flexibility to their interventions. It provides the client with a more unique treatment that was customized for their own needs. Barth

The presence of Emergency Department (ED) crowding, and long boarding times, hinders its ability to provide the quality and efficient care (Weiss, Rogers, Maas, Ernst, & Nick, 2014). According to Mullins and Pines (2014), an average patient in the United States spends more than 4 hours in the ED before being admitted to an inpatient unit. ED crowding and increased boarding time have negatively impacted bed availability, increased staff workload, decreased productivity, and lessened patient satisfaction. Many healthcare organizations, including the Veterans Health Administration (VHA), have established an electronic bed board system (BMS) and InterQual Level of Care Criteria (IQLCC), which aim to enhance patient flow within organizations (United States, 2013).

Cloud computing-based medical records management is making it possible for hospitals and treatment centers to have a single, unified system of record for their current and past patient population (Corredor, Martínez, Familiar, 2011). This has drastically reduced duplication of records management systems, minimized reporting and billing errors, and created a highly effective platform for patient-based analytics (Martin, Yen, Tan, 2002). The insights and intelligence gained from the analytics driven from patient systems is also making it possible for healthcare providers to better redefine process workflows, making hospital operations more cost-effective. The combining of cloud computing platforms and telemedicine is streamlining the treatment plans for

The effect of evidence-based practice (EBP) has resonance across nursing science, education and practice. EBP has called for quality improvement and healthcare transformation which emphasizes the need for reshaping care that is effective, safe, and efficient (Stevens, 2013). In healthcare settings, the heightening complexity of medical care and the need to increase quality, safety and cost control for better patient outcome have led to the use of clinical guidelines in practices (Cecamore, et. al., 2013). Brown and Ecoff, (2011), report that Evidence-based decision making becomes the process for achieving evidence-based practice. In decision making process, it involves asking focused answerable questions, obtaining evidence, and

Patient Satisfaction – customer surveys, wait times, appearance of facilities, and control of pain and other symptoms.

I currently work as an Assistant Medical Officer (AMO), trained in anaesthesia. My overall duty includes managing operation theatre (OT) procedure with the anaesthetic and surgeon. Also part my duty to observed patients in the recovery room and hand over the transaction process patients from recovery to the ward.

This report set provides metrics on utilization of care performed across the organization for Emergency Departments, and enables trending of ED utilization and cost over time to uncover addressable insights. It is normalized per 1000 beneficiaries.

Sophisticated electronic records and computer systems for tracking patient care is another important attribute of Kaiser. Since five years, Kaiser is using the electronic information to identify and evaluate providers’ strengths and weaknesses in order to improve the quality of care (Abelson, 2013). The organization also uses the electronic records to improve its care delivery, e.g. by identifying at-risk patients and establishing alert and reminder systems for quick and timely care

These measurements provide feedback of a patient’s experience with the care offered at a given hospital. These measurements assess a wide range of factors including interpersonal aspects of care, clarity of - and ease of access to - information provided by the physician, speed of medical staff’s response to the patient’s urgent care needs, among other factors. These measurements are used by patients in their subjective evaluation during their process of choosing a hospital for emergency care or

Middletown Hospital is a 200-bed, not-for-profit-general hospital that has an emergency department with 20 emergency beds. The emergency department handles on an average 100 patients per day. The hospital’s CEO has authorized the Six Sigma Team (SST) to address complaints received from patients seeking treatment between 6:00 p.m. and 10:00 p.m. The complaints are centered on waiting times and poor service. During this time the data indicates that approximately 70% of the department’s admissions occur (University of Phoenix, 2009, Course Syllabus).

In chapter four, the results of the data are displayed, from a selection of participants, by dispersing questionnaires to the participants. The goal of the questionnaires was to allow the participants to give their thoughts and opinions on “Ways of increasing patient satisfaction through scheduling”. After gathering the information, the responses were put in frequency tables for better viewing and understanding.