Evidence & Expert Interview Paper

In accordance with the World Health Organisation (WHO 2008) checklist and Local trust policies, a team briefing was held before the day’s list started. The checklist is part of a second Global Patient Safety Challenge initiative entitled ‘Safe Surgery Saves Lives’, aimed at reducing the number of surgical deaths worldwide and was launched in June 2008. This not

The purpose of this assignment is to develop a SMART-formatted goal on a selected professional leadership topic applicable to your current practice setting or future leadership development goals. This goal is about your leadership development needs, not those of the organization. The Institute of Medicine’s quality initiative has identified five core healthcare profession competencies that serve as a framework for identification of the leadership goal.

In 2003, as an outcome of all the sentinel events reported to the Joint commission lead to the creation of the “The Universal protocol for preventing wrong site, wrong procedures, and wrong person surgery” (Mulloy & Hughes 2008). So, one of the ways that could have potentially prevented the situation from happening at the first place was implementing the universal protocol procedure. According to the protocol the conduction of proper pre as well as post-operating procedures are extremely mandatory. Therefore, by enforcing a standardized routine pre-operating procedure such as verifying the patient as well as the correct site for the procedure, by having the medical staff or preferably the physician marking the operating site with his or her initials before the surgery will be an effective preventive measure (Mulloy & Hughes 2008).

The Safe Surgery Save Lives initiative undertaken by the World Health Organization (WHO) in 2008 focused on implementation of a surgical checklist. The safety checklist requires the surgical site be checked during the check in process as well as during the surgical time out.

Lastly, in the surgery theatre, misidentification may happen due to the same factors formerly mention plus failure to mark site/side of surgery, failure to properly perform time-out, and multiple surgical teams (Chan et al., 2010). To analyze the risk for these errors, few factors will be analyzed including human factors (staffing, scheduling, supervision, and qualification), equipment and technology (scanners, computers, and software), Communication (between staff and patients, between staff, between staff and physician, between physician and patient, and between units), environmental factors (physical, safety, security, and preparedness), and procedures and policies (planning, staff education, patient education, protocols, patient identification, and patient observation) (Chan et al., 2010).

Discuss the Nurse Leader’s strategic plan as it relates to The Institute of Medicine’s Quality initiatives and ONE of the following five core competencies.

The author’s intention is to identify an aspect of clinical practice which lends itself to change at a micro level. The definition of a micro-change is an intervention of change aimed at the individual or the way small teams work. The micro-level change is not to be confused with a service change (Walsh, 2009).

They are tasked to encourage and facilitate EBP projects. This is one way of actively supporting, promoting and continuing to improve patient outcomes with the use of evidence-based practices. Challenges arise when there are no consistent leadership in this SL group that may be due to personal reasons, schedule challenges and the different challenges that may come during the steps in conducting the EBP project itself. In my personal experience on the EBP project on bedside handoff, the advantages and benefits of changing from nurse-to-nurse handoff at the nurses’ station to bedside handoff were emphasized to all stakeholders, including the increase in patient satisfaction when patients are involved in their care. However, we faced a high push-back form staff when it came to the implementation phase. There were concerns that handoff would be longer than usual, and that breech of patient confidentiality and privacy would ensue if bedside handoff was done. Despite all that, the bedside handoff EBP was successfully implemented mostly due to the timing and adequacy of staff education that included role playing, as well as strong support of the leadership team. According to Adams, Farrington and Cullen (2012), “The final and perhaps most intimidating step in the evidence-based practice (EBP) process is dissemination.” But with proper preparation, this can be

In this essay I will evaluate the David Bennett Inquiry Report, which was set up by the North, Suffolk and Cambridgeshire Strategic Health Authority (NSCSHA) to investigate the death of Mr David Bennett. I will define evidence-informed practice (EIP) and summarise the inquiry report. I shall highlight and critically analyse some of the key issues raised in the report in relation to ethnic minority issues. Finally, I will discuss the implications of evidence-informed practice for social work as well as my own future practice.

The morning of the surgery, the patient was undergoing a surgical procedure asked if I could explain the procedure to her since I am a registered nurse. She has claimed that she did not fully understand the physician’s explanation when he came to see her. I politely told her that I will page for the physician so he can come and explain the procedure again, but she was not happy and said: “aren’t you a nurse?” So, in order to resolve this dilemma, I had to tell the patient that nurses practice under the state nurse practice act guidelines in accordance with state rules. Therefore, explaining a surgical procedure that a physician will perform is not part of my scope of practice. It is the duty of the physician performing a surgical procedure to obtain an informed consent from the patient, not the nurse. Meaning the patient has fully understood the risk and benefit of the procedure and verbalized understanding to the physician before signing the consent (Westrisk, 2013). The patient seemed to understand and agree that I should call the physician for more clarification about the

Rheumatoid Arthritis has been subject of numerous studies and researches in the look for a better understanding of how it effects the individuals diagnosed with it. There is a higher incident of females diagnosed with RA than male as well as a relationship with genetic and environmental factors involved. Around one percent of the world population is affected by RA; therefore, diverse studies have been performed to understand how the lives of the diagnosed patients can be impacted by the disease. For example, how RA affects the mobility, safety and activities of daily living in general as well as the development of interventions to better approach RA. On

QP provided Chase with the opportunity to participate in an evidence base practice geared toward understanding warning signs. QP explained to Chase that the activity will him to identify times when he need to take a time-out and how to use self-calming thoughts. QP explained to Chase, that Self-calming thoughts are used to help de-escalate one’s emotions and separate them from a potentially difficult situation. QP explained to Chase, what red flags are; that is, the signs that indicate to a person that a time-out is necessary or a situation may get abusive or escalates. QP explained to Chase that the goal of the intervention is, to teach him how to identify personal red flags and how to use self-calming thoughts in a situation. QP asked

Dr. Richard Martin Ruiz, MD, FACS has the background that can influence health policy at the local, state, and national level. The information that is gained through the research projects, he shares through national publications as well as through oral presentations at state and national conferences. By being a voting member of the United Network for Organ Sharing (UNOS)/Organ Procurement and Transplant Network (OPTN) Minority Affairs Committee, Dr. Ruiz can influence health policy. UNOS is “the private, non-profit organization that manages the nation’s organ transplant system under contract with the federal government” (UNOS, 2017). OPTN is the “public-private partnership that links all professionals

At least half a million deaths per year could be prevented with effective implementation of systemic improvements in operating rooms. Specifically, multiple studies have found implementing the use of the WHO Surgical Safety Checklist would significantly reduce surgical morbidity and mortality due to surgical errors.

Ethical challenges are the most profound when dealing with patient safety; compliance with the prophylaxis antibiotic administration guidelines is paramount to a surgical patient in order to decrease the possibility of a post operative surgical site infection. Antibiotic timing requires