Essay On Never Events

The Never event: Exposing the largest outbreak of hepatitis c in American healthcare history (McKnight & Bennington, 2008) begins telling the story of what should have been a “top-notch” cancer center with a doctor committed to saving lives. Memorial Hospital of Dodge County was expanding their cancer services, making access to services easier for the community. They wanted to keep their patients in town and help them avoid commutes to Omaha. They hired Dr. Tahir Ali Javed from Punjab, Pakistan; he educated and trained at well-known, prestigious facilities. Everything that was put into place, the new facility and outstanding physician, made it seem as though the cancer center was going to exceed the expectations that the hospital had in mind. However, malpractice, lack of compassion, and avoidance drove the center and the patients into the ground. After reading this novel, I was able to define compassionate care in my own terms and will provide examples of acts of compassionate care. As well as, discussing the principles of dignity and beneficence in regards to Dr. Javed and nurses in the clinic. Lastly, I will provide a testimony statement about the future care of patients.

This documentary video is very informative and very useful as eye-opener to all that works in the healthcare industry. John Hopkins patient safety expert have calculated that more than 250,000 deaths per year are due to medical error in the U.S. This large number, victims of medical error, leads to a stigma that people became questioning and doubting the capabilities of healthcare providers resulting on losing trust. This video “Chasing Zero” is a reminder that all nurses, doctors and all the people that works in healthcare industries should be very cautious on the care they provide to patients. A single error can hurt and worst, it can kill someone. This video made me realize as a nurse, that anyone can make a big mistake regardless of years

One policy that has changed the health care delivery to shift cost responsibility toward the hospital was the Tax Equity and Fiscal Responsibility Act of 1982. This policy has changed hospital reimbursement under Medicare with the introduction of diagnosis-related groups (DRGs) (Sultz & Young, 2009). The DRG prospective payment system rewarded hospitals financially for efficient care (specifically shorter hospital stays) and reduced the incentive to consume (Sultz & Young, 2009). Another policy that placed the burden of responsibility on the hospital was the Consolidated Omnibus Budget Reconciliation Act of 1985 which required hospitals to provide care to everyone who presented in the emergency department regardless of ability to pay (Sultz & Young, 2009). This law was designed with good intent to reduce the “patient dumping” that had arisen from the DRG system, but it nevertheless

Hospital is the place to go when someone is sick and requires medical attention. It is shocking to know that one can contract diseases while in the hospital facility which were not present during admission. And that ‘Never Events’ which are preventable incidents such as wrong site surgery do occur in the hospital setting. How do we prevent hospital acquired conditions and never events from occurring in the hospital? It will be interesting to figure out the answers to these questions as hospital acquired conditions and Never Events are the major concerns of the health care system.

While the United States has some of the best doctors and healthcare facilities in the world we fail at being efficient and effective. Currently there are too many unplanned readmissions, medication errors and hospital acquired infections. The United States health system does not effectively provide preventive medicine for individuals with chronic diseases, and this portion of health care consumers account for the majority of health care costs (Kocher et al., 2010).

Your hospital will be penalized if you get readmitted within 30 days because of the chronic disease mismanagement. The Affordable care act (ACA) has changed the perspective of chronic disease management of hospitals, shifting their focus from treating the conditions to deciding ways to prevent them. Under ACA, hospitals will be penalized or rewarded depending upon their performance on 30-day readmissions, infection control and patient satisfaction levels (1). Government is playing his role to reduce the burden of chronic diseases in society but being a responsible citizen, do we realize the intensity of situation and the economic instability it is causing?

In healthcare systems, there is a concept of fair and just culture. That concept is important to manage the risk. In any organization, errors can happen. But, the best first tool to understand the error is to report it when it happens. Reporting error in healthcare contributes to minimize the risk of recurring.

Hospital-acquired infections (HAI) affect 1.7 million Americans each year with as many as 98,000 dying annually as a result of hospital-acquired conditions (HAC) (Kavanagh, 2007). In 2008, the Centers for Medicare and Medicaid Services (CMS) implemented policy to include non-payment for HAC in order to improve quality patient care and contain costs. This non-payment disincentive refuses to pay for complications of care that are considered preventable. Two other paradigms of this policy used to promote quality include pay-for-performance initiatives and public disclosure of HAC.

Mistakes and errors caused by medical providers happen in the healthcare field, resulting in punitive actions against the provider. As cited by Geffken-Eddy (2011) studies by the Institute of Medicine have shown that punishment will only lead to more medical errors or providers not reporting their

According to the American Hospital Association the cost of equipment, services, and information services has risen drastically. A huge problem for hospitals now is that there has been an enormous increase in patients who have Medicare or Medicaid. The Hospital Association states that “60% of all admissions. Neither program fully reimburses the cost of hospital care.” Not only is the hospital not getting paid the full amount through the health insurance, but they have also seen a jump in people who do not have insurance and cannot pay for their hospital expenses this averages out to about six percent of hospital expenses. Hospitals must assume these costs as a part of their charity pay. These costs are then calculated and increase the costs of health care for people who pay for it, in order to cover these costs.

It is shocking to know that every year 98000 patients die from medical errors that can be prevented(Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.), 2000). Medical errors are not a new issue in our healthcare system; these have been around for a long time. Hospitals have been trying to improve quality care and patients safety by implementing different strategies to prevent and reduce medical errors for past thirty years. Medical errors are the third leading cause of death after heart disease and cancer in America (Allen, 2013). In addition medical errors are costing our healthcare system an estimated $735 billion to $980 billion (Andel, Davidow, Hollander, & Moreno, 2012).

Issues related to a lack of patient safety have been going on for a lot of years now. Throughout the first decade of the 21st century, there has been a national emphasis on cultivating patient safety. Patient safety is a global issue, that touches countries at all levels of expansion and is one of the nation's most determined health care tests. According to the Institute of Medicine (1999), they have measured that as many as 48,000 to 88,000 people are dying in U.S. hospitals each year as the result of lapses in patient safety. Estimates of the size of the problem on this are scarce particularly in developing countries; it is likely that millions of patients worldwide could suffer disabling injuries or death every year due to unsafe medical care. Risk and safety have always been uninterruptedly been significant concerns in the hospital industry. Patient safety is a very much important part of our health care system and it really

In today's modern world with plenty of technology, it is hard to believe that we cannot figure out how to reduce Medical errors. The issue of medical error is not new in health care organizations. It has been in spot light since 1990's, when government did research on sudden increase in number of death in the hospitals. According to Lester, H., & Tritter, J. (2001), "Medical error is an actual or potential serious lapse in the standard of care provided to a patient, or harm caused to a patient through the performance of a health service or health care professional." Medical errors

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

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)