Patient Safety Analysis In The United States
Observation and Analysis of Techniques Practiced in Hospitals and Nursing Homes
Derek Lowe
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With observation of past and current patient safety trends in the U.S. Health industry, it becomes apparent that there are a multitude of procedural errors which often lead to patient malpractice. Therefore, it is crucial to identify the various aspects into the causes of procedural errors and patient care malpractice. By analyzing this data, management may utilize the information in establishing patient safety initiatives for their respective establishment. In addition, by increasing public awareness of patient safety, it will prove to
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To utilize the PSI data collected, Romano and colleagues reviewed the initial PSIs, and also added a revision of ICD-9-CM (Appendix A) codes that encompass potential safety-related events that were chronologically detailed from 1998 to 2001. In order to correctly utilize the analysis, the team specified a certain demographic population who are likely at risk for the indicator chosen.
The indicators utilized in the sample are as follows: (1) independent review of a random sample of '1,298 ' inpatient records from two states revealed that at least of one of three groups of reviewers (that is, coders, nurses, and physicians) confirmed the diagnosis in at least 75 percent of reported cases; and (2) “process of care failures” were identified more often by physician reviewers among cases flagged by the CSP indicator than among randomly sampled controls. All indicators were designed for use at the hospital level, but six were also adapted for use at the community level (Romano; para. 3).
With utilization of the above data analysis and queries to healthcare administration officials, the results have
One of the recommendations for healthcare organizations to employ in an effort to reduce the number of errors is to advocate for voluntary error reporting nationally while conducting research and developing tools for patient safety. This way, information about errors can be gathered and prevented from reoccurring at health care sites and by health care providers. Voluntary error reporting will act as a warning of potential or actual errors and suggest ways to avoid them in the future.
The Joint Commission focuses on certain goals each year. For patient safety and positive outcomes, hospitals are required to follow certain standards. National Patient Safety Goals were established in 2002 to help identify areas of concern with patient safety. This group is made up by a panel of experts including nurses, doctors, pharmacists and many other healthcare professionals. They advise the Joint Commission on how to address these different patient safety issues. Two goals to be discussed are improving the accuracy of patient identification and medication safety. To improve patient
Mulloy, D. F., & Hughes, R. G. (2008). Patient safety & quality: an evidence-based handbook for nurses. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved from http://www.nlm.nih.gov/books/NBK2678/
The main objective of healthcare professionals is to provide the best quality of patient care and the highest level of patient safety. To achieve that objective, there are many organizations that help improve the quality of care. One of the best examples is the Joint Commission. Unfortunately, the healthcare system is not free from total risks. In healthcare activities, there are possible errors, mistakes, near miss and adverse events. All of those negative events are preventable. But, it is clear that errors caused in healthcare result in thousands of deaths in the United States.
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).
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
Unintentional errors, near-misses, and adverse patient outcomes occurring in the intensive care unit can range from significant to fatal. These errors have
Patient safety is of major concern in healthcare settings due to the preventable nature of events that sometimes lead to serious injury, and even death, for patients. This was catapulted to the forefront of healthcare delivery in 1999 when the Institute of Medicine wrote a scathing report; To Err is Human: Building a Safer Health System, that highlighted "the lack of safety for patients in healthcare organizations" (Ulrich and Kear 2014). The National Patient Safety
The Joint Commission has instituted a number of goals nationally; the aim is to improve patient’s safety. The goals selected look at areas that are of concern in the healthcare industry particularly how it affect patients safety and make recommendations how to reduce if not eradicated these. The Joint Commission is the governing body that accredited hospitals and other health care organizations. The two hospitals that this paper will be comparing, using the goals and criteria recommended by the Joint commission, is Holy Cross Hospital located at 1500 Forest Glen Road, Silver Spring, MD and Shady Grove Hospital situated at, 9901 Medical Center Drive, Rockville, MD.
Each year medical errors cause more than 400,000 American deaths and at least 10-20 times that number experience serious harm. Researchers say that is equivalent to “three 747 airplanes crashing each day.” Medical errors rank as the third-leading cause of death in America. Therefore, patient safety is a national concern.
One of the primary goals of patient care has been safety for a long time. How patient safety is regulated has changed throughout history. Between 1917 and 1918, the American College of Surgeons developed The Minimum Standards for Hospitals which was a one page document that lead to The Joint Commission (TJC, 2014). Founded in 1951 with accreditation beginning January 1953, TJC is currently the oldest and largest organizations setting standards for patient safety (TJC, 2014). The American College of Surgeons required ethics for physicians in 1951 (TJC, 2014). Today TJC and other credentialing organizations require all staff, clinical or not, to participant in patient safety goals. Regardless of the organization you work for, patient safety will
The safety of medication administration has become a universal issue and crucial for one 's wellbeing. The majority of hospitalized patients are treated with medications (Agyemang & While, 2010). The medical treatment of patients has a direct effect on the patient 's quality of life. Srinivasan declared "patients have a right to know they are receiving safe care" (as cited by Zhani, 2012, p. 1). The purpose of this paper is to identify current quality and safety issues in healthcare, share the impact the issues have on health care delivery, identify quality improvement strategies, and to reveal a plan to implement quality improvement strategies.
Patient safety one of the driving forces of healthcare. Patient safety is defined as, “ the absence of preventable harm to a patient during the process of healthcare or as the prevention of errors and adverse events caused by the provision of healthcare rather than the patient’s underlying disease process. (Kangasniemi, Vaismoradi, Jasper, &Turunen, 2013)”. It was just as important in the past as it is day. Our healthcare field continues to strive to make improvement toward safer care for patients across the country.
The National Center for Health Statistics (NCHS) is part of the ICD-9-CM coordination and maintenance committee. This committee is responsible for maintaining the classification system. NCHS is responsible for the classification of diagnoses involving volumes 1 and 2. NCHS posts the updated material for official code revisions to the classification systems, known as addenda on their centers for disease control and prevention website for the diagnostic portion. NCHS is also responsible for the use of the international statistical classification of diseases and related health problems. Some of the improvement that NCHS has help make are the addition of information relevant to ambulatory, managed care encounters, more injury codes, the making
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