Operative Timing Report

This assignment will present a reflective analysis of the examination, diagnosis, treatment and referral plan based on a simulated patient presenting with a minor injury. Potential diagnoses related to the mechanism of injury will discussed aligning the patient presentation with the literature to produce the most likely diagnosis. When this is established, a suggested treatment plan will be created in line with current guidance.

Burke J.P. (2003). Infection control- a problem for patient safety. New England Journal Medicine, 348(7):651-656.

Meanwhile, the quality improvement team selected potential subjects and added their medical record numbers to the database. The team decided to utilize a quality improvement toolbox technique to create surveys for physicians to complete on a daily basis. The survey form requested patient demographics along with the patient’s medical history. The physicians were asked to estimate the patient’s risk of ARTI complications due to chronic illnesses such as diabetes or cardiovascular disease. Finally, the physician recorded the patient’s final diagnosis and the type of antibiotic prescribed. The data collected from the physician forms was entered into a database (REDCaps) for statistical analysis. The working hypothesis stated that the overall antibiotic prescription rate would be reduced by 5% through education and intervention. Overall, their final results support their hypothesis, all of their stated goals met expectations. The overall prescription rate was reduced from 69% to 55%, and broad spectrum antibiotic prescriptions fell from 68% to 59%. The interventions also reduced antibiotic use in otherwise healthy patients and delayed treatment with antibiotics from a baseline of 8.3 days to 9.7 days (Grover DO, et al.,

If an open wound occurs at the site of the fracture that is an open fracture. Sometimes the fractured bone sticks out of the wound. This creates a big risk of infection in the bone.

fracture. Those patients spent an average of 7.3 days spent in the ICU. In contrast,

Sometimes when treating the fracture and it gets severe the patient might need to be hospitalized and in other cases they need to get surgery (Nordqvist, 2014).

we see the problem, the green stick fracture in our six-year-old patient, we get working. My

Inclusion Criteria: Hospitalized patients ≥ 65 years old, receiving 1 or more antibiotics (within past 7 days) were recruited.

There is limited evidence for the pre-hospital use of Benzylpenicillin. Using medical search engines/databases including PubMed & prehospitalresearch.eu, searching for adults, Benzylpenicillin & pre-hospital bought back very limited appropriate articles. One study found showing the use of Benzylpenicillin pre-hospital came back quite disappointing. The number of cases audited was low and the majority of the information was

In 1992 Shapiro et al. published their research informing providers prophylactic antimicrobial treatment is not routinely indicated [2] There were a total of 387 patients in the controlled trial, 203 patients assigned to receive amoxicillin and 182 were given a placebo [2]. Either 250mg of amoxicillin or a placebo was given to subjects three times a day for ten days. 15 subjects dropped out and 7

Furthermore, in a study by Vyas, Ongari, Hou, & Ali (2016), the purpose was to determine CDI in 1000 PD and the utilization of broad spectrum antibiotics (BSA) before and after the implementation of the ASP. The study was designed as an interventional, retrospective analysis and the sample consisted of 763 adult patients in three different university hospitals over a nine months period. The patients were separated into one group before the implementation of the ASP and second group after the implementation of the ASP that received BSA. The study noted that the risk of acquiring CDI is increased with the over use of BSA, therefore with the implementation of the ASP in hospitals, there has been a reduction in the rate of hospital-acquired

Methods: Using Optum Clinformatics with matched Premier hospital dataset (08/2009-03/2013), we conducted a case-control study to assess inpatient mortality among adult (≥18 years) bacteremic patients who received at least two consecutive days of antibiotic therapy within the first three days of admission. Cases were bacteremic patients with an inpatient mortality, and controls were patients who did not die during a hospitalization and matched to cases using Disease

carbolic acid into open fractures to sterilize the wound and to prevent sepsis and hence the need for

Eighty percent of antibiotic prescribing takes place in general practice (Haddox, 2013). Therefore, focus of limiting antibiotic

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