In the 1966 film, Fantastic Voyage, world famous scientist Jan Benes suffers a stroke after being attacked on his way to the United State Combined Miniature Deterrent Forces (CMDF) lab. He possesses vital information that the US needs in order to defeat the Soviet Union, so they put Benes into a coma to prevent his brain from hurting itself further. Dr. Peter Duval, the lead surgeon, informs Mr. Benes’s Secret Service handler that the injured part of Benes’s brain is located in an area that they cannot operate on without fatally injuring the man. Their only option is to shrink an expert team of four engineers and scientists, along with Mr. Benes’s Secret Service handler, down to microscopic size and inject them through Jan Benes’s carotid artery …show more content…
This is the way that it’s always been, and we have faith in this method. But is our faith misguided? According to the Journal of Patient Safety, between 210,000 and 440,000 people die annually as a result of avoidable hospital mistakes, making it the third leading cause of death in the United States, so why do we continue to put our trust into doctors when they’ve proven time and again that they are not always equipped to do their jobs? In fact, no living creature on planet earth possesses the competency and mental capacity to do what a doctor is required to do. Remembering each and every drug interaction? Remembering the most miniscule piece of a patient’s medical history that may be the key to figuring out their prognosis? For each of their thousand patients? It seems ridiculous to even think that one person could manage that, yet we allow these “professionals” to poke us, prod us, and pump us full of medication. Even the solutions that human doctors can offer can’t improve quality of life for all people. There’s no magic pill that can give a young boy his legs back after a car accident or a doctor skilled enough to perform microscopic surgery to remove a possibly fatal blood clot. But don’t be discouraged, dear reader, because there is a solution,
As health care has advanced through the years, many roles have changed which includes those of risk management and patient safety. Once thought to be one in the same,but they have distinct and obvious differences that set each apart from the other. Risk management is defined very broadly by the United States Inspector General of the Department of Health and Human Services as "any activities,process, or policy to reduce liability exposure"(https://oig.hhs.gov/oei/reports/oei-01-03-00050.pdf).This is much different from the definition of patient safety as found in the book Advances in Patient Safety: New Directions and Alternative Approaches as "Patient safety is a discipline in the health care sector that applies safety science methods
Patient safety is of utmost importance to prevent errors and adverse effects associated with patients in health care. Yet, 44,000 to 90,000 people die each year from preventable medical errors (Potter & Peter) caused by human factors. According to World Health Organization (2009) human factors is defined as:
The National Patient Safety Goals were created in response to the IOM article, To Err is Human: Building Safer Health Systems. These goals were written to address patient safety and are tailored depending on the health care setting to which they are written for. They address system wide solutions rather than focusing on whom or how the error was made. Medical errors have been noted as being the 8th leading cause of death in the U.S. with the most frequent of these errors being medication related (Johnson, K., Bryant, C., Jenkins, M., Hiteshew, C., & Sobol, K. 2010). Therefore a great focus on these goals is needed across the health care continuum. The goals are updated and amended on a regular basis using evidence-based research, in response to areas with high errors in patient safety.
This paper will discuss the National Patient Safety Goal NPSG 0.7.06.01 entitled “ Use proven guidelines to prevent infection of the urinary tract that are caused by catheter” (The Joint Commission, 2015). It will identify reasons why this National Patient Safety Goal was chosen as well as the type of organizations that utilize urinary catheters. It will look into the cost of implementing an educational process compared with the hospital cost of Catheter-Associated Urinary Infections (CAUTI). The Advanced Practice Nurse (APN) will demonstrate a method on how to gather data, design educational tool, implement standard practice and create a committee by collaborating with other health care disciplines. The effectiveness of the educational process will be evaluated through data collection and analysis. Finally, future health care delivery implications will be explored.
This paper, will discuss the National Patient Safety Goal NPSG 0.7.06.01 entitled “ Use proven guidelines to prevent infection of the urinary tract that are caused by catheter” (The Joint Commission, 2015). It will identify reasons why this National Patient Safety Goal was chosen as well as the type of organizations that utilize urinary catheters. It will look into financial implications of implementing educational process versus the hospital cost of Catheter-Associated Urinary Infections (CAUTI). The Advanced Practice Nurse (APN) will demonstrate method on how to gather data, design educational tool, implement standard practice and create a committee by collaborating with other health care discipline. Effectiveness of the educational process will be evaluated through data collection. Finally, future health care delivery implications will be explored.
According to the AHRQ: National Healthcare Quality Report (2009), the goal of quality of health is to help people stay healthy, learn to live with a disability or chronic disease, recuperate from an illness, and deal with dying and death. However, instead of delivering health care services that are safe, patient centered, equitable, and timely. Many patients do not receive needed care. When care is received many times it is unsafe or too late
The Pennsylvania Patient Safety Authority is a state agency founded by the Medical Care Availability and Reduction of Error (MCARE) on 2002. Moreover, the agency creates the greatest database system for patient safety which known as Pennsylvania Patient Safety Reporting System PA-PSRS. The system was developed by contract with Pennsylvania-based independent, ECRI, in partnership with Hewlett Packard Enterprise, a non-profit health services research agency, the Institute for Safe Medication Practices (ISMP), a Pennsylvania-based, non-profit health research organization and also a leading international information technology firm. Statewide compulsory for using PA-PSRS to report serious events in hospital, ambulatory surgical facilities and
It is a great opportunity to have this experience and to relate it with what we were being taught at school. There are a lot of connections in this project regarding patient safety. My safety project is a qualitative analysis of the difference between an allergy and sensitivity. The question still lies on how could the hospital staff manage allergy better?
In our nursing practice, the nurse is required to hold essential skills of clinical judgment and be a patient advocate to ensure the safety and the well-being of the patient we care for. Patient safety can be compromised if nurses are not able to identify potential issues thru assessment of the patient's sign and symptoms. Patient safety can also be compromised if nurses are afraid to speak up for our patient and question what we think or feel are unsafe acts or orders.
Effects of a National Safe Patient Handling Program on Nursing Injury Incidence Rates by Gail Powell-Cope, Peter Toyinbo, Nitin Patel, Deborah Rugs, Christine Elnitsky, Bridget Hahm, Bryce Sutton, Robert Campbell, Karen Besterman-Dahan, Mary Matz, Michael Hodgson and published in 2014 discusses the musculoskeletal injury( MSI) among the primary healthcare providers in the veteran health administration facilities. The research shows that the rate of the MSI is quite high and this overall impacts the efficiency of the nurses. The article suggests that failure to educate the peer leaders on the appropriate safety patience handling programs, inadequate equipment, and staffing contributes to MSI (Powell-Cope et al.).
Patient safety is defined as the prevention of harm to patients, and is the number one priority in healthcare facilities. All healthcare facilities have policies in place to keep patients as safe as possible. These policies can include anything from preventing infection to education. Every facility will have different policies in place, thus all patient safety policies will emphasize a culture of safety in a suitable environment. One policy that is of concern is the minimum number of nurses staffed on a unit at any given time, or the nurse to patient ratio. Every state and every
Quality of care, and patient safety matters. Quality of care does not happen overnight; it is a system that an organization creates to measure, assess, and improve performance. This quality management system is a set of interrelated or interacting elements that organizations use to direct and control the implementation of quality policies and achieve quality objectives (Spath, 2013).
As we all know, patient safety in a healthcare setting is extremely important and is to be taken very seriously. This is a very challenging topic with any healthcare establishment, because people do make errors and it’s only human. It is everybody’s job within the facility, hospital, or any healthcare setting to work on making sure that the safety of every patient that enters and leaves their building is safe. We want patients to feel safe and confident when they have to go to the hospital for a procedure, or even to a skilled nursing facility to have rehabilitation or to eventually stay long term.
Hello Mary. I agree there is a need for increased fall education and patient safety awareness of staff. We play a vital role in patient safety and quality improvement. I believe that being a nurse is a constant learning, we learn as we practice. Nursing research helps us to bring forth more efficient nursing care. According to Beck and Polit, it is important to emphasize the clinical nursing research to guide nursing practice and to improve the health and quality of life of our patients (2012). Unfamiliar environment, illnesses, and treatment increase the risk of the patient for falls. We are restraint free in our long-term care unit. Staffs are always looking for alternatives to prevent falls such as medication changes, alarms, 1:1 sitter,
Patient safety which is the amount to which patients are free from unintentional injury has established a great deal of media attention during the past few years. Regulatory and professional agencies have specified that patient safety education should be given to healthcare workers to improve health results. The primary purpose of this essay was to gain a better understanding of the present status of patient safety consciousness among those that work in the health care setting... Risk Management Issue