Project Evaluation Of A Clinical Practice Project

In order to eliminate the inefficiencies witnessed in many public and private hospitals that serve a number of patients, an integrated approach to handling the daily workload is necessary. There is need for all departments within the hospital to work closely together in ensuring more effective and efficient service deliveries. In this paper, a planned change is going to be carried out involving designing a new system that incorporates all the departments within the hospital. This includes the surgery department, pediatrics department, dentistry department, nursing department, pharmacy departments, laboratory and testing department, X-ray and Physiotherapy departments, Equipment maintenance and Engineering department, Information Technology

14 million Canadians visit Emergency Departments (ED) every year, and also reported to having the highest use of EDs (Ontario Hospital Association, 2006). ED overcrowding in Canada has become an epidemic. ED overcrowding has been defined as “a situation in which the demand for emergency services exceeds the ability of an (emergency) department to provide quality care within acceptable time frames” (Ontario Ministry of Health and Long Term Care, 2014). This has been an ongoing problem across Canada. Ontario has developed an initiative to reduce ED wait times by implementing a variety of strategies and collaborating with other institutions. This paper describes the Emergency Room National Ambulatory Intuitive (ERNI), an

In the Emergency Department, does implementing the emergency severity index algorithm along with an online training component improve the accuracy of triage acuity rating assignment by registered nurses ultimately decreasing left without treatment (LWOT), length of stay, and staff satisfaction.

I would like to give you some insight as to the daily operation of a major Emergency Department in this city. Not unlike many other “ER’s” the nursing staff is tasked with the triage or assessment of patients in order to sort by priority. The nurse is then tasked with maintaining flow of the department and ensuring the timely care and physician evaluation of patients. This requires clinical nursing judgement and expertise which is tested constantly. To explain this plainly, nurses are faced with a meat grinder which cannot stop. There may be twenty patients in the lobby with ambulances lining up. The room nurses are trying to

In the article, "Improving Patient Safety by Standardizing Handoff Communications" (Danis, 2007), the purpose of the study was to implement a standardized approach to handoff communication and to improve compliance in using a handoff communication form. The study was based on the lack of standardized communication as the root cause of issues surrounding how patients receive care and safety and addressed the JACHO 2006 National Patient Safety Goals requiring a standardized approach in handoff communications. The study found that implementing a handoff communication form increased communications about patients between staff of each department. It concluded that staffs were more aware of communication gaps and the difficulties in communicating in the complex health care environment. This study is important for bringing more awareness and solutions to the problem of interdepartmental communications to ensure that patients will continue to

    The modern day emergency room is a department that is constantly busy. In the hustle of caring for patients, there are some details of the patient’s care that can be overlooked in a standard phone report to the accepting nurse. With this in mind, a change is needed so that there is an optimum patient outcome for each and every one of the people that walk through the doors of the emergency room and get admitted.

In this paper I will be playing the part as a chief operating officer (COO) and I am responsible for a 15-bed Emergency Room (ER). In this scenario I am facing many complaints within the last year regarding inadequate care, poor Emergency Room management, long wait times, and patients being sent away because of lack of space, staff, or physicians to provide appropriate care. I am asked to (1) Thoroughly diagnose the root causes of the complaints about the clinic, (2) thoroughly devise a strategic plan for overcoming the problems associated with the current Emergency Room, (3) thoroughly justify how the “Good

In this article, the authors investigated the vulnerabilities in emergency department to internal medicine patient transfers through self-administered surveys of all emergency medicine house staff. More specifically, the survey investigated adverse events due to faulty communications during handoffs. According to this survey, 29% of the emergency staff reported either an adverse or near-miss event due to errors during handoffs. Furthermore, the survey respondents identified inaccurate or incomplete information, cultural and professional conflict, crowding, and many other factors as the contributors to handoff errors. By identifying specific contributors to handoff errors, this article serves as guidance for handoff intervention.

The author will discuss within the essay, the introduction of the Emergency Care Standard and the effects on patient flow within the NHS. Also, the many changes which have implications for the author professional practice and how if possible they maybe overcome.

Visit your local Emergency Room on any given day and you are likely to witness a sort of controlled chaos: nurses, doctors, transporters, patient care technicians, and other ancillary staff members all darting about, attempting to meet the needs of increasingly sick patients in oft-overwhelmed and overpopulated hospitals. All around, various alarms sound. IV pumps signal fluid bags about to run dry. Vital sign monitors ping at differing volumes and intensities, in an electronic demand for staff to mind the out-of-normal-range

In this case study, Ms. A is a 26-year-old white woman who is experiencing low levels of energy and shortness of breath. Ms. A also stated that these symptoms seem to get worsen during her menses. While playing golf in a mountainous area, she had gotten lighted headed. The attending physician had collected the objective data. The objective information is elevated heart rate and respiratory rate while having a normal temperature. Some of Ms. A’s history is have menorrhagia and dysmenorrheal problems for the last 10 to 12 years and takes 1,000 mg of aspirin every 3 to 4 hours during her menstruation. Also during the summer when she plays golf, she takes some aspirin to help avoid stiffness in the joints.

In this table, number 1 has the highest mean (3.07), for “Adequate support services allow me to spend time with my patients.”. This finding is consistent with the reality of hospitals allowing for laboratory, x-ray, pharmacy, and other services easily accessible to emergency patients. In addition, physicians are permanently stationed in the

154). The emergency department nurses provided some options to improve these problems along with set nurse to patient ratios. Some of these options included small meetings throughout the shift to potentially shift patients around if someone has multiple high acuities, continuing education, having a good mixture of experienced and newer nurses and providing a supportive emergency department environment to help others when needed. Since there is not one sole solution, administration will need to work closely with nurses to find the best

Open communication is essential part to a successful healthcare team that directly impacts patient’s lives. In the video “Just a Routine Operation, ” by Laedal Medical Human Factors in Patient Safety, physicians and nurses demonstrates how different human factors contribute to the overall outcome of the patient. Elaine, the patient in the video came into the hospital for a reconstruction surgery. However, during the surgery Elaine had a complication and because the lack of communication, assertiveness, self-awareness, decision-making, teamwork, and prioritization, Elaine did not survive the surgery. This situation shows how important these characteristics are when dealing with emergency care. Even the health care professional with the years

Several existing problems precipitated the creation of the triage system implemented by Kathryn Angell in an effort to deliver improved medical care. The main problem was a lack of coordination in service delivery. This lack of coordination caused excessive wait times on the order of anywhere from 23 to 40 minutes to see a nurse, 40 to 50 minutes to see a doctor, and as long as 55 minutes to get a prescription filled. The practice of all nurses being involved initially in seeing all patients caused duplication of efforts, including repeating questions and examinations, and resulted in procedural bottlenecks. Additionally, there were inconsistent levels of service and extreme variation in treatment because of the different experience