The Impact Of 2003 And 2011 Acgme Duty Hours Requirements

In the past two decades, a lot of changes have been characterised in the healthcare working systems. One of these changes has been the assimilation of shift work systems and the flexibility in work schedules. The need for 24 hour care makes the healthcare professions to work with different shift systems such as 12 h, 8 h, 9 h or 10 hour shifts. However, the common shift work systems divide a 24-h day in two (12-h) or three (8-h) shifts. Nonetheless, this requires the staff to be adapted with the various forms of shift work schedules.

The first issue with being a sports medicine physician is hours. Most sports medicine physicians work long, irregular

In addition residents of new medical programs are being trained to be educated of maintaining quality care and implementing systems to reduce errors and improve quality of care ( Shojania & Levinson, 2009). As stated by the authors, faculty must be educated to provide the education essential to the needs to improve quality care and implement QI standards of teaching to ensure the highest standard of care. Finally, the patient must be held accountable to ensure they are as proactive as possible to receive the most efficient care possible, as well as cost effective care.

Provision three of the American Nurse Association (ANA) Code of Ethics states that the nurse promotes, advocates for, and protects the rights, health, and safety of the patient. Within this standard, it specifies that nurses have a professional responsibility in promoting a culture of safety (American Nurse Association [ANA], 2015). As nursing students, we have the privilege of working with nurses in different departments during clinical rotations. Nursing students are able to observe the ethical application and inattention/negligence of this provision through the use of evidence based practice as well as unhealthy practices, respectively. While on clinical rotation, the most common unsafe actions I witnessed

Accreditation provides a competitive advantage in the health care industry and strengthens community confidence in safety of care and treatment. Accredited hospitals provide higher quality of care to patients. It improves risk management and risk reduction and helps in organizing and strengthens patient safety efforts. It enhances recruitment and staff education and provides education on god practices to improve healthcare operations. The paper discusses how The Joint Commission assists in having better outcomes in terms of safety in Western Medical Center Hospital. In today’s society, every health care organization should provide a proof of accreditation and are subject to a three-year accreditation cycle. The Commission develops performance standards that address some of the important elements of operation, such as patient care, infection control, medication safety, and patient rights.

“To qualify as a medical assistant-certified, an individual must complete a medical assisting training program approved by the Health Department, pass a certification exam approved by the Department, and meet any additional requirements imposed by regulations to be developed by the Department”(McCarty). Organizations such as American Association of Medical Assistants (AAMA) , American Medical Technologists (AMT), National Healthcareer Association (NHA), National Center for Competency Testing (NCCT), and The National Association for Health Professionals (NAHP) are all working together to insure medical assistants are getting the necessary credentials and continuing education required by federal and state regulations. Occupational Safety and Health Administration (OSHA) and Clinical Laboratory Improvement Amendments of 1998 (CLIA ’88) are setting in motion mandatory credentials that will be vital in the hiring process, but as now they do not require medical assistants to be

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

In previous years safe staffing has been a concern in Massachusetts hospitals. In a survey conducted by the

The implementation of the European Time Working Directive (EWTD in respect of doctors in training (NCHDs) was adopted into Irish Law in 2004 and state that ideally the working week should be no longer than 48 hours. Restrictions on working hours represent a corresponding restriction on the amount of direct surgical practice a trainee can have and push us to explore other means of training that are more focused and efficient. Deliberate practise can offer a means of developing surgeons skills that is more time effective and does not rely on scheduled theatre hours.

2012 Joint Commission Patient Safety Goals. (n.d.). Retrieved January 2014, from Captain James A. Lovell Federal Health Care Center: www.lovell.fhcc.va.gov/about/2012PatientSafetyGoals.pdf

While the contributions from the volunteers are greatly appreciated, abilities and level of commitment vary greatly. As a result, the families experience dissatisfaction when trying to obtain information, the surgeons experience frustration trying to find patients families, and the clinical staff find it difficult to update the volunteers when they need to communicate information. Currently, the volunteers are not held to any performance standards and while they may be in attendance, they may not be fully present. All employees of MCE are expected to work together and adhere to the guiding behaviors set by Mount Carmel which include being fully present

Every academic discipline in any profession is governed by its rules and policies developed and prone to amendment from time to time after viewing or arises of an issue. Nursing as a profession practice and an academic discipline is however not an exemption to this (Lasater et al., 2015). The nursing practice has different policies governing the procedures, and that promotes health and wellbeing of the patients as well as creating a conducive environment for nurses and the people they interact with in delivery of their services such as medical therapists, technicians, among others (Blegen et al., 2007). These policies ensure that there is a smooth running of the activities for the nurses as well as the patients. There exists a broad array of policies, but in this paper, the registered nurse safe staffing Act system will be looked into particularly in Florida.

Many people believe mandatory residency programs for newly licensed nurses are long overdue. The knowledge needed to practice nursing has grown to include health policy, ethics, public health, research, healthcare delivery improvements, as well as leadership skills. Nurses are part of the multi-disciplinary team and must work together with healthcare providers who possess masters or doctoral degrees. Nursing school prepares nurses with the basic information they need to know in order to practice safe nursing. However, modern nurses are faced with ever increasing demands. New nurses must know how to collaborate with the healthcare team, manage their priorities, stay organized and recognize life-threatening situations. Many new grads are overwhelmed with the demands of nursing, which can lead to compromised patient care and safety. Formalized, supervised guidance will improve patient care and retain nurses. The study also recommended doubling the amount of nurses with a masters or doctoral degree by 2020 in order to provide an adequate supply of nurses who are able to assume nurse faculty, primary care providers, and researcher positions.

Barbara faces a bewildering array of obstacles to success in the General Surgery Unit (GSU) at Eastern Massachusetts University Hospital. Based on reputation alone, it was clear that her new unit had serious issues long before she took her position as Nurse Manager of its 33 member nursing staff. Having held an informal, off site meeting with her nurses, she has identified 9 of their chief complaints. These complaints can be mostly categorized under three of the most common stressors: incivility, work overload, and

The project objective is to increase trainee awareness of current patient safety standards by 50% as evidenced by an increased participation in patient safety initiatives both in the academic and in