...health record as a learning tool A teaching strategy from the QSEN project specifying a specific student assignment relevant to nursing informatics. Conclude your discussion with a well-developed reflection on the significance of healthcare informatics to 21st century nursing education. In response to the Institution of Medicine call to improve the quality of healthcare the Quality and Safety Education for Nurses (QSEN) initiative was started. The QSEN initiative consisted of the development of quality and safety competencies that serve as a resource for nursing faculty to integrate contemporary quality and safety content into nursing education. Nurses are on the front line of patient safety. It is important for the nursing profession to realize all the benefits healthcare informatics can offer to ease their jobs and improve patient safety. Introducing health care informatics into the nursing curriculum will prepare the student for new and innovative technologies on the horizon in the healthcare community. Safety benefits are consistent with the use electronic health record. If electronic medical records are being used by the nurse, the physician is using them as well. Implementing EMR has solved the challenged of illegible handwriting that has led to increase medical errors. Another benefit of the electronic medical record is that it often works in conjunction with another valuable technology tool: electronic medication administration records, which provide an electronic...
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...Annotated Bibliography Drugs in Sport Calum Thouless Legend 2154980 (Kumar Neeraj, 2011) Spelling - Red Grammar - Green Sentence construction - Yellow Incorrect reference - Blue In this article Kumar Neeraj, Paul Maman and Sandhu J.S perform a survey to increase their knowledge and insight as to why the supporting factors of psychological and social could potentially lead players towards using drug abuse substances. The authors gained primary data by conducting surveys which 303 players participated in, with the questions consisting of performance enhancing attitudes, perfectionism and motivation among other factors. Their research focuses on reviewing the player’s answers to their surveys and their opinions on the different factors which could lead to drug abuse. This article is helpful to me as it indulges into the players own personal opinions on what factors lead to drug abuse in sports and there are multiple surveys in which these opinions are portrayed. The main limitation of the article is that the 303 participants were all in the age group of 18 to 35 which limits the opinions to older/former players or athletes. The authors of this article mention how much of this research is restricted to an individual’s perception rather than a whole team’s perception and that more in depth research needs to be conducted in order for this entire subject to be concluded. (Nadra E. Lisha, 2010) In this article the authors review data of 34 peer-reviewed quantitative...
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...HND Division Head Office - IDM Nations Campus HND in Computing & Systems Development Unit 42 - Programming in .NET (June 2013) Set By : Mr. Sanaka Suranga Perera Student Name: Student Number: Edexcel Registration No: Date Released: 02/04/2013 Branch Name : Due Date: 31/05/2013 Submitted Date: Here by I confirm that this is my own work and that I have not plagiarized any part of it. I have also noted the assessment criteria of the assignment. Student Signature : Outcomes/Grade Descriptors Achieved (Please Tick) |Outcomes/ Grade |P42.1 |P42.2 |P42.3 |P42.4 | |Descriptors | | | | | | |1.1 |1.2 | |P42.1.1discuss the principles, |Include features ,principals of .NET framework(Task 1-a) | | |characteristics and features of | | | |programming using a .NET framework | | | |P42.1.2 critically compare different types|Differentiate the .NET versions (Task 1 -b) | ...
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...My involvement in the drug error is as follows. I was working on the night shift as the only qualified nurse with 2 nursing assistants. The late shift decided to administer the 10pm medications as a way of helping me. This however was key in me making the error that I did. If I had been left to do the 10pm medications by myself, this error would not have occurred. Patient PF was given her medication by the late staff, however she had spat them out. On going to give her these again, I also repeated her liquid medication which she had actually taken with the late shift before she spat out her tablets. PF took half the liquid before giving it back to me saying that she had already taken it and it was just her tablets that she didn’t take. She accepted the tablets no problem from me. I checked the BNF to see limits of medication and knew the extra that she had was well within the maximum dose. I also knew that she was not naive to medication and had been taking this medication for some time without any adverse effects. I checked her observations and BP, pulse and temp were all within normal limits. I continued with getting the other ladies ready for bed and carried on with my regular night time duties and once the ward was settled I filled in the datix form to report the error. It was at this time that I realised I should have notified someone earlier of the error. I contacted the AMART team as it was my understanding that they triage the calls to the duty doctor overnight. I...
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...has made slow progress in improving patient’s safety. The role of nursing in improving medication safety has been largely underestimated. Much of the research undertaken to date in relation to adverse medication events has neglected the impact that nurses have or could have in improving patient safety. In examining literature regarding adverse medication events one can see the urgent need for significant improvement in medication practices and processes. In addition that this health care issue will only improve with the participation of all disciplines working towards a common goal of improving the safety of those in our care. Introduction Medications play a key role in healthcare but can also be a significant key cause of medical error and of adverse patient outcomes. Nurses by the nature of their roles in medication administration can be the last line of defense in eliminating or reducing adverse medication events. The administration of medication is a common and almost routine activity in a nurse’s daily work, yet it is fraught with complexity and risk for both the patient and nurse. As a student nurse working in partnership with a registered nurse I have observed a variety of practices in medication administration that have varied from what I have been taught in class. On reflecting on these practices and questioning nurses why such practice has been adopted has illustrated to me both the flawed processes and environment that nurses provide care in. Nurses will need...
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...Health Care Medical errors persist despite modern technology. Although, this is not a new issue it remains in the forefront of the health care community. Health care is a decade or more behind many other high-risk industries in its attention to ensuring basic safety (Institute of Medicine, 1999). Medical errors have been in the spotlight since the 1990's when government studied the sudden increase in the number of hospital deaths. According to Lester and Tritter (2001) "Medical error is an actual or potentially serious lapse in the standard of care provided to a patient or harm caused to a patient through the performance of a health service or health care professional". A study in the Journal of Health Care Finance from Wolters Kluwer finds medical errors in the U.S. may cost up to $1 trillion per year (Goedert, 2012). Medical errors can occur in many ways including but not limited to wrong site surgery, surgical errors, medication errors, adverse drug reactions, medical equipment failure, diagnostic error and communication errors. The Journal of Patient Safety estimates that the numbers of deaths in 2014 that are directly related to medical errors top 210,00 and may reach 440,00 (Allen, 2013). The statistics indicate that to ensure patient safety the reduction of medical errors must become a priority of healthcare systems nationwide. Corporate Structure and Governance Despite considerable efforts by various healthcare facilities, medical errors remain a significant...
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...Defining the Methyl-Specific Recognition of BRCT Domain Proteins An important tumor suppressor for preventing carcinogenic mutations with direct roles in DNA repair and transcriptional regulation is a gene known as Breast cancer gene 1(BRCA). These genes have several domains. These domains have important roles in tumor suppression as several pathogenic mutations have been mapped to BRCA1’s C terminal (BRCT). However, there is an emerging paradigm that BRCT domains have binding sites capable of recognizing, additional post-translation modifications (PTM’s) methyl ADP-ribosylation. In understanding the basic mechanism of gene mutation it is important to first understand the details of the novel protein mechanism. e.g. Methyl-dependent recognition has been demonstrated in BRCT domains. Such as BRCA1 and 53 BPI. Similarly Pax transactivation interacting protein 1 (PAXIP1/PTIP) contains tandem BRCT domains that display phosphor-specific recognition with critical roles DNA repair Transcription regulation.BRCA1, 53BP1 and PTIP all share a conserved mode of phosphor-specific recognition, therefore. Therefore the objective of the whole study is to determine if Tandem BRCT domains contain multiple PTM- recognition interfaces. Using-Peptide pull down experiments-we found that similar to BRCA1, PTIP/BRCT56 domain preferentially bind asymmetric dimtheyl-arginine (ADMA) peptides Conducting a mutational analysis with BRCA1, BRCT domain residues that are known to disrupt phosphor-specific...
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...UNDERSTANDING EVIDENCE - BASED NURSING | Evidence-based Literature Search and Review on Interruptions during Drug Rounds | Cohort: March 2010 | | Student ID: | | Word count: 3292 Additional Module 1 | It is generally accepted that evidence-based practice (EBP) is the way forward in contemporary nursing. It provides the rationale behind nursing practice and allows for the delivery of optimal nursing care. Evidence-Based Nursing (EBN) involves the process of researching and implementing proven evidence in providing better patient care and is crucial as the role of the nurse is ever expanding (Banning, 2005). This essay will demonstrate that as a student nurse, the author has gained the necessary skills to conduct an evidence-based literature search and review and implement that knowledge into practice. Starting with a brief discussion on EBN it will go on to identify a suitable research question. During a placement on a medical ward the author noticed that nurses experienced many interruptions whilst conducting medication rounds and this review will consider ways to minimise interruptions and thus improve patient safety. Using the PICO acronym a suitable research question was formulated, ‘do interruptions during medication rounds increase the drugs administration errors made by nurses?’ A short description of the literature search is given and a summary of findings is presented in tabular form. Five original articles were selected and one chosen to critically...
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...Patient Safety/Quality Care/Improvement Case Study The Patient Safety defines health errors as “the disappointment of a designed action to be finished as planned or the use of an incorrect plan to attain an aim(Longo, D., Hewitt, J. E., Ge, B., & Schubert, S., 2007).” Health errors do not all effect in damage or grievance. Checkup errors that reason damage or hurt are occasionally called avoidable unpleasant actions that are the damage is a reflection to be due to a therapeutic intervention, not principal patient circumstances. Errors consequential in severe injury or death are considered “sentinel events” by the Joint Commission (Longo, D., Hewitt, J. E., Ge, B., & Schubert, S., 2007). The case study, Appearance May Not is Reality, was the focus of this assignment because of privacy practices. The purpose of this assignment was to identify key ethical and legal issues, determine which elements of the Code of Ethics of the American College of Healthcare Executives (ACHE) would help administrators determine the right course of action, identify potential ethics committee actions, and administrator’s role in preventing and addressing the issues in the aforementioned case study. Protected Health Information is the information that you provide us or we create receive about your health care. PHI contains a patient’s age, race, sex, and other personal health information that may identify the patient (Nationwide Children’s Hospital, 2013). The information relates to the patient’s...
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...Elderly In this article I will reflect on the issues surrounding the non compliance of prescribed medication taking in the elderly and the implications of caring for such patients within the community setting. The model of reflection that I have based my writing upon is Gibbs’ model of reflection (Gibbs 1998) which I feel allows me best, in a methodical and logical way, to explore my thoughts and feelings, to evaluate the care delivery and to reflect upon my actions and those of others. Lily (pseudonym NMC, 2008) was referred to the Rapid Response Team by her General Practitioner with pneumonia; Lily has longstanding respiratory and mental health problems. Rapid Response Teams are part of Intermediate Care, formed as a result of the implementation of the National Service Framework for Older People (DOH, 2002) to prevent unnecessary hospital admission during episodes of acute illness. Lily’s GP had requested that we visit to prompt medication and generally provide assistance during this time. I visited Lily with a colleague, prompted her medication as prescribed and asked if she had taken her other medications that morning. Lily’s other medications were in a dosette box, an aid memoir to medication administration used when multiple drugs are prescribed; each box contains an entire weeks medication and is prefilled by a registered pharmacist (McGraw, Dennan 2001). Lily had two such boxes, one which she had started that morning and had taken the wrong day and one...
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...this was a binary and categorical variable. Ho: There is no difference in the length of hospitalization and the nurses’ notes between patients with a view of the window or the wall. Ha: There is a difference in the length of hospitalization and the nurses’ notes between patients with a view of the window or the wall The second test performed was a multi-variant two-sample Hotelling test. The predictor variable was what type of view the patient had and is a binary, categorical variable. The response variables were the strength of the antianxiety drugs (weak, moderate, strong) and this is a categorical, ordinal variable and the number of doses of analgesics, which is a quantitative and discrete variable. Ho: There is no difference in the strength of antianxiety drugs taken and the number of doses of analgesics between patients with a view of the window or the wall Ha: There is a difference in the strength of antianxiety drugs taken and the number of doses of analgesics between patients with a view of the window or the...
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...Introduction Every day, dozens of unintended incidents done by nurses, happen to patients during their hospitalization globally. I will be talking about one memorable incident, which happened to me during a busy afternoon shift in the Emergency Medicine Department (EMD). Using the Gibbs Reflection Cycle (Jasper, 2003) to guide me in this essay, I will be discussing about how my nursing managers practice transformational leadership in this reflection essay to motivate me to improve me as a better critical thinking registered nurse in EMD. Description This unfortunate incident happened in my work area, where patient with critical conditions receive treatment, Patient Acuity Category (PAC) 1. It was a busy shift and there were dozens of critical cases coming in...
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...Patient Safety Workshop Learning From Error PATIENT SAFETY WORKSHOP LEARNING FROM ERROR WHO Library Cataloguing-in-Publication Data Patient safety workshop: learning from error. Includes CD-ROM 1.Patient care - standards. 2.Medical errors - standards. 3.Patient rights. 4.Health facilities - standards. 5.Health Management and Planning. I.World Health Organization. ISBN 978 92 4 159902 3 (NLM Classification: WX 167) This publication is a reprint of material originally distributed as WHO/IER/PSP/2008.09. © World Health Organization 2010 All rights reserved. Publications of the World Health Organization can be obtained from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@who.int). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; e-mail: permissions@who.int). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies...
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...penalties for giving inaccurate information. I would make sure that they understood the seriousness of their actions and the legal consequences they may face because of their poor choice. I would make sure that they understood that the media has changed dramatically in the last century and now everyone has access to the false story they wrote. The significance of immediate news media is that now people can get the news on their cellphones, ipod, even through word of mouth on social networking sites such as Facebook and Twitter. The Internet is one of the greatest disadvantages of modern media. Once the story is on the Internet millions of people have already read the story. We now live in an age of technology, so it is hard to contain an error that is already on the web. One advantage of old media such...
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...Student Resource Passport to Class: Name___ ________ Foundations for Effective Leadership and Management Module 16: Quality Control, Safety, Performance Appraisal and Problem Employees Required Reading: Marquis, B.L. & Huston, C.J. (2015). Leadership Roles and Management Functions in Nursing: Theory and Application, 8th ed. Philadelphia: Wolters Kluwer. Chapters 23, 24 & 25 Recommended Reading: Institute of Medicine (1999). To Err is Human: Building A Safer Health System. Washington, D.C.: National Academy Press | | Student Response | Objectives | Discuss concepts of quality control, quality assurance and quality improvement. Chapter 23 | Discuss the following:Quality control - refers to activities that are used to evaluate, monitor, or regulate services rendered to consumers.Quality Assurance - Quality assurance models seek to ensure that quality currently exists.Quality Improvement - assume that the process is ongoing and quality can always be improvedDefine the following terminology * Critical Event Analysis – process used to determines discrepancies between care provided and unit standards. * Root Cause Analysis – process used to obtain further information regarding why the standard was not met. * Benchmark - the process of measuring products, practices, and services against best-performing organizations. A tool for identifying desired standards of organizational performance. * Standard -...
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