...Original article | Published 3 February 2011, doi:10.4414/smw.2011.13157 Cite this as: Swiss Med Wkly. 2011;141:w13157 Do not attempt resuscitation: the importance of consensual decisions A qualitative study Lorenz Imhofa, Romy Mahrer-Imhofa, Christine Janischb, Annemarie Kesselringc, Regula Zuercher Zenklusend a b c d Zurich University of Applied Sciences ZHAW, Institute of Nursing, Winterthur, Switzerland Department of Education, Training and Professional Development, Stadtspital Waid Zurich, Switzerland Institute of Nursing Science, University of Basel, Switzerland Department of Medicine, Pourtalès Hospital, Neuchâtel, Switzerland Correspondence: Lorenz Imhof PhD RN Zurich University of Applied Sciences Institute of Nursing School of Health Professions Technikumstr. 71 CH-8401 Winterthur Switzerland lorenz.imhof@zhaw.ch pivotal. Therefore, leadership by experienced senior physicians and nurses is needed and great efforts should be made with regard to multidisciplinary education. Key words: decision-making; multidisciplinary collaboration; end-of-life issue; resuscitation orders Introduction Since the 1980s, “do-not-attempt-resuscitation (DNAR)” orders have become common in medical practice. DNAR orders are given for 50–60% of patients who die a non-sudden death, with wide variations among countries. DNAR orders apply to only 19% of hospitalised patients in Italy, but to as many as 83% in Sweden and 86% in Switzerland [1, 2]. The frequency of DNAR decisions in...
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...Instructional Resources 6 Required Resources 6 Additional Resources 6 Course Management 8 Technical Requirements 8 Test Administration and Processing 8 Replacement of Learning Assignments 9 Communication and Student Support 9 Academic Integrity 10 Grading 11 Course Delivery 13 Instructional Approach 13 Methodology 13 Facilitation Strategies 14 Unit Plans 15 Unit 1: Information Security Policy Management 15 Unit 2: Risk Mitigation and Business Support Processes 25 Unit 3: Policies, Standards, Procedures, and Guidelines 33 Unit 4: Information Systems Security Policy Framework 42 Unit 5: User Policies 50 Unit 6: IT Infrastructure Security Policies 58 Unit 7: Risk Management 66 Unit 8: Incident Response Team Policies 74 Unit 9: Implementing and Maintaining an IT Security Policy Framework 83 Unit 10: Automated Policy Compliance Systems 90 Unit 11: Course Review and Final Examination 97 Course Support Tools 101 Evaluation of Student Learning 102 STUDENT COPY 103 Graded Assignment Requirements 104 Unit 1 Discussion 1: Importance of Security Policies 105 Unit 1 Assignment 1: Security Policies Overcoming Business...
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...Discuss the current compliance status of the healthcare facility. Nightingale Community Hospital is compliant with The Joint Commission standards except the following areas: Accreditation function of environment of care and life safety, it was documented that more than 3 smoke wall penetrations were found on the 1st floor and one on the 4th floor. The hospital is to minimize the potential for harm from fire, and smoke (TJC, 2013). A review of documentation showed appropriate ILSM was not initiated during 3 construction projects this put employees and patients at risk. Education of fire safety equipment should have been completed before the project. The gift shop did not have the required 18 inch clearance from the sprinklers. All sprinklers must have at least 18 inches below and around of clearance for The Joint Commission standards. Review of department documentation shows that the master alarm panel for medical gasses was not tested annually per policy. This is a policy written by the hospital that is not being met. They are to follow the policies that they set for themselves. The Fire Drill History Report showed that the fire drill process is not adequate and does not meet standards. Quarterly fire drills are to be conducted as regulated by the Life Safety Code (TJC, 2013). Clutter was found in the hallways of 3E, 4E, OR and telemetry this could restrict people from leaving the floor safely in case of fire or smoke. Accreditations function of Nursing Leadership it was...
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...JUSTICE AND DIVERSITY WORD COUNT 3846 Introduction The aim of this assignment is to consider whether mental health patients have autonomy or do staff and the healthcare environment merely allow them a measurable quantity of autonomy based on legal, ethical and moral restrictions, if this is the case, is this autonomy at all? Placement experiences will be given in relation to patient autonomy and related ethical, legal and professional issues will be supported and/ or contrasted by relevant literature. Patient autonomy and capacity, consent, compliance, coercion and paternalism with be considered. In an attempt to show a deeper understanding and ability to apply theory to practice, the moral theories of liberal individualism, utilitarianism, Kantianism and communitarianism will be discussed in relation to patient autonomy. Attitudes, values, assumptions related to patient autonomy, implications for practice and care provision will also be reviewed. This topic has been chosen, due to personal interest following practice experiences on an adult acute mental health unit. All identifying factors relating to the patients have been changed to maintain client confidentiality (Nursing and Midwifery Council’s (NMC) Code of Professional Conduct 2002). A conclusion will be offered to evaluate findings, finalising with a reflective summary focusing on the process of enquiry. Autonomy Autonomy means self rule (Dworkin 1988). It as the ability to think, choose and act freely and...
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...Consumer Healthcare Ltd. | | Conduct on Behalf of the firms | 1 | Relations with Home Govt | It is the Company’s policy to comply fully with all applicable laws and regulations governing contact and dealings with government employees and public officials, and to adhere to high ethical, moral and legal standards of business conduct. This policy includes strict compliance with all local, state, federal, foreign and other applicable laws, rules and regulations. If you have any questions concerning government relations, contact the Company’s Legal Department at Complianceandethics@infosys.com. | GSK employees must ensure that dealings with Government Officials are carried out according to the highest standards of integrity required for all GSK business and in compliance with all relevant laws and regulations. | How should the top management behave with respect to ….. | 2 | Relations with Customers | Customer Relationships If your job requires interfacing or contacting any Company customers or potential customers, it is critical to remember that you represent the Company to the people with whom you are dealing. Act in a manner that creates value for our customers and help build a relationship based upon trust. The Company and its employees have provided services for many years and have built up significant goodwill over the years. This goodwill is one of our most important assets, and you must act to preserve and enhance our reputation. | Interactions with Healthcare Organisations...
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...should do – what decisions are morally right or acceptable; • Explaining why we should do it – justifying our decision using language of values and principles; and • Describing how we should do it – outlining an appropriate process for enacting the decision. 2 Ethical issues arise every day in health care (See Appendix A). Everyone has a role to play in ensuring the ethical delivery of care, from bedside to boardroom. Trillium Health Centre is committed to providing quality compassionate care to the community it serves. Ethical principles and values are incorporated into the way that decisions are made and care is delivered every day. Accreditation Canada expects that healthcare organizations will have in place a framework for guiding ethical behavior that is publicly accessible and consistent with the law. As healthcare organizations seek to provide quality care in the face of significant financial constraints, they face difficult decisions. Both technical (e.g., cost-effectiveness analyses) and...
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...Curriculum Development Paper Identification of the educational need and rationale. Prevention is better than the cure, medical technology and development of hospitals as the focus of health care practice. The CDC estimated a total of 1.7 million patients in the hospital that gets a nosocomial infection and 99,000 will die from the infection. This results to one patient death in every five minutes, hospitalized patients Hospital acquired pneumonia is currently the second most common nosocomial infection in the United States and is associated with high mortality and morbidity (Seymann, 2008). Higher rates of hospital-acquired pneumonia (HAP), functional decline, pressure ulcers, and falls are a few factors that leads to prolonged bed-rest . HAP Iis a pneumonia that begins within 48 hours after hospitalization and does not incubate at the time of admission. Because individuals with hospital-acquired pneumonia usually have underlying illnesses and are exposed to more dangerous bacteria, it tends to be more deadly than community-acquired pneumonia (Seymann, 2008). Those at risk include patients with a compromised immune system, are HIV positive, have been hospitalized for more than two days, reside in a nursing home, have COPD, diabetes, heart failure, are elderly, alcoholics or have other underlying disorders (Smeltzer, et al). A new report regarding the high death rate due to hospital acquired pneumonia was a an issue that could not be ignored by congress in light of the...
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...Barbara Kay 229858 Business Ethics Unit III Assignment Wal-Mart was founded on the vision of Sam Walton of Bentonville, Arkansas. It is the largest retailer globally and in the United States it generates over 2 percent of the gross national product. This retail giant was started as a company that would provide low prices for consumers daily. It has succeeded in that mission but through the years of growth and economic success Wal- Mart has had some critics related to business practices based on business ethics. Wal- Mart has had numerous class-action lawsuits for practices that have been interpreted as unethical business practices: employees working without compensation, sexual discrimination, healthcare benefits, illegal aliens, the role of unions, and child and other labor laws. All of these practices have been written about and have found their way in the court system. This case analysis will attempt to answer questions based on the framework of business ethics. 1) Are the ethical issues that Wal-Mart faces really different from other large retailers? Based on the number of case studies in the text provided as well as what are on the business news the challenges that Wal- Mart has encountered in the pursuit of meeting stakeholders expectations are similar to other large retailers. Wal-Mart has many internal and external stakeholders. As a publically traded company the stockholders are expecting a return on their investment and for the company to be profitable...
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...Compliance and Coding Management Task 2 Western Governor’s University Compliance and Coding Management Task 2 A. Outline a HIM compliance plan that emphasizes the coding function by doing the following: 1. The necessary components of a compliance plan include Code of conduct, policies and procedures, education and training, communication, auditing, corrective action and reporting. The code of conduct is a statement or oath that establishes the intent to perform duties lawfully and ethically. The second component of a plan would include policies and procedures. The policies and procedures for coding would cover items such as how and when to query a physician, acceptable documentation sources, how to rebill a claim, usage of coding guidelines, payer specific issues, and any additional gray areas that may arise in the coding function. Education and training processes must also be outlined in a HIM compliance plan. This would need to identify the number of mandatory CEU’s for each employee, new hire training guidance and requirements, as well as physician and clinical staff educational guidelines and processes. The HIM/Coding compliance plan should also include policies and procedures that address communication, the auditing/monitoring process, any necessary corrective action steps and finally the process for reporting the coding compliance steps that have been followed and any areas identified as risks or any findings of noncompliance. 2. The HIM director...
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...WHO Guidelines on Hand Hygiene in Health Care: a Summary First Global Patient Safety Challenge Clean Care is Safer Care a WHO Guidelines on Hand Hygiene in Health Care: a Summary © World Health Organization 2009 WHO/IER/PSP/2009.07 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 or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable...
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...Health & Medical Informatics Review Article Raghupathi and Raghupathi, J Health Med Informat 2013, 4:3 http://dx.doi.org/10.4172/2157-7420.1000132 Open Access An Overview of Health Analytics Wullianallur Raghupathi1* and Viju Raghupathi2 1 2 Graduate School of Business, Fordham University, New York, NY, USA Finance and business management, Brooklyn College, City University of New York, Brooklyn, NY, USA Abstract Objectives: We examine the emerging health analytics field by describing the different health analytics and providing examples of various applications. Methods: The paper discusses different definitions of health analytics, describes the four stages of health analytics, its architectural framework, development methodology, and examples in public health. Results: The paper provides a broad overview of health analytics for researchers and practitioners. Conclusions: Health analytics is rapidly emerging as a key and distinct application of health information technology. The key objective of health analytics is to gain insight for making informed healthcare decisions. Keywords: Data warehousing; ETL; Descriptive analytics; Discovery Introduction analytics; Health analytics; Informed decision; Insight; Predictive analytics; Prescriptive analytics management, and preventive care. In one scenario, for example, the use of health analytics technologies can ensure that emergency room doctors are briefed and ready to treat patients prior to their arrival...
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... EXECUTIVE SUMMARY Page 3 INTRODUCTION Page 4, 5 BACKGROUND Page 5, 6 LITERATURE REVIEW Page 6, 7, 8, 9 BENEFITS OF MANAGING DIVERSITY Page 9, 10 PROGRESS TOWARDS MANAGING DIVERSITY Page 10, 11 RESEARCH QUESTIONS Page 11, 12 METHODS ` Page 12, 13, 14 DISCUSSION Page 14, 15, 16 LIMITATION Page17, RECOMMENDATIONS Page 17, 18 REFERENCES Page 19, 20, 21, 22 APPENDIXES A Page 23 APPENDIXES B Pages 23, 24, 25, 26 EXECUTIVE SUMMARY The purpose of this study was to determine the extent to which employees of diversity management strategies varied by gender, and ethnicity in a sample of government employees...
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... EXECUTIVE SUMMARY Page 3 INTRODUCTION Page 4, 5 BACKGROUND Page 5, 6 LITERATURE REVIEW Page 6, 7, 8, 9 BENEFITS OF MANAGING DIVERSITY Page 9, 10 PROGRESS TOWARDS MANAGING DIVERSITY Page 10, 11 RESEARCH QUESTIONS Page 11, 12 METHODS ` Page 12, 13, 14 DISCUSSION Page 14, 15, 16 LIMITATION Page17, RECOMMENDATIONS Page 17, 18 REFERENCES Page 19, 20, 21, 22 APPENDIXES A Page 23 APPENDIXES B Pages 23, 24, 25, 26 EXECUTIVE SUMMARY The purpose of this study was to determine the extent to which employees of diversity management strategies varied by gender, and ethnicity in a sample of government employees...
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...competencies. * Relate course/clinical assignments and evaluation * Distinguish how the major concepts (see Nursing Student Handbook) of the program are affected by the variety of conditions and diseases within this course for all age groups. Outline A. Orientation to course 1. Course descriptions 2. Course outcomes/competencies 3. Textbooks B. Course Requirements 1. Student assignments and responsibilities 2. Minimum level of achievement 3. Evaluation tools C. Course/ Clinical Assignments and Evaluation D. Major Concepts 1. Caring 2. Clinical judgment, clinical reasoning, and nursing judgment 3. Clinical microsystem 4. Collaboration 5. Critical thinking 6. Cultural competence and Diversity 7. Ethics 8. Evidence-based care 9. Healthcare environment 10. Human flourishing 11. Informatics and Information management 12. Integrity 13. Knowledge, skills, and attitudes 14. Leadership 15. Nursing and Nursing Process 16. Nursing-sensitive indicators 17. Patient and Patient-centered care 18. Personal and Professional development 19. Professional identity 20. Quality improvement 21. Relationship-based care 22. Safety Teaching-Learning Strategies * Review course syllabus distributed by instructor * Read requirements and policies related to program found in Nursing Student Handbook (NSH) * Review course supplemental learning guide (SLG) * Text...
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... EXECUTIVE SUMMARY Page 3 INTRODUCTION Page 4, 5 BACKGROUND Page 5, 6 LITERATURE REVIEW Page 6, 7, 8, 9 BENEFITS OF MANAGING DIVERSITY Page 9, 10 PROGRESS TOWARDS MANAGING DIVERSITY Page 10, 11 RESEARCH QUESTIONS Page 11, 12 METHODS ` Page 12, 13, 14 DISCUSSION Page 14, 15, 16 LIMITATION Page17, RECOMMENDATIONS Page 17, 18 REFERENCES Page 19, 20, 21, 22 APPENDIXES A Page 23 APPENDIXES B Pages 23, 24, 25, 26 EXECUTIVE SUMMARY The purpose of this study was to determine the extent to which employees of diversity management strategies varied by gender, and ethnicity in a sample of government employees...
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