...A., Chapman, Y. (2014). Patients’ perceptions of bedside handoff; the need for a culture of always. Journal of Nursing Care Quality, 29(4), 371-378. A2. Graphic Background Information | The purpose of this article was to identify patient perceptions of bedside handover through directly asking patients about their care. The study was done on a two in-patient medical-surgical departments at Borgess Medical Center in Michigan. They had implemented bedside handoff at shift change 18 months prior to this study. Then a sample of patient participants was chosen from the two nursing departments for the study. They had to meet certain criteria to be a participant and they had to experience three handoffs. Then they were given a survey to fill out after the beside handovers. Participants were positive about the RN bedside handoff process. The overall mean from the survey was 3.32 on a scale of 1 (strongly disagree) to a 4 (highly agree). | Review of Literature | There were multiple references that provided statistics and facts during this study. Most of these studies have focused on implementing bedside handoffs and nurse perceptions of the handoff. Published studies that focused on patients’ perceptions of beside handoff have been mainly qualitative. Recently, researchers have published studies that seek to measure bedside handover quantitatively. Whether qualitative or quantitative...
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...that switching to a bedside handoff and addressing factors that contribute to negative outcomes from shift changes will allow Wooldridge to increase its patient safety and standards of care, and to meet National Patient Safety Goals and reduce overall costs to the organization. Background Significance While medical record-keeping is vital to patient care, nurses also...
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...The quantitative study “REFINE (Reducing Falls in In-patieNt Elderly) using bed and bedside chair pressure sensors linked to radio-pagers in acute hospital care: a randomized controlled trial” set out to research how effective pressure sensitive bed and chair alarms are at preventing falls. The researchers’ motivation to perform this study was to challenge the effectiveness of this new technology in preventing falls. This paper will analyze the quality and efficacy of this study and ultimately find their conclusion to be valid. The problem researchers will address is insufficient research related to single interventions to prevent falls in hospitals. The problem was easily identified and briefly stated in the background and then further explained...
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...Bedside nursing handover: A case study 1. Purpose of the study: The purpose of this study was to identify and describe the structures, processes, and perceptions of the outcomes of bedside handovers in nursing practice. 2. Research design: The authors used a descriptive case study which is a methodological approach that can use a number of different methods to conduct an instrumental investigation that is bounded by place and time. Case study research asks questions of ‘what’, ‘why’, and ‘how’ in a non controlled or non artificial environment to analyse existing, real life situations with all their complexity 3. Sampling technique and characteristics of the sample: The study involved three wards in two hospitals in Australia, thus six wards where ultimately included. Wards that where included where medical, surgical and rehabilitation wards. Team leaders, shift coordinators, nursing managers, and educators where the focus of the study in which all participants gave their consent. A total of 32 female participants where interviewed from both hospitals. No male participants where included. From these participants seven where under the age of 30, ten between the age of 30 and 40, eleven between the age of 40 and 50 and six where aged over 50. with regards to nursing classifications, from the 32 participants, 7 where enrolled nurses, 15 where level 1 registered nurses, 7 where level 2 registered nurses and 5 where level three nurses. Only 16 out of the 32 participants...
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...things have been changing in various fields over a given time. There are many current trends in health care and those that address our most prevalent situations in healthcare today are those that bring “best practice” with “cost effectiveness”. Cost effective health care means ensuring the right service is efficiently provided at the right time, in the right place, by the most appropriate and least expensive combination of health care providers. One aspect of these emerging trends is Point-of-Care (POC) testing and POC diagnostics. For many years laboratory testing was performed by technologists in a central laboratory. This was necessary because of the complexity of the testing. Computer technology has now taken analysis from the laboratory to the patient’s bedside, the doctor’s office or the patient’s home. This testing is called point-of-care testing (POCT) and is defined as testing at the point where patient care is given, wherever may be. The POCT results are timely, allowing more time for rapid treatment of the patient. It empowers clinicians to make decisions at the “point-of-care” and has the potential to significantly impact health care delivery and address the challenges of health care disparities. The success of this potential shift from curative medicine, to predictive, personalized, and preemptive medicine relies on the development of portable diagnostic and monitoring devices for point-of-care testing. Our parent’s knew point of care testing as it was the...
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...3.3 CHARACTERISTICS OF HANDOVER Laxmisan et al (2007) conducted an ethnographic study involving analysis of emergency department handover in a US hospital. The study found that interruptions within the emergency department were prevalent and diverse in nature and that there were gaps in information flow due to multi-tasking and shift changes. The communication process is complex and cognitively taxing during and after team handover, that can compromise patient safety. The study also discusses the need to tailor generic electronic tools to support adaptive processes like multi-tasking and handoffs in time constrained environments. Arora et al (2005) conducted interviews using the critical incident technique to handover failures between inpatient physicians in a US hospital. The study interviewed 26 interns and found 25 discrete incidents. The 21 worst events are described. Omitted contents and failure prone communication processes were identified as a major category of failure in communication. These may result in inefficient or sub-optimal care, leading to patient harm....
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...Analysis of Health Management Systems and Electronic Health Records Epic Patients benefit in many ways from Epic. First, patient safety is enhanced with computerized physician-order entry. Epic has clinical decision support built in that alerts physicians during the ordering process. For example, if a patient is allergic to penicillin and the physician places an order for a drug containing penicillin, an alert will pop up to warn the physician the patient is allergic to the drug. Physician orders are legible and immediately available to the pharmacy, lab, and caregivers. Patients have fewer delays in getting medication or tests because orders are transmitted directly to all areas. There are many safety checks in the medication administration process using bar-code medication administration. All medications have a bar code on them, as do patient armbands. Before giving a medication, the nurse will scan the drug and the patient’s armband. The Epic system will check to make sure that medication is ordered for that patient, and if not, a warning pops up to say the medication is not ordered. Comprehensive discharge instructions called the “after-visit summary” are created throughout the patient’s stay from documentation from all providers. The summary contains information about follow-up appointments and specific information about home medications. A physician can access a patient’s medical record from any computer connected to the Internet to have complete...
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...an organization that plans to increase the quality of life for all Americans by the year 2020. They measure numerous aspects of life from measuring the number of preventable diseases, to how a social environment can affect a person’s overall state of health; There are over 1200 objectives to determine different health aspects of Americans, but they all have the same data source, baseline measure, and goals for a certain advancement in overall health. The objectives may be more specific in that they will try to reduce differences in health care, and may address social problems that could interfere with health care availability. This paper will focus on the objective on the overall percentage of adults reporting good overall health and well-being and how it affects nurses at bedside To have a consistent foundation of measurement, Healthy People has developed a multi-dimensional concept that includes physical and mental aspects of life. One of the objectives focused on measuring the well-being of the adult population. By improving the percentage of adults who believed they are in good health, the life expectancy will most likely improve. This piece of the Healthy People 2020 is imperative for every aspect of a person’s health because if they are not feeling well they are less likely to participate in a healthier lifestyle by being active and eating the right foods. As of 2010, 78.8% of adults in America reported that they were in good health; the goal for Healthy People, was to increase...
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...RKOT Task 1 Student 281761 A. Certificate of Completion: IHI Open School Basic Certificate of Completion has been submitted with this paper. B. Leadership Strategies The most important thing that a nurse can do on an interdisciplinary team to exert leadership without occupying a formal leadership position is to adopt a leadership stance. Leadership is a characteristic not inherently possessed by everyone who is in a formal leadership position. This is a skill that can be developed by anyone. By using techniques adopted from successful leaders, each member of the healthcare team can made a difference in patient care, quality outcomes, and safety. One fundamental leadership technique discussed in the Institute for Healthcare Improvement Leadership 101 course is “to form a clearer picture of the real situation by gathering data, not just listening to opinions.” (IHI Open School for Health Professions, n.d.). A successful leader analytically reviews objective data surrounding the current situation, and then uses that data to form his or her opinion of the problem. A leader does not use the subjective data obtained from others as a basis of his or her opinion. Objective data is indisputable and can be continually measured and repeated during a change process to definitively decide if the change has been successful (Objective v. Subjective, n.d.). Subjective reasoning can be flawed for many reasons. One that is frequently present in healthcare is emotions. In the...
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...Experience for Mr. B Identification of Events * Mr. B presents to the Emergency Room with complaints of Left hip and leg pain * His son is at the bedside * Dr. T assesses Mr. B determining that he needs to set Mr. B’s hip at the bedside. * Dr. T orders moderate sedation * Mr. B takes oxycodone for chronic pain * Nurse J is assigned to care for Mr. B * Nurse J administers medications per Dr.T’s orders * 5 mg of Diazepam * Dr. T assesses Mr. B’s sedation level. Mr. B needs more sedation * Dr. T orders additional sedation medication * 2mg of Hydromorphone * Nurse J administers additional sedation medication per Dr. T orders * Mr. B is not fully sedated and Dr. T orders a 3rd dose of sedation medication * 5 mg of Diazepam and 2 mg of Hydromorphone * Dr. T assesses Mr. B. * Mr. B is fully sedated for the procedure * Dr. T reduces and sets Mr. B’s left hip * Mr. B’s procedure is completed. He appears comfortable and remains sedated * The Emergency Room receives an emergency dispatch call * Pt. in respiratory distress * Nurse J needs to respond to the call. * Nurse J puts a blood pressure cuff on Mr. B with 5 minute cycles and places the pulse oximeter on Mr. B * Son remains at bedside * Nurse J leaves the room to care for the patient in respiratory distress * Mr. B’s pulse oximeter alarm goes off “ low O2 “ * LPN responds to...
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...Barcoding to Prevent Incorrect Blood Transfusions An Analysis of Evidence Based Practice Nursing 255 October 1, 2011 Abstract In recent years, technology has advanced to heights that were previously unimagined. These advances have given us additional options to combat human errors that we have merely had to cope with in less technologically advanced times. As little as an ounce of the wrong blood during a transfusion can be fatal. Barcoding technology and other similar systems that reduce reliance on human data entry and double-checking have potential to greatly increase productivity and accuracy (Porcella & Walker, 2005). In fact, “Use of bar code technology for patient and product identification is not only a future requirement of the Joint Commission for Accreditation of Healthcare Organizations (JCAHO), but is also a major tool for error reduction. Wireless technology enables use of bar code equipment at the patient bedside, maximizing process efficiencies.” (Porcella & Walker, 2005) This paper reviews and analyzes the effects barcoding technology has had on the field of blood transfusions and patient safety as well as the resistance observed in clinical practices and the limitations on the technology due to cost of deployment. Barcoding to Prevent Incorrect Blood Transfusions An Analysis of Evidence Based Practice On July 22, 2003 a technician at Inova Fairfax hospital went into a patients room to draw blood for a type and...
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...Technology and Changing Practice R. Steve Terry American Sentinel University BSN 436 11-A July 1, 2011 Margaret Lowenthal Abstract Many sites have patient teaching materials. Select one example of a creative way to present information to patients and describe how this example contributes to critical thinking. 2-3 pages. Introduction Nurses possess so many professional and personal qualities that make them champions in a health care setting, including multitasking skills, passion and efficiency, to name a few. It seems as though as we have to multitask even more, nurses are starting to get on board with apps on smart phones and handheld computer devices. As these devices are becoming more pervasive, the variety of applications (apps) available for them is increasing exponentially. There are apps designed for virtually every task, pastime and work endeavor, including nursing. While some hospitals are limiting the use of smart phones on the job because of security risks, others are subscribing to suites of applications to make available to their providers. Information Technology When the Patient Protection and Affordable Care Act was signed into law in March 2010, it signified the beginning of a new era in health care. Now, nearly a year later, hospitals across the nation work to embrace the future by implementing new health information technology (Orlovsy 2011). The Patient Protection and Affordable Care Act has a number of provisions...
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...JOB ANALYSIS AND SELECTION HRM/531 04/30/2010 KARIN LACANNE Interclean Inc is ready to become one of the biggest company’s providing products and services on cleaning and sanitation industry, to achieve that the sales department will have to adapt in order to fit in the new company vision. The following I will explain my job analysis for this department and also the job description which is part of the job analysis and outline a workforce planning and then select new member for our teams key sales department . After I concluded my job analysis for a new salesperson using the observation method I collect information on the following areas: Duties and Tasks The basic unit of a job is the performance of specific tasks and duties. Information to be collected about these items may include: frequency, duration, effort, skill, complexity, equipment, standards, etc. Environment This may have a significant impact on the physical requirements to be able to perform a job. The work environment may include unpleasant conditions such as offensive odors and temperature extremes. There may also be definite risks to the incumbent such as noxious fumes. Tools and Equipment Some duties and tasks are performed using specific equipment and tools. Equipment may include protective clothing. Relationships Supervision given and received. Relationships with internal...
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...Critical Care Outcomes and Nurse Work Environment: Data Analysis, Findings, and Summary A substantial component of any quantitative research study is the data that are collected. The conclusions drawn from the data collection ultimately lead the researcher(s) to either accept or reject their research hypothesis. As cited earlier, the hypothesis of this study is that HAI’s occur less frequently in favorable work environments than they do in poor work environments (Kelly et al., 2013). This portion of the article critique addresses the data, findings, and overall summary of the research study. Data Analysis According to the authors, evidence indicates that nurses are reputable sources of information concerning patient safety...
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...Root Cause Analysis A.1 Sentinel Event Nightingale Community Hospital identified a recent sentinel event involving the ambulatory surgical center. A sentinel event is defined as an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof (http://www.jointcommission.org/sentinel_event). A three year old female presented to the hospital on September 14th for a planned outpatient procedure. The child was accompanied by her mother. The mother registered the patient with the registrar prior to the procedure. The patient and her mother went to the pre-operative area to complete the informed consent and the necessary physical assessment. The pre-operative nurse obtained the necessary contact information from the mother who notified staff she would be leaving the hospital during the surgery to attend to a sibling matter at home. The mother left her cell phone number as the best contact number to call. This number was entered into the nurse’s personal notebook but was not entered into the patients chart. Post-surgery, the child was taken to the recovery area. The mother had not yet returned to the hospital. During the recovery period the child became more anxious without her mother at bedside. A male presented to the recovery area and identified himself as the child’s father. The patient identified the male as “daddy” and appeared to be comforted by his arrival. The father was provided discharge instructions by the post-operative nurse...
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