...Screening and Decolonization of MRSA in the Preoperative Patient Suzanne Miller Aspen University HUM410 Abstract Staphylococcus aureus is the most common organism responsible for surgical site infections. The colonization of Methicillin-resistant staphylococcus aureus (MRSA) has been identified as a significant risk factor for patients undergoing orthopedic surgery, putting this patient at a higher risk of developing a surgical site infection. Screening preoperatively and treating colonization is a tool to aid in the prevention of surgical site infections in patients undergoing elective joint surgery. Results of various studies of patients undergoing elective joint replacement surgery have been reviewed. A nasal swab was obtained and cultured during preadmission testing. If the culture showed that the patient was positive for MRSA colonization they were treated with nasal mupirocin. They also were instructed to bathe with surgical wipes containing chlorhexidine prior to the procedure. The results of the research suggest that the use of a screening protocol prior to surgery can decrease the risk of MRSA in the postoperative patient. Table of Contents 1. Literature Review........................................................................................................................4 2. Discussion....................................................................................................................................7 3. Conclusion................
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...Using Simulation Modeling to Improve Patient Flow at an Outpatient Orthopedic Clinic Thomas R. Rohleder, PhD Division of Health Care Policy and Research Mayo Clinic 200 First Street SW Rochester, Minnesota 55905 tel: 507-538-1532 Email: rohleder@mayo.edu Peter Lewkonia, MD Faculty of Medicine University of Calgary Calgary, Alberta Diane Bischak, PhD Haskayne School of Business University of Calgary Calgary, Alberta Paul Duffy, MD Faculty of Medicine University of Calgary Calgary, Alberta Rosa Hendijani Haskayne School of Business University of Calgary Calgary, Alberta July 2011 Abstract We report on the use of discrete event simulation modeling to support process improvements at an orthopedic outpatient clinic. The clinic was effective in treating patients, but waiting time and congestion in the clinic created patient dissatisfaction and staff morale issues. The modeling helped to identify improvement alternatives including optimized staffing levels, better patient scheduling, and an emphasis on staff arriving promptly. Quantitative results from the modeling provided motivation to implement the improvements. Statistical analysis of data taken before and after the implementation indicate that waiting time measures were significantly improved and overall patient time in the clinic was reduced. Keywords: Outpatient Clinic, Discrete Event Simulation, Process Improvement, Patient Waiting I. Introduction Visiting hospital outpatient clinics is a very common way for...
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...Using Simulation Modeling to Improve Patient Flow at an Outpatient Orthopedic Clinic Thomas R. Rohleder, PhD Division of Health Care Policy and Research Mayo Clinic 200 First Street SW Rochester, Minnesota 55905 tel: 507-538-1532 Email: rohleder@mayo.edu Peter Lewkonia, MD Faculty of Medicine University of Calgary Calgary, Alberta Diane Bischak, PhD Haskayne School of Business University of Calgary Calgary, Alberta Paul Duffy, MD Faculty of Medicine University of Calgary Calgary, Alberta Rosa Hendijani Haskayne School of Business University of Calgary Calgary, Alberta July 2011 Abstract We report on the use of discrete event simulation modeling to support process improvements at an orthopedic outpatient clinic. The clinic was effective in treating patients, but waiting time and congestion in the clinic created patient dissatisfaction and staff morale issues. The modeling helped to identify improvement alternatives including optimized staffing levels, better patient scheduling, and an emphasis on staff arriving promptly. Quantitative results from the modeling provided motivation to implement the improvements. Statistical analysis of data taken before and after the implementation indicate that waiting time measures were significantly improved and overall patient time in the clinic was reduced. Keywords: Outpatient Clinic, Discrete Event Simulation, Process Improvement, Patient Waiting I. Introduction Visiting hospital outpatient...
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...new orthopedic center. The need for an orthopedic unit is expect to increase to 46%, and spine procedures are expected to increase 30%. Outpatient spine and joint procedures are expected to go up by 350%. The five year projection plan for orthopedic unit is as follows: each orthopedic surgical gross charges is projected to be $25,000, physical therapy has a gross charge of $275 per unit. Collections are projected to be around 35%, and the ratio of cost to charges is 31% (Western Governors University, n.d.). The current research indicates the current area is in need of an orthopedic center. The other two hospitals that are close to Trinity represent the biggest competition and have a good orthopedic program. The other hospitals are private, and this increases the demand for Trinity developing a good orthopedic program. Trinity is centrally located within the community, and the population is expected to grow four percent a year, the need for a good orthopedic unit at Trinity will continue to grow. Trinity has performed a needs assessment, and determined Trinity could provide orthopedic services many people within the community. The current resources that Trinity has are not enough to keep up with the rising demand, and would benefit Trinity to develop an orthopedic unit now (Western Governors University, n.d.). 2. Analyze how current international healthcare trends could be incorporated into the development of the new service line. Trinity developing an orthopedic unit...
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... 74 % | b. Verification | 3 | 255 | 765 | 9 | 4 | 32 | 48 | 288 | 192 | 480 | 63 % | 2. Radiology Department | | | | | | | | | | | | a. X-ray imaging | 6 | 240 | 9603 | 11 | 11 | 32 | 40.8 | 352 | 448.8 | 800.8 | 83 % | b. Development of X-rat | -1 | 240 | 9604 | 7 | 7 | 32 | 40.8 | 224 | 285.6 | 509.6 | 53%8 | c. Diagnostic reading and comments | 3 | 240 | 4805 | 5 | 5 | 32 | 40.8 | 160 | 204 | 364 | 76% | 3. Hand-off X-ray to Clinic | | | | | | | | | | | | a. Collection of X-ray | 3 | 2556 | 7657 | 2 | 2 | 32 | 40.8 | 64 | 81.6 | 145.6 | 19% 9 | b. Filing/exam room prep | 1 | 255 | 255 | 2 | 2 | 32 | 48 | 64 | 96 | 160 | 63% | 4. Examination Room | | | | | | | | | | | | a. Surgeon | 1 | 255 | 255 | 7 | 4 | 32 | 14.4 | 224 | 57.6 | 281.6 | 110% | b. Resident | 1(2)2 | 255 | 255 | - | 7 | - | 33.6 | - | 235.2 | 235.2 | 92% | c. Cast technician | 1 | 255 | 255 | 17 | 13 | 8 | 7.2 | 136 | 93.6 | 229.6 | 90% | 1- It’s an automatic activity 2- There are two senior resident students, but in a current time only one of them is working. 3-4-5 The current available time (in total) for these activities is: a. = 1440; b. 1440; c. = 720. But since Paediatric Orthopaedic Clinic use these activities only 2/3 of the total time they are...
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...disease. Technology is not limited to medical milestones through research and the creation of new drugs but also how people can obtain the information regarding medical procedures, receive medical care and information about living healthy lifestyles (Williams & Torrens, 2010). The most common concept that one considers is technology within the health care field is the research that creates life-saving medical procedures through surgery and medication. Large companies such as Pfizer, Merck, and other companies possess the abilities to fund ground breaking research in order to find cures for diseases like HIV/AIDS and many types of cancers or to help treat the ongoing symptoms. Their concept of technology also applies to the materials that many surgeons use during surgeries such as knee/hip prosthetics for knee and hip replacements. In the 1960s these types of surgeries were unheard of and have grown to a $600 market for the research and development to produce such devices through companies like Stryker (McGill, 1989). Significant technology Technology within the healthcare field is not merely limited to ground breaking research to treat illness and disease but specifically how physicians can access patient health records in order to better management current chronic conditions and medical accidents. The most significant requirement for healthcare is the mandated conversion of medical health records from paper form to electronic form by 2014 (Sanchez, 2012). A complete conversion...
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...Background and Methodology of the Research Process to Problems in Health Care University of Phoenix HCS/465 Shannon S. Smalls Loleater Casey-Evans The purpose of the paper is to show how to develop and understand methodology of the research process when pertaining to manage health care. The process consists of retrieving a peer-reviewed article and applying the research methodology to the article selected. The article selected for the research methodology was Managing Aging Patients written by Robert D’Ambrosia, Jennifer Kilpatrick, and Lene Juel Rasmussen written June 2003. Based on the information in the article will help determine the methods of defining the problem, the purpose of the study, research questions, hypothesis, study variables, conceptual model, the review of related literature and the study design of the selected article. Define the Problem The problem in this scenario is the need to be able to manage and being equipped with the up and coming baby boomers. It has been predicted that 20% of the population in US will be aged 65 years by 2030 it was predicted few years ago because of up and coming baby boomers. We are all aware that the aging Baby Boomer population and with increased life expectancy and more active lifestyles, then in the past generation is beginning and will continue to place a huge demand on medical resources, predominantly from the orthopedic doctors. There will be a quadruple need of orthopedic surgeons than before because of high...
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...How Misdiagnosis Can Impact Lives Tamala L. Tibbs Texas Tech University Health Sciences For this assignment I chose to learn more about the sub topic “Misdiagnosis” from Chapter 10 titled Physicians Ethical and Legal Issues. This chapter explores how to understand how ethics and law impact physicians everyday professional lives. There are many misdiagnosed patients more and more every year. In this paper I will go over the background of Misdiagnosis and how it affects the patient, the legal mindset of the ever growing issue, and pick apart an actual case that was misdiagnosed and the outcome that came from it. Misdiagnosis is a medical error that is a preventable adverse effect of care. This usually includes an...
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...Issues for the Health Care Professionals I chose to use the medical specialty of medical surgeon for my paper; my reasoning behind this medical specialty is because surgeons account for nearly 50% of all medical malpractice law suits in the country. The bulk of these law suits occur in just 75 of the largest counties , which indicates that most medical malpractice law suits occur in the more densely populated areas which is where the most income is generated. Another 33% of nonsurgical law suits occur in the same 75 counties which when added together account for 83% of all law suits filed in the United States. To put these numbers in the proper context there are thousands of counties in the United States, so what you have is the people in areas like New York, Las Angeles, Atlanta and so on filing thousands of law suits each year. It is estimated that from 1990-2004 there were over 191,804 medical malpractice lawsuits reported to the National Practitioner Databank (NPD) regarding physicians in the United States. It is further estimated that of all the medical law suits filed only about 27% of them were won by the plaintiffs, which can lead a person to believe that there are a lot of frivolous suits being filed. It is estimated that 25% of all doctors in the United States are sued each year, which means that if you are a surgeon you have a better than 1 in 4 chance of getting sued each year that you practice medicine. It must be for love of the profession because with those...
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...* Agro Products * Animal Feeds * Aqua Culture & Fish Farming * Astrologers * Academy & Arts * Animation * Art & Design * Art Galleries * Audio Recording Studio * Audio-Visual Production & Services * Automobile Air-Conditioner * Automobile Assembler & Manufacturers * Automobile Body Manufacturers * Automobile Display & Sales Center * Automobile Distributor * Automobile Paints * Automobile Parts & Accessories * Automobile Service Center * Automobile Workshop & Maintenance * Advertising Agencies & Counselors * Advertising-Out Door * Acids * Adhesives Glue & Gum * Agricultural Chemicals * Architects * Audio-Visual Equipment Suppliers * Audio-Visual Tapes & Cassettes * Alarm & Alarm Systems * Abrasives * Aluminium Fabricator * Aluminium Products Manufacturer, Dealer & Seller * Association of Development Agencies in Bangladesh * Associations * Animal Health * Ayurvadic & Herbal Products * Aerosol * Accounts & Audit Service * Agricultural Machineries & Equipment * Air Condition Project & Installation * Air Conditioner & Air Cooler Distributor & Service * Air Conditioning-Equipment & Parts * Anti Vibration Equipment * Arms & Ammunition * Airlines * Air Craft Spare Parts * Auto Cycle...
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...ECON545: Project 1—Microeconomic Analysis Intro From a Microeconomic Analysis perspective this paper is designed to outline the current demand and supply associated with physicians in today’s economy and prospective future demand. Based on a microanalysis approach we will look at the current supply and demand for physicians, cost of production determinant, price elasticity of demand and the gains or losses from picking this profession. Demand Determinants Currently there are 691, 400 Physicians employed through the United States; however by 2022 the demand for the profession will increase by over 18% (numbers will vary based on origin of information) (Howard, 2013) (Occupational, n.d.) Current factors for the future demand of physicians include demographics and population needs. Aging and population growth are projected to account for 81% of the change in demand between 2010 and 2020. In the future the population will age and the number of people suffering from chronic diseases will increase. This will cause a demand for primary services (Projecting, 2013). A major part of the future demand of physicians is attributed to the Affordable Care Act, which will expand the number of citizens covered by insurance. The increase will also be attributed to the increase in preventative services and primary care these individuals will be able to receive. Technological and medical advances will also affect demand due to improving survival from illnesses and chronic diseases...
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...Financing Needs 13 Conclusion 14 Appendices 15 Income Statement 15 Balance Sheet 16 Sources and uses 17 Percentage of Sources and Uses 19 Firm Ratios 21 Industry Ratios 22 Graphs of Ratios 23 Bibliography 26 Introduction This paper contains the financial analysis of Stryker corporation and its major competitors during the past 5 years. Also a 3 year forecast is created to show were the company is heading and changes needed to be made to be more efficient. Theme Time are hard for the medical industry with the global economic crisis and with the announcement of the Affordable Care Act’s medical device excise tax. Stryker corporation has done better than the industry on average sustaining a strong financial while presenting new products in the market. Growth is becoming slow for mature firms but Stryker is making all the right moves to dominate the market. To increase growth the company has shifted its focus on acquisitions. With the acquisition of Trauson, a Chinese leading manufacturer of surgical products, the company continues to focus on sales outside the United States. Also with the growing demand increase for orthopedic products, the company needs to continue investment in research and developments, and increase production volume. History of the Firm Stryker is a medical equipment supplying company based on Kalamazoo, Michigan. It was founded by Dr. Home Stryker due to his need...
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...FSU Winner Florida State’s Caitlin Quinn has been named the NSCA’s Assistant Strength Coach of the Year. http://www.seminoles.com/sports/w-softbl/spec-rel/112613aaa.html Critical Condition A California high school football player is in critical condition after suffering neck and spinal cord injuries during a game. http://www.pe.com/local-news/riverside-county/corona/corona-headlines-index/20131124-santiago-football-player-remains-in-critical-condition.ece State Total More than 4,400 middle and high school student-athletes in Massachusetts suffered head injuries last year, according to reports filed by the schools. http://www.bostonglobe.com/metro/2013/11/25/mass-schools-report-head-injuries-among-athletes-compliance-with-concussion-law-rises/njPFK6a92knIhcvY9UGxdN/story.html Refueling Product A new product can allegedly help athletes refuel during competition by providing precise carb and electrolyte recommendations based on a quick analysis of their sweat. http://www.prweb.com/releases/FuelstripMMA/UFCBellator/prweb11284260.htm Vegan Praise Several top athletes credit veganism with playing a key role in their success. http://www.news.com.au/lifestyle/health/elite-athletes-reveal-the-vegan-diet-secret-behind-their-success/story-fneuzkvr-1226768537898 Baseline Challenges Three new studies of baseline testing highlight the difficult of accurately assessing an athlete’s true baseline ability. http://www.momsteam.com/studies-show-pitfalls-in-baseline-neurocognitive-testing ...
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...INTERNATIONAL UNIVERSITY DEPARTMENT OF ENGLISH SAMPLE MID-TERM TEST Writing AE2 Task 1: Identify 6 cases of non-academic language in the text below and edit them to make an academic text. In the box below, write the original words/phrases in the left hand column and your editions in the right-hand column. You have an example. (30 pts) CAN MEDICATION CURE OBESITY IN CHILDREN? A Review of the Literature In March 2004, U.S. Surgeon General Richard Carmona called attention to a health problem in the United States that, until recently, we have overlooked: childhood obesity. Carmona highlighted that the “astounding” 15% child obesity rate constitutes an “epidemic.” Since the early ‘80s, that rate has “doubled in children and tripled in adolescents.” Now more than nine million children are classified as obese. While the traditional response to a medical epidemic is to hunt for a vaccine or a cure-all pill, childhood obesity has proven more elusive. Lacking success of recent initiatives suggests that medication mightn’t be the answer for the escalating problem. In this literature review, I will consider whether the use of medication is a promising approach for solving the childhood obesity problem by responding to the following questions: 1. What are the implications of childhood obesity? 2. Is medication effective at treating childhood obesity? 3. Is medication safe for children? 4. Is medication the best solution? Understanding the...
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...Table of Contents 1. Title Page………………………………………………………………………..1 2. Table of Contents………………………………………………………………..2 3. Abstract of Paper………………………………………………………...............3 4. Introduction……………………………………………………………………...4 5. Historical Development and Context by Rachel Ocampo………………………4 6. Political & Legal Influences by Crystal Osborne………………………………12 7. Economic Questions & Considerations by Kim Payne………………………...18 8. Psychological Considerations & Sociological Effects by Rebecca Pistillo…….26 9. Implications for the Environment by Michael Plesnarski………………………33 10. Moral & Ethical Implications by Karen Quaderer…………………………… 39 11. Bibliography…………………………………………………………………….47 Abstract In this research paper our team will look at the use of Robotic Technology in the medical field, more specifically in the surgical field as well as discuss the issues and implications surrounding the topic. Our discussion will include topics ranging from the history and development of robots that can be found in surgical rooms, political concerns regarding the Food and Drug Administration and their requirements to approve use of these robots, the legal aspect of robotic technology on how to determine which party is held liable in case of accidents or malfunctions that can lead to injury and a legal case that shows the difficulty to prove fault against a manufacturer. Also discussed will be the economic ramifications on our society, psychological, sociological, cultural,...
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