Quality Improvement Part 1 Essay Example for Free

Quality Improvement Part 1 Essay Examine three external indicators and how customers use the indicators as part of the Quality Improvement process; finally explain how stakeholder’s feedback is used in the quality Improvement process. Performance Measurement vs. Quality Improvement process â€Å"The primary concern of managers responsible for the operations of hospitals, clinics, and other healthcare delivery organizations is the quality of the non-clinical aspects of care over which they have most control, most visibility†. (Ransom Joshi Nash, 2008. P. 31). Performance measures are an important element of quality management process. Performance measures has the responsibility to directing their effort when change need to be institute. In the healthcare organization performance measures are a tool used to help managers understand and improve quality of care for patients and to develop a better functional programs for the staff. In contrast, Quality Improvement focuses on bridging the gap between current levels of quality. It is a way to be proactive in preventing errors or perhaps respond to near misses and develop a plan where safety is major components to process improvements. In case of medical errors, quality improvement help identify and see what changes can be made to improve or have preventive measures. Quality Improvement and quality Measures assist owners and managers with improving performances and raising performance standards. Norman Clinic Quality Improvement goals Norman Clinic of Physical Therapy is one of the largest hospitals in the state of Ohio. This clinic is about fifty (50) miles from downtown is dedicated to five key of quality measures. Emergency Services, Physical Therapy, Heart Failure, Surgical, pneumonia. This hospital offers a standard service and has earned its reputation in the management of individuals with disturbed functions or impairment related to neuromuscular, musculoskeletal, cardiopulmonary, and integumentary systems. Norman Clinic has specific service in quality improvement process such as reducing the occurrence of ventilation of patients in the ICU and NICU. Role of the Consumer Healthcare consumers play an important role in the quality improvement of Norman Clinic and can impact hospital’s reputation, and feedback received from consumers. During admission, each patient receives a booklet who allows him to understand the mission, the goal, and different realization of the clinic in intensive care. This booklet outlining way patients may become active member of the clinic, include the methods used by healthcare providers to meet patient expectation, reduce risk of infection, improve quality of care, decrease medication errors, increase customers satisfaction as it relates to pain management and post discharge care. External Quality Indicators

Gender Bias In Language :: essays research papers fc

Language is a very powerful element. It is the most common method of communication. Yet it is often misunderstood an misinterpreted, for language is a very complicated mechanism with a great deal of nuance. There are times when in conversation with another individual, that we must take into account the person's linguistic genealogy. There are people who use language that would be considered prejudicial or biased in use. But the question that is raised is in regard to language usage: is the language the cause of the bias or is it reflective of the preexisting bias that the user holds? There are those who believe that the language that we use in day-to-day conversation is biased in and of itself. They feel that the term mailman, for example, is one that excludes women mail carriers. Then there are those who feel that language is a reflection of the prejudices that people have within themselves. That is to say that the words that people choose to use in conversation denote the bias that they harbor within their own existence. There are words in the English language that are existing or have existed (some of them have changed with the new wave of "political correctness" coming about) that have inherently been sexually biased against women. For example, the person who investigates reported complaints (as from consumers or students), reports findings, and helps to achieve equitable settlements is ombudsman (Merriam Webster Dictionary) (Ombudsperson here at Indiana State University). This is an example of the gender bias that exists in the English language. The language is arranged so that men are identified with glorified and exalted positions, and women are identified with more service-oriented positions in which they are being dominated and instructed by men. So the language used to convey this type of male supremacy is generally reflecting the honored position of the male and the subservience of the female. Even in relationships, the male in the home is often referred to as the "man of the house," even if it is a 4-year-old-child. It is highly insulting to say that a 4-year-old male, based solely on his gender, is more qualified and capable of conducting the business and affairs of the home than his possibly well-educated, highly intellectual mother. There is a definite disparity in that situation. In American culture, a woman is valued for the attractiveness of her body, while a man is valued for his physical strength and his accomplishments (50).

Nurse shoratges Essay

Conferences Webinars Popular Topics Media Relations Career Link Contact Sitemap Top of Form SEARCH AACN Bottom of Form About AACN Mission and Values Strategic Plan Staff Directory Department Directory Bylaws Committees & Task Force Board of Directors Member Schools Affiliated Sites Leading Initiatives Education Resources Publications Research and Data Academic-practice Partnerships Joining Forces Clinical Nurse Leader Doctor of Nursing Practice Public Health Nursing Diversity in Nursing NursingCAS CCNE Accreditation About CCNE Find Accredited Programs Find New Applicant Programs Board Actions & Current Reviews Standards, Procedures, & Resources New Applicant Process On-site Evaluators CCNE webinars Government Affairs About Government Affairs AACN Grassroots Federal Policy Agenda Appropriations Advocacy APRN Advocacy State Advocacy Supported Legislation Policy Briefs Resources Funding Opportunities Archives Membership Members Only How to Join Member Benefits Leadership Development Leadership Networks Leadership Opportunities New Dean Mentoring Program Awards Mailing List Rental Nursing Program Search Faculty Faculty Link Faculty Tool Kits Faculty Webinars Curriculum Guidelines Leadership for Academic Nursing Education Scholar ELNEC Geriatric Nursing Students Your Nursing Career Graduate Nursing Student Academy Scholarships Financial Aid Accelerated Nursing Programs Career Resource Center Home / Media Relations / Nursing Shortage Resources / Impact of the Nursing Shortage on Patient Care News Releases Spokesperson Bios AACN News Watch Position Statements White Papers Fact Sheets Talking Points Nursing Shortage Resources About the Nursing Shortage Impact of the Nursing Shortage on Patient Care Strategies to Resolve the Shortage Legislation to Address the Shortage Snapshot of Today’s Nursing Workforce Report Archives State Work Force Reports Newsletter Subscriptions More Sharing ServicesShare I Share on facebook Share on twitter Share on email Share on print Recent Reports Hospital Nurse Practice Environments and Outcomes for Surgical Oncology Patients In an article published in Health Services Research in August 2008, Dr. Christopher Friese and colleagues found that nursing education level was significantly associated with patient outcomes. Nurses prepared at the baccalaureate-level were linked with lower mortality and failure-to-rescue rates. The authors conclude that â€Å"moving to a nurse workforce in which a higher proportion of staff nurses have at least a baccalaureate-level education would result in substantially fewer adverse outcomes for patients. † Effects of Hospital Care Environment on Patient Mortality and Nurse Outcomes In a study published May 2008 in the Journal of Nursing Administration, (see below) which show a strong link between RN education level and patient outcomes. Titled â€Å"Effects of Hospital Care Environment on Patient Mortality and Nurse Outcomes,† these leading nurse researchers found that every 10% increase in he proportion of BSN nurses on the hospital staff was associated with a 4% decrease in the risk of death. Impact of Hospital Nursing Care on 30-day Mortality for Acute Medical Patients In the January 2007 issue of the Journal of Advanced Nursing, a new study validates the findings of Dr. Linda Aiken and others that baccalaureate- prepared nurses have a positive impact on lowering mortality rates. A research team led by Dr. Ann E. Tourangeau from the University of Toronto and the Institute for Clinical Evaluative Sciences in Ontario, Canada, studied 46,993 patients admitted to ospital with heart attacks, stroke, pneumonia and blood poisoning. The authors found that: â€Å"Hospitals with higher proportions of baccalaureate-prepared nurses tended to have lower 30-day mortality rates. Our findings indicated that a 10% increase in the proportion of baccalaureate prepared nurses was associated with 9 fewer deaths for every 1,000 discharged patients. Is the Shortage of Hospital Registered Nurses Getting Better of Worse? In the March-April 2005 issue of Nursing Economics, Dr. Peter Buerhaus and colleagues found that more than 75% of RNs believe the nursing shortage presents a major problem for the quality of their work ife, the quality of patient care, and the amount of time nurses can spend with patients. Looking forward, almost all surveyed nurses see the shortage in the future as a catalyst for increasing stress on nurses (98%), lowering patient care quality (93%) and causing nurses to leave the profession (93%). National Survey on Consumers’ Experiences with Patient Safety and Quality Information In November 2004, results from this national survey found that 40% of Americans think the quality of health care has worsened in the last five years. Consumers reported that the most mportant issues affecting medical error rates are workload, stress or fatigue among health professionals (74%); too little time spent with patients (70%); and too few nurses (69%). This survey was sponsored by the Kaiser Family Foundation, the Agency for Healthcare Research and Quality and the Harvard School of Public Health. Research in Action: Hospital Nurse Staffing and Availability of Care In March 2004, the Agency for Healthcare Research and Quality (AHRQ) issued a synthesis of nursing research studies that details the impact that staffing levels, staff mix, and education levels have on patient outcomes. The report cites studies showing that hospitals with lower nurse staffing levels and fewer registered nurses compared with licensed practical nurses or nurses’ aides tend to have higher rates of poor patient outcomes. Keeping Patients Safe: Transforming the Work Environment Publishing in November 2003, this Institute of Medicine calls for substantial changes in the work environment of nurses in order to protect patients, including changes in how nurse staffing levels are established and mandatory limits on nurses’ work hours. Despite the growing body of evidence that better nurse staff levels result in afer patient care, nurses in some health care facilities may be overburdened with up to 12 patients to care for per shift. Long work hours pose one of the most serious threats to patient safety, because fatigue slows reaction time, diminishes attention to detail, and contributes to errors. Educational Levels of Hospital Nurses and Surgical prepared at the baccalaureate and higher degree level is endangering patients. In an article in the September 24, 2003 issue of the Journal of the American Medical Association, Dr. Linda Aiken and her colleagues at the University of Pennsylvania ound that patients experience significantly lower mortality and failure to rescue rates in hospitals where more baccalaureate-prepared nurses provide direct patient care. At least 1,700 preventable deaths could have been realized in Pennsylvania hospitals alone if baccalaureate-prepared nurses had comprised 60% of the nursing staff and the nurse-to-patient ratios had been set at 1 to 4. Unfortunately, only of PA hospitals have more than 50% of the nursing staff prepared at the baccalaureate level. Views of Practicing Physicians and the Public on Medical Errors A survey eported in the December 12, 2002 issue of the New England Journal of Medicine found that 53% of physicians and 65% of the public cited the shortage of nurses as a leading cause of medical errors. Overall, 42% of the public and more than a third of U. S. doctors reported that they or their family members have experienced medical errors in the course of receiving medical care. The survey was conducted by the Harvard School of Public Health and the Henry J. Kaiser Family Foundation. Hospital Nurse Staffing and Patient Mortality, Nurse Burnout and Job Dissatisfaction According o a study published in the October 23/30, 2002 issue of the Journal of the American Medical Association, more nurses at the bedside could save thousands of patient lives each year. Nurse researchers at the University of Pennsylvania determined that patients who have common surgeries in hospitals with low nurse-to-patient ratios have an up to 31% increased chance of dying. Funded by the National Institute for Nursing Research, the study found that every additional patient in an average hospital nurse’s workload increased the risk of death in surgical patients by 7%. Having too few nurses may actually cost more money given the high costs of replacing burnt-out nurses and caring for patients with poor outcomes.

Early American Literature Vs Modern United States

As a student I often find myself showing little interest in early American Literature vs modern United States. The text can be boring mostly because it is primarily authored by Anglo-Saxton Puritans. Once the text was read, it started to make more sense to me about the way of puritan life; as well as being more relevant on the views of America. The Puritan way of life was a man’s world. Women had separate roles in Puritan society; women served as secondary subjects their husbands. The roles were limited only to mothering and controlling household functions. Women were only able to read scriptures from the bible not publicly allowed to interpret them; although Anne Bradstreet and Mary Rowlandson did so anyway through their text and poems. On a good note there were two legal rights of Puritan women. Under Articles 79 and 80: 79. If any man at his death shall not leave his wife a competent portion of his estate, upon just complaint made to the General Courts she shall be relieved. 80. Every married woman shall be free from bodily correction or stripes by her husband, unless it be in his own defense upon her assault. If there be any just cause of correction, complaint shall be made to authority assembled in some court, from which only she shall receive it. (Video Lecture) The poetry that Anne Bradstreet wrote addresses important themes of Puritan life. For example, the poem â€Å"Before the Birth of One of her Children† Bradstreet expresses the theme of motherhood. TheShow MoreRelatedThe Beat Generation Essay1031 Words   |  5 PagesMovement in modern literature has become an important period in the history of literature and society in America. Incorporating influences such as jazz, art, literature, philosophy and religion, the beat writers created a new vision of modern life and changed the way a generation of people seen the world. The generation is now aging and its representative voices are becoming lost, but the message is alive and well. The Beats have forever changed the nature of American literature. They offeredRead MoreAnalysis Of Hester Street By Joan Micklin Silver1655 Words   |  7 PagesAs John F. Kennedy famously stated, the United States of America exists as â€Å"a nation of immigrants.† Besides those from Native American descent, every occupant of America can attribute their lineage to ancestors who emigrated from another country and adopted America as their new home. Coming to a new nation brings with it a series of difficulties, one of which is the struggle to find balance between assimilation and the preservation of one’s ethnic identity. Such a struggle is very present in theRead MoreAnalysis Of Andy And Nora s Play Out If They Were From The 21st Century United States?1574 Words   |  7 Pagescharacter’s story play out if they were in the 21st century United States? Andy and Nora both faced the struggles of identity, gender roles, sexist rhetoric, and suppressed rights. Two different time periods, however they are still different to present day. Of course, there are still many issues and mindsets that need to be mended, one can only wonder what their lives might be like if they were in the United States of America in modern times. From social issues to political issues many similaritiesRead MoreHoward Zinn s The Vietnam War1446 Words   |  6 Pagesatomic bombs, to defeat a nationalist revolutionary movement in a tiny peasant country – and failed† (Zinn, 460). Zinn does not mince words when expressing his thoughts about the Vietnam War, because as Zinn says, Vietnam was basically a modern portrayal of David vs. Goliath. One could even go as far as to say that Vietnam was in essence a case of mass genocide in Vietnam. Thousands and thousands of Vietnamese and America soldiers were killed along with thousands upon thou sands of innocent, VietnameseRead MoreAnalysis Of The Type Of Coffee I Will Focus More On Is Latte Art1568 Words   |  7 Pagesthem. Since the 1980 s, the popularity of the espresso has risen worldwide. In the United States, the espresso became popular through the form of cappuccino, due to the popularity of drinking coffee with milk and the fascinating appeal of foam. The espresso was also used in conjunction with lattes which Caffe Mediterraneum in Berkeley, California claims to be originally created in the 1950s by Italian-American Lino Meiorin. The latte was originally named long cuppuccino which was popularizedRead MoreA Summary Of The Clash Of Civilization1608 Words   |  7 Pagesto the Charlie Rose interview with Huntington he insisted there is a phenomenon of the West vs. the rest. Individual civilizations would be the cause of conflict predicting the 9 civilizations will have differences in areas such as societal views, beliefs, and religions that would lead nations to conflict with economics not being a factor. (charlierose.com) Also, stating in his interview the United States will continue to lose d ominance because other Nations are modernizing. To not fall behind andRead More Weapons of the Civil War: Why Did The North Win? Essay1644 Words   |  7 PagesThe technology from the French and Indian War was revolutionized and manufactured by the newly opened weaponry companies. Colt and Winchester had a new end of the market during the times of conflict in the United States.   Ã‚  Ã‚  Ã‚  Ã‚  The First Modern War was a battle of brothers vs. brothers, north vs. south. Weapons proved effective throughout this war, with over 620,000 deaths related to artillery wounds (Bender 24). The north had the advantage. With a plentiful supply of factories and skilled workersRead MoreThe widespread image of American culture is seen to hold a strong base for globalisation. The1000 Words   |  4 PagesThe widespread image of American culture is seen to hold a strong base for globalisation. The extensive connectivity of the modern world, confirms Marshal McLuhans prediction of the global village. Globalisation is commonly seen as western culture imputing international cultures. Internet and television have also created transnational media whereas globalisation is commonly seen as a flow of information impending of western culture. Whereas, how will the younger generation will not be able to enjoyRead MoreThe Comparison of Entertainment in the Early 1900s and 20002034 Words   |  9 PagesEssay Topic: Did the method of entertainment among young American (age 20-25) change or remain the same since the 1900s. Comparing Entertainment between Two Centuries It may seem that we have changed immensely since the last century, our clothing, our economy, or the way we entertain ourselves. But contradictory to our beliefs not many things actually changed. Everything that we see today is an evolutionary form of the early 1900s. In the early 1900’s it was the time when many immigrants migrated toRead MoreEducation in The United States and Great Britain: A Comparison1761 Words   |  7 PagesUnited States and England Comparative Study Education is a perpetual work- in-progress throughout the world. While England maintains a consistency of local school quality when compared with its United States counterparts, American boarding schools provide a more finely tuned education. Indeed, both systems produce well-educated students. England Educational System The education system of England has been the model for common wealth countries in general, but not without faults and inherent problems