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. 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(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

Priviledge by Shamus Khan - 881 Words

In Privilege, Shamus Khan examines how the once exclusively prestigious boarding school, St. Paul’s, is now open to a more diverse influx of elite students. This includes lower income individuals, nonwhites, and women. Even with this newfound openness, there is still a persisting inequity present. One prominent type of inequality at the institution is the gender differences displayed. These gender inequities are evident through the double standards of academic achievement and the portrayal of sexuality of the girls at St. Paul’s. There is a double standard of academics that take place at St. Paul’s. While the school promotes the idea of economic success through personal achievements and merit for all their students, the girls at the institution work hard and tend to do better than the boys. This is done without ease. For example, Mary is a student who continually works hard to achieve academic success but does so in a frantic and uncomfortable manner. An essential part at the elite school is being able to exhibit a certain mark of belonging (Khan 115). Khan states, â€Å"Lots of students spend as much time as Mary working in the library and their rooms. This is particularly true of girls† (121). The elite institutions strive for equality between the genders, but tend to have stronger female candidates. The girls inevitably have to work harder than the boys in order to achieve higher grades and perform better in school. The girls at St. Paul’s must work harder than boys in order

Turning Points in History 1900s - 1080 Words

Major Historical Turning Points: Essay One Kristi Ord Strayer University Dr. Donna Reeves History 105 January 25, 2013 In this paper I will identify two major historical turning points in the period from 1865-1900. I will analyze the impact that these turning had on America’s current society, economy, politics, and culture. I will describe two ways the Reconstitution period may have been affected if President Lincoln had not been assassinated. Finally, I will give examples of how the federal and/or state courts and legislature passed down laws between 1865-1900 that served to discriminate against non-white citizens and immigrants. The assassination of President Lincoln was one major historical turning point. Due to the†¦show more content†¦There was an increase in immigration. This allowed for cheap labor for the American Industry. This created diverse communities in underdeveloped areas. There was a drawback to the increase of population and the expansion of the industry. Native Americans were forced to smaller reservations so whites could have the land for farming. (Reconstruction and Industrialization, n.d.) In the south the whites and the blacks tried to get their farms back up and running to make a living. In the South sharecropping became popular. Governments set up in the southern states were more honest and effective. An agricultural depression came in the 1870s which hurt both the whites and blacks. (The American Presidency, n.d.) In 1866 a bill called Freedoms Bureau Bill was passed which counteracted the Black Codes. The Federal government created the bill to help newly freed slaves. The bill helped to provide legal aid, set up schools and provide health care. President Johnson tried to veto the bill, however he was overturned by the Radical Republicans. African American men were able to obtain seats in Congress. African Americans were gained two seats in the Senate and twenty seats in the House of Representatives. Congress passed the Trumball Civil Rights Act, this was designed to counter the decision that the Supreme Courts made giving blacks cit izenship. The Radicals were concerned that the Trumball Civil Rights Act would be deemed unconstitutional they passed the FourteenthShow MoreRelatedThe History of America1061 Words   |  4 Pagesï » ¿ American History 1865-1900 Introduction Two major historical turning points during the post-Civil War period (1865-1900) were the dramatic rise of industrial America (industrialization) and the development of the American West. This paper reviews and critiques those developments Two major turning points: the rapid growth of American industry settlement of the West. The Library of Congress (LOC) reports that the U.S. emerged after the Civil War as an industrial giant; the industries thatRead MoreTo What Extent Did Stalin’s Rule Mar the Key Turning Point in Russia’s Political Development 1856-1953?1037 Words   |  5 PagesTo what extent did Stalin’s rule mar the key turning point in Russia’s political development 1856-1953? In an historical context, a ‘turning point’ can be categorized as an event o impact caused by an individual that, had it not occurred, would have altered the final outcome of a period of history. In the period of Russian history 1856-1953 there is no doubt there was a huge amount on political change, at the bringing of the period Russia was a state ruled by an autocratic Tsar and by the endRead MoreThe Effects Of Concentration Camps On The Holocaust931 Words   |  4 PagesMrs. Novik 14 October 2014 Summer camps are fun, but Concentration Camps aren’t History is like a huge puzzle. 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And to even consider writing a literature that centers on this topic is truly fascinating and attention-grabbing to any readers, especially to those who are aware of American History and the heightened racial tension between the African Americans and the Caucasians in the South (Study mode).Country Lovers is a story based on forbidden love between an African American woman named Thebedi and a Caucasian male named Paulus. Paulus

Ethics and Information Technology Volkswagen Company †Free Samples

Question: Discuss about the Ethics and Information Technology. Answer: In the recent times there have been a great development in the field of technology. In addition to this the field of information technology is not new to the evolution in the business and ideas. Although with the rise of the technologies there has been development of some ethical issues with the said technologies. Now, the ethics are very important in all the aspects of life and the field of information technology is not new to this. There are some ethical guidelines that every person or organization should be following. There are the classical ethical theories that are to be followed. The case that is provided in this report is the case of the Volkswagen Company and the unethical issues that came up due to the adoption of certain policies by the company. The Volkswagen Company was looking to incorporate the Amazon Alexs AI into their cars. The AI would be bringing the virtual assistance to the users. The Volkswagen Company earlier had already established the Car-net functions into their cars. This time the company is looking to incorporate the Alexa Ai with this technology. The car net function allows the users to connect to their cars using their smartphones and helps the users to communicate with their cars very efficiently. The drivers would be able to add destinations for the car and also add the directions to the navigation systems of the cars. The integration would be providing useful details of the users to the AI and this raises the main issue of the report. The main ethical issue is that the privacy of the user is violated by this incorporation of the AI with the car net functions that are already pre-installed in the car. The ethical issues that had arisen due to the cheating procedures applied by the company had also violated the classical ethical theories. The theory of Utilitarianism is concerned with the maximum utilization of the resource by the maximum people. The Ai that is implemented in the cars do not provide privacy to the users. Hence, they violated the Utilitarian Theory of classical ethics. In addition to this, the deontology theory was also violated by the company. The deontology theory deals with the duty towards all human beings (Chiu et al., 2014). The company is unable to provide proper security to the user data and hence they are violating the deontology theory. In addition to this there is the virtue ethics in the classical ethical theory (Paquette et al., 2015). It is believed according to the virtue ethics that if a person is morally correct he would not be conducting any kind of unethical behavior in his professional life or at the workplace. But the Ai that would be introduced by the company do not possess any kind of moral values and hence the virtue ethics was also violated (Hursthouse, 2013). In addition to this, there is the Contact theory and it deals with the justification of the events that occur. But the situation that is at is not at all justified and hence the contact theory is also violated (Magelssen et al., 2016). The ethical issues can be solved by implementing some methods to the policies that are implemented by the car company. Firstly the company should look to incorporate some security measures into the algorithm that is incorporated within the car. In addition to this the company should ensure that the information about the uses is not leaked out. In addition to this, the users should also be aware of the circumstances before engaging themselves with this new technology. For conclusion it can be said that the report has been used here to display the different types of ethical issues that are being raised in the field of information technology. In his report the details of the case of the Volkswagen Company integrating AI into their cars have been provided. In addition to this the classical ethical theories have also been discussed and it is also been shown that how the issue violates the ethical theories. References Chiu, C. M., Wang, E. T., Fang, Y. H., Huang, H. Y. (2014). Understanding customers' repeat purchase intentions in B2C e?commerce: the roles of utilitarian value, hedonic value and perceived risk.Information Systems Journal,24(1), 85-114. Etzioni, A., Etzioni, O. (2016). AI assisted ethics.Ethics and Information Technology,18(2), 149-156. Hursthouse, R. (2013). Normative virtue ethics.ETHICA,645. Magelssen, M., Gjerberg, E., Lillemoen, L., Frde, R., Pedersen, R. (2016). Ethics support in community care makes a difference for practice.Nursing Ethics, 0969733016667774. Paquette, M., Sommerfeldt, E. J., Kent, M. L. (2015). Do the ends justify the means? Dialogue, development communication, and deontological ethics.Public Relations Review,41(1), 30-39. Pendyala, R. M., Bhat, C. R. (2014). Activity-Travel Behavior Impacts of Driverless Cars. In93rd Annual Meeting of the Transportation Research Board.