Study Document
...Safety Summarizing a Research Article
Research Question
The research question for the article by Rossi, Barraco and Donda (2004) was based on the fact that there had been no review of the meta-analyses published on Fluoxetine. Fluoxetine is an important drug that was developed for and prescribed to patients with depression starting in the late 1980s. It is considered the first iteration of the generation of Selective Serotonin Re-uptake Inhibitors (SSRIs) commonly associated with youths suffering from mental health problems. However, though it has been widely studied, fluoxetine is still not completely understood. Thus, the authors of this study set out to answer the question: What do the available meta-analyses on this SSRI actually say? The objective of the systematic review of the literature was threefold:
1. to evaluate the strength of the information available in reviewed meta-analyses
2. to understand if the use of fluoxetine is clinically effective and safe……
References
Rossi, A., Barraco, A., & Donda, P. (2004). Fluoxetine: a review on evidence based medicine. Annals of General Hospital Psychiatry, 3(1), 2.
Study Document
Quality and Sustainability Paper
Introduction
Quality and safety are paramount for patients experiencing illness and seeking treatment. The role of the nurse is complex, requiring effectiveness, efficiency, compassion, and understanding. Some … effectiveness, efficiency, compassion, and understanding. Some aspects of nursing science involve research and use of evidence-based practice to provide the high quality and safety standards patients deserve. How are quality and safety measures adopted and implemented? This essays aims to look at the role quality and safety play in nursing science using a contemporary example, and seeing how real world strategies aim to test and assess standards of care to … to test and assess standards of care to deliver the positive health outcomes patients need. By delving into real-world application of quality and safety measures, one can determine the process from cultivation of concepts, implementation, and assessment.
Quality measures in nursing science
Often a good way to……
References
Brasait?, I., Kaunonen, M., Martink?nas, A., Mockien?, V., & Suominen, T. (2016). Health care professionals’ skills regarding patient safety. Medicina, 52(4), 250-256. doi:10.1016/j.medici.2016.05.004
Jones, T. L., Hamilton, P., & Murry, N. (2015). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies, 52(6), 1121-1137. doi:10.1016/j.ijnurstu.2015.02.012
Lood, Q., Kirkevold, M., Sjögren, K., Bergland, Å., Sandman, P., & Edvardsson, D. (2019). Associations between person?centred climate and perceived quality of care in nursing homes: A cross?sectional study of relatives’ experiences. Journal of Advanced Nursing. doi:10.1111/jan.14011
Murray, M., Sundin, D., & Cope, V. (2017). New graduate registered nurses’ knowledge of patient safety and practice: A literature review. Journal of Clinical Nursing, 27(1-2), 31-47. doi:10.1111/jocn.13785
Sahlström, M., Partanen, P., Rathert, C., & Turunen, H. (2016). Patient participation in patient safety still missing: Patient safety experts\\' views. International Journal of Nursing Practice, 22(5), 461-469. doi:10.1111/ijn.12476
Smeds-Alenius, L., Tishelman, C., Lindqvist, R., Runesdotter, S., & McHugh, M. D. (2016). RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: A national cross-sectional study of acute-care hospitals. International Journal of Nursing Studies, 61, 117-124. doi:10.1016/j.ijnurstu.2016.06.005
Tobiano, G., Marshall, A., Bucknall, T., & Chaboyer, W. (2015). Patient participation in nursing care on medical wards: An integrative review. International Journal of Nursing Studies, 52(6), 1107-1120. doi:10.1016/j.ijnurstu.2015.02.010
Twigg, D. E., Pugh, J. D., Gelder, L., & Myers, H. (2016). Foundations of a nursing-sensitive outcome indicator suite for monitoring public patient safety in Western Australia. Collegian, 23(2), 167-181. doi:10.1016/j.colegn.2015.03.007
Study Document
Introduction
In the US, healthcare safety isn’t up to the mark, as it ought to be. Figures from a couple of important research works reveal that between 44,000 and … in ICUs (intensive care units), emergency rooms, and operation theatres (IOM, 1999).
Ordinary people hold the view that technological advancement means improved efficacy, safety, expenses and quality of health care services delivered. But there are some who feel that these very same advancements can give rise to … health IT (HIT) is being created and implemented at a quicker pace, with varying levels of evidence regarding health IT’s effect on the safety of patients. The report analyzed existing scientific proofs regarding the influence of diverse HITs on patient safety result improvements. It was concluded that HIT gives rise to patient safety improvements through decreasing clinical errors and adverse reactions to medication, in addition to improving adherence to clinical practice guidelines.……
Bibliography
Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Med J, 38(12), 1173–1180.
Amit, M. (2019, January 28). 5 Problems Which Healthcare Technology Can Solve for a Healthier World. Retrieved from Net Solutions: https://www.netsolutions.com/insights/5-healthcare-problems-which-digital-technologies-can-solve-for-a-fit-and-healthy-world/
DeSanctis, G., & Poole, M. S. (1994). Capturing the Complexity in Advanced Technology Use: Adaptive Structuration Theory. Organization Science, 5(2), 121-147.
Feldman, S. S., Buchalter, S., & Hayes, L. W. (2018). Health Information Technology in Healthcare Quality and Patient Safety: Literature Review. JMIR Med Inform, 6(2).
Halamka, J., Mandl, K., & Tang, P. (2008). Early Experiences with Personal Health Records. Journal of the American Medical Informatics Association, 15(1), 1-7.
IOM. (1999). To Err is Human: Building a Safer Health System. National Academy of Sciences.
Singh, H., & Sittig, D. (2016). Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ Quality & Safety, 25, 226-232.
Weigel, F., Hall, D. J., & Landrum, W. H. (2009). Human/Technology Adaptation Fit Theory for Healthcare. SAIS 2009 Proceedings.
Study Document
Public Relations
Introduction: Public Safety
The aim of the public safety sector is the provision of products and services geared at safeguarding individuals and their property. Over 286,000 individuals are employed in this sector, … sector, which can be segregated into the following two key segments: commercial and governmental organizations. Federal, regional, state, and local level governmental public safety organizations agencies have outnumbered commercial ones all through the course of the past decade. Most individuals working in this sector are hired by … individuals working in this sector are hired by governmental organizations, including the fire department, police department, and sheriff's department. Some federal level public safety institutions include the CIA, FBI, Department of Homeland Security, and Border Patrol (Vault, 2020).
The most predominant public safety jobs are connected with the police: police officers, detectives/ investigators, or correctional officers. EMT personnel, highway patrol officials, and firefighters make up another ………
References
Achim, A. C. (2014). Risk management issues in policing: from safety risks faced by law enforcement agents to occupational health. Procedia Economics and Finance, 15, 1671-1676.
Bornstein, A. (2005). Antiterrorist policing in New York City after 9/11: Comparing perspectives on a complex process. Human Organization, 64(1), 52-61. Retrieved from https://www.jstor.org/stable/44127004?seq=1
Buyantseva, L. V., Tulchinsky, M., Kapalka, G. M., Chinchilli, V. M., Qian, Z., Gillio, R., et al. (2007). Evolution of lower respiratory symptoms in New York police officers after 9/11: A prospective longitudinal study. J Occup Environ Med, 49, 310–17.
Homeland Security. (2005). Grand reform: The faster and smarter funding for first responders. Washington, DC: U.S. Government Printing Office.
Lippmann, M., Cohen, M. D., & Chen, L-C. (2015). Health effects of World Trade Center (WTC) Dust: An unprecedented disaster with inadequate risk management. Crit Rev Toxicol, 45(6), 492-530. DOI: 10.3109/10408444.2015.1044601
NYPD. (2020). About NYPD. Retrieved from https://www1.nyc.gov/site/nypd/about/about-nypd/about-nypd-landing.page
OHS. (2008). Occupational Health and Safety Code of Practice. Australian Government.
Vault. (2020). Overview. Retrieved from https://www.vault.com/industries-professions/industries/public-safety
Study Document
… is a direct correlation between a more highly skilled nursing workforce and lower patient mortality, higher patient satisfaction, better quality of care, patient safety, and a reduced rate of other poor medical outcomes. To gather the quantitative data to establish this association, the researchers used representative samples … from acute episodes such as asthma attacks and difficulty breathing due to conditions like emphysema.
The need to maintain a high standard of safety and care to prevent further deterioration of the patient’s condition is paramount, and cost-cutting to employ less skilled nurses may ultimately result in … 2017). Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Quality & Safety, 26:559-568.…
Reference
Aiken, L.H., Sloane, D., Griffiths, P., Rafferty, A., Bruynee, L., McHugh, M. …Sermeus, W. (et al., 2017). Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Quality & Safety, 26:559-568.
Study Document
… the maritime sector to streamline their services, add value, and strategically try to meet the demands of their customers and those of global safety and sustainability. Despite the technical dimension, cybersecurity has, there a growing consensus that cybersecurity can no longer continue being treated exclusively as a ……
References
Bowen, B.M. (2011). Measuring the Human Factor of Cyber Security. Rerieved from http://www.cs.columbia.edu/~bmbowen/papers/metrics_hst.pdf
Bueger, C. (2015). What is Maritime Security? Maritime Policy, 53, 159-164.
Fitton, O. P. (2015). The Future of Maritime Cyber Security. Retrieved from https://eprints.lancs.ac.uk/id/eprint/72696/1/Cyber_Operations_in_the_Maritime_Environment_v2.0.pdf
Hadlington, L. (2018). The \\\\\\"Human Factor\\\\\\" in cybersecurity: Exploring the accidental insider. Psychological and Behavioral Examinations in Cyber Security, 4(6), 46-63.
Hareide, O. S. (2018). Enhancing Navigator Competence By Demonstrating Maritime Cyber Security. The Journal of Navigation, 71(5), 1025-1039.
Hayes, C. R. (2016). Maritime Cybersecurity: The Future of National Security. Monterey, California: Naval Post Graduate School.
Herzog, S. (2011). Revisiting the Estonian Cyber Attacks: Digital Threats and Multinational Responses. Journal of Strategic Security, 4(2), 49-60.
Hoffmann, J. (2018). Review of Maritime Transport. New York: UNCTAD.
Study Document
Patient safety is one of the key aspects of healthcare delivery and a critical component in determining the quality of healthcare services. Patient safety is influenced by many factors including medication safety, which is identified as one of the most common type of errors in nursing practice (Getnet & Bifftu, 2017). Given the increased focus … identified as one of the most common type of errors in nursing practice (Getnet & Bifftu, 2017). Given the increased focus on patient safety and better outcomes, nurses face the need to enhance medication safety and nursing care. However, the healthcare environment is characterized by numerous interruptions that could compromise medication safety and nursing care. Nurses experience different kinds of interruptions in their work including during medication administration. Therefore, reduction of interruptions in nursing work … different kinds of interruptions in their work including during medication administration. Therefore, reduction of interruptions in nursing work……
References
Getnet, M.A. & Bifftu, B.B. (2017, November 20). Work Interruption Experienced by Nurses during Medication Administration Process and Associated Factors, Northwest Ethiopia. Nursing Research and Practice. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5735655/
Monteiro, C., Avelar, A.F.M. & Pedreira, M.G. (2015, Jan-Feb). Interruptions of Nurses’ Activities and Patient Safety: An Integrative Literature Review. Revista Latino Americana de Enfermagem, 23(1), 169-179.
Taylor, M.J., McNicholas, C., Nicolay, C., Darzi, A., Bell, D. & Reed, J.E. (2013). Systematic Review of the Application of the Plan-Do-Study-Act Method to Improve Quality in Healthcare. BMJ Quality & Safety, 23(4), 290-298.
Westbrook, J.I., Li, L., Hooper, T.D., Raban, M.Z., Middleton, S. & Lehnbom, E.C. (2016). Effectiveness of a “Do not Interrupt” Bundled Intervention to Reduce Interruptions During Medication: A Cluster Randomized Controlled Feasibility Study. BMJ Quarterly & Safety, 26(9), 734-742.
Study Document
Introduction
The standards set by the National Safety and Quality Health Service (NSQHS) are meant to ensure that health service consumers get the same quality of care when served in any … that health service consumers get the same quality of care when served in any health care facility across the nation (Australian Commission on Safety and Quality in Health Care [ACSQHC], 2016). The main objective of the NSQHS standards is to protect users of health services from harm … of health care services being offered (Government of Western Australia, 2017).
One of the key standards, Standard IV, sets standards to ensure medication safety (ACSQHC, 2019). It essentially deals with drug prescription, administration, and monitoring. Part of the guidelines contained in the standard recommend explaining to patients … medication to them (Davies, Coombes, Keogh, & Whitfield, 2019). The objective of this essay is to outline an issue that touches on……
References
Australian Commission on Safety and Quality in Health Care [ACSQHC]. (2019). Implementation of the national safey and quality health service standards. Retrieved from https://www.safetyandquality.gov.au/standards/nsqhs-standards/implementation-nsqhs-standards
Australian Commission on Safety and Quality in Health Care [ACSQHC]. (2016). National safety and quality health service standards. Retrieved from https://www.safetyandquality.gov.au/our-work/assessment-to-the-nsqhs-standards/nsqhs-standards-second-edition/
Ben Natan, M., Sharon, I., Mahajna, M., & Mahajna, S. (2017). Factors affecting nursing students' intention to report medication errors: An application of the theory of planned behavior. Nurse Education Today, 58(2), 38-42. doi:10.1016/j.nedt.2017.07.017
Bogossian, F., Cooper, S., Kelly, M., Levett-Jones, T., McKenna, L., Slark, J., & Seaton, P. (2018). Best practice in clinical simulation education, are we there yet? A cross-sectional survey of simulation in Australian and New Zealand pre-registration nursing education. Collegian, 25(3), 327-334. doi:10.1016/j.colegn.2017.09.003
Claffey, C. (2018). Near-miss medication errors provide a wake-up call. Nursing, 48(1), 53-55. doi:10.1097/01.NURSE.0000527615.45031.9e
Davies, K. M., Coombes, I. D., Keogh, S., & Whitfield, K. M. (2019). Medication administration evaluation tool design: An expert panel review. Collegian, 26(1), 118-124. doi:10.1016/j.colegn.2018.05.001
Government of New South Wales. (2013). Medication handing in NSW public health facilities. Retrieved from https://www1.health.nsw.gov.au
Government of Western Australia. (2013). Storage and recording of restricted schedule 4 (S4R) medicines. Retrieved from https://ww2.health.wa.gov.au/About-us/Policy-frameworks
Study Document
… a major role in reducing the risk and occurrence of suicide, self-harm and harm caused to others by taking steps to create a safety plan for the patient (Stanley et al., 2018). However, many EDs do very little to actually assist patients in this regard. My own … be a response to to any existing regulation but rather to the lack of proper interventions in place. This is a social work safety issue that the research has exposed for this particular population. If Legacy does not address the risk by developing and implementing a strategy, … workers to assess patients and predict the likelihood of future suicidal behavior. There is the Columbia Suicide Severity Rating Scale (C-SSRS), the Patient Safety Plan Template, and the Safety Plan Treatment Manual to Reduce Suicide Risk. The overall aim that researchers say should be sought is to improve access to mental health ………
References
Appleby, L., Morriss, R., Gask, L., Roland, M., Lewis, B., Perry, A., ... & Davies, L. (2000). An educational intervention for front-line health professionals in the assessment and management of suicidal patients (The STORM Project). Psychological medicine, 30(4), 805-812.
Belmont Report. (1979). Ethical Principles and Guidelines for the Protection of Human
Subjects of Research The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. Department of Health, Education, and Welfare. Retrieved from https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/index.html
Browne, V., Knott, J., Dakis, J., Fielding, J., Lyle, D., Daniel, C., ... & Virtue, E. (2011). Improving the care of mentally ill patients in a tertiary emergency department: development of a psychiatric assessment and planning unit. Australasian Psychiatry, 19(4), 350-353.
Burnette, C., Ramchand, R., & Ayer, L. (2015). Gatekeeper training for suicide prevention: A theoretical model and review of the empirical literature. Rand health quarterly, 5(1).
Callaghan, P., Eales, S., Coates, T., & Bowers, L. (2003). A review of research on the structure, process and outcome of liaison mental health services. Journal of Psychiatric and Mental Health Nursing, 10(2), 155-165.
Chatterjee, R. (2018). A Simple Emergency Room Intervention Can Help Cut Suicide Risk. Retrieved from https://www.npr.org/sections/health-shots/2018/07/11/628029412/a-simple-emergency-room-intervention-can-help-cut-future-suicide-risk
Cooper, J., Kapur, N., Webb, R., Lawlor, M., Guthrie, E., Mackway-Jones, K., & Appleby, L. (2005). Suicide after deliberate self-harm: a 4-year cohort study. American Journal of Psychiatry, 162(2), 297-303.
Study Document
… and Evaluation
Introduction
This is part 3 of the quality and sustainability paper. Part 1 outlined the descriptive method of assessing quality and safety measures in nursing science. It was concluded that administrative data could be used to determine the effectiveness of quality or safety program since safety is the most fundamental aspect of nursing science (Twigg, Pugh, Gelder, & Myers, 2016). In part 2, analysis and application of safety programs were explored and Kenneth E. Waldenberg Health Care facility was used as a model in the analysis. The findings of the paper … 2014). In this third part of the quality and sustainability paper, a change theory that will support the implementation of a quality and safety program will be discussed.
Change Theory
Healthcare facilitates are required to implement new process or technologies that improve patient safety and quality of care (Hughes, 2007). There exists a formula through……
References
Alenius-Smeds, L., Tishelman, C., Lindqvist, R. Runesdotter, S. & McHugh, M.D. (2016). RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: A national cross-sectional study of acute-care hospitals. International Journal of Nursing Studies. Retrieved from http://dx.doi.org/10.1016/j.ijnurstu.2016 (06)005
Brasait?, I., Kaunonen, M., Martink?nas, A., Mockien?, V., & Suominen, T. (2016). Health care professionals’ skills regarding patient safety. Medicina, 52(4), 250-256. doi:10.1016/j.medici.2016.05.004
Campbell, R. J. (2008). Change Management in Health Care. The Health Care Manager, 27(1), 23-39. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/18510142
Hughes, R.G. (2007). "3 Barriers to quality improvement and quality improvement research." Institute of Medicine (IOM). Advancing quality improvement research: Challenges and opportunities: Workshop summary. doi:10.17226/11884.x
Lennox, L., Maher, L., & Reed, J. (2018). Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare. Implementation science: IS, 13(1), 27. doi:10.1186/s13012-017-0707-4
Stetler C.B., Ritchie J.A., Rycroft-Malone J. & Charns M.P. (2014) Leadership for evidence-based practice: strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence Based Nursing 11(4), 219–226.
Twigg, D. E., Pugh, J. D., Gelder, L., & Myers, H. (2016). Foundations of a nursing-sensitive outcome indicator suite for monitoring public patient safety in Western Australia. Collegian, 23(2), 167-181. doi:10.1016/j.colegn.2015.03.007
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