Patient Care | Distance Learning Systems (DLSI)

Optimizing Patient Care and Safety

Rideout Health, a non-profit community-based healthcare program, and RGP Healthcare™, a department of Resources Global Professionals (NASDAQ: RECN), declared that Rideout has selected and is applying Pavisse™, a cutting-edge technology for tracking and guaranteeing individual protection. Rideout operates facilities and services located throughout Yuba, Sutter and The state of Nevada counties. They include acute-care healthcare centers Rideout Memorial and Fremont Medical Center; the Heart Center at Rideout; the Rideout Cancer Center, associated with UC Davis Medical Center; out-patient primary and specialized treatment centers and a host of additional services, such as senior living services, home health, hospice and durable healthcare equipment.

Pavisse, developed by RGP Healthcare, is a new extensive occurrence control solution designed to help healthcare centers manage individual safety, individual privacy and other compliance-related functions across the enterprise. “We will be one of the first healthcare centers in the Sacramento region to set up this software,” said Istikram Qaderi, M.D., Senior V.P. and Chief Quality Officer at Rideout. “We’ll first set up Pavisse at Rideout Memorial and once the program is running nicely, we’ll look to using it at other locations in our organization to help us continually monitor and improve the superiority of our patient care, which is always our priority.”

Dr. Qaderi, a former physician, moved his career focus recently to helping healthcare and patient care organizations work with doctors and other staff to arrange clinical care and patient-centered solutions in applications for performance improvement. He has spoken and published substantially on subjects such as quality, doctor and team engagement, safety, individual fulfillment, performance quality and culture change. Dr. Qaderi sees RGP Healthcare President Radgia Cook as an “innovator” in patient safety and incident control and further described the Pavisse product as life changing. “Pavisse is just one of several state-of-the-art tools we will use to deliver on this objective,” Dr. Qaderi said. “It is extensive, user-friendly, and easy to set up and personalized to each facility’s needs. And RGP professionals are available to help us reap the most benefit.”

Said Cook, “Rideout Health is just the type of forward-thinking partner we sought. We are thrilled about integrating with Rideout Health as they continue to serve as a national model for the delivery of quality healthcare.”

Responsibilities of a Paramedic

If a paramedic had a patient with discomfort in the chest area as well as other symptoms, it would allow the Paramedic to follow a Chest Pain procedure or method. This would include providing certain drugs such as Nitrates and Acetylsalicylic. They are qualified to perform these techniques since they have obtained Paramedic certification.

A paramedic is accountable for providing proper care to all sufferers that need emergency healthcare prior to being received at a hospital. EMTs follow healthcare recommendations (field operating procedures) that are written by a doctor or group of doctors, that are set requirements for off-line functions. Paramedics are the best pre-hospital healthcare providers to rely on in extreme emergency medical scenarios. Paramedics must complete challenging paramedic certification courses demonstrating both abilities and knowledge, such as:

Responsibility on the field – When paramedics are called to a dangerous scenario (for instance a building collapse, crime scene, blast, hazardous materials risk, automobile accident or natural catastrophe), a paramedic is accountable to make sure the area is safe to enter. Once that is confirmed with the dispatcher, emergency healthcare services employees should anticipate to help in collecting details and securing the place to protect all people from damage.

Patient care – A paramedic’s essential liability is to reduce suffering, save life, do no damage, and encourage the equal availability of emergency health care, according to the National Association of Emergency Medical Technicians’ NAEMT code. This vow is consistent with vows that other healthcare professionals take. Paramedics also take responsibility for all activities that affect individual care. A paramedic does not hand over any responsibilities requiring his abilities to a smaller experienced individual.

Mobile Devices in Patient Care

Many physicians operating in medical centers use mobile devices in patient care, according to individual reviews by the Healthcare Information and Management Systems Society and Spyglass Consulting Group, MobiHealthNews reviews. For the second annual HIMSS Mobile Technological advancement Study, which was provided by Qualcomm Life, scientists asked 180 IT experts operating at medical care facilities. The review discovered that about half of interviewed IT experts believe that the use of mobile technology will significantly affect patient care. It also discovered that:

45% of participants said physicians at their company use mobile devices to gather information at a patient’s room, up from 30% last year;
38% said physicians use mobile devices to read bar codes, up from 23% last year;
34% said physicians monitor information from mobile devices, up from 27% last season; and
27% said physicians use the camera on their cell phone to capture individual information, up from 13% last season.

About 25% of participants said that all individual information taken by clinicians’ mobile devices are incorporated with the individual’s electronic health record. About three-quarters of interviewed IT experts said they expect their company to flourish its use of mobile health gadgets in the future, with tablets seeing the greatest growth forecasts. In related news, an individual review from Spyglass Consulting Group discovered that 69% of interviewed hospital nursing staff said they use their mobile devices for personal and clinical emails while on the job. The review also discovered that: 96% of interviewed nursing staff said that first generation tablets did not work well for bedside nursing because of durability concerns, information entry limitations and other issues and 25% said they were disappointed with the quality and reliability of their facility’s wireless network.

Effects of Technology on Patient Care

Technological innovation has become an important part of the nursing career and patient care. However, in many circumstances, it has also become an annoying one. Take, for example, electronic medical records (EMR). As more and more hospitals turn from paper charts to EMRs to get to know a patient’s history, medical staffs have to evolve to this new, technologically-driven method of charting. Yet, many nurses do not get sufficient training and education, making them exacerbated of know-how and not really prepared to use it successfully. The truth is that, with the right knowledge and the right resources, nurses can use technology to improve patient results in patient care and their own professions. Here are some illustrations of how you can use technology to your advantage:

It provides straightforward access to patient information. – When nurses think about EMR systems, they often concentrate on the disadvantages, such as the plenty of screens to check and the limitless displays they have to surf through. However, EMRs really can save your time by offering accessibility patient lab results, history, physical information and notes all in one location. Obtaining this data via paper charts could take hours, but with an EMR, it’s all at your convenience.

It helps provide precise medicines. – Every health professional knows about the five privileges of medication management. However, many nurses also know first-hand how challenging it can be to document each step on paper. Luckily, with EMRs, precise medication information is always available and up-dates can be recorded with convenience. You can also quickly access allergic reaction backgrounds and medication information and see how the medication will communicate with other medicines. As a result, you can ensure that the right medication is going to the right sufferers.

It enables you to research illnesses and diseases. – Every day, you care for sufferers being affected by an ever-changing variety of conditions. It’s challenging, if not difficult, to know everything about every illness process. However, it is simple to learn. Internet sources such as UpToDate.com, an evidence-based, physician-authored medical data source, can give you information you need to cure diseases that you don’t regularly experience.

Improving Patient Care

According to the DEA, it is now legal to deliver medications for controlled substances digitally. By following DEA requirements for EPCS, physicians have the option to digitally sign and deliver electronic prescriptions for controlled substances to certified drug stores. While some suppliers still may not be fully aware of this new ability, others are enjoying the advantages. The obvious advantages associated with EPCS adopting include enhancing work-flow, creating complete EHRs, removing the prospective for stolen or changed prescription blanks, decreasing drugstore callbacks on illegibility, avoiding “pharmacy shopping,” and increasing overall individual safety and patient care. These factors, along with the problem of fighting the prescribed drug addiction plague in the United States, will likely be the power in extensive EPCS adoption. While these features will take center stage, it’s important not to ignore the impact that this new form of controlled substance prescribing will have on patient care.

Many physicians and pharmacy technician already understand the severity of this new prescription ability in enhancing individual well-being. At a time when Accountable Care Organizations (ACOs) and patient quality reporting dominate medical care headlines, there is no question that the move towards a patient-centered medical care model is in full swing.

In states where EPCS for Schedule II medicines is legal, experts who are dedicated to psychiatry, pain management, or emergency medicine will likely develop a unique admiration for this new technology. When one views the regularity with which pain management physicians and psychiatrists recommend Schedule II medicines, the amount is impressive. Medications like Adderall, Oxycontin, Ritalin, and Morphine receive a lot of negative press because of their potential for misuse and diversion, but what many don’t realize is that there is a very large market with genuine medical need that require these medicines to go about everyday living. The Controlled Substance Act (CSA) requires, with very limited exemption, that Schedule II medications be written on original prescription forms from the specialist. These medications must be sent to the drugstore, are not refillable and may not be called in or faxed. While significantly decreasing the possibility for disruption, these conditions make significant difficulties for sufferers who regularly fill these medications.

EMR and Patient Care

The EMR or electronic medical record’s guarantee of participation to health care price benefits got a second look recently, and the results were inadequate at best. But what I found interesting was the “second look” was from the same company that did the first look: the corporately-funded, non-profit think-tank called the RAND Corporation.

From their second and more recent report:

A team of RAND Corporation researchers estimated in 2005 that fast adopting of health information technology (IT) could save the United States more than $81 billion dollars yearly. Seven years later, the scientific data on the technology’s impact on health care performance and safety are combined, and yearly health care expenses in the United States have grown by $800 billion dollars.

Who would have thought that such a famous company like the RAND Corporation could have made such a little, tiny multi-billion dollar mistake? After all, their 2005 study was financed entirely by several of the major EMR producers who have gained enormous amounts in income on EMR sales since. Is there any wonder that now the same RAND Corporation sensed that the EMRs deficiency of price benefits is really the end-users’ fault?

In our view, the frustrating performance of health IT to date can be mostly linked to several factors: gradual adopting of health IT techniques, in addition to the choice of techniques that are neither interoperable nor easy to use; and the failing of medical service providers and organizations to re-engineer patient care procedures to obtain the benefits of health IT.

What a superficial evaluation. There is no talk of the price of these techniques, their maintenance, deficiency of interoperability, inadequate user-interfaces, and in many cases, deficiency of design support. Even more interesting, there was no consideration that someone might actually figure out a way to efficiently dress the government’s arcane certification requirements for compensation that would permit more patient care spending. No, those tests would have been too obvious. Instead, the Rand Corporation informs us that there were no price benefits with the EMRs because doctor- and hospital-customers did not re-engineer their patient care procedures or “adopt” poor first-generation techniques.

Home Patient Care

To corrupt an old quotation, there is nothing like a new transaction program to focus the mind of a medical center manager. The U.S. medical care program is seeing a surge of distribution program analysis, motivated by numerous transaction projects such as CMS’s medical center readmissions reduction program (established through the Affordable Care Act). New patient care designs, such as the Presbyterian Healthcare Service’s “Hospital at Home” in Albuquerque, New Mexico and the Mercy Health “Care Transitions Program” in Cincinnati, Ohio are moving patient care out of the constraints of hospitals and medical centers and placing them to the individual’s houses. There, individual knowledge and care synchronization may be more effective, thus avoiding additional expensive medical center bills.

Preliminary data recommend that these programs work. Yet the record of the U.S. medical care program informs us that these interesting projects can crumple to perverse actions. The execution of inpatient potential transaction in 1983 triggered the home medical market. However, along with improved patient care in houses came issues about sky-rocketing costs, excessive use, unsuitable use, and scams.

To find the ‘special sauce’ that will truly move our wellness care program from one targeted on dealing with illness to one targeted on health, we need to carefully assess these interesting new projects, in particular, looking at their impact on the greatest endpoint, population health. The problem of paying for health rather than illness has been a traditional situation. As George Bernard Shaw mentioned in 1906, “That any sane nation, having observed that you could provide for the supply of bread by giving bakers a pecuniary interest in baking for you, should go on to give a surgeon a pecuniary interest in cutting off your leg, is enough to make one despair of political humanity.” If GBS were in existence today he might be very carefully buoyed up by the current initiatives to deal with this centuries old situation.

Patient Care and Technology

Today, suppliers can no longer go to work with a stethoscope and their well-trained mind and hands. In a medical center or a workplace, few of us need a black leather bag. But we do need information, and in methods we never experienced in our training. Technological innovation is fast changing how we approach patient care. Decision support tools are still in their beginnings. Within a very short time, I believe we will be using technology to help us improve the patient care methods we have not yet fully considered. There are two dimensions of technology that I believe will considerably improve patient care and the connection with our sufferers.

First, bedroom diagnostics, ultrasound evaluation has quickly become the standard of proper care for experts to place lines. Now, convenient ultrasound is available for the bedside physical evaluation. Most doctors currently usually spend most of their time on worldwide medical volunteer missions. They have a convenient ultrasound that is only a little bit larger than the normal smartphone. The sensor / probe looks like a tiny flash light. In towns in remote Nepal, they are able to ultrasound sufferers to help identify serious diseases that may require transportation to tertiary care organizations. As internet and mobile cell phone availability enhances throughout the world, there are places where they can deliver the pictures to radiologists in the United States to assist with decoding and making an analysis. I think the normal doctor in western world will soon carry a pocket ultrasound for use throughout the day, whether hospital or office-based.

Second are the incredible opportunities to use mobile phone technology to enhance the care of chronic diseases. The concept of “crowd sourcing” allows sufferers and their providers to share information that can considerably improve chronic illness. Ninety-one percent of people keep their smartphone within 3 feet of them 24 hours a day. An early experiment in patient care with inflammatory bowel illness has produced impressive improvements in the illness by tracking individuals’ activities through their mobile cell phone GPS and accelerometer and responses to scheduled text messages.

Quality of Patient Care

People check out the healthcare center for a variety of ailments; some minimal, some serious, and some life-threatening. Whether you are getting stitching for a small cut or going through a major surgery treatment, the anticipations of every individual are generally the same; that you will get qualified and sympathetic patient care when you visit the healthcare center in a time of need. But what happens when physicians are tired or sick themselves? Nurses’ work is not easy. Especially in healthcare center configurations, many nurses must deal with the perceptive suffering and stressful actual requirements of a 12-hour work-day. As a result of working in such an extreme and challenging atmosphere, the healthcare staff often experience accidents themselves.

The American Journal of Nursing shows that 75 % of the healthcare staff experience some level of actual pain from a muscle stress or stress while at work. In addition, almost 20 % of the healthcare staff engaged in the study had warning signs of depressive disorders. According to the American Journal of Nursing, the quality of patient care does, in fact, reduce when the medical staff is tired. Scientists discovered that the risks of a patient fall such as prescription mistakes and mistakes including sedation or discomfort drugs, increased by about 20 percent when a health professional was in discomfort or suffering from depression.

The significance of these conclusions should not be taken gently. Medication mistakes created by physicians or the medical staff can have risky repercussions for sufferers and may result in serious injury or loss of life. Adding to the problem, nurse-to-patient employment percentages are not always consistent in medical centers. Because of this, the medical staff can find themselves in potentially risky situation of looking after for more sufferers than what is comfortable. The outcome is that sufferers may receive insufficient or inadequate treatment. Unfortunately, when avoidable mistakes occur because our caretakers are tired, harmed, or over-worked, sufferers are the ones who suffer the most.

Goal Oriented Patient Care

The largest U.S. health insurance provider, the Centers for Medicare and Medicaid Services (CMS), has set a multiple aim: better care for patients, better health for communities, and lower costs. At the same time, major efforts have been released to make healthcare more patient-centered, defined as “respectful of and aware of individual patient choices, needs, and principles, and ensuring that individual principles guide all clinical choices.”Attention to patient-centered actions and results will be particularly important as CMS moves increasingly to link medical healthcare providers’ compensation to their performance on selected actions.

So far, tests of quality of patient care and wellness results have not incorporated patient-centeredness. Rather, amount of quality has resolved preventive and disease-specific wellness care processes (e.g., smoking-cessation guidance and start of appropriate medications after myocardial infarction). Similarly, results measurement has focused on condition-specific signs, both short-term (e.g., glycated hemoglobin levels and high blood pressure control) and longer-term (e.g., disease-free survival), as well as overall death rate.

Though these process and results measures work well for relatively healthy sufferers with single illnesses, they may be unsuitable for sufferers with several circumstances, serious impairment, or short life expectancy. For such sufferers, the overall quality of health care is determined by more than just disease-specific health care procedures. Furthermore, disease-specific results may not effectively indicate treatment effects in sufferers with several coexisting illnesses. Adopting of more worldwide results, such as efficient position, would not ensure patient-centeredness unless they were regarded within the perspective of individual patients’ objectives and choices in the face of trade-offs.

Perhaps the most important hurdle to goal-oriented patient care is that remedies are greatly based in a disease-outcome–based model. Rather than asking what sufferers want, the culture has respected handling each condition as well as possible according to recommendations and inhabitants’ goals.

Ultimately, good remedies are about doing right for the affected person. For sufferers with several serious illnesses, serious impairment, or limited life expectancy, any bookkeeping of how well we’re following in providing health care must above all consider patients’ recommended results.