In your estimation, is failing to pursue further testing simply a mistake?

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Discussion Question 1: Risk Management and Medical Practice Issues

You oversee the insurance program at a local physician’s office. The office has five family practice doctors with four nurses and two office staff. The office is independent, so it must provide full coverage independent of any parent company. The office has a van for transporting supplies, patients to a local medical center, and groups to conferences, etc. Discuss the types of insurance available for the van. Recommend one type and justify your recommendation.

 

Discussion Question 2: Risk Management and Medical Malpractice

The high rates of malpractice suits raise the question, “Should healthcare professionals not be allowed to make any mistakes?” Consider the following case. In your estimation, is failing to pursue further testing simply a mistake? Consider this from the point of view of the risk manager and of the patient’s spouse.

A 38-year-old female was admitted to the emergency room of Goodcare Hospital with symptoms that suggested a gastrointestinal problem. The attending physician performed all the routine tests, and the results were normal. During the time the patient was in the ER, she had uncontrolled diarrhea and grew weaker. The medication given did not help. The patient died, and the autopsy revealed that she was suffering from giardiasis, an intestinal parasitic infection. This infection is not detected by routine parasitic testing. If detected, the infection can be effectively treated with antibiotics. In this case, if the patient had been correctly diagnosed, she would likely have recovered quickly and lived. The attending physician was sued for negligence for failing to diagnose the infection. A jury awarded the woman’s husband $725,000.

Should each department have a manager that reports to the same director?

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Discussion Question 1: Strategies to Minimize Risk

Risk can be minimized, but not eliminated. Give an example of a risk management solution being taken too far, and explain how you would judge how far is too far. Give another example of a situation where you must accept a certain level of risk because the risk cannot be controlled for any further.

 

Discussion Question 2: Risk Management and Organizational Structure

Organizations have tried several different approaches for creating an organizational structure that supports collaboration between the risk management and quality management departments. Which structure do you think would be most effective? Should the departments be combined? Should each department have a manager that reports to the same director? Is there a better alternative? Be sure to explain your answer.

 

How might your response plan for an epidemic such as the avian flu differ from your response plan for a natural disaster?

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Discussion Question 1: Risk Management and Natural Disasters

What type of disaster is your local hospital likely to face? Has this occurred in the past? Was the hospital prepared to respond appropriately? As a risk manager, what questions might you have about the hospital’s response plan?

 

Discussion Question 2: Risk Management and Epidemic

How might your response plan for an epidemic such as the avian flu differ from your response plan for a natural disaster? Are there resources to plan for that would be different? Are there resources that would be impacted regardless of the type of response plan that is needed?

Are the indicators and their measurements appropriate to the high-risk area?

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Part 1:
Write a 2–3 page evaluation of the quality improvement program that you have created. This should be the annual summary of the hypothetical data. Make sure your hypothetical data are credible.

Part 2:
As you may recall from Week 1, your Course Project was to prepare a total quality improvement program, with a focus on one high-risk area. Continuous quality improvement covers many areas. Throughout the course, you have learned about the attributes that constitute a quality improvement team and what questions this team attempts to answer. The assignments toward this project that you completed each week can now be assembled into a single instructional document.

Make necessary adjustments to your document so that each segment flows smoothly into the next. Evaluate your project using the criteria given below.

  1. Are the indicators and their measurements appropriate to the high-risk area? Do the indicators capture the risk?
  2. Are the fictional incidents realistic and plausible?
  3. Is the filled chart consistent with the fictional incident?
  4. Is the plan of correction feasible? Will it prevent the occurrence of the incident in future?
  5. How do you know the plan worked? What measures will you use to identify effectiveness?

Submit it to the W5: Assignment 2 Dropbox by Tuesday, August 23, 2016.

Name your document SUO_HCM4002_W5_A2_LastName_FinalInitial.doc.

On a separate page, cite all sources using the APA format.

What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes?

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Research Critique, Part 1

 

To write a critical appraisal that demonstrates comprehension of the research study conducted, respond to each of the questions listed under the headings below.

Do not answer the questions with a yes or no; rather, provide a rationale or include examples or content from the study to address the questions.

 

CRITICAL APPRAISAL GUIDELINES: QUALITATIVE STUDY

Problem Statement

·      Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes?  This gap in knowledge is the research problem.

  • How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.

 

Purpose and Research Questions

  • Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.
  •  List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.
  • Were the purpose and research questions related to the problem?
  • Were qualitative methods appropriate to answer the research questions?

 

Literature Review

  • Did the author cite quantitative and qualitative studies relevant to the focus of the study? What other types of literature did the author include?
  • Are the references current? For qualitative studies, the author may have included studies older than the 5-year limit typically used for quantitative studies. Findings of older qualitative studies may be relevant to a qualitative study.
  • Did the author evaluate or indicate the weaknesses of the available studies?
  • Did the literature review include adequate information to build a logical argument?

 

Conceptual / Theoretical Framework

  • Did the author identify a specific perspective from which the study was developed? If so, what was it?
  • When a researcher uses the grounded theory method of qualitative inquiry, the researcher may develop a framework or diagram as part of the findings of the study. Was a framework developed from the study findings?

 

 

 

  1
Unsatisfactory 0%-71%
71.00%		 2
Less Than Satisfactory 72%-75%
75.00%		 3
Satisfactory 76%-83%
79.00%		 4
Good 84%-89%
89.00%		 5
Excellent 90% – 100%
100.00%
80.0 %Content  
20.0 %Research problem and purpose Does not mention research problem or purpose of study. There are some inaccuracies in describing the research problem. The research problem and purpose are present and mostly accurate. The research problem and purpose are described with reference to nursing. The problem and purpose of the study are clearly articulated, and their importance to nursing addressed.
20.0 %Research objective, questions or hypotheses Does not mention objections, research question (s) or hypotheses. There are some inaccuracies describing the research objective, questions or hypotheses. The research objective, questions or hypotheses are present and mostly accurate. The research objective, question or hypotheses are described and related to study methods. Research question is clearly and accurately described and is congruent with research purpose, method, and worldview of researcher.
20.0 %Literature Review Does not mention literature review. There are some inaccuracies describing the literature review. The literature review elements are discussed and support the purpose of the study. The literature review and how it supports the purpose of the study are described. The literature review critique is thorough and clear, and supports the purpose and research question.
20.0 %Frame of Reference (qualitative) Does not mention frame of reference There are some inaccuracies describing frame of reference. The frame of reference elements are present and mostly accurate. The frame of reference is described. The frame of reference is thorough, clear, and accurately described using research terminology.
15.0 %Organization and Effectiveness  
5.0 %Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear. Thesis and/or main claim are apparent and appropriate to purpose. Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.
5.0 %Paragraph Development and Transitions Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed. Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident. Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other. A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose. There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.
5.0 %Format  
2.0 %Paper Format (use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.
3.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment) No reference page is included. No citations are used. Reference page is present. Citations are inconsistently used. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present. Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct. In-text citations and a reference page are complete. The documentation of cited sources is free of error.
100 %Total Weightage  

 

 

What additional skills, knowledge and attributes would the BSN-prepared Registered Nurse bring to case management ?

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At times the needs of our families conflict with our work responsibilities. Could this possibly be the underlying issue here?

  1. Explain the conflict resolution skills displayed by the leader in the scenario. On a scale of 1-10, how would you rate those of the leader.
  2. How might earlier collaboration have been beneficial?
  3. Some organizations utilize non Registered Nurses in the Case Manager role. What additional skills, knowledge and attributes would the BSN-prepared Registered Nurse bring to case management in this scenario?

 

 

 

ESCENARIO:

Visual

Two nurses are sitting in the conference room. One is a home care leader dressed in business attire, and the other is a staff nurse dressed in sweater and slacks, the outfit appropriate for a home health nurse.

Audio

Staff Nurse: Thank you for agreeing to talk to me about the discussion we had the other day about assigning patient load. As I started to say in the meeting, but got interrupted, is that I really don’t like the new plan that we have. I liked the old one better. I don’t understand why we need to change.

Leader: You did get to express one concern about visiting patients in Iron Ridge and that is the community’s high crime rate. We all recognize this issue, and I do understand. But the new patient assignment scheme is meant to match you with patients who will most benefit from your specialty, and not where you live geographically. There are many patients in Iron Ridge who have diabetes that need your expertise.

Staff Nurse: Well… I really do love my patients and I don’t hold it against them that they live in a bad part of town. But frankly, I’m afraid! Every night when I watch the news, there is somebody that’s been involved in a shooting or a carjacking. I talked to my husband about it and he said that if you insist I go over there, he wants me to quit. It’s not safe!

Leader: [audible pause] I have an idea I would like to explore with you. What if we sent an escort to accompany you on your visits? Would this help you feel safer in that neighborhood?

Staff nurse: Sure, it would, but do you think that’s realistic? The last I heard, we didn’t have any money to give us nurses raises and bonuses. I mean, do we even have the budget for something like security?

Leader: It’s realistic as long as I can justify the safety of our nurses. Let’s say the cost is not a barrier to this scheme. What do you think?

Staff Nurse: [hesitation] Please let me think about it. I need to talk to my husband, too. I can’t decide right now, but you’ve given me something to consider.

End Transcript

As in the case of the liver transplant for Mickey Mantle, should the system make exceptions for real heroes?

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Resource: Ch. 1 of Health Care Ethics (6th ed.)

Mickey Mantle received a liver transplant in 1995. He was a Baseball Hall of Fame center fielder for the New York Yankees whose liver was failing because of cirrhosis and hepatitis. Although the waiting period for a liver transplant in the United States is about 130 days, it took only two days for the Baylor Medical Center’s transplant team to find an organ donor for the 63-year-old former baseball hero.

According to the director of the Southwest Organ Bank, Mantle was moved ahead of others on the list because of his deteriorating medical condition; however, there were mixed feelings about speeding up the process for a celebrity. Mantle was known for overcoming immense obstacles, and many argued that the medical system should provide exceptions for heroes. He was also a recovering alcoholic, which further complicated the ethical implications of the case. Because of Mantle’s medical problems, doctors estimated that he had only a 60 percent chance for a three-year survival; whereas, liver transplant patients typically have about a 78 percent chance for a three-year survival rate.

As in the case of the liver transplant for Mickey Mantle, should the system make exceptions for real heroes? Why or why not?

Write a 1,050- to 1,400-word paper in which you analyze the Mickey Mantle case using the Seven-Step Decision Model.

What ethical issues have arisen or might arise from use of technology and informatics in professional nursing?

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Here are the discussion questions. answer each questions and make references to where u got ur ans from….aka  APA style and also use the links below

1.   Integration of Evidence-Based Practice Into Professional Nursing practice.

As the professional nurse, you realize that your nursing care area often sees patients with the same particularly challenging nursing care issue (NOT medical care issue). Include allof the following in your answer to this discussion:

  • Identify the nursing care issue or problem and justify why it is a nursing care issue in need of implementation of evidence. Remember, this should not be a medical issue.
  • Explain how you would search the nursing literature for evidence on this topic (including search terms you would use) and how you would critically appraise the evidence found in your search. NOTE: You do not need to perform the search and provide an article for this discussion, but you may do so if you like.

2.   Nursing Roles in Quality Improvement.

How do nurses promote patient safety and improve quality at your workplace? How do you report errors and near misses? What changes would you suggest be made on your unit or facility to improve a non-punitive culture of safety?

 

 

3.   Leadership in Diverse Situations

Nurses demonstrate leadership in many situations. For this discussion, select one of the following situations that you have not previously experienced and tell us how the nurse would demonstrate leadership in that situation:

  • Communicating with legislators to influence health policy1
  • Clinical leadership at the bedside
  • Nursing management of units or facilities
  • Impact of systems-based practice on leadership

4.   Use of Informatics in Professional Nursing.

How do you use informatics and technology in your nursing practice? How do you see that use changing in the future? What ethical issues have arisen or might arise from use of technology and informatics in professional nursing?

 

5.AACN BSN Essentials and Your Future Practice.

Question: Select one of the AACN BSN Essentials and elaborate on its meaning and importance in your own future professional nursing practice. In your post intended to clearly and thoroughly address the topic of this TD, be sure to:

  • Identify the AACN BSN Essential that you have selected by name and number.
  • Clearly and thoroughly explain why you selected this Essential.
  • Clearly and thoroughly explain how this Essential will be used in your future professional nursing career.

Pls chose any topic  from the link I attached in AACN below for question 5. Thanks The links to answer the  topic questions.  http://www.aacn.nche.edu/ > [8/15/2016]

 

6.Topic: Application of Nursing Theory to Practice.

You are a professional nurse caring for Mr. R, a 58-year-old patient who recently underwent surgery for colon cancer resulting in a temporary colostomy. Select one of the assigned or unassigned nursing theories from our textbook and address the following:

  • How you would provide professional nursing care for Mr. R. using the theory you have selected. Be sure to use terminology from the selected nursing theory to explain your interventions.
  • Relate application of legal and/or ethical standards to this case study.

http://www.mass.edu/currentinit/documents/NursingCoreCompetencies.pdf > [8/15/2016]

you may use any other references  with them pls.

 

 

 

Identify a health care delivery organization, note how that organization is linked to other health care organizations in the delivery system

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Organizations operating in the U.S. Health Care Sector (USHCS) are a part of a larger system of services.  Identify a health care delivery organization, note how that organization is linked to other health care organizations in the delivery system.  Every organization has a source of referral and a place they release their patients.

For this assignment, you will explore linkages and alliances.   To this end, your paper should include:

 

  • A Title page
  • A 2-3 page (double spaced) description of the organization;
  •  graphical representation of the linkages between the organization and other organizations/stakeholders. If you do a Google image search for organizational linkages, you will see plenty of examples of how they might look. You are not required to use a specific type of graphical representation; the key is to be able to understand the relationships between organizations by looking at your linkage graphic;
  • A properly formatted reference page.

As is the case with all academic papers, a well-organized paper will have a clear introduction to the topic, a body, and a conclusion or summary paragraph. In addition, a well-written paper will have minimal grammar, spelling, or sentence structure mistakes and it will fully conform to all