Health Medical Homework Help. GCU Health Care Acquired Conditions Discussion
I need replies to my peers discussion posts, one reference each, only within the last 5 years 100 to 200 words each should be enough. I’ve included their discussions responses.
DQ2 :The Center for Medicare and Medicaid Services (CMS) publishes a list of health care-acquired conditions (HACs) that reasonably could have been prevented through the application of risk management strategies. What actions has your health care organization (or have health care organizations in general) implemented to manage or prevent these “never events” from happening within their health care facilities? Support your response with a minimum two peer-reviewed articles.
Amanda :According to houseman “Healthcare providers want to improve outcomes while reducing the risk of patient harm. Despite provider best efforts, medical error rates remain high with significant disability and death. Preventable medical errors contribute substantially to healthcare costs, including higher health insurance costs per person expenses. Only by health professionals working together will the cost and injury associated with medical errors be mitigated.” When it comes to avoiding never events in the clinics documentation is crucial, we all know what wasn’t documented wasn’t done. It’s important to make sure as a nurse you are documenting and check all 7 rights before administering any time of medication or injection to a patient. The aaacn states that never events are preventable and identifiable and can lead to serious liability and death if protocols aren’t followed. All health care facilities must make sure they are following hospital or clinic guideline to prevent these incident from occurring to protect both staff and patients.
Kiara:Healthcare-associated infections (HAIs) are the main cause of preventable disability and deaths among the patients that are hospitalized. The Center for Disease Control and Prevention (CDC) HAIs are infections or complications that are secondary to either surgery or device implantations (Boev & Kiss, 2017). The hospitals that have been performing poorly have lost a significant amount of Medicare payments from the Center for Medicare and Medicaid Services (CMS). However, the key to averting the HAIs is formulating policies for prevention as well as treatment and translate them into the clinical pathway that is fostered and implemented in the Electronic Health Records (EHR). These policies encompass predictive models for pinpointing early and processes that ensure quick response times as well as proper treatment (Vokes, Bearman & Bazzoli, 2018). Most hospitals are also using decision support to provide clinicians with key information that is required for making informed decisions. The users are also provided with an efficacious methodology for instigating treatment and care after selecting a clinical pathway.
Parker:One of the HACs mentioned in the revised 2020 list (“ICD-10 HAC List | CMS,” 2020) is pressure ulcers. Not properly repositioning a patient or leaving a patient in the same position for too long can result in pressure sores. “International best practice advocates the use of repositioning as an integral component of a pressure ulcer management strategy.” (Moore & Cowman, 2015). These pressure ulcers are very common and can become infected, lead to sepsis, gangrene, and cellulitis. Nursing assistants are responsible for repositioning patients and due to their high workloads, some patients are left for many hours. My institution has made sure they are adequately staffed and stress the importance of repositioning and checking for pressure sores. They also use pressure mattresses that inflate and deflate in different areas to distribute pressure. “Pressure relieving and redistributing devices are widely accepted methods of trying to prevent the development of pressure ulcers for people considered as being at risk.” (Stansby, Avital, Jones, & Marsden, 2014).
Fereshia: HACs, according to Mody et al., are the types of conditions that a patient develops while in the hospital for therapy or another reason. Patients are harmed by these diseases, which occur in a variety of forms, including viral, bacterial, and fungal infections. Bloodstream infection (BSI), urinary tract infection (UTI), pneumonia or ventilator-associated pneumonia (VAP), surgical side infection (SSI), and pressure ulcers are the most frequent HACs.According to Lavallée et al, these HACs are also known as never events because they are serious medical errors or adverse events that should never happen to a patient because the majority of them are largely preventable due to healthcare practitioners’ negligence while attending to their patients. The implications of never occurrences, according to Palan Lopez, Mitchell, and Givens, include both patient damage and higher healthcare service delivery costs to the institution. Frontline nurses, on the other hand, according to Salmond and Echevarria, may assist avoid never occurrences from happening to patients when they are admitted to hospitals or visiting healthcare facilities by fostering a culture of safety via best nursing practices. Based on patient data provided at the hospital, the first step in tackling the problem of never events is determining what causes them and how often they occur.
