Patient Safety Isway: A Case Study

Improved Essays
The death of Savita Halappanavar in University Hospital Galway in 2012 highlighted sepsis as a patient safety issue in urgent need of addressing. In 2014, Minister for health , Leo Varadkar published 3 sets of clinical guidelines dealing with patient safety issues, one being sepsis (Cullen, P.2014). The sepsis management clinical guidelines provide health care professionals with a diagnosis and treatment framework to be followed. It outlines the diagnostic criteria, a diagnostic tool (EWS), followed by the ISBAR communication tool, once the signs and symptoms are recognised screening for sepsis takes place. Once sepsis is confirmed, resuscitation and antibiotic treatment is commenced immediately as the first few hours are vital (Rosini and

Related Documents

  • Decent Essays

    Sepsis kills over 3,000 Coloradans annually, more than breast cancer, stroke, and automobile accidents combined. Timely diagnosis, administration of IV antibiotics and fluids can reduce the mortality rate by 50% or more. These are simple solutions that can be implemented quickly with focused community effort. The Coalition for Sepsis Survival (C4SS) has three key objectives 1) Public Awareness, 2) Research, and 3) Providing Hospital Performance Improvement Grants.…

    • 415 Words
    • 2 Pages
    Decent Essays
  • Great Essays

    Having early detection of severe sepsis will decrease mortality rate and length of stay (LOS) within the facility and give the patient the best quality of care. The tools that will increase early detection of severe sepsis is the use of clinical decision support (CDS), a Sepsis cloud and the use of the computerized physician order enter (CPOE) with Clinical decision…

    • 1943 Words
    • 8 Pages
    Great Essays
  • Decent Essays

    Express their awareness, problem suggestions for improvement and prioritization of complex patient safety issues prominent. There is 93% of clinical staff for Research through Medical Technology Foundation in 2011 for the alarm. 4278 correspondence (2011 National Clinical warning investigation) to take advantage of the results. For more information on survey results and recommendations of medical technology foundation to support a distributed organization to the 298 participants in the medical devices AAMI warning summit.…

    • 152 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    The Australian Commission developed the National Safety and Quality Health Service (NSQHS) to improve the quality of health administrations in Australia. It gives 10 NSQHS standards which are exceptionally critical to run a secure and quality framework. The standards primarily help the population from any type of damage and to improve the health administrations. The standards additionally help to maintain a clean environment for all patients (Australian Commission, 2016). This essay will discuss two standards preventing and controlling healthcare associated infection standard and the medication safety standard.…

    • 831 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Sepsis: A Case Study

    • 986 Words
    • 4 Pages

    Severe sepsis is associated with organ dysfunction, hypotension, and hypoperfusion. Along with the previous symptoms lactic acidosis, oliguria, or acute alteration in mental status are evident (Wagner & Hardin-Pierce, 2014, table 36-8). Septic shock is associated with hypotension despite fluid resuscitation, and the other manifestations already mentioned (Wagner & Hardin-Pierce, 2014, table 36-8). As sepsis worsens the patient’s extremities will be cold and mottling may be present, lactate levels rise, and ScvO2 decreases (Wagner & Hardin-Pierce, 2014, p.…

    • 986 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Hello, Amber~~ 10 years ago, the Institute of Medicine (IOM) reported that unnecessary deaths each year due to preventable medical errors up to 98,000 people. This report assessed from $ 17 billion to $ 29 billion has the cost of such errors. Some estimated 1.5 million medication error prevention cost for a full year, up to $ 3.5 billion to the hospital. While more than 25,000 medication errors, there are occurs, such as both look-like and alike similar drugs in in the four-year period. In order to decrease errors, The Joint Commission promote to the organization has launched a program designed in 2002, National Patient Safety Goal program, which was to address specific issues related to patient safety.…

    • 210 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Collaborative Committee Meeting Observation It is necessary to mention that it takes a team spirit to run a health care organization. Therefore, it is imperative for all members of a committee, even if they are part of medical personnel, the management, or the representatives, to grasp the concept of shared governance and the proponents that compromise an efficient governance approach (Choi & Robertson, 2014). Furthermore, each healthcare organization work with interdisciplinary crews like the Infection Control Committee (ICC) and the Safety Committee to reduce employee and patient risk. Even though, the patients may not broadly know the existences of any of these committees. Fortunately, the ICC plays an essential component in every patient…

    • 738 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    I selected the article of the Implementation of an Evidence-Based Patient Safety Team to Prevent Falls in Inpatient Medical Units from MEDSURG Nursing Journal written by Gwendolyn Godlock, RN and a Joint Commission nurse surveyor, Mollie Christiansen, RN and a clinical nurse officer, and Laura Feider, RN and a Dean, School of Nursing Science and Chief, Department of Nursing Service (Godlock, Christiansen, and Feider, 2016). Fall prevention for patients is medical facilities is a constant concern and continuous studies on prevention. Even through falls are accidental the outcome can range from no injuries to the death of the patient (Ignatavicius & Workman, 2016). The Joint Commission established a National Patient Safety Goal which…

    • 672 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Sepsis Research Paper

    • 1338 Words
    • 6 Pages

    The increase in the mortality rate among the victims of the disease has been related to the lack of knowledge among people about the disease and use of inefficient techniques in identification of the signs, symptoms and intervention SEPSIS AND WHAT I WOULD CHANGE 6 measures. Even after recuperation, sepsis survivors are still likely to suffer from other diseases due to weakened immune systems. The sepsis bundle is a good place to start, but by not trying to drive down lactic acid levels by administering oxygen and allowing the body to use the lactic acid it is producing for fuel during a sepsis crisis patients may have better responses and outcomes to therapy…

    • 1338 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Health care-acquired infection (HCAI) is a foremost problem for patient safety and its surveillance. Prevention of HCAI has got to be the first main concern for settings and institutions dedicated to making health care safer. The impact of HCAI implies extended hospital stay, long-term disability, increased antimicrobials resistance of microorganisms, massive extra economic load, high expenses for patients and their families, and excess mortalities ( Boyce J., 2009). In the USA, 10%, or 2 million, patients a year become infected (HCAI), with the annual cost ranging from $4.5 billion to $11 billion. The most frequent type of infection hospital-wide is urinary tract infection (36%), followed by surgical site infection (20%), and bloodstream infection and pneumonia (both 11%)(World Health Organization, 2009).…

    • 678 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Patient navigation was proposed as an innovative approach to assist patients and their family members with potential barriers in an effort to reduce disparities and navigate patients through the complexities of obtaining medical care after an illness or acute diagnosis. There are typically two common methods, with the exception of volunteer work, that patient navigators are employed. Some are employed through hospitals, while others are employees through organization such as the American Cancer Society to work in a cancer center or community based hospital. Lastly, the least common model where a patient navigator is employed is through a community based organization usually revolving around cancer screening. Employment costs are most often…

    • 1342 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Prioritised Approach

    • 597 Words
    • 3 Pages

    Teaching session Topic: A structured Approach to recognize and assess of acutely ill patient Learning outcomes: • Identify those patients at risk of developing critical illness. • Apply a structured approach to the assessment and management of the acutely unwell patient. • Prioritise and manage problems as arise during the structured assessment. • Devise a management plane/investigations.…

    • 597 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    National Patient Safety Goals: Help Avoid Mistakes with your Medicines Many people assume the role of their medication responsibility to their health care providers, while it is a combined duty of the patient as well (The Joint Commission,2016). In avoiding medication errors in healthcare The Joint Commission has created guidelines to further educate the importance of understanding one’s medications. Patients are given understanding on how to avoid mistakes while in the hospital, at the pharmacist and working with physicians. This paper will discuss The Joint Commissions brochure on “Help avoid mistakes with your medicines” summarizing their guidelines and if the brochure was effective for patients.…

    • 838 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    In the attempt to call the attention to the importance of improving the quality and health care outcomes, in 1999 the Institute of Medicine had submitted a report called To Err Is Human: Building a Safer Health System. Although more than ten years ago, this report stressed the need of a redesign in the process of the patient’s care, little progress in the improvement of quality and safety has been achieved (Clark, 2013). Even though there were some important initiatives in the implementation of quality and safety after the report, only in 2013 The Joint Commission made a significant contribution in order to accelerate the process and enforced quality and safety through standards such as National Patient Safety Goals and Core Measures of nursing…

    • 1231 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    Ambulance Service Midland Healthcare offers fully-equipped ambulances staffed with trained paramedics, nurses and drivers to manage all the day-to-day fleet operations as well as those midnight emergencies. The ambulances are equipped with required medicines, emergency kits, and patient transport equipment and additionally carry life-saving equipment to take care of all kind of critical emergencies including accidents, heart attacks, and paralysis attacks. Call our toll-free number to 1860-333-333-3 now! EBUS Endobronchial ultrasound (EBUS) is a minimally invasive but highly effective procedure used to diagnose lung cancer, pulmonary infections (including TB), haemoptysis (coughing blood), sarcoid, interstitial lung diseases (ILD) and…

    • 954 Words
    • 4 Pages
    Great Essays