Evidence-based medicine

INTRODUCTION: Comprehensive Primary Care plus is a five-year model that will begin in January 2017. CPC+ is an advanced primary care medical home model that aims to ensure care delivery design through a regionally based multi-payer payment reform. CPC+ includes two primary care practice tracks to deliver better care and improve health outcome. In the first track, the CMS would pay a risk adjusted monthly payment for each Medicare beneficiary’s care management services, in addition to fee for…

improving blood culture contamination rates within the emergency department (ED) at Erlanger Hospital. This issue is one suggested by the Erlanger ED manager, as it is a persistent issue for this department, and is consequently in need of new evidence-based initiatives and education for healthcare personnel. Blood culture testing is a routinely utilized intervention used to diagnose infections in symptomatic patients who arrive at the ED (Denno & Gannon, 2013). Blood cultures are essential as…

I. Introduction A. OPENING STATEMENT B. Objectives i. Define acupuncture and discuss its proposed physiologic effects. ii. Describe the history of acupuncture and its use in Western Medicine. iii. Discuss use of acupuncture in Women’s Health. iv. Describe and discuss the safety, contraindications, and potential complications of acupuncture. v. Discuss nursing responsibilities and teaching regarding care of patients considering or utilizing acupuncture. II. Acupuncture A. Definition: i. The…

passed medical school entrance test in which one must fall in top 10 percent of the total of above 40,000 candidates to get admission into medical school. In medical school ,I was introduced to a broad spectrum of specialties but it was the internal medicine that inspired me the most. During my rotation, I used to spend time in wards with patients, searched for various clues to formulate the diagnosis and liked studying about diseases, their path physiology and treatment options. Working in a…

Role of Anesthesiologists: Perioperative surgical home is a physician led, team based coordinated care and Anesthesiologists are better positioned to lead this team as they are uniquely qualified, has medical knowledge in all disciplines related to surgical care process. Because of the skill and knowledge in areas of preoperative, intraoperative as well as post-operative aspects they can provide single continuum of care rather than conventional methods of many discrete episodes by different…

Safety care delivery has always been a priority in medicine especially in nursing. It is without a doubt to care is to be human and so is the flaws of error making behaviors and best stated in the message To Err is Human, and this was in hope of preventing, recognizing and mitigating harm from error, (as cited in Barnsteiner, 2011); Therefore, in the nursing field, we ought to develop a culture of safety in learning organizations, understanding the limits of human factors, and appreciating the…

CRS Case Study: Effective or Ineffective The use of health care management systems (HMIS) have exploded over the years, which new systems have been created to work with each other. The purpose of these systems has been generated to increase productivity as well as improve on patient care. There are specific components and to each system, which all have their own purpose and goal for improved production. The purpose for research and case studies are to show which systems are more effective…

and respect for autonomy. Practice of medicine has always been regarded as beneficial, good, and praiseworthy. At the same time, practitioners of medicine in different times and places were required to exhibit certain character traits and skills that were deemed necessary for the fulfillment of the goals of the practice. In this sense, ethics has always been part of both the practice of medicine and theoretical discussions over the nature and goals of medicine. However, In contrast to the…

Registered Nurses (APRN) the preparation of all Advanced Practice Registered Nurses (APRN) (Potempa, 2011). Similarly, the Institute of Medicine committees also called for several advances in healthcare, which mandate a greater expertise and knowledge for nurses. They recommended health care systems reform, emphasis on safety and quality improvement, the use of evidence-based practice, and embracement of doctorate degree be the graduate degree for advanced practice nurses (Drayton-Brooks,…

difficult to navigate through the American healthcare system that is being offered to them in Merced, California. They go from traditional Hmong health management in Laos, to a place where biomedical, science-based treatments. And when the Lees are faced with having to rely on western medicine to properly care for their daughter, Lia Lee’s severe epilepsy, this conflict of cultural resolution is brought to the light. This leads to distrust of doctors by the Lees and a development of unempathetic…