Post, a description of Johns Hopkins’ efforts to create a high-reliability health care system.

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Throughout history, major events have influenced quality improvement efforts in health care. For example, the Institute of Medicine’s report To Err is Human: Building a Safer Health System revealed statistics about errors in patient safety that result in thousands of deaths annually. Health care administration leaders must be cognizant of the purpose and philosophy of quality improvement efforts as they lead the charge for improving health outcomes and patient safety.

For this Discussion, review the Provonost et al. (2015) resource for this week and reflect on the development of high-reliability health care systems. Think about how you, as a current or future health care administration leader, might address challenges when implementing high-reliability techniques for a health services organization.

By Day 3

Post, a description of Johns Hopkins’ efforts to create a high-reliability health care system. Then, explain how these techniques might benefit your health services organization or one with which you are familiar. Be specific and provide examples. Explain potential health care administration leader challenges when implementing high-reliability techniques within this organization.

Navigate the Joint Commission websites and prepare a presentation on their mission statement and areas that Joint Commission covers, provide a summary of each area. 

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Navigate the Joint Commission websites and prepare a presentation on their mission statement and areas that Joint Commission covers, provide a summary of each area.

Minimum 10 slides excluding presentation pages and references page. And 2 references APA style

WEBSITES:
https://www.ncbi.nlm.nih.gov/books/NBK557846/
https://www.jointcommission.org/
https://www.jcrinc.com/?_ga=2.168424741.527167896.1602965558-1124445900.1602965558

No plagiarism

Explain why it is important to understand systems thinking in health care organizations. Be specific and provide examples.

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Systems thinking is important for health care administration leaders to gain understanding into health care quality. The internal structures, processes, and outcomes, as well as the external environment, have significant and sometimes predictable effects on the delivery of cost-effective and quality health care.

For this Assignment, select your health services organization or one with which you are familiar. Consider how the organization you select adheres to the elements of systems thinking examined this week.

The Assignment: (3–4 pages)

  • Describe the organization you selected for this Assignment.
  • Explain the input, throughput, output, outcomes, and feedback from a systems-level perspective for the organization you selected.
  • Draw a diagram representing the system of the organization you selected.
  • Explain why it is important to understand systems thinking in health care organizations. Be specific and provide examples.

Explain the characteristics of fecal matter from a colonoscopy and an ileostomy.

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When should you place a patient in restraints and what are the rules for use of physical restraints (i.e. documentation, time, and site for tying).

What are the advantages or disadvantages of using a safety waist restraints?

When applying a mummy restraint who does it best serve and why?

Before a patient can go to surgery the nursery is responsible for patient teaching. What things will you teach your patient prior to surgery?

What does the nurse need to check prior to sending the patient to surgery on the day of surgery?

What are the things the nurse needs to do before assisting the patient with ambulation?

When a patient is confined to bed what type of aids can help with circulation?

To move a patient up in bed what is it that the nurse does to prevent injuries to her and others?

Hair, skin, and nails are observed by the nurse to assist in determining a persons overall health status. What signs and symptoms would you observe if these things were not healthy?

What is the order for abdominal assessment?

What is the order in which you would auscultate a patients abdomen?

When would you give a full bed bath to your patient?

Oral care for a dependent person is not the same as for an independent person. What are the deferences and similarities?

The nurse needs to prepare a diet that will promote wound healing and tissue repair. What types of food would be on it?

When doing tube feedings the nurse knows that the feeding tube is in the abdomen, when he/she hears what sound or aspirates content. What range is the PH in for gastric content?

After bolus tube feeding the nurse should follow with how much water and what position should the patient be in when he/she is done, and why?

What are the signs of proper tube placement and appropriate absorption of tube feeding?

What are the steps in wound irrigation?

Your patient is discharged home with a Jackson-Pratt drain.  The drain is emptied when and how often and what is noted about the characteristics of the drainage?

Collecting a wound culture requires that the nurse does what?

Changing a wound dressing the main goal is to prevent what?

When giving a large volume enema the nurse knows that instilling the solution is done through gravity.  Explain the procedure.

When is a nasal gastric tube used?

Explain the characteristics of fecal matter from a colonoscopy and an ileostomy.

When performing ostomy care the nurse knows that the device should be changed based on what factor?

What are the means for delivering O2 to your patient? List the types of oxygen delivery systems. What are the advantages and disadvantage for each.

When suctioning a tracheostomy tube, the patient is observed or assessed for what signs and symptoms?

What are steps for endotracheal tube care?

Create a plan of care and prioritized nursing interventions based on patient care needs.

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Digital Concept Map for Carl Shapiro

At the end of this activity, a student will be able to:

  1. Describe pathological events associated with the patient’s disease process or condition.
  2. Create a plan of care and prioritized nursing interventions based on patient care needs.
  3. Identify anticipated diagnostic and physical assessment findings related to the identified condition or disease process.

Assignment

  1. Review the information contained in the patient information.
  2. Review the smart sense links associated with Nursing Care, Diagnostics, and Pharmacology found in the suggested reading area.
  3. Create the following “concept map”. List the pathophysiology associated with the patient’s disease process or condition, the anticipated physical assessment findings, vital signs, diagnostics, specific nursing interventions, and other patient information associated with the patient situation.
  4. Utilize the smart sense links throughout the VSIM to complete the worksheet.
  5. Submit your concept map for review.

You will assume the role of “management consultant” (one who is hired from outside the organization—to remain objective—to analyze, strategize, investigate, and make suggestions on how to improve return on investment [ROI], production, efficiency, or make a team more effective [that is the one you will undertake]).

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You will assume the role of “management consultant” (one who is hired from outside the organization—to remain objective—to analyze, strategize, investigate, and make suggestions on how to improve return on investment [ROI], production, efficiency, or make a team more effective [that is the one you will undertake]). You will use the slides that you already created in the P3 and P4 IPs to create a seamless, professional PowerPoint presentation that is to be presented to the organization’s management with the intention of giving critical analysis and strategy to make the improvements in the team.

Combine the presentation you developed from Phase 3 and Phase 4 into a single team development presentation. Using all of your materials from phase 3 and 4 (assignments), review all of the comments and recommendations provided from your instructor and peers to help you finalize your presentation. Include all of the following items in your final submission:

  • Make revisions to your power point presentation based on their suggestions
  • Make sure all information gaps are covered and explained in detail
  • Make sure the language and wording are consistent and clear in the presentation
  • Make sure the slides are in sequence and easy to follow for your audience
  • Make sure that the format and design of your slides are consistent throughout the presentation
  • Identify presentation topics that can be combined into a single slide for transparency
  • Exclude any materials that are overlapping or repeated to shorten content

You must include a minimum of 8 scholarly references.

10-15 slides (excluding title and reference slides) and speaker notes

Why is it important for nurses to commit to lifelong learning in relation to patients, organizations, and self?

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Lifelong learning involves a commitment to remain current within a rapidly changing, increasingly complex, and technologically reliant healthcare world.

  • Why is it important for nurses to commit to lifelong learning in relation to patients, organizations, and self?
  • How can organizations such as Sigma Theta Tau International (STTI) assist nurses in their lifelong learning journey?

In order to receive full credit, you will need to clearly respond to both parts of the question using subtitles or bullets AND cite at least one scholarly reference in your response.

What was the author’s purpose for writing the article? 

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Search for an article written by an author who works within your chosen career field by:

  • Accessing the University Library and searching by subject
  • Using another tool of your choice

As you review the article you select, consider not only what is written,  but how it is written. Make observations about the writing style and  prepare to share those details with the class.

 

Discuss the elements of rhetorical situation by responding to the following in a minimum of 175 words:

  • Which article did you select?
  • What was the author’s purpose for writing the article?
  • Who was the author’s target audience?
  • How might you describe the writer’s general tone of voice?
  • How does this author establish their credibility in this field?
  • Is this a credible source? How can you tell?
  • What other details about how the article was written stood out to you as important?

Include a reference list at the end of your post that credits the piece you read. Use a citation generator, such as the Reference & Citation Generator  in the Center for Writing Excellence, to cite the article in your  response. Format your in-text citations (e.g., Adams, 2016, p. 23) and  reference list (i.e., list of resources at the end of the document)  using APA format. Consult the References page on the APA Style website for assistance.

What was the last communicable diseases effecting your community

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What was the last communicable diseases effecting your community and what were the primary, secondary and tertiary prevent ions that the community health nurses have undertaken to prevent the spread of the disease?

  • Must address all of the topics.
  • 100-word minimum/200-word maximum without the references.
  • Minimum of two references (the course textbook can be one of the references)
  • APA format, articles chosen must have been published within last 3-5 years.

For this discussion, post what images, graphics, tables, figures and visual materials you would include in the poster to the discussion board.

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Discussion Question:

This module’s assignment is a poster creation about your hypothetical completed DNP Project, at the end of your program. For this discussion, post what images, graphics, tables, figures and visual materials you would include in the poster to the discussion board. Why is the material you selected important to your project?

project:    In alert and oriented adult patients on a medical surgical unit, does engagement of patients using a scripted tool during bedside handoff at each shift change compared to no patient engagement in nursing handoff increase HCAHPS scores and positive patient feedback in leadership rounding after a three-month period?