Healthcare Research and Quality

Select a state or federal law or regulation related to patient safety that has been implemented within the last five years requiring hospitals or any other health care organizations to change the way they manage the delivery of care. Discuss the changes that have occurred because of this law or regulation. Additionally, discuss the technology associated with either your selected law/regulation or a similar one. Are there ethical dilemmas that have resulted from technology changes when delivering care to patients or patient safety? Explain the dilemmas and how they might be resolved.

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Reply 1

Moses

The Patient Safety Improvement Act of 2016 is an amendment of the Public Health Act to oblige the Centers for Disease Control and Prevention (CDC), in partnership with the Agency for Healthcare Research and Quality (AHRQ) and the participants to create a structure for improvement of the dependability of health care facilities’ data related to infections in patients (Congress Gov, 2016).

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In this regard, the AHRQ has been tasked with the responsibility of collecting and reporting healthcare linked infections data alongside other healthcare centers.

According to the bill, the Department of Health and the Human Services should sustain: the state-centered initiatives fulfilling infection deterrence, management and monitoring efforts; state councils that need healthcare experts to finish training in particular patient safety subjects.

Secondly, the bill will require the involved hospitals to transmit the patient’s data on infection to the patients and other patient’s healthcare providers. Secondly, it also needs that new associate of the partaking health centers councils to undergo training on selected subjects.

This bill has improved patient safety by avoiding injuries from the care that is intended to help them by matching care to science. It has also avoided overuse of ineffective care as well as underuse of effective care.

The technology involved includes that the CDC should offer an automated form where healthcare providers transmit information relating to infections and provide antibiotic supervisory roles. In this regard, the Centers for Medicare and Medicaid are necessitated to compel acute care health facilities to report the outcomes on usage and reaction.

The ethical dilemma involved in this technology changes involves patients’ safety organization to amass patient-reported data accurately. Therefore AHRQ should explore best practices to collect accurate data and disseminate it to the patient safety databases for all stakeholders to have access. Week 5 Discussion Prompt 1 Healthcare Research and Quality

Reply 2

Alexis

Rules and regulations protect patients, and improve overall quality of care. Without laws to preserve patient safety, the integrity of the nursing practice would diminish. Depending on credentialing or affiliation, hospitals and other health organizations are required to report patient infections, and subsequent treatment. In 2016, the Patient Safety Improvement Act was introduced to the U.S Senate, and it would have mandated that all hospitals and health-based entities report patient infections, antibiotic use, and patient outcomes using a universal data tool. “This bill would help our healthcare system better address healthcare-acquired infections (HAIs) by improving data on the prevalence of HAIs reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention” (Patient Safety Movement Foundation, 2016). This bill also “…address[es] the issue of antimicrobial stewardship to address the growing prevalence of antibiotic-resistant bacteria in hospitals” (Patient Safety Movement Foundation, 2016).

Avoiding preventable infections should be the goal of every hospital and healthcare organization. Unfortunately, the S.2467 (Patient Safety Improvement Act of 2016) that amended the Public Health Service Act was not passed. Nevertheless, in my nursing practice, the Patient Safety Improvement Act of 2016 inspired health agencies to change within their organizations. I am required by my agency to adequately report, document and follow-up on infection or antibiotic use during a patient’s episode of care. For example, hospitals and agencies that are accredited by The Joint Commission have National Patient Safety Goals to decrease the prevalence of healthcare associated infections (The Joint Commission, 2020). Moreover, one must always consider the release of patient information on national data infection reports. Would every patient want their information reported to a national data tool that would improve overall care delivery? This is an ethical topic to consider when using patient data collectively.

Week 5 Discussion Prompt 2

COLLAPSE

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Evidence-based practice is extremely important in nursing. Throughout your master’s program, you will complete research on various topics. Knowing how to construct a strong problem statement and complete a critical analysis of the available information to write a literature review is essential. This week, you will write a problem statement and perform a literature review in preparation for your ethical issues debate presentation. Share your problem statement in this discussion so that you can review each other’s work and provide peer-to-peer feedback. Also, describe what you think are the most important learning takeaways from the literature review resources you reviewed.

Follow the instructions in the bullets below to direct you where to find resources on problem statements and literature reviews:

· Go to the Student Resources tab on the top of your Blackboard page.

· Click on Writing Resources.

· Click on Research and Writing.

· Click on Writing Strategies.

· Then view:

. Writing a Problem Statement

. What is a Literature Review

. Conducting a Literature Review

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Reply 1

Leticia

Problem Statement Week 5 Discussion Prompt 1 Healthcare Research and Quality

Per Merriam-Webster Abortion is defined as the termination of pregnancy resulting in the death of the embryo by inducing the expulsion of a human fetus. According to the CDC in 2016 approximately 91% of the abortions took place when a woman was less than or equal to 13 weeks pregnant. Per the American Pregnancy Association at 13 weeks gestation the embryo gender has been established and essential organs such as the kidneys and urinary tracts are functioning. The embryo heartbeat is strong allowing blood to travel around its tiny body. As nurses we have the responsibility of helping safe people’s life regardless of their age. Having a patient have an abortion regardless of the gestational age is going against what we were taught and instead of saving a child life helping a patient have an abortion regardless of their age is like killing a child.

Literature review

I know abortion is a difficult topic but while reviewing the literature regarding this matter I couldn’t help but notice how many issues there are regarding having birth control accessible for women in other foreign countries. Due to the lack of birth control access women are forced to self-induced their own abortions making it a life-threatening situation where women can die. According to the article “Policy, law, and post-abortion care services in Kenya” women who have an unsafe abortion is the main cause of death in the Sub-Saharan African countries. Abortion is never the answer to problems the issue goes much deeper than that. It’s important to have women have access to birth control options to help decrease and or eliminate the abortion statistics.

Reply 2

Jessica

Problem Statement

The surge in the cases of COVID-19 is a concern in all societal settings, and the overwhelming nature of health care institutions necessitates the need to embrace home care. However, the lack of effective monitoring of the conditions of the individuals already diagnosed impedes the progress that can be made towards recovery. The intention is therefore to embrace the use of virtual monitoring through telehealth to improve access to many patients within a short time. This would enhance recovery following the feasibility of determining the likelihood of deterioration early to implement effective interventions and related frameworks.

Literature Review

Zork et al. (2020) propose the conversion and optimization of telehealth in obstetric care in the wake of the surge in the incidences of COVID-19. This is considered the best approach to minimize contact and curb spread of the virus. Similarly, Crane et al. (2020) underline the effectiveness of consultations done via telemedicine platforms as the basis of improvement of the quality of care while at the same time limiting the possibility of spread of COVID-19. The implementation of the frameworks would be imperative in the enhancement of efficiency in performance at the same time that the outcome for the patient population is advanced. Behar et al. (2020) introduce the idea of remote health monitoring during the COVID-19 period as a market of the improvements that would be made in the advancement of the quality of life of patients at the same time that contact is limited to avoid new infections. Annis et al. (2020) also vouch for a rapid implementation of a remote patient monitoring program to aid recovery from COVID-19.

Among the important learning takeaways from the literature review is the consistent consideration of conformity to technological advancement in conformity to emerging issues. The COVID-19 situation has presented a challenge that necessitates avoidance of contact leading to the recommendation of embracing technology to improve population safety. Week 5

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