SOLUTIONS
24 hour collection urine test
-note time: void & discard that urine
-collect all urine after the discarded urine
-last void at time of start
-each lab has different requirements so ask the lab and follow
their steps
-do not put toilet paper or stool in specimen
-consider the patients life style
4 main types of hospital acquired infections
1. catheter associated UTIs (CAUTIS)
2. central line associated bloodstream infection (CLABSI)
3. surgical site infection (SSI)
4. ventilator associated pneumonia (VAP)
what are the major themes of health care reform?
-Improving quality and outcomes
-Changing payment incentives
-Coordinating care
-Improving patient centered care/experience
-Controlling costs
,what are the key health reform programs for patient safety and
quality measures?
1. inpatient quality reporting program (IQR)
2. hospital acquired conditions (HAC)
2. healthcare associated infections (HAI)
what are the 5 primary health reform programs
1. patient safety and quality measures
2. hospital readmissions reduction program
3. value-based purchasing (VBP)
4. patient entered experience
5. CMS- centers for medicare & medicaid services
inpatient quality reporting program (IQR)
-provides CMS w/data to help consumers make more informed
decisions about their healthcare
-posted on hospital compare website
examples:
-c diff
-incidence of potentially preventable venous thromboembolism
-surgical site infections (SSI)
-catheter associated uti (CAUTI)
hospital acquired conditions (HAC)
, -an undesirable situation or condition that affects a patient and
that arose during a stay in the hospital/med center.
examples:
-pressure ulcer
-air embolism
-falls
-poor glycemic control
-object left in surgery
healthcare associated infections (HAI)
-infections that people acquire while they are receiving
treatment for another condition in a healthcare setting
-significant b/c of morbidity and mortality
categories of HAIs
-central-line associated bloodstream infections (CLABSI)
-c diff infections
-catheter-associated uti (CAUTI)
-vascular catheter-associated infection
-methicillin-resistant staph invasive infection (MRSA)
-surgical site infections(SSI)
medical errors each year cause:
between 250,000-400,000 deaths a year, the third leading cause
after heart disease and cancer
never event