Quality issues in ryhov, cet2
- 1. Quality issues in Ryhov, Jönköping Calle Lindén Emily Moore The Dinh Thi April, 2012
- 2. Medical errors • Attributed to factors including ▫ the high amount of patients ▫ Inadequate nurse to patient ratios ▫ Increased work demand ▫ Decreased resources • Medical errors result from ▫ System failures ▫ Human operator ▫ Technical and organizational failures
- 3. Data breaches • With the change of systems comes increased risk of data breaches. ▫ Cosmic New system in Jönköping, Ryhov • Data breaches can result in significant decrease of liability (Schumm, 2011). • Internal and external intruders
- 4. Health care related infections • Central Line Infection (CVC) ▫ Vena cava superior ▫ Risk for Staphylococcus aureus and Staphylococcus epidermidis sepsis (Muñoz et al., 2005). ▫ Importance of hygien Basic hygien routine (SOSFS 2007:19)
- 5. Patient involement in care • Patient participation is considered a basic condition for good health care (WHO, 1994) • Decisions taken without the patient's participation is less frequent to lead to improvement (Huber et al., 2003)
- 6. Heart failure • Heart failure is a condition and not a disease per se. Basically it means the heart's pumping capacity is insufficient to supply the body's tissues (Hatchett & Thompson, 2002). • Causes and diagnos ▫ coronary artery disease ▫ cardiomyopath ▫ Hypertension (Dickstein et al., 2008).
- 7. Heart failure • 20% among those 70-80 years in the western world have this condition. (Rosamond et al., 2008) • In Sweden it’s around 200 000 persons • The most common reason for hospitalization in Sweden for people over the age of 65 (Swedish National Board of Health and Welfare (Socialstyrelsen), 2008).
- 8. Heart failure effects on the patient • Several patients with heart failure experience a diminished quality of life (Lesman-Leegte et al., 2008; Jiang et al., 2011) • Limitations in daily life ▫ Physical ▫ Mental (New York Heart Association Functional Classification, 2009)
- 9. Quality issuse • Many patients have a low level of knowledge and lack a clear understanding of the condition (Strömberg, 2005; Riegel et al., 2007). • The nurse dont have enough knowledge to provide the patient with good information (Hart, Spiva & Kimble, 2011; Willette, Surrells, Davis & Bush, 2007). • Lack of knowledge about the possibilities to self- care management (Albert, et al 2002).
- 10. References 1(3) • Albert, N., Collier, S., Sumodi, V., Wilkinson, S., Hammel J.,Vopat, L. et al. (2002). Nurses’ knowledge of heart failure education principles. Heart & Lung: The Journal of Acute and Critical Care, 31,(2), 102-112. • Dickstein, K., Cohen-Solal A., Filippatos, G., McMurray, J., Ponikowski, P., Poole- Wilson, P. et al. (2008). ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008. European Heart Journal, 29, 2388-2442. • Hatchett, R. & Thompson, DR. (2002). Cardiac Nursing: a Comprehensive Guide. Churchill Livingstone: London • Hart, P., Spiva, L., Kimble, K. (2011). Nurses’ knowledge of heart failure education principles survey: a psychometric study, Journal of Clinical Nursing, 20, 3020–3028. • Lesman-Leegte, I., Jaarsma, T., Coyne, J., Hillege, H., Van Veldhuisen, D., Sanderman, R. (2008). Quality of life and depressive symptoms in the elderly: a comparison between patients with heart failure and age- and gender-matched community. Journal Of Cardiac Failure, 15(1), 17-23.
- 11. Reference 2(3) • Muñoz, P., Bouza, E., San Juan, R., Voss, A., Pascau,J., Desco, M. (2005). Clinical- epidemiological characteristics and outcome of patients with catheter-related bloodstream infections in Europe (ESGNI-006 Study). Clincal Microbiologial Infections, 11, 4, 65-8. • New York Heart Association Functional Classification, 2009 • Riegel, B., Dickson, V., Goldberg, L., Deatrick, J. (2007). Factors associated with the development of expertise in health failure self-care. Nursing Research, 56, 235-243. • Rosamond, W., Flegal K., Furie K., Go, A., Greenlund K., Haase, N. et al. (2008). Heart disease and stroke statistics--2008 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 117, 125–146. • Socialstyrelsen. (2008). Nationella Riktlinjer för hjärtsjukvård 2008. Stockholm: Socialdepartementet.
- 12. Reference 3(3) • Schumm, H. (2011). EHR coming on strong but so are security risks. Healthcare Risk Management • Strömberg, A. (2005). The crucial role of patient education in heart failure. The European Journal of Heart Failure, 7, 363–369 • Willette, E., Surrells, D., Davis L., Bush, C. (2007). Nurses' knowledge of heart failure self- management. Progress in Cardiovascular Nursing, 22, 190-195.
- 13. Methods • Identify problems through searhing and brainstorming • Searhing about these problems in the databases PubMed and Ci