Healthcare cost as well as Joint Commission’s role in quality healthcare.

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Reflect upon the patient experience, patient safety, and healthcare cost as well as Joint Commission’s role in quality healthcare. Write a paper that addresses the following questions:

How would you apply the principles of the Triple Aim initiative to improve quality, safety and satisfaction in the acute care or long-term care setting?
Reflect on your current or future role in healthcare. How you would you, in the role of director of nursing or healthcare administrator contribute to improving cost effective quality care, patient satisfaction, and patient safety?
What practices would you apply to minimize medical errors among front-line nursing staff?

Sample Solution

Healthcare cost as well as Joint Commission`s role in quality healthcare

Front-line nurses spend much of their time administering medications. Accurate and safe medication administration depends on nurse`s pharmacologic knowledge, decision making, and critical thinking skills. In a fast-paced healthcare environment, administering medications is a high-risk nursing task. Medication errors may occur during any phase of the medication process. What practices should be applied to minimize medical errors among front-line nursing staff? To safeguard against medication errors, nurses must implement the proper procedures for medication administration, including at least these five rights: right patient, drug, dose, route, and time. In addition, they must complete accurate documentation once the patient receives the medication.

und 6 years of age, known as rebound adiposity. It has been observed that if rebound adiposity occurs at a lower age, the chances of adult obesity increase. Another study suggests that BMI at 7 years of age predicts adult obesity (24 in review). Studies on predictive factors needs more research currently, but it is suggested that the focus of Pediatricians should be on prevention of obesity rather than treatment. (review article)

PREVALENCE AND EPIDEMIOLOGY:
Obesity has become the number one public health problem in the world and there is a rise in prevalence in developing countries. The number of obese 5 to 19 year olds rose more than tenfold globally, from 11 million in 1975 to 124 million in 2016. An additional 213 million were overweight in 2016. The number of overweight or obese children aged 0 to 5 years increased from 32 million globally in 1990 to 41 million in 2016. This suggests that onset of obesity at a younger age is becoming more prevalent.
Over the last decade there has been a growing concern regarding the increasing prevalence of overweight and obesity among Indian adolescents. Prevalence data of childhood overweight and obesity from 52 studies conducted in 16 States in India were analyzed by WHO Centres in India. The pooled data after 2010 estimated a combined prevalence of 19.3 per cent of childhood overweight and obesity which was a significant increase from the earlier prevalence of 16.3 per cent reported in 2001-2005 (4).
ETIOLOGY
Childhood obesity is a complex multifactorial disease caused by the interaction of genetic and environmental factors. The commonest form of obesity encountered is “Simple Obesity” that is due to environmental factors.

PATHOPHYSIOLOGY
Evidence suggests that obesity is a disorder of the energy homeostasis system, rather than simply arising from the accumulation of excess weight. Obesity, therefore occurs when energy intake is more than energy expenditure i.e. sustained positive energy balance.
The homeostatic pathway of energy balance consists of:
1) Afferent arm: conveys peripheral information on hunger metabolism, in the form of neural & hormonal inputs, to the hypothalamus
2) Central processing unit: consists of different areas within the hypothalamus. The ventromedial hypothalamus (VMH) integrates afferent peripheral signals; Lateral hypothalamic area (L

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