Susan Rogers的动态

As we all know, December can be an incredibly busy time for the healthcare system, with an influx of patients due to respiratory illnesses, falls, and various other ailments requiring hospitalization. In light of this, I'd like to bring your attention to a fantastic resource developed by the Parkinson's Foundation. ?? ?? ?? They have created a FREE, comprehensive guide designed to empower members of the Parkinson's Disease community to better navigate hospitalization. Managing Parkinson's Disease in a hospital setting can be particularly challenging due to several factors including the following: - Limited movement opportunities - The use of inappropriate medications such as anti-dopaminergic agents (e.g., metoclopramide, promethazine, haloperidol) - Inaccurate medication dosing schedules that do not align with the patient's at-home regimen - Delays or omissions in administering medications These challenges can lead to a range of complications, creating a vicious cycle known as "the symptom spiral." This spiral puts patients at risk for falls, changes in swallowing, muscle deterioration, medication side effects, mental and physical decline, or decreased independence. It's crucial that we, as healthcare providers, be the voice for our patients and initiate conversations about how to ensure optimized transitions of care for those with Parkinson's Disease. By doing so, we can help prevent these complications and promote better outcomes for our patients. Visit the Parkinson’s Foundation Resources & Support page for more great resources. Free guides can be downloaded and/or requested for clinic distribution.

Too many PwP’s do not know how to handle an emergency hospitalization-be your own advocate and have a back up and another person who can be your voice. Use resources available to you. It’s ok to ask questions and stress the critical timing of medications.

?? Decreasing IV Line Errors: What Does the Research Show? In the high-stakes environment of critical care, precision and efficiency are paramount. A recent study published in Critical Care Medicine highlighted the challenges healthcare professionals face with infusion management, often resulting in "infusion confusion." These errors not only compromise patient safety but also strain nursing workflows. ?? At Crimson Medical Solutions, we are committed to addressing these challenges head-on. Our innovative IV Manager is designed to decrease error rates and streamline the identification and organization of IV lines, significantly enhancing nursing workflows. By leveraging cutting-edge technology and direct input from healthcare professionals, we have developed a solution that ensures accuracy and efficiency, ultimately leading to better patient outcomes. ?? Key Highlights of the Study: - Reduction in Errors: The study emphasizes the effectiveness of clear identification and organization of IV lines to minimize medication errors. - Improved Workflow: Properly managed IV lines can significantly reduce the time and effort nurses spend untangling and managing infusions, allowing them to focus more on patient care and healing interventions. Our Value Proposition: - Decreased Error Rates: Our IV Manager is designed to minimize the likelihood of medication errors, ensuring safer patient care. - Enhanced Nursing Efficiency: By improving the identification and organization of IV lines, we help nurses save time and reduce stress, fostering a more productive healthcare environment. Empowering nurses with the right tools is essential for delivering exceptional patient care. Our journey started with a deep understanding of the daily struggles nurses face, and we are dedicated to creating solutions that make a real difference. ?? #HealthcareInnovation #PatientSafety #NursingEfficiency #IVManagement #CrimsonMedicalSolutions #IVManager

Bringing Medicine Beyond Hospital Walls: The Evolving Role of Prehospital Medicine as a Subspecialty Reflecting on the journey I had in Prehospital and Transport Medicine training (AKA: “EMS”), it’s clear how much this specialty is evolving, and how much further we have to go. At the end of my fellowship, I was certain that Prehospital care was where I could make a lasting impact, beyond the hospital walls, providing care for individuals and communities in their most critical moments. Yet, even within healthcare, EMS as a physician subspecialty often goes unrecognized. I’ve found myself explaining EMS to colleagues, not as “just” a 911 response, but as an essential arm of medicine that involves public health, medical oversight, quality assurance & improvement, alternative pathways of care, disaster management and much more. EMS isn’t just about responding to emergencies; it’s about integrating with the healthcare system to enhance community health and reduce unnecessary ED visits and acute care utilization. Since becoming an EMS physician, I’ve seen the immense potential of this field. But like many emerging specialties, we face significant barriers: reimbursement models that view us as a mere transport service, limited certification recognition, and underfunding. These challenges hold us back from achieving the vision for the future of prehospital care, a model where EMS is fully connected and works closely with the rest of the healthcare system to manage and improve community health and is deeply integrated into the healthcare ecosystem. Advocating for EMS isn’t just about advancing our field; it’s about standing up for the communities we serve and the patients we reach before they even enter a hospital, assuring that they are receiving appropriate care. As EMS physicians, we have a responsibility to elevate our specialty and contribute to the transformation of healthcare. I’m proud to be part of the prehospital chain of care, alongside so many dedicated colleagues, pushing for a healthcare system that truly values and supports our specialty’s role in making a real difference.

Kingman Regional Medical Center has earned an “A”?Hospital Safety Grade from The Leapfrog Group,?an independent national nonprofit watchdog focused on patient safety.?Leapfrog assigns an “A,” “B,” “C,” “D” or “F” grade to general hospitals across the country based on over 30 performance measures reflecting errors, accidents, injuries and infections, as well as the systems hospitals have in place to prevent them. KRMC is the only hospital in the region to earn an A from The Leapfrog Group. ? “Patient safety is the top priority for Kingman Regional Medical Center,” said Heath Evans, Chief Executive Officer, KRMC.?“The Leapfrog A rating combined with the recent CMS 4-Star rating are indications of the hospital’s commitment to patient safety.” ? “Achieving an ‘A’ Hospital Safety Grade is a significant accomplishment for Kingman Regional Medical Center,” said Leah Binder, president and CEO of The Leapfrog Group. “It reflects enormous dedication to your patients and their families, and your whole community should be proud. I extend my congratulations to Kingman Regional Medical Center, its leadership, clinicians, staff and volunteers for their tireless efforts to put patients first.” ? The Leapfrog Hospital Safety Grade stands as the only hospital ratings program focused solely on preventable medical errors, infections and injuries that kill more than 500 patients a day in the United States. This program is peer-reviewed, fully transparent and free to the public. Grades are updated twice annually, in the fall and spring.

The Orpington PCN Pharmacy Team has been shortlisted for our #GPAwards for enabling a 'transformation of patient care', including: ? Upskilling pharmacists and pharmacy technicians, who can now run hypertension clinics and lead on patient safety monitoring, which lightens GP workloads and provides more comprehensive care for patients. ? Working with a wellbeing café for elderly patients, building trust with patients and providing medication advice in a relaxed setting. ? Designating one day each week for pharmacists and technicians to focus on broader PCN projects rather than practice-specific work - enabling cover for other staff and important audits such as a statin audit for patients with chronic kidney disease, an opioid management project and an antipsychotic audit focused on ensuring that dementia patients over 65 are prescribed antipsychotics in line with national and local guidelines, identifying opportunities for deprescribing where appropriate. Read more ??

DR. NIENKE'S 1? LINE CARE (one-and-a-half-line care) SERVICE Primary care, secondary care and primary care: what are the differences? The terms primary and secondary care are well-known terms within the healthcare industry. You may be familiar with the differences between these terms. (1) Primary care is characterized by accessibility. Without a referral, everyone has access to this care. Primary care includes, for example, general practitioner care, dentists and physiotherapy. (1?) A new level of care has been added: one-and-a-half-line care. This level lies between the first and second line and is characterized by mutual cooperation between the first- and second-line practitioners. What is one-and-a-half-line care? Due to an ageing population, the number of elderly patients is increasing. Partly because of this, the demand for care is rising. In addition, the care needs of patients with chronic conditions are also increasing. In order to keep healthcare affordable in the future, an intermediate form has emerged between primary and secondary care. As the name suggests, one-and-a-half-line care is located between primary and secondary care. (2) Secondary care is only accessible with a referral from the general practitioner. This level of care includes specialist medical care, such as care in a hospital. What does one-and-a-half-line care look like? This form of care involves a partnership between general practitioners and medical specialists. The intention is for general practitioners and medical specialists to share their knowledge with each other. An example is a collaboration between general practitioners and geriatric specialists, in which the medical specialist can give treatment advice to the general practitioner. Just like primary care, primary care is accessible and close to home for the patient. The starting point is that the interests of the patient are central. In the case of one-and-a-half-line care, the accessibility of primary care is combined with the specialist knowledge of secondary care. By organizing healthcare in a smarter way, the increase in healthcare expenditure can be limited. Therefor Dr. Nienke can give good service of healthcare at home and can the client remain at home as long as possible. One-and-a-half-line care is, as it were, in between primary care and secondary care. In the case of one-and-a-half-line care, there is coordination, cooperation and knowledge sharing between a primary care provider – such as the general practitioner – and a secondary care provider – such as a specialist in geriatric medicine – to give the best service possible, at home. It is therefore an (intensive) partnership between general practitioners and medical specialists. Dr. Nienke works with medical and para-medical specialists to provide the best service for her customers. Share

Here is our latest international collaborative article, "Wake Up Safe in the USA & International Patient Safety," where we delve into the critical aspect of patient safety in anesthetic care. Discover how the Wake Up Safe initiative in the USA and similar approaches in Australia, New Zealand, India, and Singapore are being explored to transform patient safety. We explain the impact and potential of global collaborations in healthcare safety. Read the full article: https://lnkd.in/e43DGYTv #PatientSafety #Healthcare #Anesthesia #WakeUpSafe #MedicalResearch #GlobalHealth

Cutting modifiers translates to same pay regardless of risk. This will further erode reimbursements for anesthesia services provided in hospitals with a disproportionate share of ASA 3-5 patients. How will this affect decision making and behaviors moving forward from the anesthesia perspective? The simple solution is to move one's practice out of a hospital and provide services at an ASC with ASA 1-2 patients doing less risky procedures on healthier patients with higher volumes. Why earn less taking on more risk for less pay? The small carrot for providing higher acuity care was the risk modifier and payment adjustment. The payers win here. Hospitals, providers, and patients lose.

Promoting Patient Safety with the Modified Early Warning Score (MEWS) What is MEWS? The Modified Early Warning Score (MEWS) is a standardized assessment tool designed to identify patients at risk of clinical deterioration early. It evaluates key physiological parameters, assigns scores based on deviations from normal ranges, and triggers appropriate interventions when thresholds are exceeded. Key Parameters Assessed by MEWS: Heart Rate (HR): Indicates cardiac function. Systolic Blood Pressure (SBP): Reflects circulatory status. Respiratory Rate (RR): Signals respiratory efficiency. Body Temperature: Monitors signs of infection or hypothermia. Level of Consciousness (LOC): Assessed using the AVPU scale (Alert, Verbal, Pain, Unresponsive). How Does MEWS Work? Each vital sign is scored based on its value compared to established thresholds. The individual scores are combined into a total score. A higher score signifies a greater risk of deterioration and prompts immediate clinical action. Why is MEWS Important? 1. Early Detection of Deterioration: MEWS identifies subtle changes in a patient’s condition before they become critical. 2. Improved Patient Outcomes: By enabling timely interventions, MEWS reduces the risk of complications, ICU admissions, and mortality rates. 3. Enhanced Communication: Provides a clear and objective framework for communication among healthcare teams. 4. Support for Clinical Decision-Making: Empowers nurses and physicians with data-driven insights for patient management. Integration with Modern Healthcare Systems Advanced healthcare systems like Cerner FirstNet and EPIC are incorporating MEWS into their platforms. These integrations allow for automated scoring, continuous monitoring, and real-time alerts, further improving patient safety and care quality. Real-World Impact of MEWS: Reduction in emergency escalations by 30% in clinical trials. Improved confidence and efficiency among nursing staff when managing acutely ill patients. A proactive approach to patient safety that aligns with global healthcare standards. #Nursing #PatientCare #RN