Comment1

The National Quality Forum (NQF) published a report on 27 adverse events that were serious and preventable, “Never Events”.  In 2008, Medicare stopped payments to hospitals for any additional care needed resulting from 11 of the 28 “Never Events.”  These 11 conditions were identified by the NQF as patient safety events that are entirely preventable.  These “never events” for which hospitals no longer receive Medicare reimbursement include the following: 

1. Surgical-site infections after certain orthopedic and bariatric surgeries

2. Blood incompatibility 

3. Pressure ulcers

4. Vascular catheter-associated infection 

5. Deep-vein thrombosis or pulmonary embolism after total knee and hip replacements 

6. Falls/trauma 

7. Objects left in pt during surgery 

8. Catheter-associated urinary tract infection 

9. Air embolism 

10. Surgical-site infections after coronary artery bypass graft 

Comment2

CMS reimbursement rules regarding never events forced changes in the hospitals and methods of caring for patients in positive ways. While the term “never events” was coined by advocacy groups, CMS refers to these types of events as “reasonably preventable by following evidence-based guidelines” (Lembitz & Clarke, 2009). This indicates that sometimes, even if the best of care is delivered, patients may still develop complications like DVTs, CAUTIs, CLABSIs, and the like. However, it is less likely that these events will occur if the practitioners follow the most recent evidence based practices for prevention. For instance, starting patients on heparin, early mobilizations, and wearing SCDs after surgery to prevent a DVT instead of allowing the patient to lay around all day. When CMS altered their reimbursement protocols, it forced hospitals to enforce the following of safety protocols and checklists by those delivering care to minimize the occurrence of these events. While, sadly, money was the motivator in order for this to come to fruition, it cannot be denied the positive impact it has had on patient care.

 Varney and Hirshon list seven general rationales for providing ED-based public health surveillance. Surveillance is a critical form of communication for public health officials. Choose a real public health outbreak, disaster, or crisis. Provide one example of how any of the concepts described in this paper were actually used to improve public health. Cite your reference.

See the attachment for the artical

APA style 500 words 

Read the case below on Dax Cowart which will be the topic of the Ethical Issue Paper. You will identify both sides of the issue and then analyze the case using ethical theory and principle to support your comments.See the guidelines and grading rubric for details on the assignment. Once completed, the paper will be submitted in the Assignment Submission Area to the link labeled Ethical Issues Paper. Once submitted, the paper will go directly to Turnitin which is a plagiarism tool. Once you have received your similarity report and made any required edits to ensure the similarity percent is below 24%, submit the final paper to the link under the Assignment Submission area labeled Final Paper Submission for grading.

Ethical Issue Paper Grading Rubric

Ethical Issue Paper

Potential 

Points

Actual

Points

Earned

Comments

Assignment-Related Criterion

Introduce the ethical issue

·  Clearly states the purpose for the paper in first or second paragraph (APA 2.05)

·  Fully describes background of the case.

·  Clearly identifies the two opposing views. 

10

Analyze the ethical issue

·  Clearly explains the ethical implications and effects of this issue, without bias, on healthcare today.

·  Identifies, compares and contrasts opposing views with supporting references-based on facts and not personal opinion. 

·  Applies ethical theory and principle to support both sides of the issue. 

·  Identifies interdisciplinary team members and all stakeholders. 

30

Resolution

·  Briefly discuss a possible resolution. What can/should be done to resolve the issue? This can be just a few paragraphs on a possible resolution. 

20

Conclusion

·  Recaps main ideas

·  Reflects on how the discussion within the paper has changed own prior beliefs on the topic. 

20

Considering your role specialization (Family Nurse Practitioner), identify the top three current trends or issues that you believe to be most important with regard to your chosen role and the impact the role has one patient outcomes. Synthesize knowledge from values theory, ethics and legal regulatory statutes, and develop your personal philosophy for a career as an advanced practice nurse in 

Minimun 1 page.

 Read the short article below. Does this study indicate a strong link between TV watching and the incidence of ADHD? Why or why not? What questions do you have about the study after reading the article? 

 

TV & ADHD

By Will Meek, PhD

A long term study on the impact of TV on ADHD developmen was recently published.

Researchers in New Zealand found that kids who watched more than 2 hours of TV per day between ages 5 to 11 were significantly more likely to develop symptoms of attention deficit disorder (ADHD) than those who watched less.

“Those who watched more than two hours, and particularly those who watched more than three hours, of television per day during childhood had above-average symptoms of attention problems in adolescence,” Carl Landhuis of the University of Otago in Dunedin wrote in his report, published in the journal Pediatrics.

Young children who watched a lot of television were more likely to continue the habit as they got older, but even if they did not the damage was done, the report said.

“Hence, children who watch a lot of television may become less tolerant of slower-paced and more mundane tasks, such as school work,” the researchers wrote.

The most interesting part of the article was the possible explanations for why this relationship exists. The researchers thought (a) rapid scene changes influence brain development; and (b) television replaced other activities like reading — activities that require attention development.