NR533: Quality Improvement And Patient Safety 2025

In one page, I need to write a Reflective Journal Reflective Journal – Planning a High Reliability Journey Objectives: High Reliability Mindset & Five Principles of High Reliability Organizations In this video presentation, Frank Federico, BS, RPh, Executive Director, Institute for Healthcare Improvement brings it all together, in other words, the journey to high reliability. Mr. Federico introduces his presentation with the following question: Why do we want to take the journey to high reliability? Federico, F. (n.d.). Bringing it all together: The journey to high reliability . Barnes Jewish Hospital, Washington University in St. Louis. (37 min) NOTE: The link will show a warning in your browser. The CISO of Norwich University has checked and the link is safe to use. Click ‘advanced’ then click button to proceed to video. Instructions: Based on Mr. Federico’s presentation, How close or far away is your healthcare organization from the state of high reliability? https://professionals.barnesjewish.org/videos/bringing-it-all-together-the-journey-to-high-reliability In your Reflective Journal answer the following questions: How do the characteristics of your own organization compare with the journey to high reliability as described by Mr. Federico. Describe your organization’s commitment to patient safety and high reliability. Where does your healthcare organization currently stand on the journey to high reliability? What is the healthcare organization’s plan or next steps on the high reliability journey? Reference: The Journey to High Reliability What is foundational? Have clear aims that all can understand and support Creating a world where patients and those who care from them are free from harm. National  Patient Safety Foundation (2014, January) Strategic plan Agree on the path Use an improvement methodology Build capability and capacity Do not forget to engage middle managers Understand the psychology of change Portfolio management Align with organizational aim? Refine, refine and refine Leadership at all layers of an organization Individuals and families are partners in their care Compete on value, with continuous reduction in operating cost Reorganize services to align with new payment systems Everyone is an ‘improver’ Design for resilience engineering Learning Responding Monitoring Anticipating Error reduction: Hierarchy of controls Standardization and simplification Improvement methodology Tool kit for improvement, e.g. Lean, Six Sigma, Model or Improvement/PDSA Improvement is a way of life High reliability processes Safer health care through transparency Between clinicians and patients, e.g. disclosure after a medical error Among clinicians, e.g. peer review With the public, e.g. public reporting of safety data Among organizations, e.g. regional collaboratives Teamwork Communications Psychological safety Deference to expertise Situational awareness and huddles Last modified: Tuesday, February 16, 2021, 4:07 PM

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Discuss The Molecular Structure Of Carbohydrates, Lipids, And Proteins, And How Their Structures Are Related To Their Overall Function. 2025

We all have read about low carbohydrate, high protein, low cholesterol, and low fat diets. And we understand the importance of maintaining a well-balanced diet. Or do we? To understand the role of carbohydrates, fats, and proteins and their importance in maintaining overall health, let’s discuss the molecular structure of carbohydrates, lipids, and proteins, and how their structures are related to their overall function.

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Psychopharmacology 2025

Examine Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature. Introduction to the case (1 page) • Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient. Decision #1 (1 page) • Which decision did you select? • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Decision #2 (1 page) • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Decision #3 (1 page) • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Conclusion (1 page) • Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature. Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.

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Mrs. VP, Female, 79 Years Old, Underwent Open Reduction And Internal Fixation Surgery For A Fracture Of Her Right Hip. She Suffered From Pressure Injuries And Pneumonia Due To Not Getting Out Of Bed Regularly During Hospitalization. Currently Receiving Fa 2025

Mrs. VP, female, 79 years old, underwent open reduction and internal fixation surgery for a fracture of her right hip. She suffered from pressure injuries and pneumonia due to not getting out of bed regularly during hospitalization. Currently receiving family health care services at her daughter’s house. Inadequate dietary intake during hospitalization resulted in a weight loss of 5 pounds in 4 weeks. She eats only half of her usual meal. Because of the pain in the buttocks, Mrs. VP refused to get out of bed strongly, and it was difficult for her to get to the toilet. Therefore, she wears adult diapers for a long time, the skin of her perineum is relatively wet, and the skin at the end is pale and thin. Please choose the correct answers in brackets for the following questions: 1. What are the risk factors of pressure injury in Mrs. VP? A. old age B. Insufficient intake C. Weight loss D. Limited activity E. Moist skin on the perineum 2. In this case, which of the following factor caused the pressure injury? （ ） A. incontinence B. Continuous pressure C. heat D. diabetes 3. The patient’s pressure injury is located 2*3cm in the caudal sacrum，The skin defect reaches the subcutaneous tissue layer and there is sinus formation，Bones are not visible，What periods do you think the stress injury belongs to? A. period 1 B. period 2 C. period 3 D. period 4

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Discussion Question – Gynecology Guidelines 2025

Discussion Prompt Discussion Question – Gynecology Guidelines Discuss Etiology, Epidemiology, Pathophysiology, Clinical Manifestations, Work-up, Nonpharmacological and Pharmacological management, Education,and Follow-up for a gynecology or pregnancy diagnosis or consideration. 500 words or less for the initial post. For peer posts and subsequent posts under the initial discussion board thread add in second and third line treatments and additional considerations (250 word maximum for responses). Example requirement, only evidence-based sources, such as AAFP, CDC, IDSA, ADA, JNC 8 etc. (textbook resources and internet sites affiliated with medical associations are considered credible sources to obtain the information on the most up to date guidelines). Add in the link to the guideline(s) within the discussion board for further reading by your peers. Expectations Initial Post Citations: At least one high-level scholarly reference in APA from within the last 5 years

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