RUA: Evidence-Based Practice Change Group Project
Bmsafiri
EvidenceBasedPracticeChangeGroupProjectRUA7.pptxPatient Safety in the Hospital during a Pandemic
Introduction & Identification of the problem
Patient safety in the hospital during a pandemic is one of the biggest concerns that is affecting patients in the hospitals and healthcare facilities.
According to CDC, 895,766 reported cases and 50,439 reported deaths as of April 26, 2020”
The problem of COVID-19 spreading must be understood to help determine the root of the cause to stabilize the issue
Health care staff have inadequate knowledge to proper equipment
Sehreen
Today we will talk about patient safety in the hospital setting. Most of patient safety is solely based on the care given to them when they are admitted. The risk factors of COVID-19 include not performing proper hand hygiene, lack of knowledge about PPE, lack of awareness, unable to access proper equipment, and vitistors. Not only can COVID-19 have an affect on people who work in the hospital but also people outside of the hospital. The goal is to improve patient safety through promoting awareness and providing a overall safe environment for out patients.
References: https://www.cdc.gov/coronavirus/2019-ncov/downloads/healthcare-facilities/316157-A_FS_KeepingPatientsSafe.pdf
Center for Food Safety and Applied Nutrition. (n.d.). Food Safety and the Coronavirus Disease 2019 (COVID-19). Retrieved from https://www.fda.gov/food/food-safety-during-emergencies/food-safety-and-coronavirus-disease-2019-covid-19
Identification of the Problem
The care that we have been providing to our patients has been delivered through having proper knowledge, awareness, and proper care. The goal when caring for patients who are at risk for COVID in a hospital setting is to ensure, through preventing of the spread of the virus by wearing Proper PPE, and ensuring safe practice.
The issue arising from hospital acquired COVID-19 is that it's causing more deaths than usual in the United States. When evaluating patient goals and outcomes it's important to understand the root cause of the virus spreading in the first place. This can be done through having more access/research and being able to learn from our mistakes.
Sehreen
Each hospital is responsible for making sure patients are taken care of so that the spread of COVID-19 can be reduced.
It is recommended to limit contacted patients with visitors, and too many co-workers
We lose more money trying to buy proper equipment to keep COVID under control. We loose about “$32, 292 on PPE for about 2,808 patients” (Walters C, 2020)
References: Walters, W., Collins, T., & Evans, A. (2020). Additional cost in personal protective equipment to NHS services during COVID-19: a review of the expense incurred by Aneurin Bevan Healthboards Maxillofacial unit over a one-year period to meet current clinical guidelines. The British journal of oral & maxillofacial surgery, 58(10), e320–e322. https://doi.org/10.1016/j.bjoms.2020.08.072
Research Process
Many researches have been done during the pandemic and one of the important was telehealth that provides patient care through online services and patient will be at home, so people can be safer and it helps to avoid the spread of Covid 19 infection in the hospitals.
In this research people had barriers that some of the patients don’t had internet services or the devices to attend the doctors appointment and that affects their health.
The other barriers were doctors analyzing the diseases wrongly and giving incorrect medications that leads the patient to other severe health problems.
Jeena Babu
Research process was a main part of pandemics because that helps to find how to reduce the infections and protect all the people.
Telehealth provides the safety for healthcare workers and every patient from Covid 19 infection and it helps to have a safer hospital setting to give care for the patient with all the safety measures (Wijesooriya et al., 2020).
Barriers for the research was a big concern in the pandemic but that the healthcare workers were working hard to give the patient care for the patients who had severe health problems.
References
Wijesooriya, N. R., Mishra, V., Brand, P., & Rubin, B. K. (2020). COVID-19 and telehealth, education, and research adaptations. Paediatric respiratory reviews, 35.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301824/
Research Findings -
The research found out that hospitals and other healthcare facilities attempt to reduce the threat on the patients by testing all inpatient and outpatients before any medical procedures are conducted.
Besides, visitors are also tested and their interaction with patients controlled to ensure the infected don’t spread the disease to others.
However, variations occur where some departments test the symptomatic and ignore the asymptomatic.
There are also variations in the compliance of hospital staff and visitors to the recommended practices during interaction with patients.
Also, a silent risk exist where many facilities ignore the testing of the hospital personnel.
Beatha Msafiri
Pandemics are threats to patient safety in hospitals as a result of the interactions between the patient and other people such as hospital staff and visitors. The findings of the research varied with the different authors of the publications used depending on the medical facilities that were involved in the research. Overall, however, the research findings demonstrate a general trend among hospitals.
Validity of Evidence
The validity of the evidence is guaranteed by the collection of data secondary sources that have passed the validity test.
The publications used have both qualitative and quantitative evidence whose validity is determined using details of authors and the references used.
The authors of the published articles used are medical professionals working with accredited health organizations. Therefore, the authors are experts in the field of medical research.
The published articles have duly referenced their work with reliable references.
The correctness of the reference format and the wealth of details captured testify to the validity of those references.
Beatha Msafiri
Determining the validity of a source requires a look into the author of the source, including his/her credentials and their qualification in the area of concern (Schuemie et al., 2020). Also, the method through which the author obtained the information is critical in determining validity.
Recommendations to Change in Practice
Maintaining patient safety is top priority during the Coronavirus pandemic this task become increasingly difficult to maintain.
Healthcare facilities around the world took CDC guidelines along with guidelines already in place for patient safety.
Abigail Morales
Patient safety in the healthcare field is highly emphasized because we safely care for patients by prevention, planning, reporting and evidence base practice to get the best outcomes for our patients. Coronavirus has made this task of maintaining patient safety that much harder. Coronavirus has changed the way we interact with others, we must maintain six feet distance, wear our mask, clean surfaces, and get vaccinated to help end coronavirus spread.
Recommendations to Change in Practice
Recommendations to change in practice that have been added include:
Mask policies
Social distancing
PPE
Temperature checks for patients and employees prioring to entering facilities
No visitor policies
Constant cleaning with proper disinfectants
Cancelling non-elective surgeries
Restricted traveling
Attestation of wellness
With theses policies in place we did see a decline in transmission rates of coronavirus which it did help but when America started opening back up, we seen a huge spike in cases by July 22 of 2020 there were 10,893 patients hospitalized reported with COVID-19 in Texas. So, at this crucial time healthcare works and healthcare leadership had to do everything in its power to maintain patient safety all recommendations to change were strictly enforced to main patient safety in hospitalized patient during a pandemic.
Abigail Morales
Mask policies help you and others slow the spread of germs and prevent transmission of the virus
Social distancing also helped in having distance to lessen the transmission rates
PPE such as gowns, gloves, N95 mask, and goggles were worn by healthcare workers if patients were positive for COVID or suspect positive in order to proceed clothing and limiting the transmission to the healthcare worker.
Temperature checks were used to avoid any entry of a person with fever
No visitor policy was place to limit traffic in well and sick patients avoiding the spread of COVID
Constant cleaning with proper disinfectant in all areas of patient care and high touch surface among healthcare workers
Cancelling non-elective surgeries to insure hospitals had enough beds, supplies and healthcare workers for the growing amount of hospitalized COVID patients
Restricted traveling for healthcare workers to avoid possible infection of COVID
Attestation by healthcare workers to note they have no symptoms of COVID while in the workplace and if symptoms present must be sent home and tested fo COVID.
Suggestions for Implementation -
Host a meeting with staff at hospital to discuss changes
Provide staff and patients face masks and hand sanitizer
Rearrange furniture to allow for social distancing
Designate an employee for temperature checks
Have questionnaire screening readily available for anyone who enters the building
Explain to employees that traveling is not recommended
Schedule frequent sanitized facility cleanings
Christi Morgan
Recommendations were made in the previous slide regarding the changes in the hospital setting during a pandemic.
The hospital should host a mandatory meeting with staff to discuss the changes that are coming to the facility and the importance of each change.
To ensure everyone is protected, PPE equipment should be provided to everyone free of charge.
Make sure patients and employees are sanitizing their hands when entering the building.
An electronic or physical questionnaire screening should completed, usually a QR code posted at front or a link through text message provided.
Educating the employees on the importance of not traveling and being safe.
Frequent cleanings will kill germs reducing the risk of spreading
Conclusion
Even though there were many hospitals which have been tormented by COVID-19 the new perceptions which have been applied within the sanatorium placing has helped reduce the variety of hospitals acquired COVID-19. furthermore, it has helped contend with sufferers better and in a more effective manner.
The articles were a qualitative and quantitative analysis of patient safety in the healthcare setting during the pandemic. In response to patients’ perspectives, the first article shows that although healthcare workers wore PPEs to protect their health, it did not influence their care negatively due to continued communication ease. On the other hand, the second article’s research shows that measures set aside by hospital workers to enhance safe planned care in the facility during the pandemic, patient pathway and cohort separation, and patient testing are the most significant. Hence, the articles are a compelling evidence-based study.
Research process in hospitals were to focus on safety for patients were successful and it was practiced in the hospitals to find the research helps the hospitals to provide the safest environment for all the people. Some barriers were present but healthcare workers and patients try to follow the telehealth research and that makes the safe environment in the Covid- 19 pandemic.
Sehreen, Jeena, Abigail, Beatha, Christi
Conclusion cont
Maintaining patient safety is a group effort during the COVID pandemic this has been a major factor in healthcare. Healthcare leadership and employees had to come together in this difficult time and pull together, each employee had to hold accountability for their actions following strict guidelines while remain compliant with wearing mask, cleaning, social distancing, PPE and also applying these guidelines outside of work into their personal lives to slow transmission rates all these efforts were taken in stride for patient safety.
Sehreen, Jeena, Abigail, Beatha, Christi
References
https://www.cdc.gov/coronavirus/2019-ncov/downloads/healthcare-facilities/316157-A_FS_KeepingPatientsSafe.pdf
Walters, W., Collins, T., & Evans, A. (2020). Additional cost in personal protective equipment to NHS services during COVID-19: a review of the expense incurred by Aneurin Bevan Healthboards Maxillofacial unit over a one-year period to meet current clinical guidelines. The British journal of oral & maxillofacial surgery, 58(10), e320–e322. https://doi.org/10.1016/j.bjoms.2020.08.072
Center for Food Safety and Applied Nutrition. (n.d.). Food Safety and the Coronavirus Disease 2019 (COVID-19). Retrieved from https://www.fda.gov/food/food-safety-during-emergencies/food-safety-and-coronavirus-disease-2019-covid-19
Schuemie, M. J., Ryan, P. B., Pratt, N., Chen, R., You, S. C., Krumholz, H. M., ... & Suchard, M. A. (2020). Large-scale evidence generation and evaluation across a network of databases (LEGEND): assessing validity using hypertension as a case study. Journal of the American Medical Informatics Association, 27(8), 1268-1277.
The COVID tracking project (2021) Texas: Hospitalization Retrieved from: https://covidtracking.com/data/state/texas/hospitalization
Wijesooriya, N. R., Mishra, V., Brand, P., & Rubin, B. K. (2020). COVID-19 and telehealth, education, and research adaptations. Paediatric respiratory reviews, 35.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301824/
Sehreen, Jeena, Abigail, Beatha, Christi
