How are social insurance programs affected by the socioeconomic and political forces?

Reply 1

 

Why we need 15 minutes Patient Safety Checks

This article discusses how in mental facilities, lowering the risk of suicide and other sentinel occurrences is a major concern (Invisalert, 2020). The weakness of this article is doubting the effectiveness of this 15 minutes patient rounding.

Patient Safety and Suicide Prevention in Mental Health Services: time for a new paradigm?

Quinlivan et,al. (2020), this article talks about combining mental health, public health, and patient safety research paradigms will open up new avenues and treatments to bridge the gap between evidence, policy, and practice, and eventually reduce suicide fatalities. The weakness of this article is that there are significant disparities in the quality of treatment provided to those who have come into contact with mental health services or who have self-harmed.

Patient safety in inpatient mental health settings: a systematic review

Bethan et.al, (2019), this is the first study to look at patient safety in inpatient mental health facilities using a systematic approach, which is the strength of this study and the weakness being only peer-reviewed papers with primary data were considered in this analysis.

Patient safety in inpatient mental health settings: a systematic review

This article concluded with a weakness that compared to other non-mental health inpatient settings, patient safety in inpatient mental health facilities is under-researched. Strength of this article is data was retrieved and organized into groups based on the study’s topic and result. Wherever possible, a random-effects model was used to meta-analyze safety occurrences (Thibaut, 2019).

Patient Safety in Inpatient Psychiatry: A Remaining Frontier for Health Policy

Morgan et, al. (2018), discusses that few health-care researchers focus on inpatient psychiatry, the topic isn’t a top priority for research funders, and data on inpatient psychiatry isn’t included in national quality-of-care surveys, which is the weakness of the study and the strength being organizations’ ability to adequately assist front-line workers and participate in strong measures to avert psychological and physical damage is influenced in part by system-level issues.

Article: Patient safety and quality of care in mental health: a world of its own?

According to Dlima et. al, (2017), strength of this article is that it talks about changing trends of focusing on patient safety of metal health patient and the weakness is rather then considering patient safety as a one factor to be focused on it is discussing about making strategies for patient safety in mental health separately.

References

Invisalert (2020), Why we need 15 minutes Patient Safety Checks. Retrieved from

https://www.invisalertsolutions.com/why-we-need-15-minute-patient-safety-checks/

Quinlivan. L, Littlewood. D, Webb. R and Kapur. N (2020), Patient Safety and Suicide Prevention in Mental Health Services: time for a new paradigm? Retrieved from https://www.tandfonline.com/doi/full/10.1080/09638237.2020.1714013

Bethan. T, Lindsay. D, Sonny. R, Danielle. D, Sheila. A, Hutan. A, Ara. D and Stephanie. A (2019). Patient Safety in inpatient Mental Health Settings: A systemic Review. Retrieved from https://bmjopen.bmj.com/content/9/12/e030230

Thibaut, B., Dewa, L. H., Ramtale, S. C., D’Lima, D., Adam, S., Ashrafian, H., Darzi, A., & Archer, S. (2019). Patient safety in inpatient mental health settings: a systematic review. BMJ open, 9(12), e030230. https://doi.org/10.1136/bmjopen-2019-030230

Morgan. S, Maureen. T, Kathleen. D (2018), Patient Safety in Inpatient Psychiatry: A Remaining Frontier for Health Policy. Retrieved from https://www.healthaffairs.org/doi/10.1377/hlthaff.2018.0718

D’Lima, D., Crawford, M. J., Darzi, A., & Archer, S. (2017). Patient safety and quality of care in mental health: a world of its own?. BJPsych bulletin, 41(5), 241–243. https://doi.org/10.1192/pb.bp.116.055327

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Reply 2

3 postsRe: Topic 3 DQ 1

The following are six of the articles I have chosen for my change project to reduce the incidence of ventilator-associated pneumonia (VAP).

Article 1: Assessment of the effectiveness of a ventilator associated pneumonia prevention bundle that contains endotracheal tube with subglottic drainage and cuff pressure monitorization.

Strength: Informative study about a controlled study that shows how the lack of availability of suitable endotracheal tubes causes a significant number of patients to re-intubated.

Weakness: While informative, the length of time the study was conducted was too short.

Article 2: Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit. Infection control and hospital epidemiology.

Strength: Journal explained in depth the initiatives for improving the care for mechanically ventilated patients (MVPs).

Weakness: The journal did not delve too deeply into the interventions to reduce ventilator-associated pneumonia.

Article 3: The importance of oral hygiene in patients submitted to mechanical ventilation in ICU.

Strength: Journal explains why oral hygiene is primordial for patients undergoing mechanical ventilation.

Weakness: The journal does not provide adequate data on the benefits of oral preventive hygiene care for VAP.

Article 4: Risk factors for 3-month mortality in bedridden patients with hospital-acquired pneumonia: A multicentre prospective study.

Strength: The strength of this journal was the amount of data amassed supporting risk factors for mortality in bedridden patients with hospital-acquired pneumonia (HAP).

Weakness: The journal did not address the patient characteristics such as pneumonia severity, co-infections, and types of bacteria that could not be analyzed due to database unavailability.

Article 5: Evaluating probiotics for the prevention of ventilator-associated pneumonia: A randomised placebo-controlled multicentre trial protocol and statistical analysis plan for PROSPECT.

Strength: The strength of this journal was the numerical data from different countries supporting the use of probiotics on patients with Ventilator-associated pneumonia (VAP).

Weakness: The journal did not elaborate on nursing interventions.

Article 6: Assessment of the effectiveness of a ventilator associated pneumonia prevention bundle that contains endotracheal tube with subglottic drainage and cuff pressure monitorization

Strength: The strength of this journal can be measured in its insightful content, notwithstanding the size of the group studied.

Weakness: The small size of the case group hampered the results sought.

References

Akdogan, O., Ersoy, Y., Kuzucu, C., Gedik, E., Togal, T., & Yetkin, F. (2017). Assessment of the effectiveness of a ventilator associated pneumonia prevention bundle that contains endotracheal tube with subglottic drainage and cuff pressure monitorization. The Brazilian journal of infectious diseases: an official publication of the Brazilian Society of Infectious Diseases, 21(3), 276–281. https://doi.org/10.1016/j.bjid.2017.01.002

Berenholtz, S. M., Pham, J. C., Thompson, D. A., Needham, D. M., Lubomski, L. H., Hyzy, R. C., Welsh, R., Cosgrove, S. E., Sexton, J. B., Colantuoni, E., Watson, S. R., Goeschel, C. A., & Pronovost, P. J. (2021). Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit. Infection control and hospital epidemiology, 32(4), 305–314. https://doi.org/10.1086/658938

Jiao, J., Li, Z., Wu, X., Cao, J., Liu, G., Liu, Y., Li, F., Zhu, C., Song, B., Jin, J., Liu, Y., Wen, X., Cheng, S., & Wan, X. (2021). Risk factors for 3-month mortality in bedridden patients with hospital-acquired pneumonia: A multicentre prospective study. PLoS ONE, 16(3), 1–10. https://doi-org.lopes.idm.oclc.org/10.1371/journal

Johnstone, J., Heels-Ansdell, D., Thabane, L., Meade, M., Marshall, J., Lauzier, F., Duan, E. H., Zytaruk, N., Lamarche, D., Surette, M., & Cook, D. J. (2019). Evaluating probiotics for the prevention of ventilator-associated pneumonia: A randomised placebo-controlled multicentre trial protocol and statistical analysis plan for PROSPECT. BMJ Open, 9(6)http://dx.doi.org.lopes.idm.oclc.org/10.1136/bmjopen-2018-025228

Ozlem Akdogan, Yasemin Ersoy, Ciğdem Kuzucu, Ender Gedik, Turkan Togal, & Funda Yetkin. (2017). Assessment of the effectiveness of a ventilator associated pneumonia prevention bundle that contains endotracheal tube with subglottic drainage and cuff pressure monitorization. Brazilian Journal of Infectious Diseases, 21(3), 276–281. https://doi-org.lopes.idm.oclc.org/10.1016/j.bjid.2017.01.002

Silveira, SC, & da Cruz, ICF (2017). The importance of oral hygiene in patients submitted to mechanical ventilation in ICU: systematic review of the literature. Journal of Specialized Nursing Care , 9 (1).

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