Wednesday, January 29, 2020
The Role of the Leader in Evaluating Data to Improve Quality and Safety Essay Example for Free
The Role of the Leader in Evaluating Data to Improve Quality and Safety Essay The Role of the Leader in Evaluating Data to Improve Quality and Safety Introduction            Quality and safety has been acknowledged as significant issues in constructing the delivery of appropriate and approachable health care. To improve safety and quality the leader must analyze data and interpret the information to develop s system for clinical performance by supervising, motivating and constructing a quandary solving plan to deal with the scheme of medical inaccuracy. The purpose of this paper is to explain the significance of the responsibility of the leader in evaluation of data to perk up safety and quality aspects.            In the telemetry unit, patients are in an unremitting electronic supervision. Telemetry practice is a very significant tool in hospitals since it helps physicians to examine heart rhythm, heart rate, breathing from different locations in the nursing station. Telemetry is usually recommended subsequent to heart attack, or when a patient is developing some problem or is acutely ill. Data evaluation in the telemetry is very vital because it helps nurses to monitor the patients by reading the bedside monitors or telemetry readouts while evaluating the patients. This will help the nurses and other hospital personnel to respond swiftly to an emergency (Guo, 2008). Data overview            The average age of patients in the telemetry unit is 72.4 years old, and every patient in the unit has heart disease. The data shows that 68% of the falls were women, who are more susceptible to diuretics. Women are more susceptible to osteoarthritis since bone mass decreases quicker in women as compared to men due to poor nutrition, sedimentary lifestyles and hormonal alterations are therefore more probable of falls. Peripheral sensations dwindle with age and loss of foot affectionate sense in the aged contributes to postural unsteadiness. Postural permanence is an expertise that relies on the harmonization of sensory and motor systems to direct body activities. As component of the aging development people cannot hear, see, feel, smell or taste like they used to do in the early years. The data reveal that fifteen falls in the four-month phase happened between seven in the evening to eleven in the dawn.            Data also reveal that 12% of the patients have secondary diagnosis of disorientation. Confusion in the old age that happens late in the sunset is known as sundowner’s disorder and is amplified perplexity, confusion and is general in telemetry patients. Data reveals that there was only one fall during the eleven pm shift to the three am shift, and on the three to seven shift there was only one fall, the nursing subordinate provides supplementary support for the patients and nurses as well as other basic health care to patients in nursing homes or in hospitals. Data reveals that there were nine falls between 7 in the morning to eleven in the evening. There were seven falls between 11 in the evening to 3 in the morning. And finally there were 14 falls in the 3 in the morning fall to seven in the evening shift. There was a total of 47 seven falls in the 4 months of data evaluation of the elderly people. Some of the old age disorders that causes falls are irreversible, chronic and degenerative ranging from mild to severe hence they require close attention. Appropriate data entry and interpretation is very crucial in the nursing practice. The patients are in diuretics and thus they require constant check up and monitoring so that the doctors can check potassium levels and monitor how the kidneys of the patients are functioning (Murphy, 2012). Quality improvement plan            Quality health concern is defined as the extent of how health services increase the probability of achieving desired health results and are consistent with existing professional acquaintance. Quality health care should meet the following aims set by Institute of Medicine. The six aims include: efficient, safe, timely, equitable, effective and patient-centered. The process of care measures help to access whether the health concern performs procedures that have been established to attain the aspired objectives and evade those processes that are inclined toward impairment (Murphy, 2012).            The objectives of evaluating health care value are to establish the impact of health care on aspired upshots and evaluate the extent to which health concern adheres to procedures approved by the professional consensus and is unswerving with patient predilections. Measures of safety and quality can follow up the process of quality enhancement initiatives using external standards. Total quality model is another significant strategy since involve teamwork, systems thinking, organizational management, and change and defined processes to create an atmosphere for advancing health care quality (Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK2682/).            Quality improvement is defined as systematic, data-guided operations structured to bring instant advancement in delivering health care in specific settings. Medical errors are usually caused by process or system failures, thus it is vital to adopt process-advancement procedures to acknowledge ineffective care, inefficiencies, and preventable mistakes to persuade changes related with those systems. Quality improvement includes: effects analysis, lean, Plan-Do- Study-Act, failure modes, root-cause analysis, and six sigma models. These techniques involve evaluating performance and using results to update change (Rowe, 2013). Leadership characteristics            Support and commitment. Leaders should work as a team and always place the patient as the center of care regardless of the prevailing cultural changes. Nurse leaders should be committed to empowering the patients and their families by partnering in their personal care.            Transformational leadership is another quality that leaders should embrace changes in nursing practice. Nurse leaders need to be updated about safety measures of improving safety. Nurses can learn to improve care by learning from errors by incorporating safety procedures in their daily work flow. Summary            Safety and quality is very crucial in creating the delivery of successful and approachable health care. Quality improvement involves appropriate analysis and interpretation of data to develop a scheme for clinical performance by constructing a quandary solving plan to deal with errors in nursing. Appropriate data evaluation is crucial since nurses are required to respond quickly to emergencies especially if they are attending to old patients.            Aged patients are more susceptible to many diseases especially women. Aged patients experience hormonal changes, poor nutrition and sedimentary lifestyles which place them at high risk of certain disorders. Patients suffering from certain disorders can benefit from telemetry unit services since they will learn about their conditions, their causes and techniques that can be applied to manage those conditions. Patients under diuretics should be attended frequently so that the nurses can monitor their potassium levels as well as the functioning of their kidneys. Quality of health care is very important since it can reduce number of patient falls. References Guo, K. L. (2008). Quality of health care in the US managed care system: Comparing and highlighting successful states. International Journal of Health Care Quality Assurance, 21(3), 236-248. Murphy, W. A. (2012). Improving Patient Safety and Quality: A Focus on Falls. Home Health Care Management Practice, 24(1), 62-64. Rowe, R. J. (2013). Preventing Patient Falls: What Are the Factors in Hospital Settings That Help Reduce and Prevent Inpatient Falls?. Home Health Care Management Practice, 25(3), 98-103. Tools and Strategies for Quality Improvement and Patient Safety. (n.d.). ncbi. Retrieved July 2, 2014, from http://www.ncbi.nlm.nih.gov/books/NBK2682/ Source document
Tuesday, January 21, 2020
Don Cherry :: essays research papers
Don Cherry, born and raised in Kingston Ontario, is known for his openness, often debatable and always amusing commentary. Mr. Cherry can be seen weekly during the National Hockey League season. He has a segment during the first intermission, every Saturday on CBC's Hockey Night In Canada called the Coach's Corner. Don grew up playing hockey, for he was playing in the OHL by the time he was 17. Unfortunately, Don never made it big, but he managed to make his way around the minor league system for a good 15 years. He played a few games in the NHL, attended many training camps, but nothing to brag about. But, that is where Don is different, for he will brag about his days on the ice. He will let every one know about his toughness, grit and determination. After his days as a minor league player, Don was hired on as the head coach for the Boston Bruins, where he experienced much success including a coach of the year award in 1976. It was in 1984 where Don found his true calling though, for it was that year where he accepted a job on the popular Hockey Night in Canada. Don's first controversial television interview came after the 1986/87 World Junior Championship game, in which Canada and the Soviets had an unbelievable brawl. Don condoned the on-ice violence, and that it what he believes in to this very day. Now it is almost as though every Saturday night, Don has something new and controversial to say. It is for this reason that large numbers of people tune in for the first intermission to see Coach's Corner. Don has been very open with his dislike for European hockey players, especially Russian's. Don is the owner of the Mississauga Ice Dogs of the OHL, and he does not have one European player on the team. Don has also been very open with regards to fighting in hockey. He has stated time and time again that fighting is part of hockey, and for this he has been criticized greatly. This is an example of one of Don's many great qualities. Don Cherry's best quality is the fact that he has the ability to say what he thinks, and say what he believes. For example, during the last Winter Olympics in Nagano, Premier Bouchard of Quebec complained that the Jean Luc Brossard carried a Canadian flag instead of a Quebec flag.
Sunday, January 12, 2020
Canada History Essay
Everywhere you might hear the roll of the drum, and there was no family but had its soldier, and few that did not have their dead. There were a score of thousand British troops in the Northern provinces, and every week brought rumors and alarms, and portents of victory or defeat. The haggard post-rider came galloping in with news from north and west, which the anxious village folks gather to hear. There have been skirmishes, successes, retreats, surprises, massacres, retaliations. In 1867 the Canadian history was the people’s ancestors who become American Indians (North American Indians) that first entered North America from Siberia some time around 14,000–15,000 years ago. A wave of further migrations from Siberia, beginning about 4,000 years ago, brought the Inuit people, who settled across the whole of Arctic North America, from Alaska through Northern Canada to Greenland (Fregault, 1969). The European discovery is where Europeans sight North America were the Vikings in 986. An expedition led by Leif Ericsson sailed from Greenland, visited Baffin Island, and sailed down the Labrador coast to Newfoundland, which was named Vinland. The remains of a Viking settlement have been found on the island, but it would seem that the Viking colony was short†lived. The Viking discovery was forgotten in Europe, and it was 500 years before another European, John Cabot reached the shores of Canada (1497). In 1534 Jacques Cartier, a Frenchman, undertook a voyage of discovery along the coasts of Newfoundland and Labrador, and on his second voyage (1536–37) discovered the St Lawrence River and travelled as far as the Huron capital, Hochelaga (the site of Montreal). Some small settlements were made by the French, but have been abandoned it after two years (Hayes, 2002). The French and British rivalry was until 1608 that Samuel de Champlain, who had visited the country in 1603 and subsequent years, founded the city of Quebec. The St Lawrence region formed a French colony under the name of Canada for the next century and a half. Meanwhile, the English formed the Hudson’s Bay Company in 1670 and began to trade with the American Indians that is now the Northwest Territories. A French colony, known as Acadia, had also been established in Nova Scotia at the beginning of the 17th century, but the arrival of English and Scottish colonists led to a long†running conflict for possession until the territory came they became under British control by the Treaty of Utrecht (1713). Finally, in 1749 the British founded the settlement of Halifax and installed many British colonists, and the following year the French settlers were expelled for refusing to swear loyalty to the British crown. Many of these Acadians subsequently settled in Louisiana, where they became known as Cajuns (Eccles,1969). Louis Reil is perhaps the most controversial figure in Canadian historiography. He is a leader of his people in their resistance against the Canadian government in the Canadian Northwest. His life and deeds have spawned a massive and diverse literature. He was born in the Red River Settlement (in what is now Manitoba) in 1844. He is a promising student and was sent to Montreal to train for the priesthood, but he never graduated. An attempt at training as a lawyer, and by 1868 Riel was back in the Red River area. Ambitious, well educated and bilingual, Riel quickly emerged as a leader among the Metis of the Red River. In 1869-1870 he headed a provisional government, which would eventually negotiate the Manitoba Act with the Canadian government. The Act established Manitoba as a province and provided some protection for French language rights. Riel’s leadership in the agitation, especially his decision to execute a Canadian named Thomas Scott, anti-Catholic and anti-French sentiment in Ontario. Although chosen for a seat in the House of Commons on three occasions, he was unable to take his seat in the house. In 1875, Riel’s role in the death of Scott resulted in his exile from Canada. These years in exile would include stays in two Quebec asylums and the growing belief in Riel that he had a religious mission to lead the Metis people of the Canadian northwest (Chartrand, 1999). Riel was the undisputed spiritual and political head of the short-lived 1885 Rebellion. He never carried arms and hindered the work of his military head, Gabriel Dumont. Riel was increasingly influenced by his belief that he was chosen to lead the Metis people. On May 15, shortly after the fall of Batoche, Riel surrendered to Canadian forces and was taken to Regina to stand trial for reason (Lloyd, 1959). At his trial, Riel gave two long speeches which demonstrated his powerful rhetorical abilities. He personally rejected attempts by his defense counsel to prove he was not guilty by reason of insanity. On 1 August 1885, a jury of six English-speaking Protestants found Riel guilty but recommended mercy. Judge Hugh Richardson sentenced him to death. Attempted appeals were dismissed and a special re-examination of Riel’s mental state by government appointed doctors found him sane. He was hanged in Regina on 16 November, 1885. His execution was widely opposed in Quebec and had lasting political ramifications (Lee, 1986). While in the Battle of the Plains of Abraham, this was also known as the Battle of Quebec, this was a pivotal battle in the Seven Years War (referred to as French and Indian War in the United States). The confrontation, which began on 12 September 1759, fought between the British Army and Navy, and the French Army, on a plateau just outside the walls of Quebec City (Stuart, 2003). The battle involved fewer than 10,000 troops between both sides, but proved to be in the conflict between France and Britain over the fate of New France, influencing the later creation of Canada (Casgrain, 1964). The culmination of a three-month siege by the British, the battle lasted less than an hour. British troops commanded by General James Wolfe successfully resisted the column advance of French troops and Canadian militia under Louis-Joseph, Marquis de Montcalm (Hibbert, 1959). The two generals were mortally wounded during the battle, Wolfe died on the field and Montcalm passed away the next morning. In the wake of the battle, France’s remaining military force in Canada and the rest of North America came under increasing pressure from British forces. Within four years, nearly all of France’s possessions in eastern North America would be ceded to Great Britain (Anderson, 2000). The battle itself has bind Montcalm and Wolfe. Montcalm has been treated leniently by history he was indeed a brilliant and heroic soldier, and he had the crowning honor of dying bravely at Quebec, but he cannot be held blameless in this affair. He had taught the Indians that he was as one of themselves, had omitted no means of securing their amity had danced and sung with them and smiled approvingly and he had no right to imagine that they would believe him sincere in his promise to spare the prisoners. The two military leaders of the French and British fought the battle as the most promising event in their lives. The two generals leave a legacy to the Plains of Abraham. Bibliography Anderson, Fred. 2000. Crucible of War: The Seven Years War and the Fate of Empire in British North America, 1754-1766. New York. Casgrain, H.R. 1964. Wolfe and Montcalm. Toronto: University of Toronto Press. Chartrand, Rene. 1999. Quebec 1759. Oxford: Osprey Publishing. Eccles, W.J. 1760. The Canadian Frontier. New York: Holt. Fregault, Guy. 1969. Canada: The war of the Conquest. Toronto Oxford: University Press. Hayes, Derek. 2002. Historical Atlas of Canada. Vancouver: Douglas & Mc Intyre Ltd. Hibbert, Christopher. 1959. Wolfe at Quebec. New York: The World Publishing Company. Lee , Kenneth. 1986. The French armies in the seven years war. University Press. Lloyd, Christopher.1959. The Capture of Quebec. London: B.T. Batsford, Ltd. Reid, Stuart. 2003. The Battle that Won Canada. Oxford: Osprey Publishing. Â
Saturday, January 4, 2020
Performance Management Systems And Compensation - 855 Words
Executive Summary Indian organizations are increasingly going global. Also multinational corporations (MNCs) continue to proliferate in India. These forces have given rise to the increased use of expatriates for inbound and outbound assignments. As such, new ways of determining performance and compensation have been developed. Performance management systems are now commonplace in Indian organizations and MNCs operating in India. The most frequently used system is the Target Based Evaluation/MBO. Most organizations are now also linking performance to rewards. Compensation and compensation plans vary widely throughout India. However, expatriates cost generally three times more than a local, with middle managers’ packages averaging almost $300,000. The most commonly used compensation approach for expatriates is the home country based balance sheet approach. These systems and plans evolved quickly in recent decades. However, there continues to be room for improvement. 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