Week 6 Hospitals And Healthy Living Flashcards
What are the three ways to save on costs and improve the quality of hospital care?
Reduce hospital acquired infections
Reduce medical errors
Reduce medication errors
How many people does the CDC estimate get a hospital acquired infection each year and how many die?
2 million infected and 90,000 die each year
What are the four factors associated with lack of hand hygiene?
Hand washing agents cause irritation and dryness
Sinks are inconveniently located
Forgetfulness
Hand hygiene can be time consuming
What are four potential solutions to the problem of poor hand hygiene?
Monitor and record staff hand hygiene
Provide feedback to healthcare workers on their performance
Monitor the volume of hand sanitizer used
Use automated video monitoring of use.
What is a Kaizen event in the Toyota model?
A Kaizen event is a five-day team workshop with a specific goal or set of goals for an area that needs improvement. Typically, with the objective to increase efficacy.
How much of a reduction in bloodstream infections was achieved at the Pittsburgh Regional System using the Toyota model?
A 50% reduction
What is the neutral zone used in the surgical theater and what is the purpose of using the neutral zone?
An area where sharp instruments are placed and picked up to exchange the instruments. To reduce the chance of cuts.
How did Researchers increase the use of the neutral zone?
Through the use of performance feedback
List 5 types of medical errors.
Giving the wrong drug or drug dose or giving the drug to the wrong person.
Giving two or more drugs that have an adverse drug interaction
Wrong site surgery, such as removing the wrong kidney
Retained surgical instruments
Incorrect record keeping
What are 4 strategies for increasing safe lifting of patients.
Video modeling
Providing feedback on safe lifting
Providing a checklist for safe lifting
Providing reinforcement and praise for safe lifting
What are some of the issues in designing better systems
Making them practical and cost effective
Designing new technology to support changes
Targeting the Insurance Industry to establish incentives for more effective treatment
What are the six ways to reduce the need for health care?
Reduce the number of people smoking
Reduce excessive alcohol use
Reduce recreational and unnecessary drug use
Increase use of healthy eating
Increase exercise
Increase social support for people without support
How did Glenn and Dallery treat smoking addiction?
They treated smoking with with a patch treatment or a voucher treatment
The voucher treatment allowed them to earn money for not smoking
What were the results of the Glenn and Dallery study?
The results showed that the voucher treatment was more effective than the patch even though the amount earned was equivalent to the cost of the patch
How did Faith et. al. increase exercise in 10 obese children and what were the results?
By making television time contingent on exercise. The children watched less TV and they had a reduction in total body fat.
