Automated Pharmacy Case Study
As the director of pharmacy for CMC, you have been experiencing an increase in drug cost of approximately eight to ten percent per year for the past three years. The annual pharmacy drug cost has increased from $10,300,000 to $16,800,000 in the past five years. The hospital is experiencing an increase in drug cost even though actual drug usage has remained stable.
Along with the increase in drug cost, drug related errors have also increased. Patient safety has become an even more serious issue. As you know, patient safety is the number one item on the national health care agenda for the next several years.
At the hospital the number of dispensing errors has increased by two percent during the past twelve months. The registered nurses who are administering the drugs have discovered many of the dispensing errors; however, the ones not discovered resulted in patients getting the wrong drug, wrong dosage, and/or the wrong frequency. When the overall drug error rate was analyzed, it was found that dispensing errors in the pharmacy were the number one cause. The overall drug error rate had increased from three percent to five percent.
Fortunately most of the dispensing errors were discovered before the medications were administered to the patients. When the incorrect drugs were administered, it resulted in adverse effects in three cases. One patient received the right medication but the wrong dosage because the medication label was incorrect. This patient had to be admitted overnight to the Intensive Care Unit for intense cardiac and respiratory monitoring. The patient stayed in ICU for approximately twenty four hours. Another patient received the wrong medication on the day of planned discharge and had to remain in the hospital for an additional day, though only for observation. In the third case, the patient had reported that he was allergic to a certain category of drugs, but nonetheless received a drug of that type. He had an adverse reaction–a rash–which delayed his discharge by one day.
On the basis of your understanding of the above case study, express your views on the following:
What measures should be adopted to reduce the overall drug error rate in the hospital?What special benefits should be given to the patients who have suffered due to negligence by the hospital staff for wrong drug administration and other reasons?In your opinion, should the hospital staff who were responsible for the dispensing errors be held personally liable for the errors? Why or why not?

 

Question
This activity is designed to provide you with insight regarding the types of continuum of care housing available in your local community. Contact and research one of each of the following types of facilities: 1) Nursing Facility, 2) Subacute Care Facility, and 3) Home Health Care.
Address the following topics as they relate to each type of facility:• Types of services, residents served, and staff (licensed and unlicensed).• Types of regulations that govern this facility regarding care and quality of care, and who does the regulating.• Detail some of the ethical issues for this type of facility.• Sources of financing for this facility and average cost per month.• Identify where this type of facility fits into the continuum of care.
Conclude with the following:• State any insights gained through this experience.• Were there any surprises?• Was much available in your community?• If not, how could this affect the families and loved ones needing continuum of care?
This one is 2 page

 

Direct care responsibilities PURPOSE This purpose of this assignment is for the student to present a complete picture of nursing care of a critically-ill individual encountered during the course. The student will demonstrate clinical reasoning skills and will discuss interdisciplinary care that had been incorporated and/or anticipated during the care of the critically-ill individual. COURSE OUTCOMES This assignment enables the student to meet the following course outcomes:
CO 1: Provide nursing care to patients and their families in critical and emergent care settings based on theories and principles of nursing and related disciplines.
CO 2: Initiate the use of appropriate resources in direct care responsibilities within critical-care and emergent care settings.
CO 3: Demonstrate effective therapeutic communication and relationship skills in providing care to patients and families in critical-care and emergent care settings.
CO 4: Demonstrate effective clinical decision-making based on critical thinking skills and legal, ethical and professional standards and principles when caring for patients and families in critical care and emergent care settings.
CO 5: Implement a plan of for continued personal, professional, and educational development related to nursing practice within critical-care and emergent care settings.
CO 7: Use evidence including research findings from nursing and related disciplines to answer clinical questions related to nursing care of patients in critical care and emergent care settings.
 

 

Completing courses online can present some challenges. Yet it is possible and advisable to apply the skills you use to be successful at work in this unique learning environment. Consider for instance what you have learned throughout your career about the value of careful time management planning and effective use of technology. How might these skills help you to accomplish your academic goals while fulfilling responsibilities in other areas of your life?This Discussion builds upon last week’s introduction to your chosen doctoral degree and asks you to evaluate the skills that can help you to be a successful online learner.
To prepare:By tomorrow 6/6/17 post 550 words essay in APA format with 3 references from the list below that include the level one heading as numbered below:Post a cohesive response that addresses the following:
1) Describe one strategy that you have used in the past (academically or professionally) that has empowered you in terms of one or more of the following skill sets: planning time management studying and effective technology use. Explain how this strategy has been advantageous.
2) Evaluate a strategy that you have yet to try but believe would be beneficial given your strengths and weaknesses.Required ReadingsAmerican Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. Washington DC:Author. Retrieved from http://www.aacn.nche.edu/DNP/pdf/Essentials.pdf[For DNP students ONLY] American Association of Colleges of Nursing (AACN). (2006). The research-focused doctoral program in nursing: Pathways to excellence. Washington DC: Author. Retrieved from http://www.aacn.nche.edu/education-resources/PhDPosition.pdfThe Research-Focused Doctoral Program in Nursing: Pathways to Excellence (pp. 416)This section of the AACN document outlines the roles and expected learning outcomes for PhD students and core curricular elements included in PhD programs.
Walden University Student Readiness Orientation
Access the Student Readiness Orientation (SRO) through the My Courses section of Blackboard. It will be available to you for one year. You can find the same information and more in the e-Guide a companion website to the SRO. The e-Guide is available throughout your time at Walden. It can be accessed through the MyWalden Portal.Walden University. (2011). Student publications: Vision mission and goals. Retrieved from http://catalog.waldenu.edu/Select the current version of the Walden University Student Handbook from the drop-down menu.In the left navigation bar click Introduction and Legal Information.Then click Vision Mission and Goals.
Read the information on the Walden University webpage paying particular attention to Waldens Vision Mission Goals Social Change and Outcomes message.Document: Becoming a Successful Online Learner (PDF) (See attached PDF file)This document contains valuable information tips and strategies for becoming a successful online learner in the DNP program.Document: Citing a Discussion Posting in APA Style (PDF) (See attached PDF file)The information in this document focuses on how to cite a Discussion posting or response in APA style.Document: Technical Tips for Learning at Walden (PDF) (See attached PDF file)Tips for working with various technologies such as word-processing software online classroom features and your myWalden page are addressed in this document.
Required Media
Laureate Education (Producer). (2011b). Introduction: The doctor of nursing practice [Video file]. Retrieved from https://class.waldenu.edu.Please review this media in the Week 1 Resources.Laureate Education (Producer). (2012a). Effective online communication: Scholarly writing in online discussion [Video file]. Retrieved from https://class.waldenu.eduNote: The approximate length of this media piece is 5 minutes.This media program presents valuable tips for writing scholarly Discussion posts.Laureate Education (Producer). (2012f). Tips for effective online composition and communication [Video file]. Retrieved from https://class.waldenu.eduNote: The approximate length of this media piece is 7 minutes.This media program provides essential insights and information regarding the differences between online and in-person communication the importance of tone in your e-communications and how to write effective e-mail messages. All of these skills are essential to your success as an online learner.Optional ResourcesWestwood C. (2010). Six simple steps to ensure you achieve your aims. Nursing Management 17(4) 2829.Note: You will access this article from the Walden Library databases.

 

In today’s healthcare, racial disparities in prostate cancer incidence and mortality are a national concern (Husaini et al., 2008). African American men unfortunately have the highest incidence of disease rates and are close to 2.5 times more likely to die from prostate cancer when compared to Caucasian men (American Cancer Society, 2013). For African American males, the risk of developing prostate cancer is now 1 in 5 (American Cancer Society, 2013; Centers for Disease Control and Prevention [CDC], 2014). In addition, African American men also have a higher rate of death due to prostate cancer than any other ethnic groups (CDC, 2014). This fact is evident, considering the life expectancy for African American men is several years shorter than other ethnic groups (Arias, 2011). According to American Cancer Society (2013), prostate cancer exhibits the most pronounced racial disparity of all cancers in the United States. In response to increase prevalence of prostate cancer among African American men, a pilot program in a church-based setting will be developed to increase knowledge about prostate cancer screening by decreasing the health disparity that exists among this vulnerable group of men.
TITLE: Application
1: Initial Analysis for Program Planning APA 6th Edition 5 references scholarly peer review articles A 3 PAGE paper that addresses the following: Identification of a Problem and a Population • Identify a problem and a target population. (Note: Your problem should be clearly developed and related to a health-promotion and disease-prevention issue of national significance. You should select a target population so that your program can be designed to create maximum yet realistic impact at the aggregate level.) Using a Theory or Model • Analyze a theory or model that is relevant to your selected problem. Explain why this is the most appropriate model for you to use with this problem. Literature Review • Assess the literature as it relates to your problem. Use evidence from the literature to support your response to the following question: Why is it important to assist this population to resolve the selected problem? Needs Assessment • Describe an appropriate approach to conducting a needs assessment for your problem. • Identify method(s) of data collection. • Assess potential challenges and propose alternatives/solutions.
TITLE: Application 2: Program Design Elements APA 6th Edition 5 references scholarly peer review articles A 3 PAGE paper, plus accompanying documents, that addresses the following: Stakeholder Involvement in Developing Mission Statement, Goals, and Objectives • Explain why it is important for representatives of your target population to be involved in developing the goals and objectives for the program. • Identify which stakeholders you would involve in the planning process, and discuss two or more strategies for facilitating their involvement. Program Design • Create a visual representation of your program design (e.g., a table or graph) that includes the program’s mission statement, goal(s), objectives, and activities to meet the objectives. • Develop a Gantt chart with time lines for implementing all activities that will assist in meeting each of your program objectives. •
TITLE:Application 3: Program Budget and Financial Analysis APA 6th Edition 5 references scholarly peer review articles A 3 page paper that addresses the following: Budget • Develop a simple revenue and expense budget for 6 months from start-up and develop a break-even analysis. • Articulate a justification for the revenue and expenses indicating where the funds are coming from to support the project and what resources the expenses are related to. • Explain any variance from the budget that is not budget neutral. Financial Analysis • Articulate whether the monies put into the program will result in positive health outcomes for the population (resulting from your application of the use of cost-effectiveness, cost-utility, or cost-benefit to the program design process). * Include tables or graphs in your paper to illustrate budget information
TITLE: Application 4: Evaluation Planning A 3 page paper that addresses the following: Evaluation Methods • Identify an evaluation theory or model that is aligned to your program goal(s) and objectives. • Exhibit a performance measurement, monitoring, and evaluation time line that: o Demonstrates the appropriate use of performance measurement, monitoring, and summative evaluation o Distinguishes between the long-term effects of impact evaluation versus short and intermediate health outcomes as a result of the implementation of the program Evaluation Plan Develop an evaluation plan that includes goals, objectives, and activities. Specify the type of data needed. • Add your evaluation plan to the visual representation (e.g., table or graph) of your program plan design. • Add time line information for the evaluation plan to your Gantt chart. Note:In addition to your paper, be sure to submit the following (which may be contained in a separate document): • An updated version of the visual representation (e.g., table or graph) of your program design that includes your evaluation plan. • An updated version of your Gantt chart that includes your evaluation plan.