Utica College Improving Healthcare Services in Hospitals Discussion

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The two closest hospitals to where I live are South Florida Baptist Hospital (SFBH) and Brandon Regional Hospital (BRH). SFBH has an overall patient survey rating of 4/5 stars while BRH has a rating of 2/5 stars. The rating for nurses “always” communicated well was 82% at SFBH and 75% at BRH; the national average is 81% and Florida’s average is 77%. The rating for doctors “always” communicated well was 79% at SFBH and 75% at BRH; the national average is 82% and Florida’s average was 77%. The percentage of patients who reported they “always” received help as soon as they wanted was 69% at SFBH, 60% at BRH, 70% nationally, and 64% in Florida. The percentage of patients who reported that staff “always” explained medication was 65% at SFBH, 59% at BRH, 66% nationally, and 62% in Florida. The percentage of patients that reported the bathrooms were “always” clean was 73% at SFBH, 66% at BRH, 76% nationally, and 71% in Florida. The rating received for “always” quiet at night was 61% at SFBH, 54% at BRH, 62% nationally, and 58% in Florida. The percentage of patients who say they were given information about recovering at home was 91% at SFBH, 84% at BRH, 87% nationally, and 85% in Florida. For SFBH, 76% of patient rated the hospital a 9 or 10 and 74% would recommend the hospital. For BRH, 62% of patients rated the hospital a 9 or 10 and 61% said they would recommend the hospital. Nationally, 73% of patients rated the hospital a 9 or 10 and 72% would recommend the hospital. In Florida, 69% of patients rated the hospital a 9 or 10 and 70% would recommend the hospital. The lowest rating for both hospitals was patients “strongly agree” that they understood their care when they left the hospital, BRH is at 48% and SFBH is at 56% while the national average is 54% and Florida’s average is 51% (Medicare, 2021). To improve this score many departments may need to be involved, such as doctors, nurses, therapists, and specialist. A possible approach to improve this score would be to encourage open ended questions with the patient so the nurse can have a better understanding about what the patients knows verses what they do not know.

2.         SFBH has several categories in timely and effective care that are not available such as cataract surgery outcome, heart attack care, and cancer care. Categories not available at BRH are cataract surgery outcome, heart attack care, and cancer care. SFBH had the following scores: sepsis care 77%, colonoscopy follow-up 99%, 1% of patients left the ER before being seen, the ER is high volume, the average time spent in the ER was 143 minutes, 84% of the healthcare workers received the flu vaccine, no deliveries were scheduled too early, and 1.7% of CT scans were combination scans. BRH had the following scores: sepsis care 73%, colonoscopy follow-up 100%, 1% of patients left the ER before being seen, the ER is very high volume, the average time spent in the ER was 120 minutes, 86% of the healthcare workers received the flu vaccine, no deliveries were scheduled too early, and 0.3% of CT scans were combination scans. Florida had the following scores: sepsis care 67%, colonoscopy follow-up 92%, 1% of patients left the ER before being seen, the average time spent in the ER was 147 minutes for very high-volume ERs and 141 minutes for high volume ERs, 82% of the healthcare workers received the flu vaccine, 2% of deliveries were scheduled too early, and 1.4% of CT scans were combination scans. The national average scores are as followed: sepsis care 60%, colonoscopy follow-up 91%, 2% of patients left the ER before being seen, the average time spent in the ER was 171 minutes for very high-volume ERs and 172 minutes for high volume ERs, 91% of the healthcare workers received the flu vaccine, 3% of deliveries were scheduled too early, and 1.9% of CT scans were combination scans (Medicare, 2021). The lowest scores for both hospitals were the percentage of patients who received appropriate care for sepsis and septic shock. I have worked at a facility that was working to improve this score. They had mandatory sepsis education for all nurses and provided sepsis reference cards that could be worn behind the employee badge. The reference card was nice because it listed symptoms to catch sepsis in the early stages.

3.         When I was working bedside, I participated in an EBP project on my unit. I was working in a post-op observation unit where one of our main tasks was providing discharge information and post-surgery care education. The goal of our project was to improve the patient’s understanding about the discharge information and improve how the discharge information was presented. We created a small list of questions that were geared towards discharge information. Two days after discharge, we would place a follow-up call to the patient and ask them the questions. It was good because some questions were open ended, and it gave the patient to ask questions that they might have. Patients seem to appreciate the call because sometimes during discharge it is hard for them to focus and other times, they don’t realize the questions they have until they are on their own. I know a few times we were able to catch a complication before it went to far. The project was good for the patients and the nurses.

Reference

Medicare. (2021). Care compare. Retrieved from https://www.medicare.gov/care-compare/results?sear…

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