antibiotics and cleansing wash for the patients’ prior to surgery. The hospitalist team that will be responsible to the care and coordination of those stricken with pneumonia have an obligation to provide mercy from the illness with the best possible treatment that can be given. “The principle of nonmaleficence holds that there is an obligation not to inflict harm on others” [CITATION Jah11 \p 225 \l 1033 ]. By improving the communication flow between the care team, the patient and nursing staff there is an increased likelihood that there will be less errors in the patient care. This action directly relates to the avoidance of harm. When prescribing a prophylactic antibiotic and/or having the patient wash in a special cleansing soap prior to surgery there is intention to avoid harm. Increasing the likelihood that the patient will not experience any complications post-surgical intervention. Providers using the new orders set and completing more in-home follow ups from the patients that have discharged will help the facility ensure the success of the providers the first time that the patient comes through the doors. Beneficence and nonmaleficence are strategies for sound patient care. With the revisions put into place outlined above there is a greater chance that there will be positive outcomes for the patient. Positive outcomes for the patients lead to decreased legal action brought against the facility, it will lead to increased HCAHPS scores, with lead to increased reimbursements. Increasing the reimbursements is an investment into the facility, allowing leadership the opportunity to continue the cycle of doing good and spreading charity and mercy to all that enter the facility. B7. Timeline
BUSINESS AND FINANCIAL MANAGEMENT 13 Time Increments Nursing Department Surgical Department Physician Department Year 1 End of year 1, the nursing leadership team will review evidence-based literature and practices to determine best options and a plan for improving communication with the patient. Informational Event: Share scores from patient reviews showing baseline measures and review state and national scores of similar hospitals, at staff meetings with the background of how these scores affect the facility. At staff meetings and Unit Practice Councils they will be surveyed for interest in being involved in the transformation team. Informational sessions will End of year 1, the surgical department will review the evidence- based literature and determine a course of action for preventing SSI. Informational Event: Share scores from patient reviews showing baseline measures and review state and national scores of similar hospitals, at staff meetings with the background of how these scores affect the facility. Surgical and Infectious disease team members will be surveyed for End of year 1, the surgical leadership team will review the evidence-based practices. Have discussions with other hospital’s surgical leadership teams and review literature to determine a course of action for preventing SSI.
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- Summer '18