addressed are “catheter-associated urinary tract infections, vascular catheter-associated infections, and surgical site infections after coronary artery bypass grafting, certain orthopedic surgeries, and bariatric surgery” (as cited in Brown et al, 2009).
According to a press release dated 31 July 2008 from the CMS Office of Public Affairs (2008), the ‘never events’ are preventable medical errors that result in serious consequences for the patient. As a result, such events cause serious injury or death to the beneficiaries and unnecessary costs to the Medicare and Medicaid systems. According to CMS (2008), hospital-acquired conditions (HACs) are the conditions which were absent before admission and developed during the hospital stay. The benefit is that this step will make hospitals improve the reliability of care they provide to patients.
A surgical site infection (SSI) can be defined as the infection that occurs after surgery in the place where the surgery was conducted. It is estimated that nearly 1-3 patients out of every 100 patients who had surgery develop SSI. Surgical Site Infection takes place because during surgery, one of the body’s most important protective covering-the skin- is opened. As a result, pathogens from the patient’s body, environment, or surgical instruments easily enter the body through the incision made during the surgery and cause infection.
Surgical Site Infections can be minor or serious. Sometimes, the infections go superficial covering only the skin, and sometimes, such infections become serious affecting organs and even implanted material, leading to serious illness and even death. The symptoms of surgical site infections include redness, pain, drainage of cloudy fluid, fever, and so on. In fact, the chances for surgical site infections increase if the patient has an existing health problem and if the surgical site is not properly cleaned. Thirdly, the longer the surgical procedure is, the higher the infection chances ...
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Routine shaving of a surgical site is one of the processes used in the removal of the body hair located at the operative wound site – involving the use of a sharp cutting tool like a razor blade, rubbed over the skin, after a direct contact with the skin is established.
According to the Agency of Healthcare Research and Quality (AHRQ), “hospital-acquired infections, are the most common complication of hospital care, resulting in 1.7 million infections and 99,000 deaths each year” (2009). These infections are acquired by patients in a healthcare facility, while they are undergoing treatment for another medical condition.
Surgical site infections can be broadly classified based on the site and extent of infection into two groups: Incisional and organ-space surgical site infections. Incisional infections are also divided into two broad categories: superficial (subcutaneous and tissue infections) and deep infections (Alvarado, 2000).
Other surgical site infections are exceedingly grave and may involve body tissues found under the skin, the organs or the implanted substance. It is therefore without doubt that surgical site infections represent a considerable portion of infections associated with health care.
743). According to CMS, “a never event must be unambiguous, preventable, serious, and either adverse, indicate of a problem in the facility, or important for public credibility and accountability”; and the eight conditions CMS initially addressed are “catheter-associated urinary tract infections, vascular catheter-associated infections, and surgical site infections after coronary artery bypass grafting, certain orthopedic surgeries, and bariatric surgery” (as cited in Brown et al, 2009).
Value Based Purchasing is a tool which aids in linking the national quality policy and lower cost goals. Value Based Purchasing is an exceptionally critical driver for revamping the manner in which services are paid. It links directly the payment to the quality of care offered to a patient.
The quality of care experiences growth as the day’s increases from the efforts of the employees. In many healthcare organizations, CQI is illustrated in the strategic plan, the committee of leaders in the organization, human resource training, and methods of identifying opportunities for improvement.
To improve the quality of its service delivery, in 2007, the center for Medicare and Medicaid services (CMS) embarked on the program of Value Based Purchasing. This was one of the strategies employed by CMS to renovate its payment system to necessitate rewarding of
The aspects of services offered that are considered in the value-based purchasing program are clients’ experiences, hospital-acquired conditions, and the expected achievement of treatments given for specific diagnoses
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