Quality of Patient Care Jada Chaffee Navarro College

Quality of Patient Care Jada Chaffee Navarro College April 25 th, 2017

In order to ensure safety and high quality patient care, it is important that hospitals are well staffed and that there is adequate communication between nurses and physicians.

HIPAA • Health insurance Portability and Accountability Act of 1996. -provides data privacy and security provisions for safeguarding medical information.

Patient-to-Nurse Ratios • Nurses have a very important role in our healthcare system • High patient-to-nurse ratios • What do they effect?

California • 2004 – required hospitals to have committees responsible for staffing policy. • Lowest surgical mortality rates in U. S • Lower likelihood of inpatient death • > High burn out • Less mandatory overtime • Overall, lowering patient-to-nurse ratios improves patient outcomes in hospitals, while creating a good and healthy work environment.

California RN Staffing Ratios. Intensive Care 1: 2 Neo-natal Intensive Care 1: 2 Operating Room 1: 1 Post-anesthesia Recovery 1: 2 Labor and Delivery 1: 2 Antepartum 1: 4 Postpartum couplets 1: 4 Postpartum women only 1: 6 Pediatrics 1: 4 Emergency Room 1: 4 ICU Patients in the ER 1: 2 Trauma Patients in the ER 1: 1 Medical/Surgical 1: 6 Other Specialty Care 1: 5 Psychiatric 1: 6

Surgical Death Rates

High Burn Out Percentages

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2012 • 14 more states implemented safe staffing laws • Connecticut, Illinois, Maine, Minnesota, Nevada, New Jersey, New York, North Carolina, Ohio, Oregon, Rhode Island, Texas, Vermont, Washington.

Safe Staffing Laws • 7/15 : require hospitals to have committees responsible for staffing policy. • Connecticut, Illinois, Nevada, Ohio, Oregon, Texas, and Washington. • 5/15 : require disclosure or public reporting of staffing. • Illinois, New Jersey, New York, Rhode Island, and Vermont.

Communication

References • Department for Professional Employees. (2013, February). SAFE-STAFFING RATIOS: BENEFITING NURSES AND PATIENTS. Retrieved April 5, 2017, from http: //dpeaflcio. org/wp-content/uploads/Safe-Staffing-Ratios-2013. pdf • Flicek, C. L. (2012, Nov. & dec. ). Communication: A Dynamic Between Nurses and Physicians. Retrieved April 6, 2017, from https: //www. amsn. org/sites/default/files/documents/practiceresources/healthy-work-environment/resources/MSNJ-Flicek-21 -06. pdf • Kasprak, J. (2004, February 10). CALIFORNIA RN STAFFING RATIO LAW. Retrieved April 7, 2017, from https: //www. cga. ct. gov/2004/rpt/2004 -R 0212. htm • Secretary, H. O. , & (OCR), O. F. (2013, July 26). Summary of the HIPAA Privacy Rule. Retrieved April 5, 2017, from https: //www. hhs. gov/hipaa/for -professionals/privacy/laws-regulations/