Friday, June 19, 2020
Thursday, June 11, 2020
Medical Misdiagnoses Nursing Research Paper - 2750 Words
Medical Misdiagnoses Nursing Research Paper (Research Paper Sample) Content: Misdiagnosis in Health CareStudents nameInstitutionMisdiagnosis in Health Care * Factors leading to Misdiagnosis and its ImpactThe effect of medical errors increases very day, ever since the first arrived value in 1999, which were 98,000 deaths due to medical errors. To make the situation even worse, Allen (2013) expresses his assertions that the count of deaths could be even higher, as indicated by the Office of Inspector General for Health and Human services, leading to almost a third of the total deaths in America. Diagnostic errors, especially misdiagnosis, are the most common form of medical and surgical errors, as the leading cause of adverse events in most medical operations. However, Ely, Kaldjian, and D'Alessandro (2012) encourage that they can be easily avoided through preventive measures.Patient preferences have resulted to misdiagnoses, a sentiment expressed by Mulley, Trimble, and Elwyn (2012). It is, therefore, critical that patient preferences are consi dered to ensure that correct diagnoses are made as it is the only path to correct treatment. The technological advancements have led to increased number of patients who are handled per day, but with an increased risk of misdiagnoses as Singh et al. (2013) explain.Ely, Kaldjian, and D'Alessandro (2012) establish that common factors that lead to misdiagnosis are failed heuristics (avoiding medical diagnosis procedures) and biases. This leads to a premature deduction, which is not evidence based practice. These malpractices might be hard to tell as at times; time pressure may force practitioners to make premature conclusions, in an attempt to serve more patients.As there is a global concern about the quality of health especially improving on time management, rush decisions are made by doctors without adequate evidence to ascertain the presence of a given ill-health condition. This situation has been prevalent within the ambulatory paramedical services such as first aid. Saving time ev en within hospitals has led to increased inefficiency even within the hospitals. Missed diagnoses in primary care are later noted after a different practitioner re-examines the patient or unclear symptoms. Evolution of the initial symptoms to something clear or development of new symptoms has led to the discovery of misdiagnosis, which at times, appears a little too late.As recent development in medical practices is geared towards quality, there has been an increased demand for emphasizing on quality in diagnosis. A thorough diagnosis will entail, physical examination, a revisit in the medical history of the patient, ordering tests and imploring the patients on their personal preferences and though on their ill health. Patients have developed a cautious attitude towards their treatment, and most of them will enquire more about their conditions. In the recent past, patients have been going online to find more information about their illnesses. * PICO TableP (problem) Misdiagnosis in disease identification I (intervention) Proper insight to a patient and the indicators C (comparison) Assumptions and bias O (outcome) Reduced harm caused by improper treatment, improved quality of health care How can we eliminate misdiagnosis in the health facilities and mitigate any harm that may be caused to the patients? * Research strategyImportant aspects were searched using the key words; diagnostic errors, misdiagnosis, illness identification mistakes and adverse events in medical practices. Medical journals were assessed as well as nursing reports and health statistics from the respective departments. Seven articles were considered for this study. Most of them were research articles, with a described research methodology and analysis. Other sources that had been considered were commentaries from health care professionals and statistical reports analysis. Among the obtained evidence regards incidences of misdiagnosis that had been committed and were later recovered. For ever y single incidence, preventive measures were identified so that the harm caused by misdiagnosis can be minimized.One of the research based evidence prompted the use of checklists to improve making correct diagnostic decisions. The study by Sibbald, de Bruin and van Merrienboer (2013) indicate that checklists can be used to verify the presence of a health condition. This will improve the correctness of the diagnosis, as it will be grounded on some evidence. The three authors noted that even though the method reduces the chances of errors, they can complicate the diagnosis process especially when used at every step of diagnosis. The study, used fifteen health experts who were used to interpret diagnosis without using a checklist as the control of using a checklist. The research used the experimental method to confirm or disapprove the value checklists.The research evidence that the paper focused on is review of medical records. The major challenge of finding adequate source was that misdiagnosis is only identified after it has occurred. Second, most medical practitioners are paranoid of admitting their own mistakes as it may portray their incompetence and at times, lead to a lawsuit. A common way of detecting the errors was through a subsequent diagnosis of the patients, which when there was misdiagnosis, the following diagnosis would lead to negative results of the disease. Record based triggers, were used by Singh et al. (2013) as the main directives (indicators of possible misdiagnosis). The triggers would consider unexpected returns from patients ass it would signify ineffective treatment of the patient likely from misdiagnosis.The second, nonresearch evidence sources, that were focused on were commentaries from renowned health practitioners. Allen (2013) acknowledges that losses that are incurred by all stake holders, the patients, the hospital and its professionals and the caretakers due to avoidable errors. The worrying statistical quotations that he put s in his article prompts immediate efforts to curtail the adverse effects. Croskerry (2013) proposes a more personal approach to reducing these errors by lobbying for a behavior change among the medical practitioners. He emphasizes on cognitive errors being the main cause of misdiagnosis which are mainly geared by clinicians way of thinking. * Evidence MatrixAuthors Journal Name/ WGU Library Year of Publication Research Design Sample Size Outcome Variables Measured Level (IIII) Quality (A, B, C) Results/Authors Suggested Conclusions Ely, Kaldjian D'Alessandro The Periodical of the American Board of Family Medicine,25(1) 2012 Used questionnaire that was administered to general health practitioners 202 samples were returned Describing diagnostic error using a 1 page explanation II B Diagnostic errors begin with a poor diagnosis, or misleading symptoms. Medical practitioners have to be alert of such mistakes by broadening their diagnostic exceptions and limiting their deductions to re sults that are evidence based Singh, H., Giardina, T. D., Meyer, A., Forjuoh, S. N., Reis, M. D., Thomas, E. J. JAMA internal medicine,173(6) 2013 Review of medical records-using the EHRs. 190 cases were reviewed Data on missed diagnosis and other medical errors, and the potential harm that these errors could have caused on patients III A Common diseases, that should be the least to identify still suffered from diagnostic errors. Some of the errors posed potential harm to the patients. Intervention ought to be developed especially when developing the patient-practitioner encounter errors, such as misdiagnosis De Lusignan, S., Sadek, N., Mulnier, A., Russellà Jones, D., Khunti DiabeticMedicine,29(2) 2012 Search for people with diabetes and potential classification errors 347 records were identified Pateints with typ1 yet diagnosed with type 2; patients with type 2, yet diagnosed with type1 and those without diabetes at all yet diagnosed with it III A Often medical errors can be m itigated if the general practitioners can recheck diagnosis results by taking simple tests. This practice is bound to reduce misdiagnosis errors and the harm that may accompany it. Croskerry N Engl J Med,368(26) 2013 Case study 2 Causes of errors and unprofessional perceptions were looked out III C The case studies exemplify the situations that lead to bias and other factors that lead to misdiagnosis. The cases indicate the professional errors that are committed by medical professionals and challenges the professionals to embark on changing their attitude and general perspectives towards medical examinations. Sibbald, de Bruin van Merrienboer, 2013) Medical Education,47(3) 2013 Experimental method 15 The value of using checklists in improving medical diagnosis III A The use of checklists among experts have been approved as an ideal errors reduction strategy, especially in diagnosis. However, it poses several challenges that are involved with its use, such as complexity and time con suming. All in all, a strategic use of checklists, will improve accuracy with minimized opportunity cost. * Recommendations on Effective Strategies to AdoptWhile fundamental errors lead to consequential treatment of a disease that is not there, the need to improve the primary diagnosis ac...
Tuesday, June 9, 2020
Writing A Good College Paper
Writing A Good College PaperCollege papers are an important part of your education. If you are going to write them, they should be taken as seriously as the classes that you are taking. In order to keep them from being poorly written, here are some tips that will help you write a better paper.A good editor will take everything into consideration and edit the paper after it is written. You may find that there are a few parts of your paper that need more time in order to be well written. Following these tips can make sure that the essay is written well in all areas, including grammar and punctuation.One thing that students need to realize is that their attention spans are shorter than they used to be. Because of this, they may be less likely to have trouble writing a paper at the time of its completion. Therefore, it is best to research the topics that you are going to write about before you begin writing.Before you even start writing the paper, you need to know what the school year is for which you are writing. If you plan on starting college during the fall, then you will need to find a fall school term. Even if you can't choose a specific fall term, you may be able to find a spring term that will match up with the fall term that you are going to be writing.The next tip is to plan out how much time you have to write your paper. For instance, if you know that you will be writing it during the summer months, then you need to know how much time you have until your paper is due to be due. If you do not know what your deadline is, then you need to plan ahead so that you know how much time you have before your paper is due.Before you begin to write your essay, you need to know the topic. Your topic should not be too complicated, because it may be difficult to understand. Write about your current studies or subjects.Writing a college papers takes time, but it is still an important step in getting you through college. It should also be considered an important step when applying to graduate schools. By following these tips, you will not only be writing a good essay, but you will also be effective in writing it.These tips can help you write a better paper, especially if you are going to be writing college papers in the future. By taking them into consideration, you will be able to write a paper that is well-written and easier to understand. As long as you follow these tips, you will be able to focus on the important parts of the paper without having to worry about how it will appear.
Thursday, June 4, 2020
Digestive Disoder Causes, Symptoms and How to Avoid Them - 275 Words
Digestive Disoder: The Causes, Symptoms and How to Avoid Them (Essay Sample) Content: Digestive DisorderNameInstructorDigestive disorderThere are many common digestive disorders that one can experience through life. But one most common digestive disorder is constipation. Constipation means the movement of bowel is difficult or tends to move less often that the normal way. Most people suffer from constipation due dietary change. Even though most constipation is due to the way of eating and lifestyle, it can be a sign of a serious or chronic illness.Constipation is mostly caused or frequently caused by lack of exercise, when one dehydrates, low amounts of fiber in diet and the delay of going to the toilet when the urge is there. Other factors such pregnancy, bowel related diseases, depressions and metabolic disorders are some of the related factors that can cause constipation. The signs and symptoms of constipation include; stools tends to get harder than usual, one may feel bloated, straining in bowel movements, pain in the abdomen and vomiting also may result.When one visits a doctor, diagnosis such as physical examinations will be conducted whereby blood tests, stool tests, and x-ray in the abdominal area maybe conducted to give more precise results on the issues. Constipation...
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