Showing posts with label error reduction. Show all posts
Showing posts with label error reduction. Show all posts

Saturday, February 19, 2011

LegalNursingConsultant.com, Medical Legal Resources, Nursing Entrepreneurs

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Welcome.

This website is intended to be a resource for Legal Nurse Consultants, Attorneys looking to use their services, and nurses looking to enter the field of Legal Nurse Consulting. On our site you'll find a directory of LNCs by state and specialty.

Please Choose From The Following:

Please Choose By State:

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Please Choose By Topic, Specialty Area:

Register Online For This Directory Today!

Special Reports:

Legal Eagles: Put nursing, law and business together and what do you get? The exciting field of legal nurse consulting! By Barbara Marquand, Minoritynurse.com:"Gloria Blackmon, RNC, BSN, LNC, LNHA, never met the young man who lost his legs, but after reading over his medical records, the compassion she felt for him was as strong as if he had been her own patient. The young man had been living in an intermediate care facility for developmentally disabled adults when circulation problems in his legs became so severe that both limbs had to be amputated. His parents sued the facility and it was Blackmon’s job, as a legal nurse consultant for their attorney, to review the records and determine if they had a valid case."
Peter Fuhrman National Sales Manager
MinorityNurse.com
49 Foy Drive Hamilton Square, NJ 08690
phone: (609) 689-1033 fax: (609) 689-1034
todd.eckle@minoritynurse.com
http://www.minoritynurse.com/features/nurse_emp/07-09-01c.html

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Combine Nursing and the Law through Legal Nurse Consulting, Meghan Persichino, RN, BSN, LNC, Nursingspectrum.com:"Nursing and the law: While some nurses think only of the possibility of being sued, others understand the power of this partnership in improving health. These forward-thinking nurses are blazing a trail as legal nurse consultants (LNCs). An Emerging Role Nurses have been working alongside attorneys for almost 25 years, if not more. These nurses went by titles such as "nurse paralegal," "medical litigation consultant," and other monikers. In some instances, they combined the duties of both the paralegal and nursing professions; there was no uniform role definition."
http://nsweb.nursingspectrum.com/cfforms/GuestLecture/nursingandlaw.cfm

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Switching Gears Becoming a Legal Nurse Consultant Diane Barnet, RN, BA, Nursingspectrum.com:"It sounded so easy. On the strength of a guest opinion piece I wrote about the nursing shortage for The Dallas Morning News, an attorney contacted me in the spring of 2002. I was suspicious. What would a lawyer want from me? “I’d like to send you a case,” he offered. “But I don’t have any legal background,” I protested. “That doesn’t matter,” he replied. “You can write.”"
http://community.nursingspectrum.com/MagazineArticles/article.cfm?AID=12518

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Legal Nurse Consultant by Sara Courson, BSN, Career Development, PA State Nurses Association:"Legal Nurse Job Search Quick Links: What is a Legal Nurse Consultant Educational Requirements Specialty Certification Salary Ranges Entry Advice Associations Publications Schools References About the Author."
PA State Nurses Association
2578 Interstate Drive, Suite 101
Harrisburg, PA 17110
1-888-707-7762 717-657-1222
FAX: 717-657-3796
E-mail: panurses@panurses.org
http://www.psna.org/c_profdev_legalnurse.htm

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Legal Consulting by Nurses, By Joy Collins, RN, BSBA, CLNC, LNCC, Wild Iris Medical Education, Inc.:"Nurses have been assisting attorneys with their medically related cases for far longer than is generally realized. It is only lately that the sub-specialty of legal nurse consulting has become a recognized field of nursing that the media has thrust into the mainstream. As far back as the 1980s (and probably earlier), nurses and other medical professionals were assisting the legal world to arrive at a fair settlement by moving through the quagmire of medical records and jargon that we nurses take for granted."
Wild Iris Medical Education
PO Box 257 Comptche, CA 95427
(707) 937-0518 ph (707) 937-2546 fax nurses@nursingceu.com
http://www.nursingceu.com/courses/244/index_nceu.html

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Medical Information, The Internet, and You By Janabeth Fleming Evans R.N., R.N.C., Doereport.com:" As a medical-legal consultant and Internet researcher I am asked every day to find authoritative medical literature references for a broad spectrum of topics. The information I am looking for may be used to support a claim, to debunk an expert theory, or to educate the attorney during the course of a case evaluation. Changes in the way medical information is stored, accessed, and retrieved have created a wealth of health care information. The Internet provides free access to a great deal of the medical literature, either in full text or citation/abstract format. Because anyone with access to the Web can establish a Web page, many medical sites contain little useful information, even though they may be visually appealing. For this reason, the quality of information available varies from very good to poor, and some sites even intend to mislead. It is important to search for peer reviewed information, from an authoritative source.
1275 Shiloh Road Suite 3130 Kennesaw, Georgia 30144
Phone: 770.805.0460 800.338.5954 Fax: 770.805.0430
Email: info@doereport.com
http://nursingexperts.doereport.com/20001130janabeth.php

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Medical Legal Resources

Chain of Custody, Medical Legal & Law Enforcement Resources

Life Care Planning, Legal Nurse Consulting Resources on: The Nursefriendly

Please select from the following:

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via legalnursingconsultant.com

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

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Friday, February 11, 2011

Medical News: Nursing Home Med Errors Vary by Form of Drug - in Geriatrics, General Geriatrics from MedPage Today

Residents in nursing and old age homes are four times as likely to get an incorrect dose of medication if it's in liquid rather than pill form, researchers reported.

In a study in 55 British homes, errors included such things as incorrect measurements and not shaking a suspension, according to David Phillip Alldred, PhD, of the University of Leeds in Leeds, England, and colleagues.

Errors also were more likely with inhalers and other drug formulations, compared with pills or tablets dispensed using a monitored dosage system, Alldred and colleagues reported online in BMJ Quality and Safety.

Monitored dosage systems -- also known as unit dose systems -- consist of a tray or cassette with compartments for one or more doses for a particular day and time and are intended to simplify the administration of medications for staff, the researchers noted.

But such systems can't be used for all medications -- liquids, among others -- and it's not clear that they are safer than delivering drugs from the manufacturer's own packaging, Alldred and colleagues noted.

via medpagetoday.com

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

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Monday, January 31, 2011

Institute For Safe Medication Practices

Newsletters Professional Development
Consulting Services Self Assessments
Educational Programs Consumers

NEW Standard Concentrations of Neonatal Drug Infusions
FDA and ISMP List of Drug Names with Tall Man Letters
Guidelines for Standard Order Sets
Tool to assess risk in community pharmacy
Quarterly Action Agenda (Free CE)
High-Alert Medication List
Updated Confused Drug Name List
Community Pharmacy Medication Safety Tools and Resources
 
Articles of Interest
List of Products with Drug Name Suffixes
Error-Prone Abbreviation List
Pathways for Medication Safety
ISMP Guidelines
"Do Not Crush" List
Improving Medication Safety with Anticoagulant Therapy
ISMP and Doctor's Digest iPhone app.
More Tools...
via ismp.org

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.legalnursingconsultant.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

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Friday, November 12, 2010

Hospitals try high-tech to better inform patients - San Jose Mercury News

Click photo to enlarge
In this photo taken Oct. 29, 2010, Kristen Miller, a colonoscopy... ((AP Photo/Brian Kersey))
CHICAGO—Learning he had prostate cancer floored John Noble. Then came the prospect of surgery and his overpowering fear of being "put under" with anesthesia.

Remarkably, he found comfort in a computer. A soothing woman's voice explained the operation step-by-step, its risks and benefits, and even answered his questions. Noble's phobia vanished. The operation to remove his tumor was uneventful and Noble is doing fine.

The 54-year-old Pennsylvania lawyer was aided by an interactive computer program that is part of a growing trend in health care, helping patients better understand what they are consenting for the doctor to do.

Proponents say this way of getting informed consent makes patients partners in decision-making.

Such a system "sends a message that the decisions are truly owned by the patients," said Dr. Harlan Krumholz, a Yale University heart specialist and advocate of changing informed consent procedures.

Computer-based informed consent programs are also part of a broader push for electronic record-keeping that President Barack Obama's administration has advocated to improve patient safety and curb medical errors.

The Emmi Solutions program that John Noble watched about prostate cancer surgery can be viewed at home, and that's where Noble watched it.

Shortly after his diagnosis last December, while he was still grappling with shock and denial, his doctor e-mailed him the program.

"I put off watching it for a

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while," he said. "Who wants to be filled in on the facts of the surgery? Ultimately I forced myself to review it when I was all alone."

By the time he watched it, he felt better prepared mentally than when his doctor first told him he had cancer.

Noble said his biggest fear "was being knocked out. I was terribly afraid of it."

As the interactive explained the operation, Noble could pause it and ask questions or review the information to make sure he understood it.

"It changed my perspective. It removed my fear," he said.

Traditionally, informed consent has involved a conversation with the doctor and signing medical forms written in tough-to-decipher legalese.

It has a dual purpose: to make sure patients understand risks and benefits, and to protect hospitals from lawsuits in case something goes wrong.

Even for someone with a law degree, like Noble, that process can be dizzying in the emotional aftermath of a scary diagnosis.

Research shows patients often have no clue about what they just signed and may end up totally uninformed about why a procedure is being recommended or how it might help or hurt them.

Chicago-based Emmi Solutions has developed programs used in more than 100 hospitals, including the University of Pittsburgh Medical Center, where Noble had his surgery.

Dialog Medical in Atlanta makes another popular informed consent program, iMedConsent, used by more than 190 U.S. hospitals. It's designed for doctors and patients to go over together. Versions written for patients with a sixth-grade reading level are available.

The Department of Veterans Affairs now requires its doctors to use iMedConsent programs for all procedures needing informed consent. The VA estimates it will receive 2.6 million consent forms this year from patients who used the program.

Dr. Ellen Fox, the VA's chief health care ethics officer, recalls a patient who watched the program with his doctor before having a repeat test to see if his bladder cancer was back. Afterward, the man told his doctor he thought he would be having the same test he had four times before.

It was the same test. "But for the first time, the patient really understood what was going to be done to him," Fox said.

"In order to make informed choices about health care, patients need complete and accurate information," Fox said.

"It is ultimately the patient's choice" whether to have a procedure. It's just that patients may not realize they have a choice. The program helps make that clear, she said.

The University of Chicago Medical Center recently began requiring new patients referred for colonoscopies to watch an Emmi program, with hopes that it will reduce the no-show rate.

Kristen Miller, 29, an online marketer with an intestinal condition called Crohn's disease, watched the Emmi program before she had a recent colonoscopy.

Miller has had previous colon exams and wasn't nervous about the procedure. But for the inexperienced, she believes it would take away "the intimidation factor."

Knowing more about the procedure may make it seem less unpleasant, and better informed patients are more prepared for their treatment, said Dr. Stephen Hanauer, the hospital's gastroenterology chief.

Research has shown that better informing patients about their care also can make them less likely to sue if something goes wrong. Still, it's no guarantee, and computer-based informed consent programs provide an electronic record that gives hospitals extra ammunition against malpractice lawsuits.

When patients watch Emmi programs, stopping and starting them to review information, they create an electronic trail. Hospitals have used that data in court to argue that patients were informed about specific risks because they watched portions of the program where risks were detailed.

Sara Juster, a vice president at Nebraska Methodist Health System, says that feature may have played a role in a patient's recent decision to drop a lawsuit against Methodist Hospital in Omaha.

The patient had sued over a shoulder injury her baby suffered during childbirth, a problem her first child also had encountered. The woman had watched an Emmi program detailing risks for the injury, but claimed she had not been informed, Juster said.

The hospital had electronic documentation, so the woman dropped her suit.

Juster said most of the system's obstetricians give pregnant patients "prescriptions" to watch Emmi programs about labor and delivery. Within the past eight years, obstetrics-related suits against the system's hospitals have dropped by half, from about 12 a year to six.

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Online:

Emmi Solutions: http://www.emmisolutions.com

Dialog Medical: http://www.dialogmedical.com

Foundation for Informed Medical Decision Making: http://www.informedmedicaldecisions.org/

via mercurynews.com

Any questions, please drop me a line.

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.howtostartanursingagency.com
http://www.jocularity.com
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