Essays on Rounds

Executive Summary: Eliminating Discharge Delays

Executive Summary: Eliminating Discharge Delays Bed capacity has emerged as a critical issue in hospital quality management with evidence indicating that inefficient discharges contribute to slow care and patient flow while further increasing costs. Changes made to the prospective payment system by Medicare in recent years have increased pressure on hospitals to cut costs through, among other ways, reducing patient length of stay (LOS) (El-Eid et al., 2015).

‘Eliminating discharge delays’ is a quality management project that focuses on reducing patient length of stay and as such improving hospital throughput. The project entails implementation of several strategies that collectively ...

Abstract

Numerous attempts to reform health care in the United States on the federal level have been made since the 1930s, but differences between each state represent a significant barrier to every previous federal health care reform. In 2010, the Affordable Care Act (ACA) was signed into law, but the current implementation and effects of the law are not the same across different states. The purpose of this paper is to compare and contrast the effects of the health care reform in California and Florida, as well as the positions of the two states. It was found that the insurance ...

Question1

Some of the most important concepts from the first few pages of Nash’s 1950 paper describe the following: The sets in the Nash combination only overlaps once and in that particular outcome. The next concept is that for the outcome to stabilize, it must be the best for each member, meaning that each should give their best move expecting the best results and outcome. All the strategies in the game that give each player the same chances of winning is the equilibrium point. It must give a mutual chance for each player to win and have an advantage ...

Nursing

Introduction The term management and leadership are often interchanged and interpreted as the same, but that is not always the case in nursing profession. This is because not every nurse can be considered as a good leader, and the same can be said about nursing leaders that are not necessarily managers. Primarily, a nursing manager holds the decision-making power in assigning organizational position, and is expected to carry out control over specific duties and processes. On the other hand, leaders may not have the same authority as managers, but the power that nursing leader posses is inherited from their ...

Introduction There is plentiful evidence that America needs stronger and more comprehensive gun control laws. There have been hundreds of thousands of shooting deaths in the United States since the 1990s, when the gun control laws were supposedly strengthened. Mass shootings have been going on for years, at schools, churches, shopping malls, theatres, and other public places. These mass shootings are usually caused by high caliber firearms that pose an overt threat to public safety. There has been a documented increase in the number of women in domestic violence situations who have been shot to death in the last ...

M.K is a female, 45 years old with 5.5” height and 225 lbs. weight and has a history of smoking for 22 years and poor diet. The history of Type II diabetes mellitus and primary hypertension is also observed with the recent diagnosis of chronic bronchitis. She has been observed with chronic cough with sputum, light headedness, excessive peripheral edema, distended neck veins and increased urination during the night. She has been using the medications comprising of Lotensin and Lasix to treat hypertension and Glucophage for diabetes mellitus.

Vitals and Lab Results

The patient is observed chronic cough with sputum and the cough ...

Should the sale of semi-automatic weapons to civilians be banned? This is a huge question in politics at the moment. It is also a topic that most politicians like to avoid or give patented answers to. This is because they are trying to avoid distancing the NRA and 2nd amendment enthusiasts. This paper will argue that civilians should be banned from purchasing and owning assault weapons. Gun advocates argue that the second amendment and the right of citizens to “keep and bear arms”. This ensures that everyone has the right to own and use a gun. This means that ...

Introduction

The Oxford English Dictionary has myriad definitions for the word ‘cool,’ from the conceptual physical sciences where cool means lower temperature, to its cultural connotation where cool means “restrained and relaxed,” such as jazz, and “fashionably attractive or impressive,” which could be a person, trend, habit, or behaviour. If one means pop culture, then it's harder to define what is cool, because the pop culture is broken up into subcultures, each with their own definition of cool. One cannot look at the current age with the same perspective as you look at previous ones. There are reasons for this. ...

One of the oldest sports is considered a fistfight. Even in ancient history in the era of the ancient Greeks during the Olympics athletes competed in the pankration, which is how they called their fist fighting competitions. Fist fights in a modern understanding are mixed martial arts or MMA (Mix Martial Arts), and not boxing, as the two are often confused.

Slide 2

Since the antique times MMA lost its glory and popularity. Is place was taken by what e now perceive a traditional boxing, kick-boxing, judo, taekwondo, and other types of martial arts. For a long time MMA was in ...

The EBP process is accomplished to the fullest when the recommendations and the evidence are utilized to cause a change within the organization. The EBP process is the interplay between research, education and practice and therefore forms a core for the implementation and adoption of change within an organization. It is the process that offers a viable plan to accomplish a change in respect to a particular research question or problem that has been identified within the setting (Dearholt & Dang, 2012). EBP is concerned about the specific interventions to a specific situation based on tangible evidence and data as ...

Public goods game: a group of people play a public game which is based on voluntary contribution mechanism (VCM). VCM is the game in which subjects have a certain amount of endowment (20$ in this study) and decide to allocate the endowment between public account and private account. The contribution to public goods is multiply with marginal per capita return. Marginal per capita return is the ratio of benefit to cost if people decide to give 1$ from private account to public account. An outcome of each player is:

In which ei is the endowment of each subject ci ...

Introduction

Sharp Park, which is named after George Sharp, has a long, rich history. Mr. Sharp owned a more than 400-acre estate that he established with a vision for the San Francisco residents to enjoy recreation in a natural setting. When he died together with his wife, the property was left to the San Francisco City Council under strict instructions that it would only be used for recreational purposes. Sharp Park is in California off Highway 1 along the Pacific Ocean, San Francisco. It has existed since 1917; the golf course was established in 1930s. In 1941-internment camp was established ...

HCPM 341

Introduction Practice management is one of the least popular jobs among medical practitioners, probably because it leans more on the field of management than in the medical practice itself (Aluise, 2012 p.142). However, done correctly, the organization will produce the profit that is needed in order to continue providing excellent healthcare services to patients. In managing the multi-specialty group of six doctors and three mid-level providers, I will employ planning, organizing, staffing, controlling, directing, and decision-making. Planning is probably the most important of these six elements because without it, there is no order. Even if there are duties and ...

Dante’s Inferno presents an allegorical biography of Dante’s effort to conquer sins and enjoy God’s love. The author of this compelling book presents the idea of Hell by explaining nine different circles. The levels descend towards the depth of the hell the (9th level), the circle inhabited by the devil himself. Each circle is a reserve for particular sinners. Furthermore, different punishments are administered at each level. The nature and extent of the sins committed define the magnitude of the recommended punishment. The higher the severity of the sin the lower the circle in which one ...

Lightweight block ciphers are cryptographic primitives that are considered to be easy on the computer resources. The structure, block size and the number of rounds of the algorithms allow faster execution with little demand for the computing resources. On the hardware lightweightness is measured based on the execution latency, the bandwidth on communication channels and the amount of energy the computing device requires for execution of the algorithm. Demand for lightweight algorithms in cryptography has been increased by the need to provide security for the upcoming pervasive information Technology Landscape which is highly dependent on small and cheap devices. ...

Introduction and Statement of the Problem

Bedside shift reporting occurs as one of the most pertinent concepts in the context of health care. This can be attributed to the colossal role it plays in enhancing the process of care for patients. The core essence of bedside shift reporting entails the fact that it identifies all the care accorded to patients by nurses in the previous shift. As such, it offers a means through which patient care can be continued in a coherent manner. Despite the significant evidence that points to the fact that bedside shift reporting is important in patient care, it is yet to ...