The Medical Hand-Off: When to Beware

The Medical Hand-Off: When to Beware

What is often a hand-off? It’s every time a patient transfers from one set of choice to another. Common these include:

nursing where you can hospital (and back again)  hospital to rehabilitation facility  hospital to hospice care

Thousands upon a huge number of patient transfers occur daily. Articles inside the Wall Street Journal yesterday quoted the President from the organization that accredits hospitals and other health care facilities (The Joint Commission) as stating:

There are 4,000 hand-offs a day in the typical teaching hospital. If 90% go flawlessly, that’s still 400 failures each day.

The Joint Commission collaborated with 10 hospitals and systems that volunteered to participate in inside a project led with the Commission and located that transfers were defective 37% of the time. So if I do the math here, a teaching hospital which has 4,000 hand-offs a DAY could be from the average to have 1480 flawed communications PER DAY when transferring care into, or away from, a medical facility setting. Houston, we have a problem! Within the Journal article is often a link to the chart from the Commissions’ Report that documents the validated root causes for hand-off communication failures. There are 4 causes (from 20) that were identified that jumped out at me. Three in the 4 were reported by 7 of the 10 participating hospitals:

Culture will not promote successful hand-off, e.g. lack of teamwork and respect  Expectations between sender and receiver differ, Sender, who may have little expertise in a patient, is handing off the patient to receiver

The 4th one was validated at everyone with the 10 hospitals. These are not small, the community includes Johns Hopkins, Mayo Clinic, NY Presbyterian, and Massachusetts General. The most common source of hand-off failure was:

The sender provides inaccurate or incomplete information, e.g. medication list, …

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Finding a Good Weight Loss Help Site

Finding a Good Weight Loss Help Site

Finding a good weight loss help site is important to your success in losing weight and will determine the level of loss that you experience. When you have good information at your fingertips it can help you learn tricks for losing the weight and keeping it off.

These sites also can give you some ideas of different diets, recipes, exercises and diet aids that you might not already know about. Perhaps one of the best benefits that you can get from a good weight loss help site is support from other members and a way that you are held accountable for the loss of weight goals that you have.

Finding a Good Weight Loss Help Site

It is a good idea to think about what you want from a website that is dedicated to weight loss before you go looking for one. Some sites available are dedicated solely to one aspect of weight loss, and health aspects, while others focus on a variety of things that will help you reach your goal. Others are focused on reviewing different products so that consumers can find those products that work best for them.

The best websites are those that are a combination of all of these, helping you find those products that will work best for you, give you tips on exercise and healthy eating and help you keep track of how much weight you have lost. With a good site, it is very possible to realize all of your needs and find the support that you need to succeed.…

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Dental Implants Information To Help You Decide

Dental Implants Information To Help You Decide

There are a variety of reasons for missing teeth. Birth or congenital defects, an injury, tooth decay, failure of a root canal or gum disease are the the most common. Here is some dental implants information to help you decide if they are something you might be interested in. This procedure is the total replacement of missing teeth with artificial replacements. They can also be used to stop or prevent the deterioration of the jaw bone. The procedure is a form of prosthetic and, at the same time, is also is a type of cosmetic dentistry.

Unlike bridges, this procedure actual embeds an artificial root into the jaw bone. This lends a high degree of strength and durability to the prosthetic teeth. This fact makes this procedure the most functionally effective among all treatments. This is the closet thing to your original teeth. You can eat and chew whatever you want. You have none of the problems that occur with a bridge.

The process is started with an initial consultation where x-rays are taken which will allow the dentist to evaluate the structure and strength of your jaw bone. There will be many measurements to calculate the exact location of it. Your dentist will interview to find out about your oral hygiene habits. This procedure will require a commitment to take good care of your teeth after the procedure.

The actual procedure works like this. A hole is carefully drilled into the jaw bone. A titanium screw is inserted into the hole. Gum tissue is covered over the hole and a second protective screw is placed over the hole. It will take up to six months for this to heal completely.

After the screw has fused to bone and the healing is totally complete the gum will be …

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Clear the Clutter and Reclaim Your Life!

Do you feel disconnected, confused, alone and disorganized? Do you feel unloved,afraid and unappreciated? Now is the time to get in touch with your best self and with your family. Get rid of the stuff that makes you feel disorganized, disturbed or disconnected. Take a one week challenge to strip down of all that clutters your life and get the connection back. Rules to clearing the clutter and reclaiming your life:

No communication through cell phones, Skype or any other electronic way for the duration of your challenge

  • No watching Television, or use of the computer, iPods or any other electronic gadgets.
  • Sit down for meals together with your family
  • Tell at least one member of your family how much you appreciate and love them.
  • Do an activity as a family together
  • Set aside time to do all your laundry and clean out the garage.

Sorting out the mess in your house together can elevate the tension and stress that exists. You also get to spend quality time together as a family. Preparing healthy meals and sitting down to eat together enables your family to reconnect as well.

People mistakenly think that feeling their time with emails, Facebook, Twitter and texting is connecting yet it is completely the opposite. I put myself in this category as well. Lately, I have found myself always texting, “Facebooking” and “tweetering” a lot and I challenged myself to follow the rules of de-cluttering and reconnecting with my family. We have to strip ourselves of the superficial in order to get back in touch with our inner selves and our families. In the end you will realize how much simpler and beautiful life can be. You will be able to communicate that much easier with your spouse and your children because you will …

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The Benefits of Whey Fasting

Are you looking for a whey (pardon the pun) to spike your body’s protein levels, drop a great deal of fat and water, and embark upon a sort of “cleansing phase”? If so, whey fasting might just be right for you! It involves the consumption of a great deal of water and whey, along with some fast burning carbohydrate sources like fruit and vegetables. Meat and starchy carbs are off the menu.

You’ll need to schedule this fasting for a time where you have a little bit of freedom. Your body might react in an odd way to the sudden influx of whey protein, and it might not be a positive thing until your digestive track adjusts to it. Fasting is a common practice in many cultures for religious purposes. It allows the person to remove toxins from the body, as well as clear the intestines of built up waste. Many people also experience a spiritual awakening as their bodies face this change.

Each meal should consist of two scoops of whey protein, along with a good, clean carbohydrate source from the fruit or vegetable family. Eat another meal every hour if you’d like. Whenever you’re hungry, go for it again. You’re essentially ‘grazing’, or eating small amounts of protein all day along with a carb source for fiber and energy. Whey protein is a wonderful thing. It’s healthy and contains a wealth of vitamins and minerals, and is an excellent source of complete proteins. Most bodybuilders, strength trainers, and athletes around the world use it regularly to fuel their workouts and recovery.

Be prepared for hunger pangs. Take additional supplements to assist with any shortcomings from your current consumptions. A good multi-vitamin, vitamin B,C,E, and fish oil capsules should be adequate. You may need to cut back …

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