Assuntos
Atitude do Pessoal de Saúde , Docentes de Enfermagem , Narração , Filosofia em Enfermagem , Valores Sociais , Estudantes de Enfermagem/psicologia , Altruísmo , Bacharelado em Enfermagem/normas , Conhecimentos, Atitudes e Prática em Saúde , Humanismo , Humanos , Papel do Profissional de Enfermagem , Relações Enfermeiro-Paciente , Pesquisa em Educação em Enfermagem , Defesa do Paciente , Autonomia Pessoal , Guias de Prática Clínica como Assunto , Competência Profissional/normas , Justiça Social , Ensino/normasRESUMO
Nursing care management has become a popular method to integrate health care systems with goals of decreasing costs and improving quality. As high-risk pregnancies and newborn intensive care unit (NBICU) costs generate some of the highest costs in health care, care management has been a strategy introduced in perinatal medicine to accomplish the same goals. Consistent with other areas of nursing, perinatal care management currently has no agreed upon model of practice or method of evaluating how and whether the goals have been achieved. The purpose of this project was to evaluate various perinatal care management programs found in the literature. Electronic and manual searches of current data were performed locating 31 relevant articles. From these articles, nine met the inclusion criteria and were reviewed. While some care management programs were able to decrease costs and improve outcomes, other programs did not. There are possibly two reasons for the varied results in the literature. The first is that there are differences in program designs, decreasing the likelihood of identifying specific interventions that can make a difference. Second, thus far researchers have used ineffective study designs in evaluating care management programs. More research needs to be completed before a conclusion can be drawn whether perinatal care management can decrease costs while improving quality.
Assuntos
Administração de Caso , Prestação Integrada de Cuidados de Saúde/organização & administração , Enfermagem Materno-Infantil/organização & administração , Assistência Perinatal/organização & administração , Análise Custo-Benefício , Feminino , Humanos , Terapia Intensiva Neonatal , Avaliação de Processos e Resultados em Cuidados de Saúde , Gravidez , Gravidez de Alto Risco , Avaliação de Programas e Projetos de SaúdeRESUMO
Medical errors have received a great deal of attention in recent years. The phrase medical errors is an umbrella term for all errors that occur within the health care system, including mishandled surgeries, diagnostic errors, equipment failures, and medication errors. This article is a review and discussion of the literature on the scope of medical errors, with a focus on drug-related problems and medication errors. Cost and quality ideas for addressing these issues are provided.
