Patient Safety and Health Care Quality in Vulnerable Hospitalised Populations.

Format:

Book

Author/Creator:

Mikhailov, Theresa A.

Series:

Patient Safety, Risk and Quality Care in Healthcare Facilities: a Practical Guide to Translating Theory into Practice Series

Language:

English

Subjects (All):

Children.

Evidence-based medicine.

Physical Description:

1 online resource (244 pages)

Edition:

1st ed.

Place of Publication:

Academic Press [Imprint] San Diego : Elsevier Science & Technology Books Saint Louis : Elsevier [Distributor] Saint Louis : Elsevier [Distributor]

Chantilly : Elsevier Science & Technology, 2025.

Summary:

This book provides an in-depth exploration of patient safety and healthcare quality in vulnerable hospitalized populations, specifically focusing on older adults and children. It delves into various topics such as pressure injuries, malnutrition, blood transfusion safety, fall prevention, and patient- and family-centered care. The authors aim to translate scientific research and best practices into actionable strategies for healthcare professionals and stakeholders, improving care delivery and outcomes for these at-risk groups. The content is grounded in evidence-based practices and addresses key domains of healthcare quality, including safety, effectiveness, and patient-centeredness, as defined by the Institute of Medicine. This practical guide is intended for healthcare providers, researchers, and policymakers seeking to enhance care in healthcare facilities. Generated by AI.

Contents:

Front Cover

PATIENT SAFETY AND HEALTH CARE QUALITY IN VULNERABLE HOSPITALISED POPULATIONS

Copyright

Contents

Contributors

Preface

1 - Pressure injuries in hospitalized older adults

1. Introduction

2. Population demographics-Overview of the aging population and its growth

3. Aging skin

3.1 Aging effect on the epidermis

3.2 Aging effect on the dermis

4. Understanding pressure injuries in older adults

4.1 Prevalence and incidence of pressure injuries in older adults

4.2 Impact of pressure injuries on morbidity and mortality of older persons

4.2.1 Health-related quality of life

4.2.2 Mortality associated with pressure injuries in older persons

4.3 Impact of pressure injuries on health systems

5. Prevention of pressure injuries

5.1 Risk factors

5.2 Risk assessment

5.3 Skin and tissue assessment

5.4 The SSKIN bundle

5.4.1 Surface

5.4.2 Skin

5.4.3 Keep moving

5.4.4 Incontinence

5.4.5 Nutrition

6. Management of pressure injuries

6.1 Grading

6.2 The TIME clinical decision support tool

6.3 Wound assessment

6.4 Wound cleansing

6.5 Wound management using TIME

7. Tissue nonviable

8. Infection or inflammation

9. Moisture imbalance

10. Edge of wound nonadvancing

10.1 E-Evaluation

11. So, how do I get all this into practice?

12. Summary and conclusion

References

Further reading

2 - Pressure injuries in hospitalized children

1. Current state of pressure injuries in hospitalized children

2. International findings

3. Morbidity related to PIs in hospitalized children

4. Management of PIs in hospitalized children

4.1 Noninvasive treatment strategies

4.1.1 General

4.1.2 Preventing further trauma/progression of PIs.

4.1.2.1 Topical treatment

4.1.2.2 Pressure redistribution

4.1.2.3 Nutrition and hydration

4.1.2.4 Dressings

4.1.2.5 Medical-grade honey

4.1.2.6 Adjunctive therapies

4.2 Invasive treatment strategies

4.2.1 Debridement

4.3 Advances in prevention of PIs in hospitalized children

4.3.1 Assessing PI risk in pediatric patients: Risk assessment scales

4.3.2 General prevention strategies

4.3.2.1 Optimizing nutrition

4.3.2.2 Maintaining skin integrity

4.3.2.3 Repositioning

4.3.2.4 Support surfaces

4.3.3 Preventing medical device-related PIs

4.4 Prevention bundles and quality efforts

5. Impact of PIs on the pediatric health care system

3 - Malnutrition in vulnerable populations: Older adults

1. Prevalence of malnutrition

2. What increases the risk of malnutrition?

3. Morbidity related to malnutrition

4. Malnutrition is treatable but needs a system-wide approach

5. Identifying malnutrition

6. Treating malnutrition

7. Advances in malnutrition care

7.1 Involving the multidisciplinary team

7.2 System level change to implement and sustain best practice

8. Summary

4 - Malnutrition in hospitalized children

1. Introduction: Definition and prevalence of malnutrition

1.1 Definition

1.2 Etiology and chronicity, mechanism, and pathogenesis of undernutrition

1.3 Prevalence undernutrition and risk groups

2. Consequences of disease-associated malnutrition in hospitalized children

2.1 Short-term consequences of malnutrition for pediatric patients

2.2 Long-term consequences of malnutrition for children

2.3 Impact on the health care system

2.4 Economic impact of malnutrition

3. How to identify malnutrition in hospitalized children?

3.1 Diagnostic indicators used to identify pediatric undernutrition.

3.2 Clinical practice approach for identifying malnutrition in hospitalized children

3.2.1 Step 1: Nutrition screening

3.2.2 Step 2: Routine anthropometric measurements

3.2.3 Step 3. Subjective Global Nutritional Assessment by a dietitian

3.2.4 Additional steps

3.2.4.1 Additional bedside anthropometric measures

3.2.4.2 Functional measures such as hand grip strength

3.2.4.3 Nutrition-focused physical examination

3.2.4.4 Complete nutritional assessment by a dietitian

4. Management of malnutrition in hospitalized children

4.1 Management of malnutrition

4.2 Treatment

4.3 Prevention

4.4 Discharge and follow-up

5. Malnutrition care in hospitalized children: current status, recommendations, and recent advances

5.1 Status of malnutrition care-barriers to adequate screening, assessment, and management

5.2 Recommendations

5.3 Recent advances

Appendices

Appendix A: Nutritional screening tools (Hulst et al., 2010

White et al., 2016)

Appendix B: Practical tips on obtaining routine anthropometric measurements

Appendix C: Interpretation of growth charts

Appendix D: Subjective global nutritional assessment form

Appendix E: Nutritional care pathway-example

5 - Transfusion of blood products in hospitalized patients

2. Blood components

3. The transfusion process

3.1 Donation qualification

3.2 Donor preparation

3.3 Blood component collection

3.4 Donation testing

3.5 Component labeling

3.6 Component processing and manufacture

3.7 Pathogen reduction

3.8 Ordering a transfusion

3.9 Pretransfusion testing

3.10 Transfusion of recipient

4. Transfusion safety and quality management

4.1 Principles of transfusion safety

5. Transfusion-associated adverse events

5.1 Transfusion adverse reactions

5.2 Preventable TAEs.

6. Mitigation of TAEs

6.1 Product modification

6.2 Patient blood management

6.3 Role of hemovigilance

6.4 Vein-to-vein databases

6.5 Management of preventable TAEs

7. Quality and transfusion

8. Summary and key points

6 . Prevention of falls in hospitalized older adults

1. Frequency and burden of falls in hospitalized older adults

2. Evidence and practice: Changing approaches to fall prevention

3. (In)Effective use of data for inpatient falls prevention

4. Translating evidence into practice

5. The uneasy relationship between preventing falls and restrictive practices

6. Conclusions

7 - Patient- and family-centered care in hospitalized children

1. Patient- and family-centered care

2. Key principles and benefits of PFCC in hospitalized children

3. Key principles of PFCC in pediatrics

4. Integrating PFCC into the care of hospitalized children

5. Examples of initiatives promoting PFCC in the pediatric inpatient setting

5.1 Family centered rounds

5.2 Telehealth

5.3 Inpatient portals

5.4 Hospital to home transitions

6. Evaluating and improving PFCC in the hospital

6.1 Measuring progress

6.2 Engaging patients and families in improvement and innovation

7. Future directions and considerations

8. Guidelines for international PFCC policy development

9. Conclusion

10. Summary of key points

Index

Back Cover.

Notes:

Description based on publisher supplied metadata and other sources.

Part of the metadata in this record was created by AI, based on the text of the resource.

Other Format:

Print version: Mikhailov, Theresa A. Patient Safety and Health Care Quality in Vulnerable Hospitalised Populations

ISBN:

9780443289644

OCLC:

1519829048