Patients should feel empowered to speak up if they are not getting the care , they believe they need .”
“ Patients should feel empowered to speak up if they are not getting the care , they believe they need . But an individual patient is likely to feel intimidated in a hospital wearing a johnny ,” Binder says . “ This is why we need support for them including family and professional patient advocates , patient experience surveys that are ideally tied to payment , and places with authority to address problems patients encounter . We are supporting the National Patient Safety Board which will ensure patients have a platform and are listened to when they file complaints .”
Binder reminds us that there are penalties levied for the complications , adverse events , and infections that may result from missed care .
“ Hospitals are financially incentivized by the Centers of Medicare and Medicaid Services ( CMS ) to minimize their complications , adverse events , and infections ,” she says . “ A portion of the hospital ’ s Medicare revenue is at risk associated with the quality of care they deliver . So , hospitals do have both a clinical imperative and a financial imperative , to work to minimize the number of these events . It is inexcusable that for decades , our fee-for-service healthcare system had included perverse financial incentives for errors and accidents that harmed patients . The Affordable
Care Act gave us public reporting on safety by hospital ( for some hospitals ) and modest payment incentives . We could do much more , and we need employers and purchasers , along with third-party payors to be much more aggressive in tying payment strategies that reward excellence .”
References :
Bagnasco A , Dasso N , Rossi S , Galanti C , Varone G , Catania G , Zanini M , Aleo G , Watson R , Hayter M , Sasso L . Unmet nursing care needs on medical and surgical wards : A scoping review of patients ’ perspectives . J Clin Nurs . 2020 Feb ; 29 ( 3-4 ): 347-369 . doi : 10.1111 / jocn . 15089 . Epub 2019 Nov 25 . PMID : 31715037
Recio-Saucedo A , Dall ’ Ora C , et al . What impact does nursing care left undone have on patient outcomes ? Review of the literature . J Clin Nurs . Aug . 31 , 2017 . https :// doi . org / 10.1111 / jocn . 14058
Recio-Saucedo A , Dall ’ Ora C , Maruotti A , Ball J , Briggs J , Meredith P , Redfern OC , Kovacs C , Prytherch D , Smith GB , Griffiths P . What impact does nursing care left undone have on patient outcomes ? Review of the literature . J Clin Nurs . 2018 Jun ; 27 ( 11-12 ): 2248-2259 . doi : 10.1111 / jocn . 14058 . Epub 2017 Oct 16 . PMID : 28859254
Schubert M , Ausserhofer D , et al . Interventions to prevent or reduce rationing or missed nursing care : A scoping review . Journal of Advanced Nursing , 22 Oct 2020 , 77 ( 2 ): 550-564 . DOI : 10.1111 / jan . 14596
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