The current death rate among the low mortality diagnosis-related groups (DRG) in every one thousand hospital admissions is 0.52, having a numerator of 1,071 and a denominator of 2, 048.516 (Mathematica, 2020). In this case, the patient indicator is PSI 02. The death rate among the surgical inpatients suffering from serious treatable health complications per 1000 hospital admissions is 143.41, with a numerator of 35,086, a denominator of 244,657, and a patient safety indicator of 4. Also, the death rate among surgical patients who are suffering from treatable severe complications stratum and, in this case, deep vein thrombosis or pulmonary embolism in every 1000 admissions is 44.77 with a numerator of 1,333 and a denominator of 29,777 (Mathematica, 2020). In this case, the patient safety indicator is 4 DVT PE.
The mortality rate in patients suffering from treatable severe health conditions stratum, Pneumonia, in every 1000 hospital admissions, is 88.51 with a numerator of 9,559, denominator of 107,998, and a patient safety indicator of 4 Pneumonia (Mathemetica, 2020). Furthermore, the death rate of individuals suffering from severe complications stratum, in this case, Sepsis in every 1000 hospital admissions is 216. 11. In this scenario, the death rate has a numerator of 11,112 and a denominator of 51,419, and a patient safety indicator of PSI 04 Sepsis. Among patients suffering from severe treatable complications, shock, or cardiac arrest in every 1000 hospital admissions is 325.89, a numerator of 11,362, a denominator of 34,864 (Mathematica, 2020). Patients suffering from the severe treatable stratum of gastrointestinal Haemorrhage or server ulcers in every 1000 hospital admissions are 325.89.
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Several approaches and considerations have been adopted to manage the above severe illnesses to minimize their mortality rates (Jha, 2018). For example, in the management of deep vein thrombosis (DVT), medical interventions have been made in the past. For example, the introduction of heparin in the 1930s significantly helped manage DVT (Jha 2018). Heparin drug played a significant role in the anticoagulation of the blood. Other types of medical supplements have also been used over the years, such as vitamin K. Several other attempts have been made to treat Pneumonia, such as the use of rabbit serum. The rabbit serum was obtained through the process of inoculating the rabbits using pneumococci. These attempts took place in Germany.
Another attempt took place involving the application of serotherapy against pneumococcus. The intervention came to reality due to the efforts made by Rufus Cole and his colleagues at a hospital in the Rockefeller Institute (Wadhera et al., 2018). The introduction of the anti-pneumococcal serotherapy proved to be quite useful in the management of acute Pneumonia. Management strategies have also been initiated in the past to minimize the deaths caused by the progressive injurious process caused by inflammatory responses to infections, a condition known as Sepsis (Teh et al., 2018). Interventions have been made to boost the efficiency of the identification and management of Sepsis. Volume resuscitation is one of the best methods that have proven to be effective in treating Sepsis.
There are several strategies I would advocate to reduce patient mortality in hospitals due to Pneumonia, deep vein thrombosis complications, Sepsis, and other potentially dangerous health complications. I would support hospitals to use disease-specific focus on minimizing in-hospital mortality. Although this strategy may seem quite obvious, it is never used. The method can effectively work when healthcare professionals and risk management teams identify a particular infection's dynamics to design ways to mitigate the causes. For instance, this method can help the professionals determine whether the cardiac condition's root cause is an unhealthy lifestyle or other substance abuse factors. I would also advocate for the establishment of rapid patient emergency teams. The emergency response team ought to contain nurses, respiratory therapists whose job is to evaluate patients taken to hospitals with deteriorating health. Such units will need to be very flexible so that health institutions can dispatch them within a given location in a short time. Also, the teams need to be highly skilled in matters to do with patient care. They ought to have the capacity to assess and stabilize a patient, or even if it is necessary, they transfer the patients to the ICU as fast as possible.
There are several essential steps that I would take to teach other individuals about my strategic plan to resolve the problem of high mortality rates among patients. First, I would adopt a peer education program to explain to my colleagues the benefits of my plans and how effective they are in mitigating the adversities of the chronic illnesses mentioned above. The peer education program would also entail creating public awareness on matters regarding the elderly's end-of-life planning of the elderly. They are the most vulnerable members of society. The second step that I would adopt is to create awareness of the importance of establishing in-hospital emergency care teams. In this case, I would inform them of the critical roles that such teams play in saving lives among patients suffering from various health complications in hospitals.
Lastly, assessing my strategy's effectiveness would play a significant role in assisting me in informing on future decisions. I would conduct an assessment by comparing the observed patient outcomes and the results I expected while designing the strategies before implementing them. To perform an adequate evaluation of my approach's effectiveness, I would make fair use of the available routinely collected data for evaluation. Although this method of assessment will be useful, there are a few challenges associated with it. One of the significant challenges is that analyzing the data may be difficult since there is a wide range of arrays of methodological literature that can complicate data analysis.
References
Jha, A. K. (2018). Death, readmissions, and getting policy right. JAMA Network Open , 1 (5), e182776-e182776.
Mathematica. (2020). Patient Safety Indicators, Benchmark Data Tables. Princeton, NJ, 08543-2393
Teh, W. H., Smith, C. J., Barlas, R. S., Wood, A. D., Bettencourt‐Silva, J. H., Clark, A. B., ... & Myint, P. K. (2018). Impact of stroke‐associated Pneumonia on mortality, length of hospitalization, and functional outcome. Acta Neurologica Scandinavica , 138 (4), 293-300.
Wadhera, R. K., Maddox, K. E. J., Wasfy, J. H., Haneuse, S., Shen, C., & Yeh, R. W. (2018). Association of the Hospital Readmissions Reduction Program with mortality among Medicare beneficiaries hospitalized for heart failure, acute myocardial infarction, and Pneumonia. Jamal , 320 (24), 2542-2552.
