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Patient safety through patient education in a charity medical program.

As perioperative registered nurses, we tend to think of patient safety as protection from injury immediately prior to, during, and immediately after surgical procedures. However, patient safety extends beyond discharge and is a measurement of how effective patient teaching is in attaining desired outcomes. This article describes the Fresh Start program, the patient population we serve, and our planning cycle. It also describes the use of the "Perioperative Patient-Focused Model" to deliver care and the relationship between patient education and safety. A description of challenges encountered in the clinical setting examines their role as critical factors in the education and safety of patients, and identifies possible ways to address them.

Charities↗
PubMed1980

Altruism and economic behavior: II--private charity and public policy.

The relative advantages of private charitable organizations as against government agencies in achieving efficient redistribution of income and supply of services are examined. Central to this discussion is the elasticity of private giving to tax concessions and the proportion of donor dollars being absorbed in overhead. Recent estimates of these magnitudes are summarized. Of parallel concern is to what extent can reliance on altruism by sellers of goods and services serve as a substitute for government regulations to enforce standards, prices or product disclosures. Finally, the ways in which government can use and encourage private charitable impulse to maximize social welfare are examined; of particular interest here is the literature surrounding Richard Titmuss' work on blood donorship which raises the issue of whether or not extension of markets reduces, rather than extends, individual choice. The growing technological complexities of society, it is concluded, render the altruistic virtues of trust and consideration increasingly valuable-if increasingly rare.

Altruism↗