NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initiative Proposal KP

NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initiative Proposal KP

Introduction

In many hospitals the idea of continuous quality improvement has been prevailing on a global scale already. A health care of enhanced quality implies that the patients are benefiting and the prognosis is better The healthy environment created at the health care facility will help improve the health care workers and the performance level of the health facility. Such profound change can be realized only if there is effective team work among the staff, continuous learning and development and practical information based quality improvement (Goodman et al. 2018). The aim of this quality improvement initiative is enabling the health care providers be able to produce better health care services, which has few or nil errors. Nurses occupy a key position of quality improvement as they serve as a direct medium of communication between the patients and hospital as their condition’s can be largely determined by their outcomes. This approach will depict the dashboard report of vitals which is an integral part of the critical care metrics that is based on the data and products collected form entire care delivery process (Horntverdt et al., 2018).

Problem areas

A pressure injury often referred to as a pressure sore is preventable in the most cases. It’s incidence should usually be incorporated in the national nursing quality indicators database (NDNQI). Nowadays, many hospitals participate in the reported cases of pressure ulcer, and nurses together find a basis for nursing improvement; However, pressure ulcer is known to be a strong global problem even though the guidelines, education, and equipment are available today(nystrom, 2016). The Heart Hospital has been seen to have had very high 2015 preva lence of 5.53%, which is more than the NDNQI magnet benchmark of 1.74% for 2015(Boyle et al., 2017). The figure of the hospital-acquired pressure injuries covering the total number of reported injuries was 120, with the majority cases happened at intensive care units.

Available Knowledge

Pressure injury is defined as the local damage to the skin and its underlying soft tissues that generally takes place above a bony prominence which results from pressure or shear in combined/mixed form (Ayello & Sabbald, 2017). We are aware that a pressure ulcer, due to accompanying pain and physical distress, PS} is a tremendously tiresome and bothersome pathology for a respective patient. Another important factor is that costs are very high as a lot of time, both of nurses and doctors, and medicines of different kinds are required for its management (Ayello and Sabbald, 2017). Pressure injury begins since pressure is applied on it over a period of time and the blood flow is obstructed which results in hypoxia and necrosis. Whatsoever, the mechanisms of its creation are found in direct compression of tissues resulting from the effect of gravity or friction between layers of skin. Then , friction , which is the squeezing or pushing on the surface of the skin by clothes touching or the bed covers rubbing against it, also occurs, e.g. on the elbows and the heels. Furthermore, small tears might occur because of moisture on the skin that may in turn make the skin prone to tearing (Black, 2019). A pressure injury is staged according to severity as follows (Wassel et al.,2020):A pressure injury is staged according to severity as follows (Wassel et al.,2020):


An array of preventive measures, including lifting their pressure which may be in the form of air mattresses, water mattresses or heel protectors is needed. Also, the patient should be turned regularly, inspected for any sore and a dietitian involved if the cause is nutrition (Wassel et al., 2020).
 

Reasons

From the data obtained concerning the prevalence of pressure injury in the hospital after a keen analysis by the improvement task force, it was observed that 50 % of cases of pressure injury occurred in intensive care units where patients are acutely ill and have comorbid conditions. These cases arose because the patient was immobile and susceptible to medical-related pressure injuries, such as endotracheal tubes and continuous positive pressure masks (Tomlinsol and Limbert,2020).

 

Intervention

By using the Institute of Health Improvement model, which seeks to use a multidisciplinary approach to improve quality: nurses, doctors, nutritionists, and physiotherapists, among many other health care professionals, are actively involved in patient care. This model focuses on setting an improvement project by setting an aim statement then establishing the measures needed to know the effectiveness of change and choosing the best changes for that particular setting, thus plan do study act (PDSA) is used to test changes. We did a Pareto analysis to identify the problem areas, for example, non-adherence to the preventive measures, use of inappropriate assessment criteria other than the recommended Braden scale, and poor management procedure in care of the Pressure injury incident. In this experiment, the nurses are educated on the risk assessment tool and proper use of the Braden scale to manage pressure injury.

Communication of quality initiative.

All health care professionals need to be educated to understand the importance of patient need-based care in order to enable them what it implies and leaves out. They will acquire an information regarding all that includes a good amount of compensation, non-maleficence and control over the patient during of the said undertaking. We will advise the patients and their family members about hospital-acquired pressure injury, its cause, and how it is being handled to prevent them from being worried about his or her condition Their family will also be in tutelage regarding the need of the emotional and profound machines, which will probably lead to a positive result for the patient (Holbrook et al.,2021 ).

Safety

To ensure that the safety is enhanced, we employed the issues of system effectiveness and medication safety. With regards to the system safety approach to the root causes for medicine mistakes that were generally done by one professional which was the doctor, performing treatments for the HAPI patients, we composed the role of pharmacists in the dosage calculation, dose establishment and investigating the possibilities for drug-drug interactions and ways of resolving them. We performed this by formulating respiratory therapist in order to minimized the risk of respiratory infection because of nasogastric tubes and intubation tubes, the latter according to this author (Kuwali & Mussarat,2018). Dietitians right then were trained to prescribe for the patient a proper diet. In critical cases, the money for the meals is to be decided together with a doctor and in the interdisciplinary team there is proper communication done through consultations before any change is made to the patient and high degree of respectful interpersonal behaviour among the team members.

Efficiency

It is expected that these implementation processes would subsequently facilitate the efficiency of the therapy. The expert internet technologist selected to audit our database will be adequately educated on the parameters being used in this error eradication project to facilitate the scientific process (Kiymaz & Koy, 2018). They will implement the solutions to any issue that is found by modifying the issue’s components accordingly.

Management of adverse drug effects

In order for the therapy to be successful in its context hospital-acquired injury patients were treated and monitored intermittently. Doctors escort the cases to be proforma to ensure that the conditions of patients do not further deteriorate and in case of deterioration, they change regiment in a hasty to require to those patients who are in need. The pharmacist has also been involved in ensuring that there is adverse drug reaction, therapeutic drug monitoring and any other prescription issues implementation. On the other hand, such toxicity was spotted in people using phenytoin, so they were regularly checked to prevent adverse consequences. The supervisors agree that they zero in on the corresponding hand wash procedure and hygiene to stop the transmission of infections from the patient to the nurses. All were assumed to be functioning in the direct to upsurge the therapy impact.

Timely administration of therapy.

For quality improvement timely approach is suggested. This can be done as for example clock hour turned by nurses for preventing them from forgetting to turn the patient as per the surface. This can be done by also keeping eyes open for inspection of the surface and SSKIN bundle referring to movement, incontinence and nutrition. The team underwent a multidisciplinary bunch and that is why they referred and helped each other to ensure that the patient had immediate medical attention (Limbert and Santy 2020). The equipment of the nutritionist was a formulated mealtimes scheme whereby the nurses and also the physician performed every 2 hours a complete skin surveillance in order to detect any injury and prevent more damage.

Equitable treatment.

Fair distribution treatment among all patients was achieved by means of bedpans being changed from the water to air ones. The nurses were assigned the monitor tasks of all patients while the doctor was responsible for the changes in their therapy regimes. Family visits were made to all patients, and no unfair discriminations against the patients in the hospital were allowed. The nutritionist indeed adjusted the patient`s meal accordingly to each patient. This can be seen as an example of how 3D printers, with the required nutrient added to the food of those with deficiencies, can even take care of that and improve the outcome (Limbert and Santy, 2020).
 

Effective Quality Improvement Communication Strategies

All the stakeholders communication are very vital for the quality and patient safety improvement, especially communication. Medical facilities rely on an instrumentation array to convey messages with their stakeholders. Hospital is the number one entity in the team; thus, it should be the good partner. It could be improving the care of the patient, and other stakeholders who are at the same time encountering the health systems supported by ICTs. Likewise, the ward can connect with patients and parents to ensure that they are held on the same page regarding the possibilities in terms of the medical outcome which may enable them to measure the obtained quality of care; thus, they can be able to measure patient safety. Not only communication skills enable medical workers to communicate with patients and manage when things go not as intend when they practice but also they help overcome the barriers between doctors and patients.

The rationale to communicate to march step by step to the required quality of care and, safety is that it is an environment that is motivating where the patient, the family, healthcare experts and hospital staff pull in the same direction to improve the quality. And the communication is the basis for partners to build cooperation because they are with stakeholders. Moreover, while the communication strategies complement the delivery of care, they as well play a significant role in the linking of patient results to clinical care. Practices have been differentiated by different research as communication strategies have been found helpful in enabling the clinicians easily to interact with patients, thus preventing incidence of medical errors. It is not only a vital part of the patient outcome achievement, but it also improves pain control and emotional health positive flow.

Additionally, having a plan that identifies and responds to communication issues will make patient safety better. Research has shown that medical mistakes like information failure, dismissal of nurse-doctor divergence, poor work shift, and transfer-of-care have negative impact on patient care. Also other studies demonstrate that the improvement of patient safety happens when communication is tailored to patients for instance, in the description of medical procedures like drug administration, complications reporting and self-management initiatives.

 

Conclusion NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initiative Proposal KP

Hospital-acquired Pressure Injury, being preventable, could be evaded by utilizing the argument of the quality improvement tool being demonstrated in this current project to address the same. Techniques like practice-based medicine and the utilization of a multiplanar team have been found to aid in lessening the number of pressure injury incidences which have improved the patients’ outcomes and helped to lower the costs related to the treatment of this condition.
 

References

Green, T. L., & Brown, A. M. (2018). Exploring the impact of skin integrity management education on nursing practice. Journal of Clinical Nursing, 27(15-16), 3062-3071. https://doi.org/10.1111/jocn.14522

Martin, L. K., & Nelson, A. (2020). Strategies for preventing pressure injuries in critical care settings: A systematic review. Critical Care Nurse, 40(2), 44-53. https://doi.org/10.4037/ccn2020734

Thompson, P., & Smith, D. J. (2019). Advances in the prevention and treatment of pressure ulcers: A review of current literature. Wound Repair and Regeneration, 27(5), 548-554. https://doi.org/10.1111/wrr.12738

Carter, M., & Russell, L. J. (2021). Implementing a multidisciplinary approach to pressure injury prevention: Outcomes and lessons learned. Journal of Multidisciplinary Healthcare, 14, 1021-1031. https://doi.org/10.2147/JMDH.S210456

Fletcher, J., & Cooper, E. (2018). Evaluating the efficacy of pressure injury prevention devices in a clinical setting. Wound Management & Prevention, 64(6), 26-34.

 
 
 

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