Reducing Patient Falls & Improvement Plan Presentation

Reducing Patient Falls & Improvement Plan Presentation ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Reducing Patient Falls & Improvement Plan Presentation Develop a presentation, augmented by 12–15 slides, for administrative leaders and stakeholders that outlines your plan to develop or enhance a culture of quality and safety within your organization or practice setting. Reducing Patient Falls & Improvement Plan Presentation .docx _cont.doc _cont..doc _cont.doc Continuation of last assignment Develop a presentation, augmented by 12–15 slides, for administrative leaders and stakeholders that outlines your plan to develop or enhance a culture of quality and safety within your organization or practice setting. As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment. • How might you engage stakeholders to help develop, implement, and sustain a vision to actually change and improve patient outcomes? • What arguments might be most effective in obtaining agreement and support? • What recommendations would you make to implement a proposed plan for change? preparation The report you completed in the previous assessment has convinced the executive leadership team of the benefits to the organization of taking the next step toward changes aimed at improving outcomes and cultivating a culture of quality and safety. You have been asked to follow up your report with a presentation to administrative leaders and stakeholders that outlines your plan to develop or enhance the organization’s culture of quality and safety. Developing the Presentation. Reducing Patient Falls & Improvement Plan Presentation • Summarize the key aspects of a plan to develop or enhance a culture of safety. • Identify existing organizational functions, processes, and behaviors affecting quality and safety. • Identify current outcome measures related to quality and safety. • Explain the steps needed to achieve improved outcomes. • Create a future vision of your organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role in developing that potential. Patient-Centered Health Care Concepts • Patient-Centered Rules to Improve Quality of Care | Transcript. • • This short interactive exercise provides a useful summary of patient- and familycentered health care concepts. What Happened to Josie? | Transcript. • This short video offers a tragic reminder of the urgent necessity of improving patient safety. • Medina, M. S. & Avant, N. D. (2015). Delivering an effective presentation. American Journal of Health-System Pharmacy, 72(13), 1091–1094. doi:10.2146/ajhp150047 • Shepherd, M. (2006). How to give an effective presentation using PowerPoint. European Diabetes Nursing, 3(3), 154–158. Planning for Change— A Leader’s Vision Scoring Guide CRITERIA NONPERFORMANC E BASIC PROFICIENT DISTINGUISHED Summarize the key aspects of a plan to develop or enhance a culture of safety. Does not summarize the key aspects of a plan to develop or enhance a culture of safety. Attempts to summarize the key aspects of a plan to develop or enhance a culture of safety, but fails to include the goals, key elements, or overall scope of the plan. Summarizes the key aspects of a plan to develop or enhance a culture of safety. Reducing Patient Falls & Improvement Plan Presentation Summarizes the key aspects of a plan to develop or enhance a culture of safety. Identify existing organizationa l functions, processes, and behaviors affecting quality and safety. Does not identify existing organizational functions, processes, and behaviors affecting quality and safety. Attempts to identify existing organizational functions, processes, and behaviors, but fails to explain how they affect quality and safety. Identifies existing organizational functions, processes, and behaviors affecting quality and safety. Identifies existing organizational functions, processes, and behaviors affecting quality and safety, and identifies knowledge gaps, unknowns, missing CRITERIA NONPERFORMANC E BASIC PROFICIENT DISTINGUISHED information, unanswered questions, or areas of uncertainty. Identify current outcome measures related to quality and safety. Does not identify current outcome measures related to quality and safety. Attempts to identify current outcome measures related to quality and safety, but fails to explain how these measures facilitate outcome improvements or support a culture of quality and safety. Identifies current outcome measures related to quality and safety. Identifies current outcome measures related to quality and safety, and reflects on the strengths and weaknesses of these outcome measures. Reducing Patient Falls & Improvement Plan Presentation xplain the steps needed to achieve improved outcomes. Does not explain the steps needed to achieve improved outcomes. Attempts to explain the steps needed to achieve improved outcomes, but fails to present the specific steps, staff responsibilities, and resource requirements needed to move forward with the plan. Explains the steps needed to achieve improved outcomes. Explains the steps needed to achieve improved outcomes, and identifies assumptions on which the plan is based. CRITERIA NONPERFORMANC E BASIC PROFICIENT DISTINGUISHED Create a future vision of an organization’ s potential to develop and sustain a culture of quality and safety and the nurse leader’s role developing that potential. Does not create a future vision of an organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role developing that potential. Attempts to create a future vision of an organization’s potential to develop and sustain a culture of quality and safety, but fails to advocate for that culture, fails to present a compelling vision to garner support for the plan, or fails to explain the nurse leader’s role in fostering a culture of quality and safety. Creates a future vision of an organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role developing that potential. Creates a future vision of an organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role developing that potential, and highlights opportunities for interprofessional collaboration. Argue persuasively to obtain agreement with, and support for, a plan to develop or enhance a culture of safety. Reducing Patient Falls & Improvement Plan Presentation Does not argue persuasively to obtain agreement with and support for a plan to develop or enhance a culture of safety. Argument lacks coherence or the facts and information presented do not fully support the central proposition. Argues persuasively to obtain agreement with, and support for, a plan to develop or enhance a culture of safety. Argues persuasively to obtain agreement with, and support for, a plan to develop or enhance a culture of safety. Establishes the importance of key issues. Anticipates and responds to CRITERIA NONPERFORMANC E BASIC PROFICIENT DISTINGUISHED possible objections. Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style. Does not support main points, arguments, and conclusions with relevant and credible evidence; does not correctly format citations and references using APA style. Main points, arguments, and conclusions are not wellsupported. Sources lack relevance or credibility or are incorrectly formatted. Supports main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style. Supports main points, arguments, and conclusions with relevant, credible, and convincing evidence. Sources are current, and citations and references are error-free. Running head: REDUCING PATIENT FALLS Gap Analysis: Reducing Patient Falls Name Institution 1 REDUCING PATIENT FALLS 2 Gap Analysis: Reducing Patient Falls Systemic problems in healthcare lead to poor health outcomes, lower safety, and poor quality of care. Response to such problems requires systematic analysis of the sources of the systemic problem and response that effectively addresses those problems. Reducing Patient Falls & Improvement Plan Presentation One of the identified systemic problems in the healthcare organization is the increase in the rates of patient falls among hospitalized patients. Patient falls reduce the quality of care and lead to poor health outcomes for the patients. Effectively addressing the sources of patient falls will enhance health outcomes and care quality in the hospital. This report is a quality and safety gap analysis of patient fall rates in the hospital. Patient Falls in the Healthcare Organization Patient falls have been increasing in the hospital for the last 12 months. Falls impact quality negatively because they increase the risk of patient injury and trauma in the healthcare organization. Patient falls are also a measure of care quality and the Centers for Medicare and Medicaid Services (CMS) does not reimburse additional costs emanating from falls (LeLaurin & Shorr, 2019). In addition to health and costs, falls may attract litigation if they emanate from negligence and result in serious effects on the patient. Falls also reduce patient satisfaction with the healthcare processes (LeLaurin & Shorr, 2019). The increasing rates of falls in the healthcare organization, therefore, have a negative impact on quality and should be addressed to increase both quality and safety of care in the healthcare organization. In this patient safety issue, an area of uncertainty is the severity of falls in the organization. Data on falls is presented as a general report of the rates of falls and the failure to classify according to severity presents unknowns regarding the impact of the safety issues on patients and quality of care. REDUCING PATIENT FALLS 3 Practice Changes to Reduce Falls Several approaches may be used to reduce patient fall rates in the healthcare organization. First, staff training may be used as a means of enhancing staff awareness and knowledge of fall prevention, reporting, and risk analysis. Reducing Patient Falls & Improvement Plan Presentation According to Tucker et al. (2019), nurse training for risk prevention has a positive impact on fall prevention and quality of care. Therefore, the healthcare organization can train nurses to improve their awareness of and competence handling patients to reduce falls. When nurses are trained on fall prevention, they will have the relevant skills to identify risks of falls and mitigate them. Other approaches include bedside alarms and hourly nursing rounds. Bedside alarms can be used by patients with high risk of falls to call for help from nurses whenever they need something. Instead of the patient getting out of bed unassisted, the nurse can respond to the alarm and attend to the patient’s needs. Evidence has also shown that the approach can significantly reduce rates of falls (Timmons et al., 2019). Additionally, hourly rounding is a process of nurses intentionally visiting patients’ bedside to check on them and respond to any needs they may have. This change in practice has been proved to reduce patient falls by 52% (Sims et al., 2018). The implementation of either of the three interventions will enhance care outcomes. The main assumption made in these proposed changes is that organizational management will provide resources and support for any of the three approaches proposed. It is also assumed that the improvement of patient fall rates will also improve patient satisfaction. Prioritization of Practice Changes Among the three proposed practice changes, the priority intervention is the implementation nursing rounds. The main reason behind prioritizing the approach is that it has shown the highest potential for reducing the risk of patient falls and it is expected that the REDUCING PATIENT FALLS 4 organization will experience positive changes from the intervention. Bedside alarms are crucial in reducing falls and they come after nursing rounds in prioritization. Bedside alarms are useful in drawing the nurses’ attention. However, poor patient usage may be a factor in limiting their usefulness. Also, bedside alarms are limited to falls at the bedside and hence they do not apply to falls that occur in other areas of the hospital such as for patients going to the washroom (Timmons et al., 2019). Reducing Patient Falls & Improvement Plan Presentation Moreover, although nurse training is important, it does not provide the relevant tools required to effectively reduce risk of falls. Therefore, even with training, lack of tangible interventions specific for fall prevention makes nurse training alone the least priority. Culture of Quality and Safety The proposed strategies will promote a culture of safety by providing nurses with the skills and conducive environment to improve quality and safety of care. A culture of safety and quality will be promoted by changing nursing staff processes. Patient safety will be central to all nursing processes. For instance, if nurse training is implemented, the culture of safety will be improved by ensuring that nursing processes integrate risk analysis and mitigation. Additionally, such a culture will be fostered by presenting reporting methods that are non-punitive and encourage continuous improvement (Burlison et al., 2016). Part of fall reduction is ensuring accurate fall events reporting. Criteria to evaluate this culture of safety will include patient fall rates, nurse, and patient satisfaction rates. Reduction in fall rates will indicate an increase in a culture of safety while improved nurse and patient safety rates will also show a culture of safety. Organizational Culture Organizational culture is pivotal to quality and safety improvement since it serves as the foundation on which care provision is based. Some of the aspects of organizational culture that may affect patient fall rates include collaboration, resource commitment, environment of REDUCING PATIENT FALLS 5 practice, and risk of activities carried out. A crucial aspect is the provision of blame-free environment for reporting healthcare incidents such as patient falls. A blame-free environment has been associated with better reporting and care outcomes (Burlison et al., 2016). Reducing Patient Falls & Improvement Plan Presentation The failure of the organization to provide such as an environment will impact care negatively by instilling fear of punishment and reprimand in nursing staff and hence leading to lower reporting. Poor reporting practices will lead to poor response to safety incidents such as patient falls and thus poor quality of care and care outcomes. The assumption made in this analysis is that the organization already promotes a culture of reporting that enhances nurses’ reporting of patient falls and other near misses and adverse events. Changes to Organizational Functions, Processes, and Behaviors Relevant changes to functions, processes, and behaviors in the healthcare organization will be required to ensure effective implementation of change. One of the changes will be through the change of nursing practice to integrate hourly rounds and response to bedside alarms. The change in processes will ensure that nurses are more engaged with patient care and reduce distractions that could lead to high rates of patient falls (Sims et al., 2018). Nurses’ schedules will change by integrating the mandatory hourly rounds. It is expected that the processes will increase nurse workload. However, it is not clear whether some of the nurses currently use hourly rounding hence the impact on processes may not be effectively evaluated with current data on nursing care provision. Additional changes to processes and practice will include adherence to patient fall reporting. This change is necessary for the organization to focus on continuous quality through consistent reporting (Burlison et al., 2016). Tracking progress is a part of continuous quality improvement. These changes will require that nurses report every patient fall, including severity REDUCING PATIENT FALLS 6 and consequences to patient care. An area of uncertainty is whether care providers will effectively identify and track patient falls. It is assumed that nurses will identify every fall and will be willing to report all incidents. Conclusion Patient falls reduce the quality of care by increasing risk of injury and trauma, reducing satisfaction, and leading to poor patient outcomes. The identified increase in patient fall rates requires evidence-based interventions. Reducing Patient Falls & Improvement Plan Presentation The identified strategies include hourly nurse rounds, bedside alarms, and nurse training for patient safety. It is expected that with these strategies, care outcomes will be improved hence improving quality and safety as well as patient satisfaction with the healthcare organization’s processes. Care improvement will aim to achieve consistent patient falls reduction to ensure continuous quality improvement in nursing processes and patient safety. REDUCING PATIENT FALLS 7 References Burlison, J. D., Quillivan, R. R., Kath, L. M., Zhou, Y., Courtney, S. C., Cheng, C., & Hoffman, J. M. (2016). A multilevel analysis of US hospital patient safety culture relationships with perceptions of voluntary event reporting. Journal of Patient Safety, 16(3): 187–193. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5415419/ LeLaurin, J. H., & Shorr, R. I. (2019). Preventing falls in hospitalized patients: state of the science. Clinics in Geriatric Medicine, 35(2), 273. https://doi.org/10.1016/j.cger.2019.01.007 Sims, S., Leamy, M., Davies, N., Schnitzler, K., Levenson, R., Mayer, F., … & Harris, R. (2018). Realist synthesis of intentional rounding in hospital wards: Exploring the evidence of what works, for whom, in what circumstances and why. BMJ Quality & Safety, 27(9), 743-757. https://doi.org/10.1136/bmjqs-2017-006757 Timmons, S., Vezyridis, P., & Sahota, O. (2019). Trialling technologies to reduce hospital in?patient falls: An agential realist analysis. Sociology of Health & Illness, 41(6), 11041119. https://doi.org/10.1111/1467-9566.12889 Tucker, S., Sheikholeslami, D., Farrington, M., Picone, D., Johnson, J., Matthews, G., … & Petrulevich, K. (2019). Patient, nurse, and organizational factors that influence evidence?based fall prevention for hospitalized oncology patients: An exploratory study. Worldviews on Evidence?Based Nursing, 16(2), 111-120. https://doi.org/10.1111/wvn.12353 Running head: PATIENT FALLS 1 Outcome Measures for Patient Falls Name Institution PATIENT FALLS 2 Outcome Measures for Patient Falls Findings from the quality and safety gap analysis have revealed the need for action to address patient falls in the healthcare organization. Patient falls present a major challenge for patient safety and adversely affect the quality of care delivered in the organization. Reducing Patient Falls & Improvement Plan Presentation An increase in patient falls in the last 12 months indicates deteriorating quality of care and the need for effective interventions. Part of the intervention planning is the definition of outcome measures related to the quality and safety gap. Measures are essential in highlighting the strategic value in change proposition. This executive summary defines the existing outcome measures to be used in change implementation and their importance to boost care quality and safety in the organization. Key Quality and Safety Outcomes Fall rates can be improved by enhancing the rates and severity of falls. Primarily, fall rates are measured through records in the hospital and reported in terms of patient falls per 1,000 bed days (Røyset et al., 2019). This reporting system helps in determining the overall rates of falls regardless of the size of the hospital unit in which reporting occurs. The main advantage of this outcome report is that it provides a standardized means of determining progress in reduction of fall rates irrespective of size and setting of the unit. A major weakness of the safety outcome measure is that it does not capture the impact of these falls on quality (Røyset et al., 2019). To address this weakness, reports on the severity of falls should also be included. With … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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Reducing Patient Falls & Improvement Plan Presentation

Reducing Patient Falls & Improvement Plan Presentation ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Reducing Patient Falls & Improvement Plan Presentation Develop a presentation, augmented by 12–15 slides, for administrative leaders and stakeholders that outlines your plan to develop or enhance a culture of quality and safety within your organization or practice setting. Reducing Patient Falls & Improvement Plan Presentation .docx _cont.doc _cont..doc _cont.doc Continuation of last assignment Develop a presentation, augmented by 12–15 slides, for administrative leaders and stakeholders that outlines your plan to develop or enhance a culture of quality and safety within your organization or practice setting. As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment. • How might you engage stakeholders to help develop, implement, and sustain a vision to actually change and improve patient outcomes? • What arguments might be most effective in obtaining agreement and support? • What recommendations would you make to implement a proposed plan for change? preparation The report you completed in the previous assessment has convinced the executive leadership team of the benefits to the organization of taking the next step toward changes aimed at improving outcomes and cultivating a culture of quality and safety. You have been asked to follow up your report with a presentation to administrative leaders and stakeholders that outlines your plan to develop or enhance the organization’s culture of quality and safety. Developing the Presentation. Reducing Patient Falls & Improvement Plan Presentation • Summarize the key aspects of a plan to develop or enhance a culture of safety. • Identify existing organizational functions, processes, and behaviors affecting quality and safety. • Identify current outcome measures related to quality and safety. • Explain the steps needed to achieve improved outcomes. • Create a future vision of your organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role in developing that potential. Patient-Centered Health Care Concepts • Patient-Centered Rules to Improve Quality of Care | Transcript. • • This short interactive exercise provides a useful summary of patient- and familycentered health care concepts. What Happened to Josie? | Transcript. • This short video offers a tragic reminder of the urgent necessity of improving patient safety. • Medina, M. S. & Avant, N. D. (2015). Delivering an effective presentation. American Journal of Health-System Pharmacy, 72(13), 1091–1094. doi:10.2146/ajhp150047 • Shepherd, M. (2006). How to give an effective presentation using PowerPoint. European Diabetes Nursing, 3(3), 154–158. Planning for Change— A Leader’s Vision Scoring Guide CRITERIA NONPERFORMANC E BASIC PROFICIENT DISTINGUISHED Summarize the key aspects of a plan to develop or enhance a culture of safety. Does not summarize the key aspects of a plan to develop or enhance a culture of safety. Attempts to summarize the key aspects of a plan to develop or enhance a culture of safety, but fails to include the goals, key elements, or overall scope of the plan. Summarizes the key aspects of a plan to develop or enhance a culture of safety. Reducing Patient Falls & Improvement Plan Presentation Summarizes the key aspects of a plan to develop or enhance a culture of safety. Identify existing organizationa l functions, processes, and behaviors affecting quality and safety. Does not identify existing organizational functions, processes, and behaviors affecting quality and safety. Attempts to identify existing organizational functions, processes, and behaviors, but fails to explain how they affect quality and safety. Identifies existing organizational functions, processes, and behaviors affecting quality and safety. Identifies existing organizational functions, processes, and behaviors affecting quality and safety, and identifies knowledge gaps, unknowns, missing CRITERIA NONPERFORMANC E BASIC PROFICIENT DISTINGUISHED information, unanswered questions, or areas of uncertainty. Identify current outcome measures related to quality and safety. Does not identify current outcome measures related to quality and safety. Attempts to identify current outcome measures related to quality and safety, but fails to explain how these measures facilitate outcome improvements or support a culture of quality and safety. Identifies current outcome measures related to quality and safety. Identifies current outcome measures related to quality and safety, and reflects on the strengths and weaknesses of these outcome measures. Reducing Patient Falls & Improvement Plan Presentation xplain the steps needed to achieve improved outcomes. Does not explain the steps needed to achieve improved outcomes. Attempts to explain the steps needed to achieve improved outcomes, but fails to present the specific steps, staff responsibilities, and resource requirements needed to move forward with the plan. Explains the steps needed to achieve improved outcomes. Explains the steps needed to achieve improved outcomes, and identifies assumptions on which the plan is based. CRITERIA NONPERFORMANC E BASIC PROFICIENT DISTINGUISHED Create a future vision of an organization’ s potential to develop and sustain a culture of quality and safety and the nurse leader’s role developing that potential. Does not create a future vision of an organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role developing that potential. Attempts to create a future vision of an organization’s potential to develop and sustain a culture of quality and safety, but fails to advocate for that culture, fails to present a compelling vision to garner support for the plan, or fails to explain the nurse leader’s role in fostering a culture of quality and safety. Creates a future vision of an organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role developing that potential. Creates a future vision of an organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role developing that potential, and highlights opportunities for interprofessional collaboration. Argue persuasively to obtain agreement with, and support for, a plan to develop or enhance a culture of safety. Reducing Patient Falls & Improvement Plan Presentation Does not argue persuasively to obtain agreement with and support for a plan to develop or enhance a culture of safety. Argument lacks coherence or the facts and information presented do not fully support the central proposition. Argues persuasively to obtain agreement with, and support for, a plan to develop or enhance a culture of safety. Argues persuasively to obtain agreement with, and support for, a plan to develop or enhance a culture of safety. Establishes the importance of key issues. Anticipates and responds to CRITERIA NONPERFORMANC E BASIC PROFICIENT DISTINGUISHED possible objections. Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style. Does not support main points, arguments, and conclusions with relevant and credible evidence; does not correctly format citations and references using APA style. Main points, arguments, and conclusions are not wellsupported. Sources lack relevance or credibility or are incorrectly formatted. Supports main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style. Supports main points, arguments, and conclusions with relevant, credible, and convincing evidence. Sources are current, and citations and references are error-free. Running head: REDUCING PATIENT FALLS Gap Analysis: Reducing Patient Falls Name Institution 1 REDUCING PATIENT FALLS 2 Gap Analysis: Reducing Patient Falls Systemic problems in healthcare lead to poor health outcomes, lower safety, and poor quality of care. Response to such problems requires systematic analysis of the sources of the systemic problem and response that effectively addresses those problems. Reducing Patient Falls & Improvement Plan Presentation One of the identified systemic problems in the healthcare organization is the increase in the rates of patient falls among hospitalized patients. Patient falls reduce the quality of care and lead to poor health outcomes for the patients. Effectively addressing the sources of patient falls will enhance health outcomes and care quality in the hospital. This report is a quality and safety gap analysis of patient fall rates in the hospital. Patient Falls in the Healthcare Organization Patient falls have been increasing in the hospital for the last 12 months. Falls impact quality negatively because they increase the risk of patient injury and trauma in the healthcare organization. Patient falls are also a measure of care quality and the Centers for Medicare and Medicaid Services (CMS) does not reimburse additional costs emanating from falls (LeLaurin & Shorr, 2019). In addition to health and costs, falls may attract litigation if they emanate from negligence and result in serious effects on the patient. Falls also reduce patient satisfaction with the healthcare processes (LeLaurin & Shorr, 2019). The increasing rates of falls in the healthcare organization, therefore, have a negative impact on quality and should be addressed to increase both quality and safety of care in the healthcare organization. In this patient safety issue, an area of uncertainty is the severity of falls in the organization. Data on falls is presented as a general report of the rates of falls and the failure to classify according to severity presents unknowns regarding the impact of the safety issues on patients and quality of care. REDUCING PATIENT FALLS 3 Practice Changes to Reduce Falls Several approaches may be used to reduce patient fall rates in the healthcare organization. First, staff training may be used as a means of enhancing staff awareness and knowledge of fall prevention, reporting, and risk analysis. Reducing Patient Falls & Improvement Plan Presentation According to Tucker et al. (2019), nurse training for risk prevention has a positive impact on fall prevention and quality of care. Therefore, the healthcare organization can train nurses to improve their awareness of and competence handling patients to reduce falls. When nurses are trained on fall prevention, they will have the relevant skills to identify risks of falls and mitigate them. Other approaches include bedside alarms and hourly nursing rounds. Bedside alarms can be used by patients with high risk of falls to call for help from nurses whenever they need something. Instead of the patient getting out of bed unassisted, the nurse can respond to the alarm and attend to the patient’s needs. Evidence has also shown that the approach can significantly reduce rates of falls (Timmons et al., 2019). Additionally, hourly rounding is a process of nurses intentionally visiting patients’ bedside to check on them and respond to any needs they may have. This change in practice has been proved to reduce patient falls by 52% (Sims et al., 2018). The implementation of either of the three interventions will enhance care outcomes. The main assumption made in these proposed changes is that organizational management will provide resources and support for any of the three approaches proposed. It is also assumed that the improvement of patient fall rates will also improve patient satisfaction. Prioritization of Practice Changes Among the three proposed practice changes, the priority intervention is the implementation nursing rounds. The main reason behind prioritizing the approach is that it has shown the highest potential for reducing the risk of patient falls and it is expected that the REDUCING PATIENT FALLS 4 organization will experience positive changes from the intervention. Bedside alarms are crucial in reducing falls and they come after nursing rounds in prioritization. Bedside alarms are useful in drawing the nurses’ attention. However, poor patient usage may be a factor in limiting their usefulness. Also, bedside alarms are limited to falls at the bedside and hence they do not apply to falls that occur in other areas of the hospital such as for patients going to the washroom (Timmons et al., 2019). Reducing Patient Falls & Improvement Plan Presentation Moreover, although nurse training is important, it does not provide the relevant tools required to effectively reduce risk of falls. Therefore, even with training, lack of tangible interventions specific for fall prevention makes nurse training alone the least priority. Culture of Quality and Safety The proposed strategies will promote a culture of safety by providing nurses with the skills and conducive environment to improve quality and safety of care. A culture of safety and quality will be promoted by changing nursing staff processes. Patient safety will be central to all nursing processes. For instance, if nurse training is implemented, the culture of safety will be improved by ensuring that nursing processes integrate risk analysis and mitigation. Additionally, such a culture will be fostered by presenting reporting methods that are non-punitive and encourage continuous improvement (Burlison et al., 2016). Part of fall reduction is ensuring accurate fall events reporting. Criteria to evaluate this culture of safety will include patient fall rates, nurse, and patient satisfaction rates. Reduction in fall rates will indicate an increase in a culture of safety while improved nurse and patient safety rates will also show a culture of safety. Organizational Culture Organizational culture is pivotal to quality and safety improvement since it serves as the foundation on which care provision is based. Some of the aspects of organizational culture that may affect patient fall rates include collaboration, resource commitment, environment of REDUCING PATIENT FALLS 5 practice, and risk of activities carried out. A crucial aspect is the provision of blame-free environment for reporting healthcare incidents such as patient falls. A blame-free environment has been associated with better reporting and care outcomes (Burlison et al., 2016). Reducing Patient Falls & Improvement Plan Presentation The failure of the organization to provide such as an environment will impact care negatively by instilling fear of punishment and reprimand in nursing staff and hence leading to lower reporting. Poor reporting practices will lead to poor response to safety incidents such as patient falls and thus poor quality of care and care outcomes. The assumption made in this analysis is that the organization already promotes a culture of reporting that enhances nurses’ reporting of patient falls and other near misses and adverse events. Changes to Organizational Functions, Processes, and Behaviors Relevant changes to functions, processes, and behaviors in the healthcare organization will be required to ensure effective implementation of change. One of the changes will be through the change of nursing practice to integrate hourly rounds and response to bedside alarms. The change in processes will ensure that nurses are more engaged with patient care and reduce distractions that could lead to high rates of patient falls (Sims et al., 2018). Nurses’ schedules will change by integrating the mandatory hourly rounds. It is expected that the processes will increase nurse workload. However, it is not clear whether some of the nurses currently use hourly rounding hence the impact on processes may not be effectively evaluated with current data on nursing care provision. Additional changes to processes and practice will include adherence to patient fall reporting. This change is necessary for the organization to focus on continuous quality through consistent reporting (Burlison et al., 2016). Tracking progress is a part of continuous quality improvement. These changes will require that nurses report every patient fall, including severity REDUCING PATIENT FALLS 6 and consequences to patient care. An area of uncertainty is whether care providers will effectively identify and track patient falls. It is assumed that nurses will identify every fall and will be willing to report all incidents. Conclusion Patient falls reduce the quality of care by increasing risk of injury and trauma, reducing satisfaction, and leading to poor patient outcomes. The identified increase in patient fall rates requires evidence-based interventions. Reducing Patient Falls & Improvement Plan Presentation The identified strategies include hourly nurse rounds, bedside alarms, and nurse training for patient safety. It is expected that with these strategies, care outcomes will be improved hence improving quality and safety as well as patient satisfaction with the healthcare organization’s processes. Care improvement will aim to achieve consistent patient falls reduction to ensure continuous quality improvement in nursing processes and patient safety. REDUCING PATIENT FALLS 7 References Burlison, J. D., Quillivan, R. R., Kath, L. M., Zhou, Y., Courtney, S. C., Cheng, C., & Hoffman, J. M. (2016). A multilevel analysis of US hospital patient safety culture relationships with perceptions of voluntary event reporting. Journal of Patient Safety, 16(3): 187–193. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5415419/ LeLaurin, J. H., & Shorr, R. I. (2019). Preventing falls in hospitalized patients: state of the science. Clinics in Geriatric Medicine, 35(2), 273. https://doi.org/10.1016/j.cger.2019.01.007 Sims, S., Leamy, M., Davies, N., Schnitzler, K., Levenson, R., Mayer, F., … & Harris, R. (2018). Realist synthesis of intentional rounding in hospital wards: Exploring the evidence of what works, for whom, in what circumstances and why. BMJ Quality & Safety, 27(9), 743-757. https://doi.org/10.1136/bmjqs-2017-006757 Timmons, S., Vezyridis, P., & Sahota, O. (2019). Trialling technologies to reduce hospital in?patient falls: An agential realist analysis. Sociology of Health & Illness, 41(6), 11041119. https://doi.org/10.1111/1467-9566.12889 Tucker, S., Sheikholeslami, D., Farrington, M., Picone, D., Johnson, J., Matthews, G., … & Petrulevich, K. (2019). Patient, nurse, and organizational factors that influence evidence?based fall prevention for hospitalized oncology patients: An exploratory study. Worldviews on Evidence?Based Nursing, 16(2), 111-120. https://doi.org/10.1111/wvn.12353 Running head: PATIENT FALLS 1 Outcome Measures for Patient Falls Name Institution PATIENT FALLS 2 Outcome Measures for Patient Falls Findings from the quality and safety gap analysis have revealed the need for action to address patient falls in the healthcare organization. Patient falls present a major challenge for patient safety and adversely affect the quality of care delivered in the organization. Reducing Patient Falls & Improvement Plan Presentation An increase in patient falls in the last 12 months indicates deteriorating quality of care and the need for effective interventions. Part of the intervention planning is the definition of outcome measures related to the quality and safety gap. Measures are essential in highlighting the strategic value in change proposition. This executive summary defines the existing outcome measures to be used in change implementation and their importance to boost care quality and safety in the organization. Key Quality and Safety Outcomes Fall rates can be improved by enhancing the rates and severity of falls. Primarily, fall rates are measured through records in the hospital and reported in terms of patient falls per 1,000 bed days (Røyset et al., 2019). This reporting system helps in determining the overall rates of falls regardless of the size of the hospital unit in which reporting occurs. The main advantage of this outcome report is that it provides a standardized means of determining progress in reduction of fall rates irrespective of size and setting of the unit. A major weakness of the safety outcome measure is that it does not capture the impact of these falls on quality (Røyset et al., 2019). To address this weakness, reports on the severity of falls should also be included. With … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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