Quality Improvement
process follows a specific process to plan, implement, and evaluate changes in
healthcare. It begins with selecting a clinical activity for review. There are
clinical practice guidelines and standards that reflect best practices.
I. This assignment
will require that you choose ONE of
the following:
1.Select a retrospective quality improvement project from the literature
2.Identify one issue or area that you observed during the nurse leader
interview or
during the QI meeting requiring change for patient outcomes.
II. Using the Plan
Do Study Act (PDSA) cycle, Write a ten (10) page paper about the above
quality improvement project and its
process by:
a) Identifying the need for change
b) Review the literature and evidence-based
practices (EBP) to support change and select a solution for change.
c) Adapt the Change Theory as a framework to the
QI project and explain how it can be used in the implementation.
d) Indicate the inter-professional team you
would choose to review the area of change.
e) Select the tools/methods of data collection
to measure current status of change and indicate how data is collected (weekly,
monthly or quarterly). State who would be collecting the data.
f) Discuss how data would be analyzed and create
a chart such as flow chart, line graph, fishbone diagram, histogram or a pie
chart to analyze data
g) Establish measurable quality outcomes by
using a benchmark and nurse-sensitive indicators
h) Select and give a detailed account of how
plan would be implemented to meet outcomes
i) Estimate what the projected data collection
would be to evaluate the implementation, and note if achievement outcomes were
met (Search the National Database of Nursing Quality Indicators (NDNQI) and
compare your retrospective or projected data
j) Summarize the impact the change will have on
nursing and patient outcomes.
St. Peters Hospital
TOPIC: FALL RISK ON A CARDIAC UNIT
-18 OUT OF 21 HAD A FALL RISK BRACELET ON
-14 OUT OF 21 HAD FALL RISK YELLOW SOCKS ON
-18 OUT OF 21 WERE ON ANTICOAGULANTS (CAN MAKE THEM BRUISE EQASILY)
-15 OUT OF 21 WERE ON BLOOD PRESSURE MEDS (CAN MAKE THE DIZZY)
-10 OUT OF 21 WERE ON PAIN MEDS/ SEDATIVES
-15 OUT OF 21 WHITEBOARDS WERE FILLED OUT (MENTIONING HOW HIGH OF A FALL RISK THEY WERE, 1-2 PEOPLE ASSIST, AND THE USE OF ASSISTIVE DEVICES)
PLEASE DISCUSS HOW TO AVOID PATIENT FALLS ON THE UNIT, NAME SOME NEW INTERVENTIONS AND HOW TO DEVELOP THESE GOALS/IDEAS ON THE UNIT FOR THE NURSES TO FOLLOW
