Prof Name Course Name Student Name Capella University Assessment 1 Adverse Event or Near Miss Analysis NURSFPX com June 26 2024 Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Call Us Now 516 218 0006 Email us at Contact nursfpx com Website NURSFPX com For Free MSN Sample NURSFPX com free Sample Analysis of Unfavorable Incidents or Close Calls NURSFPX com Adverse events AEs and near miss incidents are frequent challenges in healthcare environments Adverse events are undesired outcomes resulting from preventable actions or medical procedures that jeopardize patient safety Schwendimann et al 2018 Near miss incidents refer to situations that could have harmed patients but ultimately did not Yang Liu 2021 Research across 27 countries reveals that about 10 of hospitalized patients experience adverse events with 7 3 being life threatening many of which are preventable Schwendimann et al 2018 These incidents lead to numerous patient adversities including over 100 000 deaths annually due to care related issues Skelly et al 2022 This analysis focuses on preventable falls within healthcare settings specifically a case involving Michelle an 86 year old patient who fell in the Cardiovascular CV step down unit at Miami Valley Hospital during her postoperative recovery Review of Missed Procedures Protocol Variances and Knowledge Gaps Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Call Us Now 516 218 0006 Email us at Contact nursfpx com Website NURSFPX com For Free MSN Sample NURSFPX com free Sample Hospitalized patients particularly the elderly and those recovering from cardiovascular events are at heightened risk of falls Dworsky et al 2021 Manemann et al 2018 In Michelle s case Nurse Kellyn overlooked the patient s fall risk score revealing a knowledge gap and a failure to prioritize tasks There was also insufficient awareness of the patient s environment and fall prevention measures Protocols must be in place to prevent deviations and ensure patient safety The Morse Fall Scale MFS a widely used tool for assessing fall risk categorizes patients into low medium and high risk groups based on six criteria Kim et al 2021 Healthcare providers must improve their understanding of risk assessment to protect patients effectively Key missing information includes why Nurse Kellyn failed to monitor her patients adequately the actions taken by other healthcare providers the involvement of the family and whether the patient received information about fall risk prevention Addressing these questions would provide a more comprehensive analysis of the incident s causes NURSFPX com Effective collaboration among stakeholders is essential for ensuring quality healthcare and preventing adverse events All stakeholders share responsibility for medical errors and should work together to prevent such occurrences Healthcare organizations like Miami Valley Hospital must implement measures to reduce adverse events and their consequences Stakeholders such as patients family members nurses and hospital administration play crucial roles in healthcare Adverse events negatively impact patients and their families while hospital administration may face legal repercussions and reputational damage Baris Seren Intepeler 2018 Actions for Quality Improvement and Technological Solutions Evaluation of Stakeholder Implications Recommended strategies for fall prevention and quality enhancement include identifying at risk patients using alarms providing patient education making Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Call Us Now 516 218 0006 Email us at Contact nursfpx com Website NURSFPX com For Free MSN Sample NURSFPX com free Sample environmental modifications and implementing technological solutions like portable video monitoring Woltsche et al 2022 Framework for Quality Improvement Initiatives Evaluation metrics for these interventions include comparing falls before and after implementation assessing the effectiveness of patient education considering cost efficiency evaluating ease of use for nurses and ensuring adequate training Morat et al 2023 Montero Odasso et al 2021 Lean Six Sigma LSS is a methodology that can improve process efficiency and efficacy in healthcare settings with the DMAIC approach Define Measure Analyze Improve Control guiding improvement efforts Tufail et al 2022 Quality improvement strategies may involve restructuring teams educating staff conducting frequent audits and providing feedback and educating patients Tricco et al 2019 These strategies require ongoing monitoring and maintenance for long term effectiveness NURSFPX com Ensuring patient safety and improving healthcare quality are essential yet challenging tasks Quality improvement initiatives including using assessment tools educating staff and patients and implementing technological solutions are crucial for addressing the root causes of adverse events Effective collaboration among stakeholders and the implementation of these measures will enhance patient safety and healthcare quality Conclusion Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Call Us Now 516 218 0006 Email us at Contact nursfpx com Website NURSFPX com For Free MSN Sample NURSFPX com free Sample References NURSFPX com Baris V K Seren Intepeler S 2018 Views of key stakeholders on the causes of Patient Falls and Prevention Interventions A qualitative study using the International Classification of Functioning disability and health Journal of Clinical Nursing 28 3 4 615 628 https doi org 10 1111 jocn 14656 Dworsky J Q Shellito A D Childers C P Copeland T P Maggard Gibbons M Tan H J Saliba D Russell M M 2021 Association of Geriatric events with perioperative outcomes after elective inpatient surgery Journal of Surgical Research 259 192 199 https doi org 10 1016 j jss 2020 11 011 Kim Y J Choi K O Cho S H Kim S J 2021 Validity of the Morse fall scale and the Johns Hopkins Fall Risk Assessment Tool for fall risk assessment in an acute care setting Journal of Clinical Nursing 31 23 24 3584 3594 https doi org 10 1111 jocn 16185 Laird Y Manner J Baldwin L Hunter R McAteer J Rodgers S Williamson C Jepson R 2020 Stakeholders experiences of the Public Health Research Process Time to change the system Health Research Policy and Systems 18 1 https doi org 10 1186 s12961 020 00599 5 Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Call Us Now