Prof Name Course Name Student Name Capella University Assessment 2 Quality Improvement Initiative Evaluation 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 a Current Quality Improvement Initiative NURSFPX com Research indicates a 26 5 prevalence of falls among older adults with Oceania having the highest rate at 34 4 followed by America at 27 9 Salari et al 2022 In the US medical and surgical units report an average of 3 44 falls per 1000 patient days with about a quarter resulting in injuries costing around 7000 per incident Injurious falls rank among the top 14 hospital acquired public health issues imposing financial burdens on healthcare facilities due to non reimbursed costs Venema et al 2019 These statistics and the rising trend of patient falls prompted the hospital administration to initiate QI measures to prevent such incidents thus improving quality and ensuring patient safety Healthcare institutions worldwide face numerous challenges prompting the adoption of Quality Improvement QI initiatives to enhance patient outcomes Miami Valley MV Hospital is currently implementing a QI program focused on reducing patient falls a common issue in hospitals Annually between 70 000 to 1 million hospital patients experience falls resulting in approximately 250 000 injuries and up to 11 000 fatalities LeLaurin Shorr 2019 with the elderly being particularly vulnerable MV Hospital s QI Plan 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 MV Hospital s QI plan includes two main strategies 1 Immediate Response to Patient Falls Swift evaluation of fall events analysis of risk factors and identification of triggers to prevent future occurrences 2 Long term Management Identifying risk factors upon admission at regular intervals Key indicators for the fall management program include and with changing conditions categorizing high risk patients and implementing continuous interventions to ensure their safety Evaluation of the Success of the Quality Improvement Initiative A key principle for QI initiatives is if you can t measure it you can t improve it The Agency for Healthcare Research and Quality AHRQ identifies fall rates and prevention practices as key metrics for evaluating QI program success Taylor et al 2017 The Tracking Record for Improving Patient Safety TRIPS is used for this purpose While these approaches contribute to a comprehensive fall assessment and tailored interventions they have drawbacks such as the oversight of falls due to mishandling by healthcare professionals and increased burdens on nursing staff in terms of time consumption and excessive documentation NURSFPX com Successful implementation of QI initiatives relies on inter professional collaboration At MV Hospital nurses nurse educators quality control finance and administrative personnel collaborated effectively Nurses played a pivotal role in identifying risk factors while nurse educators developed educational programs The finance department analyzed costs while quality control and administration monitored records audited clinical areas and improved patient outcomes However the analysis lacks insights into initiatives addressing nurses increased workload and time consumption due to added responsibilities which may lead to burnout To evaluate the success of the QI initiative at MV Hospital TRIPS key indicators showed a decrease in fall events from 27 to 15 per month Only 10 patients experienced falls with three having multiple incidents and one patient sustaining a fatal injury The initiative resulted in a 50 reduction in fall events and associated costs semi annually Number of falls per month Number of patients falling per month Number of patients with multiple falls per month Number of falls causing serious injuries per month Inter professional Perspectives and Actions 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 Additional Recommendations To enhance QI initiative outcomes the following approaches are proposed Microsystems Approach Advocating for smaller attainable goals within smaller teams to facilitate stress free implementation and measurable outcomes Conclusion implementation study and action Pros of the Recommendations Cons of the Recommendations PDSA Cycle Embracing a continuous improvement model with phases of planning Time consuming Excessive workload for administrators with numerous small teams Potential for differences of opinion and contradictory data Efficient applicability Small scale interventions guide broader implementation Reduced workload for efficient team implementation SMART goals Specific Measurable Achievable Relevant Time Bound NURSFPX com QI initiatives are crucial for healthcare organizations particularly for fall prevention Altering nursing practices is essential and key indicators related to fall rates and prevention practices are vital for assessing QI initiative success Inter professional collaboration enhances outcomes yet additional evidence based strategies are necessary for a comprehensive evaluation of QI initiatives 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 Abrahamson V Jaiswal S Wilson P M 2020 An evaluation of the Clinical Microsystems approach in General Practice Quality Improvement Primary Health Care Research Development 21 https doi org 10 1017 s1463423620000158 LeLaurin J H Shorr R I 2019 Preventing falls in hospitalized patients Clinics in Geriatric Medicine 35 2 273 283 https doi org 10 1016 j cger 2019 01 007 Knudsen S V Laursen H V Johnsen S P Bartels P D Ehlers L H Mainz J 2019 Can quality improvement improve the quality of care A systematic review of reported effects and methodological rigor in plan do study ACT projects BMC Health Services Research 19 1 https doi org 10 1186 s12913 019 4482 6 Salari N Darvishi N Ahmadipanah M Shohaimi S Mohammadi M 2022 Global prevalence of falls in the older adults A comprehensive