Assessment 2 Quality Improvement Initiative Evaluation Student Name Capella University Course Name Prof Name June 14 2024 Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free MSN Sample BSNWritingservices com free Sample Analyzing a Current Quality Improvement Initiative Introduction Medical care offices worldwide face various challenges requiring the implementation of Quality Improvement QI initiatives to achieve positive patient outcomes At Miami Valley MV Hospital a QI initiative addresses the issue of patient falls a widespread concern in hospitals globally Each year an estimated 70 000 to 1 million patients Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free MSN Sample BSNWritingservices com free Sample experience hospital falls leading to approximately 250 000 injuries and 11 000 fatalities LeLaurin Shorr 2019 The elderly population is particularly susceptible to these falls Description of the Quality Improvement Initiative A study revealed a 26 5 prevalence of falls among older individuals with Oceania having the highest rate at 34 4 and America at 27 9 Salari et al 2022 Nationally there is an average of 3 44 falls per 1 000 days in medical and surgical units About one fourth of these inpatient falls result in injuries costing roughly 7 000 per case Injurious falls constitute one of the 14 hospital acquired general medical issues for which healthcare facilities are not reimbursed posing a financial burden Venema et al 2019 These statistics coupled with the rising trend of patient falls in the hospital prompted the administration to institute QI initiatives to prevent such adverse events thereby enhancing quality and ensuring patient safety The QI plan at MV Hospital employs two approaches 1 Quick response to patient falls This involves an immediate evaluation of fall events analysis of risk factors and identification of triggering elements to prevent future occurrences 2 Long term management This focuses on identifying risk factors at admission after three months annually 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 major standard for QI initiatives is that if you can t measure it you can t improve it The Agency for Healthcare Research and Quality AHRQ identifies fall rates and fall prevention practices as benchmarks for evaluating the success of QI programs Taylor et al 2017 The Tracking Record for Improving Patient Safety TRIPS is used for this purpose Key indicators for the fall management program include Number of falls per month Number of patients falling per month Number of patients with more than one fall per month Number of falls causing serious injuries per month To assess the progress of the QI initiative at MV Hospital the TRIPS key indicators show a reduction in the number of fall events from 27 to 15 per month Only 10 patients Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free MSN Sample BSNWritingservices com free Sample experienced falls with three having more than one event and one patient suffering a fatal injury The initiative resulted in a 50 reduction in fall events and associated costs semi annually Inter professional Perspectives and Actions Effective QI initiative implementation requires inter professional collaboration Nurses nurse educators quality control finance and administrative personnel collaborated effectively at MV Hospital Nurses played a crucial role in identifying risk factors while educators developed educational curricula The finance department analyzed costs and quality control and administration monitored records examined clinical areas and improved patient outcomes However the analysis needs more information on initiatives addressing nurses increased workload and time consumption due to additional responsibilities which may lead to burnout Additional Recommendations To enhance the QI initiative outcomes the following approaches are recommended Microsystems approach Advocating for more minor achievable goals within smaller teams to promote stress free implementation and measurable outcomes PDSA cycle Embracing a continuous improvement model with phases of planning implementation study and action QI initiatives are vital for healthcare organizations and their implementation is crucial In the context of fall prevention altering nursing practices is essential Key indicators related to fall rates and prevention practices are vital for assessing the success of the QI initiative Inter professional collaboration enhances outcomes yet more evidence based strategies are needed for comprehensive QI initiative evaluation Conclusion References Abrahamson V Jaiswal S Wilson P M 2020 An evaluation of the Clinical Microsystems approach in General Practice Quality Improvement Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free MSN Sample BSNWritingservices com free Sample Primary Health Care Research Development 21 https doi org 10 1017 s1463423620000158 Brugman I M Visser A Maaskant J M Geerlings S E Eskes A M 2022 The evaluation of an interprofessional qi program A qualitative study International Journal of Environmental Research and Public Health 19 16 10087 https doi org 10 3390 ijerph191610087 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 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 Salari N Darvishi N Ahmadipanah M Shohaimi S Mohammadi M 2022 Global prevalence of falls in the older adults A comprehensive systematic review and meta analysis Journal of Orthopaedic Surgery and Research 17 1 https doi org 10 1186 s13018 022 03222 1 Taylor J A Parmelee P Brown H Ouslander J 2017 The Falls Management Program A Quality Improvement