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NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initative Proposal

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    NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initative Proposal

    Student Name

    Capella University

    NURS-FPX 6016 Quality Improvement of Inter-professional Care

    Prof. Name

    Date

    Data Analysis and Quality Improvement Initative Proposal

    Greetings, everyone! I’m ______, a Registered Nurse at Valley Hospital, and I’m delighted to welcome you to my presentation on the Proposal for a Quality Improvement Initiative based on Data Analysis. Today, we’ll delve into our hospital’s dashboard metrics to identify a specific health concern, leading to the formulation of a Quality Improvement Initiative Proposal (QIIP) focusing on Medication Adverse Events.

    The significance of this assessment and proposal lies in our hospital’s commitment to delivering high-quality care treatments that enhance patient health, quality of life, and medication safety. Neglecting the improvement of each health department may compromise the overall quality of care, potentially leading to severe complications and mortalities. Thus, this presentation centers on a QIIP tailored to address a particular health issue, informed by the dashboard data from our hospital. Let’s start by examining the hospital’s dashboard data metrics.

    Dashboard Metrics and Quality Improvement

    Healthcare organizations globally leverage quality dashboards to provide clinical teams and managers with metrics and analytics for tracking care quality and planning improvements. Recommended dashboard metrics include performance indicators, data quality, identification of causes, and communication from ward to board. Implementing dashboards in hospitals enhances services at local levels and informs the renewal of local health policies (Randell et al., 2020; Salgado et al., 2022).

    Dashboard Data Analysis and Healthcare Issue

    To craft the QIIP, the Valley Hospital’s quality management department supplied the necessary data. Patient health reports, adhering to HIPAA Act standards, were scrutinized to assess the quality of care. Dashboard metrics revealed key indicators such as patient satisfaction, patient safety, treatment errors, and hospital readmission rates. These metrics played a vital role in identifying major health concerns and forming the basis for improving the quality of care treatments.

    Data Analyzed

    Patient satisfaction stood at 40%, primarily due to a high occurrence of medication errors, affecting 30 out of 100 patients. Patient safety metrics indicated 10 patient fatalities resulting from these medication errors (Randell et al., 2020). Medication errors were the predominant treatment errors, contributing to increased hospital readmission rates. The analysis identified medication errors as a major health issue requiring a QIIP.

    While the data analysis provides a quantitative estimate of necessary changes in Valley Hospital, gaps in knowledge exist, notably the specific types of medication errors (e.g., wrong dose, wrong medication, wrong route of administration), which could enhance the analysis.

    Selected Quality Improvement Initiative Proposal

    With adverse medication events identified as a healthcare issue, a QIIP was essential to enhance care treatment, patient safety, and satisfaction. The Six Sigma DMAIC model was chosen for implementation. Comprising Define, Measure, Analyze, Improve, and Control steps (Ahmed, 2019), this model allows us to pinpoint areas of improvement. In this case, nursing practices, medication prescribing, and dispensing were identified as target areas to minimize adverse medication events.

    Evidence-Based Strategies

    Several evidence-based strategies can enhance the quality of care by reducing medication-associated events, including:

    1. Utilizing computerized provider order entry during care transitions.
    2. Involving clinical pharmacists in overseeing medication dispensing.
    3. Adhering to the “Five Rights” of medication administration.
    4. Implementing technologies like Barcode medication administration.

    However, gaps in information about specific types of medication-associated adverse events hinder a focused proposal.

    Inter-professional Perspectives and Needed Actions

    Inter-professional Perspective

    Effective, safe care necessitates inter-professional teams with shared goals. Adverse events impact both work-life quality and patient health, leading to increased costs for patients and healthcare staff. In Valley Hospital, various healthcare professionals, including administrators, physicians, nurses, pharmacists, and IT members, are eager to improve patient safety and overall efficiency.

    Needed Actions

    Inter-professional teams must unite to improve patient safety, cost-effectiveness, and work-life quality. Actions include communication through guidelines, pharmacist participation in clinical settings, collaborative medication reviews, and educational workshops.

    These actions aim to raise awareness, enhance medication safety, prevent adverse events, and improve the overall cost-effectiveness of treatment.

    Effective Collaboration Strategies

    Quality inter-professional care hinges on effective collaboration. Strategies include:

    1. Clarifying roles among team members to understand and enhance interdependencies.
    2. Inculcating inter-professional values and ethics through education and orientation programs.
    3. Utilizing effective communication tools for timely and clear information exchange.

    These strategies are based on the assumption that the inter-professional team shares a vision of improving patient safety, and effective collaboration will enhance job satisfaction and performance.

    Conclusion

    In conclusion, adverse medication events, identified through dashboard metrics, prompted the formulation of a QIIP using the DMAIC model. Inter-professional perspectives revealed a commitment to improving patient safety, and specified actions and collaboration strategies were outlined. Addressing these issues will contribute to enhancing patient care, safety, and satisfaction. Thank you for your attention. If you have any questions, feel free to ask.

    References

    Ahmed, S. (2019). Integrating DMAIC approach of lean six sigma and theory of constraints toward quality improvement in healthcare. Reviews on Environmental Health, 34(4), 427–434. https://doi.org/10.1515/reveh-2019-0003

    Agency for Healthcare Research and Quality. (2019, September 7). Medication errors and adverse drug events https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

    De Las Heras-Pedrosa, C., Rando-Cueto, D., Jambrino-Maldonado, C., & Paniagua-Rojano, F. J. (2020). Analysis and study of hospital communication via social media from the patient perspective. Cogent Social Sciences, 6(1). https://doi.org/10.1080/23311886.2020.1718578

    NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initative Proposal

    Irajpour, A., Farzi, S., Saghaei, M., & Ravaghi, H. (2019). Effect of inter-professional education of medication safety program on the medication error of physicians and nurses in the intensive care units. Journal of Education and Health Promotion, 8(196). https://doi.org/10.4103/jehp.jehp_200_19

    Manias, E. (2018). Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review. ResearchGate, 17(3). https://www.researchgate.net/publication/322284148_Effects_of_interdisciplinary_collaboration_in_hospitals_on_medication_errors_an_integrative_review

    McLaney, E., Morassaei, S., Hughes, L., Davies, R., Campbell, M., & Di Prospero, L. (2022). A framework for interprofessional team collaboration in a hospital setting: Advancing team competencies and behaviours. Healthcare Management Forum, 35(2). https://doi.org/10.1177/08404704211063584

    NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initative Proposal

    Randell, R., Alvarado, N., McVey, L., Ruddle, R. A., Doherty, P., Gale, C., Mamas, M., & Dowding, D. (2020). Requirements for a quality dashboard: Lessons from national clinical audits. AMIA Annual Symposium Proceedings, 2019, 735–744. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153077/

    Salgado, M., Nogueira, P., Torres, A., & Oliveira, M. D. (2022). Setting requirements for a dashboard to inform portuguese decision-makers about environment health in an urban setting. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.837433

    White-Williams, C., & Shirey, M. R. (2021). Taking an interprofessional collaborative practice to the next level: Strategies to promote high performing teams. Journal of Interprofessional Education & Practice, 26, 100485. https://doi.org/10.1016/j.xjep.2021.100485