NURS FPX 6212 Assessment 3 Outcome Measures, Issues, and Opportunities

Outcome Measures, Issues, and Opportunities

Patient falls in hospitals can influence patients’ well-being and financial health by causing injuries, escalating expenses related to disability, and serious consequences such as death. In-patient falls pose an extensive issue for the Vila Health Organization. The report is created for stakeholders and will outline Vila Health Organization’s outcome measurements, productivity challenges, and opportunities. Furthermore, it specifies a strategy for improving medical quality and patient safety. This approach utilizes a change model, guaranteeing that patient care is adequately measured.

Analysis of Organizational Functions, Processes, and Behaviors

High-performing and efficient organizations, such as Vila Health Organization, have various critical functions, practical procedures, and stakeholders’ behaviors that boost patient safety and the standard of care, particularly in inpatient falls. Stakeholders include clinicians, nurses, physiotherapists, environment professionals, and executives. They have efficient management that promotes patient safety and care quality through evidence-based procedures (Sinsky et al., 2020). This secure and high-quality culture assists stakeholders in preventing in-patient falls and mitigating related hazards, resulting in substantially fewer patient injuries and an enhanced standard of care.

Furthermore, high-performing organizations promote responsibility and continuous education (Engle et al., 2021). The stakeholders establish open communication and feedback processes to encourage personnel to report fall events and participate in risk evaluation and quality enhancement efforts to avoid inpatient falls (Xue et al., 2022). However, particular information gaps and ambiguous areas necessitate more knowledge. There can be outstanding questions and concerns about the efficacy of particular proven approaches for inpatient fall prevention in Vila Health.

Furthermore, a question arises about the sustainability of change practice regarding patient outcomes. Uncertainty about personnel’s willingness to adjust and enhance quality still exists. Additionally, the accessibility of resources to execute these change practices is a significant challenge. Resolving these knowledge shortages and uncertainties is critical to creating tailored strategies for Vila Health (Teo et al., 2023). 

Organizational Functions, Processes, and Behaviors and Outcome Measures

Organizational procedures, functions, and behaviors significantly impact safety and quality results in medical settings, directly influencing essential performance indicators such as inpatient fall rates and safety-related reported incidents. Evidence supports that structured and effective organizational frameworks improve patient safety and care extensively. Bhati et al. (2023), stated that quality metrics and assessments are critical for analyzing and improving patient outcomes.

Vila Health should set up extensive performance measuring systems to track quality parameters. These measures include clinical results, compliance to standard procedure, and patient satisfaction. Moreover, Xue et al. (2022), emphasize the favorable effect of consistent organizational processes and an environment of safety on eliminating inpatient falls. Organizations that concentrate on the safety of patients and the standard of care, promote a sense of responsibility and have a continuous learning culture have an immediate effect on fall rates, injuries caused by falls, and medical expenses. Organizations can minimize fall rates by employing evidence-based strategies prioritizing high-quality treatment and safeguarding patients.

NURS FPX 6212 Assessment 3 Outcome Measures, Issues, and Opportunities

These practices encompass extensive fall risk evaluations, tailored care plans, patient and staff education, and preventive environmental practices. LeLaurin and Shorr (2019), offer evidence of the efficacy of these strategies, demonstrating a direct association between their execution and a drop in patient falls in clinical settings. Moreover, an atmosphere of responsibility and continuous learning facilitated by open dialogue and feedback systems allows the organization to discover system flaws, execute remedial measures, and constantly enhance measures to avoid falls (Gliner et al., 2021).

Medical staff member training and education lead to effective fall avoidance measures, risk evaluation, and best practices in safeguarding patients. These systemic functions aid in the decrease of fall rates (Ong et al., 2021). Prioritizing patient safety and quality of treatment, motivating staff to report occurrences, engaging in efforts, improving patient outcomes, and keeping expenses under control. The strategies assist organizations in limiting fall rates and related complications, saving medical costs associated with hospitalizations and medical procedures (Albasha et al., 2023). 

This realization of benefits is founded on the assumption that evidence-based approaches promote patient outcomes, enhance patient safety, and lower costs. Furthermore, it is assumed that leadership dedication and encouragement for administration procedures and functions result in sufficient assets and continual enhancement initiatives (Bhati et al., 2023). Furthermore, a positive and motivating environment allows medical personnel to be responsible for their actions, improving their overall efficacy in fall avoidance and safety (Gliner et al., 2021).

Identification of Quality and Safety Outcomes and Measures

Recognizing and evaluating quality and security outcomes and associated metrics is vital in measuring medical care performance. The Vila Health Organization has established several quality and safety outcome measures, including risk assessment, fall rates, fall-related injuries, and expenditures. Potential quality and safety outcomes for patients in health organization includes fall risk evaluation and fall prevention protocols and creating interdisciplinary fall avoidance teams (White et al., 2023). Moreover, conducting regular and comprehensive training and educational sessions for medical professionals on measures to avoid falling leads to fewer patient fall incidences and related complications and higher patient satisfaction, as shown in the spreadsheet in the appendix.

Considering patients’ needs is critical when assessing gaps in safety and quality measures in Vila Health Organization’s management system (DiGerolamo & Chen, 2021). Patients should be provided proper assistance, and nurses should implement fall prevention protocols to reduce fall incidences. The administration of Vila Health Organization and the government should develop and implement policies to measure outcomes.

NURS FPX 6212 Assessment 3 Outcome Measures, Issues, and Opportunities

Generally, the implementation of initial fall risk assessment within four hours (100%), adoption of the complete fall prevention protocol (95%), implementation of repeat fall measures (100%), improving medical staff’s skills to prevent falls through training to achieve outcomes (100%), development of interdisciplinary fall prevention strategies to achieve outcomes (95%), bed shift reports (100%), and adopting fall bundles for high fall risk patients (100%) are the targets to achieve for FY2024. These preventive measures improve the safety and quality outcomes, reducing overall inpatient fall incidences (White et al., 2023).

However, it could be challenging to determine whether the data is reliable and complete.  However, other methodologies for measuring data quality include considering its source, the approach and steps used to collect information, and its overall accuracy and reliability. The spreadsheet provided as an appendix lists the preventative actions and their findings. The implemented interventions have significant outcomes and impact on inpatient fall rates. Similarly, they also impact reducing fall-related injuries and complications. Overall, this reduces the fall rate and improves patient safety.

Evaluation of the Quality of Data

The data in the spreadsheet is derived from Vila Health’s dashboard. This information sheds light on the frequency of in-patient falls. The information provided is accurate because Vila Health Organization uses established data-gathering procedures, performs frequent audits, and cross-checks data accuracy with quality control teams. These groups guarantee that ongoing initiatives to enhance quality and feedback approaches effectively improve the precision and accuracy of data regarding patient falls. This information is credible, aiding decision-making and offering tailored solutions (Wilson et al., 2022). 

Performance Issues or Opportunities

When addressing performance challenges and opportunities at Vila Health regarding inpatient fall prevention, it is critical to examine the specific operations, procedures, and behaviors. The identified issues in Vila Health are inpatient falls and lack of safety culture. Vila Health Organization’s performance concerns with in-patient falls are due to insufficient preventive measures and a lack of a patient safety culture. These are linked to high-performing organizations’ operations, procedures, and result metrics. The primary opportunity is to prioritize the security of patients and the efficacy of care through efficient management and execution of proven fall prevention solutions (Sinsky et al., 2020). This leads to fewer falls and fall-related adverse effects. However, employee compliance with security guidelines remains difficult (Ebraheim & Eltaib, 2023).

It can influence the provision of care and lead to compromised patient safety. Furthermore, an environment of responsibility and ongoing development promotes open dialogue and teamwork. However, there are challenges related to efficient reporting of incidents and risk evaluation. Staff can feel reluctant to report problems for fear of punishment or concerns regarding the efficacy of the reporting procedure (Hamed & Konstantinidis, 2022).

Overcoming these gaps requires a dedication to cultivating an ongoing development and education setting at Vila Health. This includes implementing staff education and fostering an atmosphere that promotes open conversation and input about safety problems. By concentrating on these aspects, Vila Health can transform current performance challenges into opportunities, improving patient care and safety. Furthermore, a concerted effort is vital to develop organizational processes for quality enhancement (LeLaurin & Shorr, 2019).

Strategy for Outcome Measurement and Knowledge Sharing

A structured change model is critical for ensuring a complete assessment of patient care components and information sharing among personnel. The Plan-Do-Study-Act (PDSA) cycle provides a strong foundation for systematic development and ongoing learning. It enables continuous evaluation of changes in a practical setting. Using the PDSA cycle, Vila Health can modify its procedures through outcomes, improving care and safety (Tricco et al., 2019).

• In the planning phase, Vila Health must identify major areas for enhancement, like the absence of extensive fall avoidance initiatives and a safe environment. Developing clear and defined goals for outcomes is crucial, for instance, reducing fall rates by 20%. They should form a stakeholder group and identify particular outcome indicators to assess the plan’s effectiveness. These outcome metrics are fall rates, injuries related to falls, and cost. Vila Health should also plan to allocate financial resources (Bhati et al., 2023). 
• In the doing phase, Vila Health will execute change on a small scale to check its efficacy. It encompasses the execution of extensive fall risk standards, staff and patient education, and fall-avoidance interdisciplinary teams with at-risk populations such as elderly patients wards (LeLaurin & Shorr, 2020). 
• In the study phase, Vila Health will gather and analyze relevant data to assess the success of the changes that have been implemented. This includes measuring fall rates, injuries, costs, and staff compliance with fall avoidance protocols. Vila Health must elicit employee input on the validity of practice modifications and suggest areas for development to make changes. 
• In the acting phase, based on the findings, Vila Health will make improvements to enhance its fall prevention strategies and implement these practice changes within the facility. To guarantee long-term success in preventing in-patient falls, they should keep monitoring outcomes and iterating on the enhancement process (Bhati et al., 2023). 

NURS FPX 6212 Assessment 3 Outcome Measures, Issues, and Opportunities

However, Vila Health must devise a plan to promote information exchange and interprofessional collaboration while formulating and executing suggested reforms by offering several opportunities. For instance, periodic team sessions can offer opportunities to address the plan’s outcomes, offer suggestions, and collaborate on problem-solving (Baumann et al., 2022). Furthermore, forming transdisciplinary committees focused on specialized initiatives promotes a culture of safety. Additionally, establishing communication platforms like personnel portals enables interdisciplinary teams to discuss guidelines and concerns and obtain immediate guidance. Furthermore, frequent training and education sessions must be organized to keep personnel informed regarding recent practices of inpatient fall avoidance (DiGerolamo & Chen, 2021). These initiatives will aid Vila Health in improving patient care and a culture of safety.

Conclusion

In conclusion, this report proposed a systematic approach to addressing the severe issue of inpatient falls in Vila Health Organization. It underlines the importance of extensive assessment and constructive information sharing among medical providers. Vila Health can systematically fix identified shortcomings in patient fall prevention systems by adopting and applying the PDSA cycle as a guideline. 

References

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Baumann, I., Wieber, F., Volken, T., Rüesch, P., & Glässel, A. (2022). Interprofessional collaboration in fall prevention: Insights from a qualitative study. International Journal of Environmental Research and Public Health/International Journal of Environmental Research and Public Health, 19(17), 10477–10477. https://doi.org/10.3390/ijerph191710477

Bhati, D., Deogade, M. S., & Kanyal, D. (2023). Improving patient outcomes through effective hospital administration: A comprehensive review. Cureus, 15(10), e47731. https://doi.org/10.7759/cureus.47731

DiGerolamo, K. A., & Chen, M. L. (2021). An educational intervention to improve staff collaboration and enhance knowledge of fall risk factors and prevention guidelines. Journal of Pediatric Nursing, 57, 43-49. https://doi.org/10.1016/j.pedn.2020.10.027

Ebraheim, N. M., & Eltaib, A. F. (2023). Improving nurses’ compliance with standard patients’ fall prevention protocol in surgical departments. Egyptian Journal of Health Care, 14(4), 1214-1234. https://dx.doi.org/10.21608/ejhc.2023.341603

Engle, R. L., Mohr, D. C., Holmes, S. K., Seibert, M. N., Afable, M., Leyson, J., & Meterko, M. (2021). Evidence-based practice and patient-centered care: Doing both well. Health Care Management Review, 46(3), 174-184. https://doi.org/10.1097/HMR.0000000000000254

Gliner, M., Dorris, J., Aiyelawo, K., Morris, E., Hurdle-Rabb, D., & Frazier, C. (2021). Patient falls, nurse communication, and nurse hourly rounding in acute care: Linking patient experience and outcomes. Journal of Public Health Management and Practice, 28(2), E467–E470. https://doi.org/10.1097/phh.0000000000001387

Hamed, M. M. M., & Konstantinidis, S. (2022). Barriers to incident reporting among nurses: A qualitative systematic review. Western Journal of Nursing Research, 44(5), 506-523. https://doi.org/10.1177/0193945921999449

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NURS FPX 6212 Assessment 3 Outcome Measures, Issues, and Opportunities

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