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Quality improvement Plan, Resources and Conclusion

Quality improvement Plan, Resources and Conclusion

Quality improvement Plan, Resources and Conclusion

QUESTION
In week 5 you will write the final section your Capstone Paper. The Assignment you will submit this week will combine the work you completed in Week 4 (Evidenced-Based Practice Plan) and will integrate the Resources and Conclusion details in approximately 3-5 paragraphs for your Capstone Paper. Be sure to include scholarly references identified in the literature review to support your EBP plan. Use appropriate and persuasive language that communicates meaning with clarity and fluency to readers, and is virtually error-free (see AWE Capstone Checklist).
To prepare for this Assignment:
Review the Capstone Paper Assignment Guide
Locate the most current version of your Week 4 Assignment. You will add these sections to that document.
Review the Academic Writing Expectations Checklist Capstone Level
Note the new expectations for Use of evidence and Credit to Source
Use a Scholarly Voice
http://academicguides.waldenu.edu/writingcenter/scholarlyvoice
http://academicguides.waldenu.edu/writingcenter/webinars/scholarlywriting#s-lg-box-2773859
Review the Walden University Writing Center webpage: Using Evidence: Synthesis
Review the Week 5 Assignment Rubric
Review Chapter 5 in your Spath text for examples of practice improvement plans.
Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.
Refer to Writing Center guidelines for how to write a summary.
Remember: Each section of the Capstone Paper must meet the Academic Writing Expectations for the Capstone Level.
Write a 3–4-page paper that addresses the following:
Introduction. Briefly review your practice problem and include a purpose statement.
Evidence-Based Practice Plan Explanation (Completed in Week 4)
Provide a detailed explanation of the evidence-based practice performance improvement plan that you will be use to address the practice problem.
Support your plan with scholarly references (the sources you found in the analysis of the evidence).
Resources (completed in Week 5)
Describe the resources needed to support the change in practice such as personnel time, supplies for staff education, cost of new equipment, or cost of software.
Explain why each resource is necessary.
Conclusion
Discuss all key points addressed in this assignment.

Learning Resources
Required Readings
Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.
Chapter 10, “Managing the Use of Healthcare Resources” (pp. 249-280)
Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.
Chapter 1, “Leading, Managing, and Following” (pp. 1-18)
Chapter 5, “Gaining Personal Insight: The Beginning of Being a Leader” (pp. 76-87)
Chapter 20, “Managing Costs and Budgets” (pp. 357-375)
Quality improvement Plan, Resources and Conclusion

ANSWER
Capstone Paper Part II: Quality improvement Plan, Resources and Conclusion
Student’s Name
Professor’s Name
Institutional Affiliation
Course
Date

Quality improvement Plan, Resources and Conclusion
Healthcare delivery faces a diverse challenge that influences the capacity of patient satisfaction, their recovery, and their subsequent trust. Patient safety in healthcare institutions comprises of activities such as the following; preventing, reporting, reduction as well as the analysis of medical error, which most often than not leads to medical error. A report carried out by Charlotte and Colleagues (2019) revealed that medical errors affect at least ten patients in an inpatient facility (Balakrishnan, N. 2015).
A different clinical report indicated that four hundred and seventy-five clinicians reported six hundred and eight patient safety cases over the past two years. These statistics underlined the need to beef up quality improvement measures in healthcare institutions of practice. The iterative application of quality improvement in the resolution of problems has shown significant changes, which include; minimized patient readmission rates, enhanced drug adherence, cost of care that is greatly reduced as well as increased patient care provider relationship.

Practice Problem and Statement of purpose
Freedom from psychological and physical injury is generally defined as patient safety in medical hospitals. This phenomenon is paramount in medical practice, consisting of mental health institutions and general medical settings. Despite every patient being vulnerable, patients with mental illness are particularly more disposed of abuse, violence, and negligence (Balakrishnan, N. 2015). The aftermath of these unethical acts on their physical and emotional health is more often set aside. Healthcare practitioners have a mandate to uphold a safe environment where patients feel safe in a setting in which they are being cared for. This supplements the values of dignity, privacy, and safety.
To ensure patient safety (in mental health institutions), it is important to assess patients who are at increased risk to harm themselves and others. The practitioners in charge should maintain an incident form that would help record key events concerning patients of interest. The most recurring patient safety issues in mental health institutions are falls, slips, patients going missing, adverse seclusion, adverse restraint, behavior that enhances self-harm, violence, aggression, suicide, reduced capacity for advocating for oneself as well as adverse medication events. Suicide is a vital problem and the leading cause of death in psychiatric inpatient settings. The underlying factors of suicide directly relate to the environment of practice. This includes the above-mentioned high-tension inpatient survival conditions. This also happens in conjunction with the failure of the staff to assess the behavioral characteristics of patients. Close to 30,000 suicides occur every year, and inpatient psychiatric hospitals account for 5% – 6% of this figure. The main drivers of this figure are largely comprised of falls, aggression, and violence.
This paper strives to address patient safety in mental health settings, focusing on patient falls and other hindrances to patient safety. The main objective is to reduce unsafe acts within health care settings by using best practices and knowledge, which is sound in obtaining optimal patient outcomes. Patient safety can be ensured by helping patients re-establish personal control by devising a more inclusive decision-making method that lauds their opinion on what should be done. Behavior restriction should only be practiced when necessary. It aims to describe patient safety problems in a mental health facility with a focus on patient falls. It seeks to analyze the problem through a review of literature hence devising quality improvement procedures and reliable models that would increase patient satisfaction and care quality.

Evidence-Based Practice Performance Improvement Plan

The improvement of quality has been the driving force of delivery care in the decade past. Much has been done to enhance the delivery of care as well as the satisfaction of the patient. There has been minimal focus on the reduction of patient falls on psychiatric patients. This is readily evidenced by the reduced number of publications that directly target this problem. Very few research studies have shown the relevance in support of this existing problem. The joint committee report on the Accreditation of Health Care organizations indicated that annually of all the reported falls consisted of eighteen percent of mentally ill patients. Out of the total cases, seventy-seven percent of patients comprising the figure had mental illnesses resulting from acute drug intoxication and chronic mental disease (Brixey et. Al 2016).
Another study conducted in a state psychiatric hospital showed that thirty-six percent of patient safety issues were falls alone. This particular event (falls) in psychiatric institutions has received less attention, such that there are few risk models to curb this problem. Results from other research studies indicated the key causes of patient falls included gait and balance problems, side effects of antidiabetics, confusion, the use of sedatives and hypnotics. This also comprises of the need to be assisted with the day-to-day activities. Falls from another study indicated it was higher in patients with anxiety, agitation, bowel urgency but with impaired gait. (Brixey et. al 2016) issued a report utilizing thirty-nine studies covering over two hundred thousand psychiatric patients, which demonstrated a high prevalence of falls. The report indicated that falls among psychiatric patients are significantly high, which calls for the adoption of quality improvement processes in health facilities that are highly affected.
Quality improvement in a healthcare setting depends on patient satisfaction, medication adherence, and care delivery competency. It involves a joint effort by patients and healthcare practitioners in the achievement of safety standards (Charlotte et. al 2020). Improvement of quality is defined as a structured technique that comprises an in-depth evaluation of processes, flaws identification, and the skillful application of interventions that eliminate problems resulting in inefficiency. Such a method relies on data collection and analysis of data, which results in the formulation of intervention, which is desirable.
Quality improvement tools simplify the analysis of particular interventions; practice performance makes it more feasible for better service delivery. Using the PDSA (Plan Do Study Act) will solve falls among psychiatric patients in an inpatient setup. This model has the advantage of demonstrating improvement to assess change by allowing the application of small changes before initiating a system-wide change. It doesn’t have a high-cost implication, and more so, results are rapidly yielded (King et. al 2016).

Resources and their Importance
Personnel time translates to the amount of time that is committed to a particular patient. This helps in monitoring the patient and taking a record of any deviant behavior. Personnel time is a significant resource as it leads to an understanding of every patient. This includes the likelihood of committing acts that threaten their health. Staff education includes; charts and other information equipment that would enable psychiatric nurses to understand how to treat different patients in their care (King et. al 2016). New equipment would be increasingly useful in ensuring patients interact in a safe environment. New equipment might include ramps, elevators to reduce falls from staircases.
Conclusion
The reduced focus on quality improvement measures has brought about increased problems with the safety of patients. Despite the fact most psychiatric patients tend to be aggressive or even violent, there is a need to eliminate the conditions that predispose such patients to harm. It is necessary to develop a quality improvement process that reduces patient falls among psychiatric institutions. This would lead to an increase in patient satisfaction.

References

Balakrishnan, N. (2015). Dependability in medicine and neurology: Using engineering and
management principles for better patient care.
Brixey, J. J., Brixey, J. E., Saba, V. K., & McCormick, K. A. (2016). Essentials of the nursing
informatics study guide.
Charlotte Wåhlin, Susanne Kvarnström, Annica Öhrn & Emma Nilsing Strid (2020) Patient and
healthcare worker safety risks and injuries. Learning from incident reporting, European Journal of Physiotherapy, 22:1, 4450,
King, T. E., & Wheeler, M. B. (2016). Medical management of vulnerable and underserved
patients: Principles, practice, and populations.

Quality improvement Plan, Resources and Conclusion

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