NURS FPX 6212 Assessment 4 Planning for Change: A Leader’s Vision NURS-FPX 6212 Health Care Quality and Safety Management ​​​​​​​Planning for Change: A Leader’s Vision 

 

Background of Systemic Problem 

Inpatient falls represent a systemic problem within ___________ (mention the organization), accounting for 30 fall incidents per 1,000 patient days. This problem poses significant risks to patient safety and well-being, such as fall-related injuries, additional costs, psychological distress, and poor quality of life (LeLaurin & Shorr, 2020). Along with the intrinsic contributing factors, some performance gaps reveal insufficient preventive measures, a lack of safety culture, and reduced staff adherence to fall prevention protocols within the organization. Thus, a quality and safety plan is proposed to reduce fall rates and alleviate poor consequences.

Plan to Enhance a Culture of Safety Within Our Organization

The practice changes designed for __________(mention the organization) aims to increase fall prevention efforts, reduce inpatient fall rates, improve patients experiences, and enhance a safety culture within the organization. These fundamental changes include: 

Comprehensive Fall Risk Assessment Protocols

This involves the use of standardized protocols for fall risk assessment. According to Strini et al. (2021), standardized fall risk assessment protocols, such as the Morse Fall Scale and Hendrich II Fall Risk Model, are beneficial for organizations to identify high-risk populations, guiding preventive efforts. Through this practice change, we aim to enhance fall risk assessment practices among healthcare providers at the time of admission and during patients’ stay in the hospital to make necessary modifications based on patients’ conditions. 

Staff Education and Training

Next, the plan is to implement educational interventions. These staff training and education initiatives will improve the quality of staff practices, primarily related to inpatient falls. By creating awareness, the organization can close the performance gap of non-compliance with fall prevention protocols (Shaw et al., 2020). Ultimately, these training and education programs will enhance patient safety and reduce adverse outcomes.

Multidisciplinary Fall Prevention Teams

Lastly, the plan entails the establishment of an interprofessional fall prevention team comprising physicians, nurses, pharmacists, physical therapists, and environmental specialists. These team members will provide diverse expertise to guide fall prevention interventions tailored to patients’ needs and organizational objectives. These teams will collaboratively facilitate comprehensive fall risk assessment, implement interventions, and monitor the efforts for ongoing quality improvement (Gemmeke et al., 2022).