Prioritization of the Proposed Change Strategies  NURS FPX 6212 Assessment 1 Quality and Safety Gap Analysis

This minimizes adverse outcomes and enhances patient safety. Secondly, implementing comprehensive fall risk assessment protocols is next on the priority list, as identifying the risk factors relies heavily on staff competency and adherence to standardized protocols. It is essential that healthcare providers accurately utilize assessment tools and interpret findings. Finally, establishing multidisciplinary fall prevention teams is prioritized. While these teams are valuable for collaboration and holistic assessment (Gemmeke et al., 2022), the success of interdisciplinary teams hinges on the proficiency of providers, which is enhanced through robust staff education initiatives. 

Quality and Safety Culture and its Evaluation 

Implementing these proposed practice changes will foster a culture of quality and safety by empowering staff with the knowledge and skills to prevent fall events by taking ownership of their actions. According to Shaw et al. (2020), empowering healthcare providers enhances the quality of healthcare delivery and allows them to employ strategies for patient safety. Similarly, the standardization of practices through comprehensive protocols will ensure a consistent and thorough evaluation of each patient’s fall risk, reducing the possibility of missed risks and promoting a data-driven approach to fall prevention (Strini et al., 2021).

This approach will foster a culture of continuous improvement and quality care. Lastly, multidisciplinary teams will create a platform for open communication and collaboration between healthcare professionals. This allows for a holistic approach to patient care, addressing fall risks from various perspectives leading to a more comprehensive safety strategy (Gemmeke et al., 2022). However, there must be criteria to evaluate this quality and safety culture. This includes monitoring fall rates over time through dashboard data. A consistent decrease in falls indicates the effectiveness of the implemented practices (Turner et al., 2022).

Moreover, it is essential to gauge staff’s perception of safety through surveys, revealing areas for improvement and identifying knowledge gaps. Finally, observing the level of open communication around safety concerns is vital. Staff should feel comfortable reporting near misses and discussing potential risks without fear of reprisal. These criteria provide valuable insights into the effectiveness of practice changes, leading to ongoing quality improvements.

Organizational Culture Affecting Quality and Safety Outcomes 

While organizational culture refers to shared values, beliefs, and behaviors, hierarchy is an organization’s power and decision-making structure. These aspects are significantly influenced by leadership and management abilities. Eventually, all these aspects impact the quality and safety within an organization. Positive organizational aspects, emphasizing open communication and prioritizing patient well-being, result in reduced fall errors, improved staff morale and engagement, and increased reporting of near misses and safety concerns (Lu et al., 2022).

Conversely, a culture prioritizes profits over safety, discourages reporting errors, has rigid hierarchies with limited shared decision-making environment, and authoritarian leaders encounter increased safety concerns, decreased staff engagement, and under-reporting of unsafe events, leading to delayed identification and resolution of safety issues. This analysis assumes that prioritizing safety through organizational culture and hierarchy improves quality outcomes. It also assumes that staff feel encouraged in a culture that promotes open communication and shared decision-making, creating a sense of ownership and continuous quality and safety improvements. 

Justification of Necessary Changes in an Organization

Implementing necessary changes to mitigate adverse quality and safety outcomes related to falls requires a multifaceted approach. Our organization requires changes in leadership practices that promote patient well-being and show a strong commitment to providing resources for fall prevention practice changes. These changes will give direction to the team and ensure the necessary support for implementing and sustaining effective initiatives (Els & Meyer, 2024). Moreover, the organization requires effective communication channels to timely and accurately disseminate information regarding fall prevention and the effectiveness of practice changes among healthcare teams.

Establishing necessary quality processes, including regular audits and performance evaluations, is imperative as they help identify areas for improvement and ensure staff adherence to evidence-based practices in fall prevention. Lastly, the organization must strengthen interprofessiona