To reduce the incidence of pressure injury in heart hospitals in the inpatient unit by 70% by 31 December 2022. Objectives MSN FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initiative Proposal KP

 

By using the Institute of Health Improvement model, which seeks to use a multidisciplinary approach to improve quality: nurses, doctors, nutritionists, and physiotherapists, among many other health care professionals, are actively involved in patient care. This model focuses on setting an improvement project by setting an aim statement then establishing the measures needed to know the effectiveness of change and choosing the best changes for that particular setting, thus plan do study act (PDSA) is used to test changes. We did a Pareto analysis to identify the problem areas, for example, non-adherence to the preventive measures, use of inappropriate assessment criteria other than the recommended Braden scale, and poor management procedure in care of the Pressure injury incident. In this experiment, the nurses are educated on the risk assessment tool and proper use of the Braden scale to manage pressure injury.

Quality Initiative 

Communication of quality initiative.

Patient-centered care.

All health care providers need to be educated on the importance of patient-centered care to ensure what it entails. They will be educated on the significance of compensating care, non-maleficence, and providing patients autonomy throughout the project period. We will inform the patients and their families about hospital-acquired pressure injury, causes, and how it is being managed to be aware of the patient’s condition. Throughout the treatment, the family will also be educated on the importance of providing emotional and mental support, which is expected to improve the patient’s outcome (Holbrook et al.,2021).

Safety 

To improve safety, we implemented system effectiveness and medication safety. In system safety, we looked for the causes of medication errors which commonly relied on one profession, the doctors to prescribe the drugs for the HAPI patients; therefore, we incorporated the role of pharmacists in dosage calculation, dose determination, and determination of the possible drug-drug interactions and possible ways to mitigate them. We introduced the respiratory therapist to reduce respiratory infection due to nasogastric tubes and intubation tubes (Mussa et al.,2018). Nutritionists were trained to determine the patient’s diet. If the patient is in critical condition, we will consult a physician in deciding the meals for the patient; The interdisciplinary team ensured good communication by consulting before making any changes to the patient and by providing a high degree of respect among the team members.

Efficiency

Implementation of all these changes is expected to improve the efficiency of the therapy. The database will be analyzed by an expert internet technologist who will be educated first on the key parameters being studied in this project to prevent medical errors (Kiymaz and Koy,2018). They will solve any identified problem by applying the required changes. The health professionals will go through continuous medical education classes to improve their knowledge of managing the patient; they will also be taught the importance of the culture of quality, root cause analysis, and land use stream mapping according to the Six Sigma model (Limbert and Santy, 2020).