Assignment: Executive Summary: Reducing Falls In Healthcare settings
Assignment: Executive Summary: Reducing Falls In Healthcare settings
Reducing Falls in Healthcare Settings
Quality improvement initiatives are important in nursing and healthcare to enhance care outcomes. Safety issues such as patient falls increase the need for nurses and other healthcare providers to collaborate in implementing evidence-based solutions. Therefore, this paper proposes an initiative that can be adopted to prevent patient falls. It also examines the benefits of the initiative, target population, and evaluation approaches.
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The Purpose of the Quality Improvement Initiative
The purpose of this quality improvement initiative is to propose the training nurses and physicians on fall risk identification to prevent and reduce falls in the organization. The intervention entails training nurses and physicians on the use of fall-risk prediction tool to identify patients at risk of falls and implement preventive strategies. The need for the initiative is attributed to the increase in fall rate in the organization, which translates into safety and quality concerns in the organization.
The Target Population or Audience
Nurses and physicians are the target population for the proposed quality improvement initiative. Nurses and physicians will be required to use the fall-risk prediction tool to assess all patients for risk of falls. They are the appropriate population since they are largely involved in the provision of direct patient care. Nurses and physicians will be trained on the use of the tool and implementation of preventive strategies for falls.
The Benefits of the Quality Improvement Initiative
The proposed quality improvement initiative has several benefits. First, it will reduce the risk and rate of falls in the organization. The use of the fall-risk prediction tool will enable nurses and physicians to identify at risk patients and implement preventive strategies. This will significantly reduce the rate of falls in the organization. The quality improvement initiative will also improve safety and quality of care in the organization. According to the Centers for Disease Control and Prevention (CDC), one out of five falls cause serious injuries such as head injury or fractures. In addition, falls are the most common problems that contribute to traumatic brain injuries(CDC, 2023). Statistics also show that about 25% of the hospital falls are injurious leading to soft-tissue injuries, fractures, and fear of falling. The proposed initiative will also reduce hospital costs.
The CDC reports that patient falls contributed to more than $50 billion in 2015 with Medicaid and Medicare shouldering 75% of the costs. Patients incur high hospitalization costs due to prolonged hospitalization and demand for complex care for managing complications of falls(CDC, 2023). Lastly, the proposed initiative will strengthen patient safety culture in the organization. It will increase the need for the adoption of care interventions that minimize the risk of harm to patients while improving on the existing safety systems and processes(Heng et al., 2020; LeLaurin & Shorr, 2019).
Interprofessional Collaboration
Teamwork and open communication will be incorporated into the proposed quality improvement initiative. Nurses and physicians will work as a team in the use of the tool to identify patients at risk of falls and implement preventive strategies. Teamwork will be important to ensure collective realization of the desired project outcomes(Reevesa et al., 2017). Open communication will also be incorporated into the proposed plan. Nurses and physicians will be encouraged share their views and concerns about the proposed initiative. They will also be encouraged to share feedback about the initiative to identify the strengths and opportunities to be exploredto improve the project outcomes (Shakhman et al., 2020). Open communication will enhance trust and honesty among nurses and physicians involved in the implementation of the plan.
Cost or Budget
The proposed quality improvement initiative will require resources such as nurses and physician training, coaching, supervision, data collection, analysis, and presentation of findings. The estimated budget for these resources is $35000. This will include $15000 for training, $5000 for data collection, analysis, and presentation, $5000 for purchase of materials such as educational brochures, $5000 for trainers, and $5000 for miscellaneous needs.
Evaluation of the Quality Improvement Initiative
Evaluation will be done to determine the effectiveness of the quality improvement initiative. Process and outcome measures will be used to evaluate the project. Process outcomes will assess the effectiveness of the interventions that were used in the quality improvement initiative. Surveys and interviews will be conducted among the nurses and physicians to assess their subjective experiences with the initiative. This will include their experiences with training offered, inter-professional collaboration, coaching, and mentorship offered for the project success. Outcome measures will assess if the project outcomes were achieved or not. Outcome measures will include the rate of falls, injurious falls, cost of care, and length of hospital stay among the hospitalized patients. The initiative will be considered successful if there is a reduction of fall rate below the set benchmark in the organization. The additional indicators for the success of the initiative include a decrease in the rate of injurious falls, length of hospital stay, mortality, and costs incurred by the patients (Heng et al., 2020).
Conclusion
The quality improvement initiative proposes training nurses and physicians on fall risk identification to prevent and reduce falls in the organization. The need for the initiative arises from the increasing rate of falls among hospitalized patients. The benefits associated with the initiative include improvement in the quality and safety of care, cost reduction, and creation of a safety culture in the organization. Process and outcome measures will be used to evaluate the project.
References
CDC. (2023, July 19). Facts About Falls | Fall Prevention | Injury Center | CDC. https://www.cdc.gov/falls/facts.html
Heng, H., Jazayeri, D., Shaw, L., Kiegaldie, D., Hill, A.-M., & Morris, M. E. (2020). Hospital falls prevention with patient education: A scoping review. BMC Geriatrics, 20(1), 140. https://doi.org/10.1186/s12877-020-01515-w
LeLaurin, J. H., &Shorr, R. I. (2019). Preventing Falls in Hospitalized Patients: State of the Science. Clinics in Geriatric Medicine, 35(2), 273–283. https://doi.org/10.1016/j.cger.2019.01.007
Reevesa, S., Pelone, F., Harrison, R., Goldman, J., &Zwarenstein, M. (2017).Interprofessional collaboration to improve professional practice and healthcare outcomes.Cochrane Database of Systematic Reviews, 6. https://doi.org/10.1002/14651858.CD000072.pub3
Shakhman, L. M., Al Omari, O., Arulappan, J., &Wynaden, D. (2020).Interprofessional Education and Collaboration: Strategies for Implementation. Oman Medical Journal, 35(4), e160. https://doi.org/10.5001/omj.2020.83
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In this assignment, you will propose a quality improvement initiative Fall prevention from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:
The purpose of the quality improvement initiative.
The target population or audience.
The benefits of the quality improvement initiative.
The interprofessional collaboration that would be required to implement the quality improvement initiative.
The cost or budget justification.
The basis upon which the quality improvement initiative will be evaluated.History of falls, usage of particular drugs (for example, psychoactive pharmaceuticals),
You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, An abstract is not required.
You are required to submit this assignment to LopesWrite.