NURS FPX 6212 Assessment 3 Outcome Measures, Issues, and Opportunities

NURS FPX 6212 Assessment 3

NURS FPX 6212 Assessment 3

Outcome Measures, Issues, and Opportunities

Till now, for the most part, it has been discussed the way in which the elements of outcome measures are important for Vila Health to know how exactly some methods or operations can influence the safe and high-quality outcomes of healthcare groups. The first procedure that should be followed is data collection accompanied by data analysis.

The heads of Vila Health utilize SWOT Analysis and Appreciative Inquiry to monitor a variety of results reviewing the systemic issue of medication errors, such as the quantity of content patient, their length of stays, and the like. Because of this, the organisation has been able to identify where the differences are need in order to achieve the strategic goal.

For the problem area one, it can be mentioned that medication mistakes are systemic in nature in Vila Health. It’s possible to make the groups that do their best, with the help of outcome measures. To enhance the quality and safe care at Vila Health they can install BCMA to prevent medication errors, educate their staff, patients and establish a BCMA medication safety committee.

Analyzing Organizational Functions, Processes, & Behaviors

Consequently, writing about its status in regards of success imply speaking of its roles, methods as well as practices. Vila Health can not transform into a high-performance company due to its employees’ inability to collaborate or accept accountability and lack of knowledge about high-risk medications. The people themselves ought to know more about the drugs they are taking down their throat.

Patients do not have faith in the company due to the absence of protection culture. Favourable cost containment, patients’ satisfaction, timely routines and speedy delivery are the key aspects, on which the high performing organisations focus in terms of their organizational functions, procedural activities and behaviours.

Preventing the occurrence of bad things due to drug mistakes is important, and hence patients and quality care of them are valued. Digitalized communiqué like Electronic Health Records (EHR) and other forms of contact make conversation and working together better (Vos et al. , 2020). Professionals from various sectors are encouraged to become a group where plans on how to provide the best care to patients can be done.

NURS FPX 6212 Assessment 3 Outcome Measures, Issues, and Opportunities

Mangers of a high-performance business must inform their subordinates of the business’s objectives, mission, and vision besides helping the workers become more effective and efficient and ensuring compliance with organizational policies (Restivo et al. , 2022).

Indeed, so that they can work in synergy which will compel them to embrace hard work. Management positions enable the staff to develop because they ensure that all clients possess the necessary equipment and utilize them. When it comes to the troubles such as drug mishaps, a safety and learning culture are encouraged.

Frequency reporting systems have been said in literature to make organizations have a safety and responsibility outlook that can reduce the number of drug mistakes. Business entities neither embarrass, penalize, or accuse the workers; they instead find a solution (Rodziewicz et al. , 2022). The healthcare groups are also co-ed, meaning anyone can join, accepting of all types, and equal.

Organizational Functions, Processes, and Behaviors affecting Outcomes

The discussion about outcomes such as the length of stay, the level of satisfaction among patients, readmissions, bad events, and the mortality rate is also influenced by the roles, processes, and behaviours in the context of the hospital organisation discussed here.

It enhances communication and cooperation by widening the input sources thus facilitating the way in which healthcare facilities workers address the patients and how they are taught. This makes patient more happier and satisfied. This fosters voluntarism and increases the level of care by making decisions collectively which reduces the rate of blunders.

This leadership also makes patients happier and reduces the occurrence of negative events due to compliance with rules and laws, and the high clarity of the organization’s values ​​and goals. Everything mentioned above decreases the mortality rates and the number of patients that are readmitted to the hospital.

This is because medication errors result from low contact between the physicians which can be solved using EHR leading to reduced hospital stays (Vos et al. , 2020). Patient-centered care will increase the quality of care and improve the outcome for patients promoting a culture of safety (Kuipers et al. , 2019).

Typical Quality & Safety Outcomes

If Vila Health had wanted to assess quality and safety, then the organisation would look at the number of adverse events reported within a specified period, the levels of satisfaction or dissatisfaction expressed by the patients, the interval that the patients spent in hospital, the extent to which they received quality care by observing the clinical protocols.

One significant criterion to assess a result is learning how much the staff adheres to the rules and methods of providing medications and how satisfied they are. In order to understand how changes or actions in organizations impact things, it is relevant to find out what the quality and safety outcomes are.

Thus, assessing the quality of the data involves looking at its reliability, and this is achieved by checking whether the data is consistent over time or not, its completeness to ensure that there are no missing values, its validity, which is the ability of the data to measure the concept that is being measured, and lastly the sensibility or the ability of the data to pick changes over time.

As a result of having reviewed the four cases on medication mistakes that occur frequently in Vila Health, it was recommended that technology such as BCMA be applied, the staff be educated on how to work in a team and the dangers posed by medications, the patients be educated on medications and be given some leadership positions, and the formation of a medication safety group be made.

This implies that the success of these programs can be observed depending on the following indicators: the count of reviews of bad events over time, the count of patient satisfaction polls done over time, the number of days that every patient is in the hospital, the feedback from staff members, and the count of patient readmissions according to information received from the hospital administration. A clearer picture may be had from the options in the list below (Chui et al. , 2019).

Evaluation of  Data

Below are brief samples of numbers in an appendix that indicate the present and target numbers for various quality and safety estimates in healthcare. They can be measured in different ways; the present outcomes are then compared to the wanted outcomes in the year 2024.

The proportion is compromised of 80 unfavorable events per 1000 patients while the hoped-for number was 40 per 1000 patients. Moreover, only 40% of patients are satisfied with the manner in which their medications are handled against a target of 80%.

The goal for administering medicines is set at 100% while the compliance rate according to the rules laid down is only 45%. The target was set at 95%, but the current status is only 60% showing that 35% of the staff is not satisfied with the rules to manage medications.

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The common cost of the health care has tripled, this is a revelation far much higher than the 20% that was proposed. Staff wants 100% training for its staff, though currently only 30% of them are receiving it. Currently at 50%, it is still considerably lower than targets that aim for 97% in collaborative care. Last but not least the safer method of reporting is discovered at 60% while the ideal is 80%.

The statistics point out a number of areas that must improve by a great deal to meet the goals by 2024. We need bigger improvements in the rate of adverse events, patient satisfaction, patients’ compliance, and staff satisfaction. Costs are the biggest concern and in the same vein, the focus should be on training, caring for the staff and co-care. So, to sum it up, it seems that the safe reporting way is improving, although there is still a room for improvement to get to the target.

NURS FPX 6212 Assessment 3

Performance Issues

It can be asserted that medication errors can be associated with various types of the performance issues in Vila Health; for instance, work overload and insufficient staffing. Thus, due to fatigue and stress, for multiple reasons, healthcare staff becomes distracted and may multitask and confuse while working; which results in medication errors (Vaismoradi et al. , 2020).

Usually, the staff members are also forced to write by hand due to the lack of technology in their workstations. This results in difficulties in marking or writing scripts for performers, hence time wastage, confusion and then misunderstandings that lead to drug related mistakes. Those staff members who are not well informed about medication mistake, high risks drugs, dose, and side effects, may hamper correct administration of medicines.

There are also cases when mistakes are made since the personnel and patients are non-adherent to the rules or are not transparent about how to take medication (Vaismoradi et al. , 2020). The other similar definition of quality and safety results include such things as harm, adverse events, mortality, less patient satisfaction, more length of stay, more readmission rate, and higher charges in healthcare expenses.

Strategy to Ensure Patient Care Aspects Being Measured

Lewin’s Change Model would serve to ensure that aspects being measured in patient care are adequately captured. This change model ensures that every person that is affected by the change accepts the change. There are three parts to Lewin’s model: was described as comprising four stages that are unfreezing, moving, altering and refreezing (Hussain et al. , 2018).

When the need for change is seen and communicated to the practitioners in the healthcare settings, then there is formation of the unfreezing level. This is the part where an analyst explains why change needs to be carried out and the advantages that will be gained by doing so. The actual plan of the organization’s goals and aim is made during the change phase.

The plan is then implemented through team work with professionals in tracing patients care and then reviewed to note the efficacy of the plan as per Barrow et al. (2021). It would involve analysing aspects of patients’ care; for example how medicines are administered; how compliant patients are with regard to medication instructions; adverse events and so on.

Others can offer what may be done to get to the root of the problems and see where adjustments may be made. The change phase is the implementation of the new plan, which is adopted, (Tariq & Scherbak, 2022).

Conclusion

Functions, methods, and actions of a business are valuable components of a healthcare system that might assist it perform more effectively as well as raise patient results.

It is crucial to understand how these matter influence the outcomes. In Lewin’s change model it is easier to make changes in a company as depicted below. 

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NURS FPX 6212 Assessment 2 Executive Summary

References

Barrow, J. M., Toney-Butler, T. J., & Annamaraju, P. (2021). Change Management. PubMed; StatPearls Publishing.

https://www.ncbi.nlm.nih.gov/books/NBK459380/

Chui, M. A., Pohjanoksa-Mäntylä, M., & Snyder, M. E. (2019). Improving medication safety in varied health systems. Research in Social and Administrative Pharmacy, 15(7), 811–812.

https://doi.org/10.1016/j.sapharm.2019.04.012

Hussain, S. T., Lei, S., Akram, T., Haider, M. J., Hussain, S. H., & Ali, M. (2018). Kurt Lewin’s change model: A critical review of the role of leadership and employee involvement in organizational change. Journal of Innovation &Amp; Knowledge, 3(3), 123–127.

https://doi.org/10.1016/j.jik.2016.07.002

Kuipers, S. J., Cramm, J. M., & Nieboer, A. P. (2019). The importance of patient-centered care and co-creation of care for satisfaction with care and physical and social well-being of patients with multi-morbidity in the primary care setting. BMC Health Services Research, 19(1), 1–9.

https://doi.org/10.1186/s12913-018-3818-y

Restivo, V., Minutolo, G., Battaglini, A., Carli, A. V., Capraro, M., Gaeta, M., Odone, A., Trucchi, C., Favaretti, C., Vitale, F., & Casuccio, A. (2022). Leadership effectiveness in healthcare settings: A systematic review and meta-analysis of cross-sectional and before–after studies. International Journal of Environmental Research and Public Health, 19(17), 10995.

https://doi.org/10.3390/ijerph191710995

Rodziewicz, T., Houseman, B., & Hipskind, J. (2022). Medical Error Reduction and Prevention [National Library of Medicine]. StatPearls.

https://www.ncbi.nlm.nih.gov/books/NBK499956/

Tariq, R. A., & Scherbak, Y. (2022). Medication dispensing errors and prevention. National Library of Medicine; StatPearls Publishing.

https://www.ncbi.nlm.nih.gov/books/NBK519065/

Vaismoradi, M., Tella, S., Logan, P., Khakurel, J., & Vizacaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. Nurses’ Adherence to Patient Safety Principles: A Systematic Review.

https://doi.org/10.3390/ijerph17062028

Vos, J. F., Boonstra, A., Kooistra, A., Seelen, M. A., & Van Offenbeek, M. (2020). The influence of electronic health record use on collaboration among medical specialties. BMC Health Services Research, 20(1).

https://doi.org/10.1186/s12913-020-05542-6

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