NURS FPX 6222 Assessment 4 Outcome Measures, Issues, and Opportunities Presentation

NURS FPX 6222 Assessment 4 Outcome Measures, Issues, and Opportunities Presentation

Student Name

Capella University

NURS-FPX6222 Healthcare Safety and Quality Management

Professor Name

Date

Slide 1

• Introduction

Good day, everyone. My Name is ______, and Today, I am going to discuss a critical performance gap in patient safety. The focus is on reducing healthcare-associated infections (HAIs) through the use of evidence-based strategies and interprofessional collaboration.

This is an initiative to improve patient outcomes, support the quality of care, and staff accountability. Let us learn how change models and shared learning can change our healthcare practices.

Slide 2

• Importance of Key Quality and Safety Outcomes

Reducing HAIs helps in improving patient safety by reducing morbidity, mortality, and hospitalization. High compliance with the infection prevention protocols lowers risks and ensures safer clinical environments (Hodkinson et al., 2020). Increased patient engagement helps build that sense of shared responsibility and improved health outcomes (Rajhathy et al., 2021).

The reduction of HAIs has the advantage of bringing down healthcare costs and creating more efficient organizations (Hodkinson et al., 2020). Positive results help to reinforce the safety culture, boost patient satisfaction, and engender trust (Braun et al., 2020).

Slide 3

• The Problem

The system problem was inconsistent infection control practices throughout the healthcare organization. Inconsistency in adherence was due to insufficient training, low resources, and turnover of staff (Rajhathy et al., 2021). Variable compliance with hand hygiene protocols led to increased HAI risks and harm to patients (Braun et al., 2020).

Communication gaps also contributed to poor infection prevention and safety practices (Kemp et al, 2023). The lack of standardization of approaches decreased the effectiveness of infection control efforts.

Slides 4

• High-Performing Organizations or Practice Settings

High-performing organizations pay attention to continuous quality improvement and evidence-based practices. Also, ensure that staff are regularly trained on the infection control protocols and safety standards (Rajhathy et al., 2021). Leadership promotes the cultures of accountability, transparency, and open communication (Kemp et al., 2023). Effective use of data analytics is helpful for the purpose of real-time monitoring and quick responses to safety issues.

High-reliability organizations emphasize the reduction of errors by process standardization and checklists to use (Liu & Dickter, 2020). Interdisciplinary collaboration boosts the collaboration of joint decision-making for patient outcomes (Hodkinson et al., 2020). The partnership is aimed at proactive risk management and feedback systems to identify flaws in the system early.

Patient-centred care and safety are at the heart of their organizational values and policies (Rajhathy et al., 2021). Technology integration: enhances the accuracy of documentation, communication, and adherence to standards of care.

Slides 5

• Areas of Uncertainty

The influence of staff workload on adherence to protocols requires further investigation. More data is needed on the effect of leadership style on infection control outcomes. There is some uncertainty regarding the long-term effectiveness of digital health tools in infection prevention (Gregory et al., 2021).

Variability in standards of reporting by various departments also limits the reliability of comparisons of outcomes (Braun et al., 2020).

Slides 6

• Outcome Measures Associated with the Problem

Clear Infection Control protocols help to improve the level of compliance by staff and reduce the number of cases of hospital-acquired infections. Standardized processes help in making practices consistent between the units, thereby taking care of patient safety outcomes. Continuous education of the staff helps in compliance with revised evidence-based guidelines (Liu & Dickter, 2020). Leadership involvement fosters accountability and builds a culture of safety and responsibility (Kemp et al, 2023).

Effective communication between the multidisciplinary teams at the workplace improves coordination and reduces errors—data-driven decision-making to support real-time infection control strategies improvement (Gregory et al 2021). The use of audits and feedback mechanisms makes it possible to detect and rectify gaps in performance in time. Empowering staff are more likely to report safety issues and avoid adverse events.

Technology, such as electronic health records (EHRs), helps use accurate documentation and allows safety risks to be identified at an earlier stage. Organizations that promote collaboration and transparency have better compliance with outcome-based performance indicators (Braun et al., 2020).

Slides 7

• Assumptions and Reasons

The assumption is that the leadership influences leadership compliance through culture and support. Another assumption is that training leads to improvement in staff capability and behavior (Rajhathy et al., 2021). Consistent communication is thought to be a way to reduce errors (Hodkinson et al., 2020). Technology is assumed to increase access to data and create better quality decisions.

Slides 8

• Quality and Safety Outcomes and Associated Measures

The primary quality outcome is to reduce HAIs following caesarean and orthopedic surgical procedures. The rate of infection is monitored through the safety thermometer and surveillance (Power et al., 2022). Another important outcome is to improve staff adherence to hand hygiene and sterile protocols (Rajhathy et al., 2021). Audit results are used in tracking compliance with infection prevention and control (IPC) guidelines (Gregory et al., 2021).

Patient readmission rates for HAIs are also monitored to determine the success of interventions. Staff training frequency and participation rates are quality indicators that make a difference and reflect preparedness and awareness (Liu & Dickter, 2020). The organization uses the EHR documentation to track the use of antibiotics before surgeries. Leadership engagement for the promotion of safety culture is measured using staff surveys and compliance reviews (Kemp et al., 2023). IPC team reports and performance measures evaluate the results of multidisciplinary working.

Slides 9

• Quality of Data

Data sources are staff audits and EHR records, which provide reliable and quantifiable metrics. The information is timely, evidence-based, and consistent with national safety benchmarks and IPC standards.

However, some data sets do not provide qualitative information on the behaviour and barriers of staff, which limits the analysis in the context (Liu & Dickter, 2020). Surveys and feedback tools to help improve data completeness and interpretability among the team of care providers.

Slides 10

• Performance Issues or Opportunities

Lack of consistent hand hygiene practices among staff risks surgical site infections. Missed or delayed preoperative antibiotic administration can impact patient safety and result in higher readmission rates (Braun et al., 2020).

Limited staff training sessions result in a low level of awareness and compliance with infection prevention protocols (Liu & Dickter, 2020). Poor communication between surgical teams can compromise the sterile technique and impact the safety of the procedure.

 Slides 11

Underreporting of safety incidents prevents the organization from reacting effectively and improving its systems. Failure to involve frontline staff in quality initiatives is a limitation to behaviour change and accountability (Kemp et al., 2023).

Safety culture and staff morale suffer in high-risk environments if leaders do not lead by example (Hodkinson et al., 2020). There is not enough use of data for continuous performance improvement, weakening strategic planning and outcome tracking. Inconsistent documentation in the EHR impacts decision-making and continuity of care when transferring care.

Slides 12

• Areas of uncertainty

Uncertainty exists in staff perceptions and barriers to consistent IPC practices between departments. More qualitative information on leadership effectiveness in promoting safety culture would add value to the analysis (Gregory et al., 2021).

Patient experiences related to postoperative care and management of infectious disease are limited (Gregory et al., 2021). Assessing the effectiveness of environmental cleaning protocols requires more observation and audit data to ensure reliability.

Slide 13

• The Change Model

Lewin’s change model will be utilised in organising the patient care measurement and knowledge sharing process. In the stage of unfreezing, the data will be organized on the surgical infections to form an urgency (Harrison et al., 2021). The staff will be engaged in training workshops and EHR audits to initiate the change process. During the change phase, the new protocols and checklists of infection control will be applied in various departments (Harrison et al., 2021).

Regular feedback sessions and visual dashboards will aid in monitoring the compliance and rates of infection in real-time. Shared learning meetings will ensure staff have an understanding of Best Practice and evidence-based measures of care. Clinical champions will be identified in order to strengthen IPC behaviours and encourage the engagement of the team.

Refreezing involves inclusion of new standards in policy and performance appraisals, ensuring sustainability (Harrison et al., 2021). Knowledge sharing platforms such as intranet updates and team huddles will allow for constant learning and adapting.

Slide 14

• Opportunities for Interprofessional Collaboration

Interprofessional collaboration has the potential to bring surgical teams, infection control, and nursing together to standardize patient care. Joint training and EHR audits foster joint accountability and limit communication between roles. Collaborative care planning offers support to personalized interventions and enhances patient safety outcomes (Harrison et al., 2021). Quality improvement projects can be co-led by nurses as well as infection preventionists for sustainable change in the system.

Slide 15

• Conclusion

In conclusion, dealing with HAIs needs a structured approach, practices based on data, and effective collaboration of teams. By using the model of Lewin and involving the staff with training and audits, I can help decrease the rates of infection.

Quality outcomes are enhanced when patient care is consistently measured and knowledge is shared correctly. Therefore, I can promote a culture of safety, accountability, and excellence in healthcare delivery.

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