QUALITY IMPROVEMENT INITIATIVE NURS 8302

Walden University QUALITY IMPROVEMENT INITIATIVE NURS 8302-Step-By-Step Guide

This guide will demonstrate how to complete the Walden University QUALITY IMPROVEMENT INITIATIVE NURS 8302 assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for QUALITY IMPROVEMENT INITIATIVE NURS 8302                       

Whether one passes or fails an academic assignment such as the Walden University QUALITY IMPROVEMENT INITIATIVE NURS 8302 depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for QUALITY IMPROVEMENT INITIATIVE NURS 8302                       

The introduction for the Walden University QUALITY IMPROVEMENT INITIATIVE NURS 8302 is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for QUALITY IMPROVEMENT INITIATIVE NURS 8302                       

After the introduction, move into the main part of the QUALITY IMPROVEMENT INITIATIVE NURS 8302  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for QUALITY IMPROVEMENT INITIATIVE NURS 8302                       

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for QUALITY IMPROVEMENT INITIATIVE NURS 8302                       

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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QUALITY IMPROVEMENT INITIATIVE NURS 8302

QUALITY IMPROVEMENT INITIATIVE NURS 8302

Healthcare organizations are constantly engaging in performance improvement initiatives with the aim of improving the patients’ experiences and outcomes. Quality care delivery results in quick recovery to the patients as well as reduced medical costs because of the reduced hospital stay period. Quality improvement initiatives focus on measuring the patients’ outcomes and develop new strategies to address the existing gaps and improve the efficiency of the healthcare delivery processes (Joshi, Ransom, Nash, & Ransom, 2014). Various quality indicators are considered in the improved process, and they include reduced hospital readmissions, proper waste management and disposal, patients’ data management and reducing the turnaround time. Proper data management is an important quality indicator that many hospitals focus on currently. In as much as there are other quality indicators, data management has been prioritized in the hospital set-up and thus will be the main focus of analysis in the paper.

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Quality Improvement Initiative

As mentioned, the present health care setting focuses on data management as its quality improvement initiative. This focus has occurred in cognizance of the essence of having proper data management system given the technological pervasion of the health care industry. Poor data management results in communication errors between the healthcare providers, and prolonged patients’ stay in the hospital due to data unavailability. Indeed, Clarke and Persaud (2011) have implied that the absence of proper data management structures have led to the existence of certain adverse events in health care. Therefore, improving the patients’ data management is essential in the realization of high quality delivery of health care services. Patients’ data are collected from the time they get to the outpatient department. Hence, this data should be made readily available for proper management of the patients until the time they leave the hospital. Also, such records should be kept for easy monitoring and follow-up of patients with chronic diseases.

Furthermore, proper data management means that healthcare providers in a hospital institution. The senior leader in the institution works to ensure that the patient’s flow is improved and enhance the coordination among the various healthcare providers as advised by Clarke and Persaud (2011). Proper data management helps in easy sharing of vital information among healthcare providers and thus reducing patients’ movements within the hospital may help reduce their predisposition to hospital-acquired infections.

Adverse Events

Furthermore, incidences of medical errors such as medication errors have increased. According to M. Ransom, S. Ransom, and Nash (2014), these incidences are majorly caused by wrong data entry or poor management and storage of the patients’ data among other factors. Therefore, addressing the problems caused by poor data management would facilitate the realization of quality care delivery and improve patients’ experiences significantly. Having considered all these factors, the institution leaders were convinced enough to prioritize this quality improvement initiative. Unpredictable discharge and prolonged delays in the discharge process are major roadblocks to the realization of efficient patient flow. Improving the discharge process can only be achieved first by ensuring the patients’ data can be easily retrieved, and billing is done promptly. Furthermore, the nurses can easily monitor their patients and determine whether they are ready for discharge through an efficient health information management system.

Moreover, the management ensures the existence of an organizational culture that has familiarity with the tools of data management quality improvement. These ensures that the responsible hospital staff understand their roles properly with regards to the collection and dissemination of collected data for purposes of improving the quality of care. Further, an implementation of a systematic data collection methodology ensued when an adverse health event occurred at the setting. The uniformity evidenced in the categories of data collected by the hospital ensures that accuracy is maintained and validity of the data is guaranteed in consistence with M. Ransom, S. Ransom, and Nash (2014) assertion. By doing this, the hospital has proactively implemented internal mechanisms to address the issue of adverse events hence improvement of quality.

Scholarly Article

            Adverse events have received significant coverage in both scholarly and public press spaces. Medication errors forms one of the most highly discussed issues as regards this phenomenon. Keers, Williams, Cooke, and Ashcroft (2013) conducted a scholarly analysis of medication errors and the attendant underlying system factors that have led to the existence of such errors. The article highlighted issues such as lapses and slips, deliberate violations, and knowledge-based mistakes as the main culprits in the existence of these errors. Moreover, inadequate written communication, high perceived workload, pharmacy dispensing errors also contribute to medication errors (Keers et al., 2013). Indeed, when an evaluation was conducted in my present health care setting concerning the causes of medication errors, some consistency with the factors outlined by the above authors occurred. The hospital discovered that staffing shortage leading to increased workload as well as pharmacy dispensing errors majorly contributed to these errors at the hospital.

Conclusion

            Therefore, hospitals constantly grapple with adverse events issues. As a result, they adopt multifarious quality improvement initiatives to ensure high-quality delivery of services to patients. These undertakings lead to mitigation of these adverse events thus resulting in improved perception of facilities by patients. Scholars as well as public press have also addressed the issues of medical adverse events. The exposure offered by these media permit health care settings to constantly work towards eliminating them hence improving the quality of their services.

References

Clarke, C. M., & Persaud, D. D. (2011). Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. Journal of Patient Safety, 7(1), 11–18. doi:10.1097/PTS.0b013e31820c98a8

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book (3rd ed). Chicago, IL: Health Administration Press.

Keers, R. N., Williams, S. D., Cooke, J., & Ashcroft, D. M. (2013). Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence. Drug safety, 36(11), 1045-67.

Your organization has recently discovered there have been too frequent errors in medication distribution. After launching an investigation in the matter, and discovering the reasons for the errors, your organization is ready to launch a quality improvement initiative. What might this initiative entail?  What is included, and how will it assist in eliminating these errors?

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The purpose of the Quality Improvement (QI) Plan is to provide a formal ongoing process by which the organization and stakeholders utilize objective measures to monitor and evaluate the quality of services—both clinical and operational—provided to the patients. The QI Plan, which often addresses general medical behavioral health and oral healthcare and services, defines and facilitates a systematic approach to identify and pursue opportunities to improve services and resolve identified problems (Health Resources and Services Administration, 2011).

For this Discussion, review the Learning Resources. Then, reflect on how adverse events impact your organization and/or nursing practice. Consider the use of quality improvement initiative in the error rate, using scholarly articles to analyze.

_Reference:

_{U. S. Department of Health and Human Services Health Resources and Services Administration. (2011). Developing and implementing a QI plan. https://www.hrsa.gov/sites/default/files/quality/toolbox/508pdfs/developingqiplan.pdf} 

To Prepare:

• Review the Learning Resources for this week, and reflect on the types of quality improvement (QI) initiatives that might be most relevant to your healthcare organization or nursing practice.
• Select a QI initiative, you are most familiar with, that has received support from your senior leaders in your healthcare organization or nursing practice.
• Consider how adverse events are handled in your healthcare organization or nursing practice. Reflect on how this may impact the public—as well as the internal—perspective on healthcare quality.
• Find a scholarly article or one from the public press, published within the last 5 years, that recounts a serious error. Reflect on this error, and consider how it may relate to your healthcare organization or nursing practice.

By Day 3 of Week 6

Post a brief explanation of the QI initiative you selected, and why. Be specific. Explain how adverse events are handled in your healthcare organization or nursing practice, including an explanation of how this may impact both public and internal perspectives on healthcare quality. Then, briefly describe the error rate from the article you selected, and explain how this may relate to your healthcare organization or nursing practice. Be specific and provide examples.

Multimorbidity, defined as two or more chronic medical conditions, resulting in polypharmacy, which is often described as the long-term use of five or more prescribed drugs daily (Sivasamy et al., 2023).  Pharmacokinetics: Drugs commonly prescribed to older people, such as antihistamines, can reduce oral secretions, and PPI, which reduce gastric acid secretion, both of which affect drug absorption.  Pharmacodynamics: Haloperidol and amitriptyline together can cause major anti-cholinergic side effects.

Having a centralized national repository of medical records allows medical practitioners to be informed of the medications the patient is taking, so to avoid polypharmacy or even a prescribing cascade.  A prescribing cascade occurs when additional adverse events are mistaken as a new medical condition, which leads to the addition of new drugs to treat it.  This, in turn, places patients at risk of experiencing additional adverse drug events from the unnecessary treatment (Chen et al., 2019).

The US was one of the first countries to establish the National Medication Errors Reporting Program (MERP) to monitor medication error (Chen et al., 2019).  Human error is inevitable.  The best we can do is educate and train healthcare staff and patients about the use of medications.  We currently utilize Omnicell at my organization.  To be certain that I am giving the correct medication to the right patient, when I pull the medication, I make sure that it is exactly the medication I need.  I scan the patient, and I go through the 5 rights: right name, right medication, right time, right dose, right route.

As healthcare staff, we must be vigilant and advocate for our patients by being careful what we give them is exactly what they need.  For example, a new nurse pulled Narcan instead of Norco by pressing the wrong button.  She was asking for a waste for the Norco from another nurse who thought that maybe there was a liquid Norco, so she looked and realized the new nurse pulled Narcan out instead.

By Day 6 of Week 6

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding upon your colleague’s post or offering an alternative interpretation of the error rate described by your colleague.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Research refers to the systematic review as well as the creative approach of promoting the standardized knowledge on a given topic or healthcare processes. Research processes are important in establishing new knowledge that can be used to enhance healthcare operational activities. Research process may involve different factors and resources. The entire process of research often involves the collection and analysis of data to determine effective outcomes. In the healthcare processes, research studies are always conducted to determine possible solutions on a given process of healthcare activity (Peden et al., 2019). The research can also be done to enhance knowledge and increase the understanding of a given area of knowledge. The process of research may also involve the expansion of a given area of knowledge. For instance, it may extend the process of the study from what had already been established.

            Quality improvement, on the other hand, refers to the direct relationship that is often experienced at various levels of the improved services and the anticipated healthcare outcomes for the given population under the study. Quality improvements involves the application of the already established knowledge or information to promote the overall quality outcomes in the healthcare processes (Dahrouge et al., 2019). Establishing quality improvements in the healthcare processes involves safe, efficient, timely, and the customer centered practices. Adherence to the quality improvement processes often leads to effective and quality healthcare outcomes in most of the organizations or clinical settings.

            In the emergency room where I currently work, quantitative and qualitative research processes are used to determine the best approaches in enhancing quality practices for effective healthcare outcomes. Both the research approaches are also used to enhance already established knowledge to ensure effective healthcare delivery.

References

Dahrouge, S., Armstrong, C. D., Hogg, W., Singh, J., & Liddy, C. (2019). High-performing physicians are more likely to participate in a research study: findings from a quality improvement study. BMC medical research methodology, 19(1), 171. https://link.springer.com/article/10.1186/s12874-019-0809-6 Peden, C. J., Stephens, T., Martin, G., Kahan, B. C., Thomson, A., Rivett, K., … & Pearse, R. M. (2019). Effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery (EPOCH): a stepped-wedge cluster-randomised trial. The Lancet, 393(10187), 2213-2221. https://doi.org/10.1016/S0140-6736(18)32521-2