Executive Summary: Fall Prevention Essay

Executive Summary: Fall Prevention Essay

Executive Summary: Fall Prevention Essay

Executive Summary
The need to enhance patient and quality of care offered implores healthcare organizations and nurse leaders to implement quality improvement initiatives. Effective communication is a core aspect of reducing medical errors, hospital acquired infections (HAIs), and other adverse events like falls while enhancing inter-professional collaboration among different healthcare professionals. Ineffective communication is a core concern, especially during shift change and handover among nurses (Ruhomauly et al., 2019). Giving wrong medications to patients and other mistakes or errors arise from the inability of healthcare organizations managing the sharing of patient information and their profiles with colleagues. The purpose of this paper is to propose the use of Situation, Background, Assessment and Recommendation (SBAR) tool to enhance communication among nurses in the organization and reduce the occurrence of adverse events, including hospital acquired infections, and medication administration errors.

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Purpose of the Quality Improvement Initiative
At the core of this initiative is to enhance the quality of processes and care offered to patients in the facility. Effective communication through a structured process, allows nurses and other providers to implement better approaches to care delivery, including shift changes and handover. Studies have consistently demonstrated the efficacy of SBAR tool in improving structured communication and handover times between nurses to improve the quality of care offered to patients (Coolen et al., 2020). As such, the core purpose of this quality improvement initiative is to enhance structured communication among nurses with the goal of reducing the occurrence of adverse events like medication administration errors.
Target Population or Audience
The target population for this quality improvement program are nurses and physicians who interact with patients in care provision. Nurses administer medications and care for patients by ensuring that all recommendations by physicians are implemented to improve their conditions. Nurses are at the core of healthcare provision and communicate information from patients and their families to other providers, starting with the physicians. As such, this initiative targets them so that they are aware of the SBAR tool and how they can use it to attain effective communication with their colleagues and other professionals in the healthcare setting.
Benefits of the Quality Improvement Initiative
The implementation of the SBAR tool will have several benefits to the organization and its staff in several ways. Communication is a critical component of care provision as it ensures that providers and patients share information and data that inform the type of interventions and medications required. As such, implementing this initiative will ensure that nurses and physicians can seamlessly share critical data and evidence on handling certain patients based on their status (Shahid et al., 2018). Secondly, good communication improves patient safety and reduces inherent risks that may arise when patients and providers do not share vital data and information about the health status or medical condition.
The SBAR communication tool will ensure that nurses handover notes are comprehensive and can allow other providers to develop better interventions to deliver quality care. In their study, Mulfiyanti et al. (2022) assert that effective communication based on the SBAR approach reduces communication failures among health workers and with patients. The implication is that effective communication based on the SBAR approach improves the overall quality of services and enhances patients’ levels of satisfaction. It also ensures effective handover among nurses and other providers leading to patient safety (Ruhomauly et al., 2019). As such, this initiative will have significant benefits to the organization like reducing costs, attracting new clients and ensuring that providers offer high quality care interventions to diverse patient population.
Inter-Professional Collaboration Needed in the QI initiative
The implementation of the proposed quality improvement initiative will involve different stakeholders to form an inter-professional collaboration. The collaboration will entail different care providers including nurses, physicians and pharmacists. Nurses will work collaboratively with physicians and pharmacists to roll out the SBAR tool to enhance communication within the nursing department. Again, nurses will enlist other professionals like informaticists to analyze data on rate of medication errors and other adverse events that may reduce the quality of care offered to patients emanating from ineffective communication. Based on this data, they will implement the SBAR communication tool to improve overall care provision, especially during medication administration time to reduce and prevent the occurrence of medication administration errors.
Cost or Budget Justification for the Quality Improvement Initiative
The implementation of this initiative will be critical in reducing the overall cost burden arising from the occurrence of adverse events like medical errors and even falls. The cost of implementing this initiative will not be higher compared to the costs incurred when one medical error occurs in the facility. The facility will require resources to train nurses on the use of the SBAR tool and evaluate its efficacy with two months of the implementation by assessing the number of adverse events, especially medical errors (Müller et al., 2018). As such, the organization may spend close to $3,000 in providing necessary training and implementing the SBAR communication protocols compared to colossal amounts related to compensation and longer stays due to complications arising from such errors.
Evaluation of the QI Initiative
Project evaluation is a critical aspect in determining the effectiveness of the intervention and for its continuation. Before its implementation, sound assessment is necessary to determine its overall effectiveness in addressing the issue at hand. In this case, the evaluation of this quality initiative will entail gathering data on different aspects like medical errors before and after the implementation to ascertain its overall efficacy (Ruhomauly et al., 2019). The evaluation will entail taking surveys from nurses on the quality of handover during shift changes and the rate of adverse events encountered. Through the collected data and information, the facility will determine the effectiveness of the initiative.
Conclusion
Quality improvement initiatives are essential in enhancing the quality of care offered to patients in healthcare settings by nurses. Effective communication is a critical aspect of attaining quality care and nurses should leverage its advantages to reduce medical errors. The paper demonstrates that the implementation of the SBAR communication tool will lead to improved quality of care for patients in the nursing department and their level of satisfaction.

References
Coolen, E., Engbers, R., Draaisma, J., Heinen, M., & Fluit, C. (2020). The use of SBAR as a
structured communication tool in the pediatric non-acute care setting: bridge or barrier for inter-professional collaboration? Journal of inter-professional care, 1-10. https://doi.org/10.1080/13561820.2020.1816936
Mulfiyanti, D., & Satriana, A. (2022). The Correlation between the use of the SBAR Effective
Communication Method and the Handover Implementation of Nurses on Patient Safety. International Journal of Public Health Excellence (IJPHE), 2(1), 376-380. https://doi.org/10.55299/ijphe.v2i1.275
Müller, M., Jürgens, J., Redaèlli, M., Klingberg, K., Hautz, W. E., & Stock, S. (2018). Impact of
the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ open, 8(8), e022202. DOI: 10.1136/bmjopen-2018-022202
Ruhomauly, Z., Betts, K., Jayne-Coupe, K., Karanfilian, L., Szekely, M., Relwani, A., … &
Jaffry, Z. (2019). Improving the quality of handover: Implementing SBAR. Future Healthcare Journal, 6(Suppl 2), 54-54. DOI: https://doi.org/10.7861/futurehealth.6-2-s54
Shahid, S., & Thomas, S. (2018). Situation, background, assessment, recommendation (SBAR)
communication tool for handoff in health care–a narrative review. Safety in Health, 4(1), 1-9. DOI: https://doi.org/10.1186/s40886-018-0073-1

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Assessment Description

In this assignment, you will propose a quality improvement initiative 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.

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, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

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Rubric Criteria

Collapse All Rubric CriteriaCollapse All

Paragraph Development and Transitions

7 points

Criteria Description

Paragraph Development and Transitions

5. Excellent

7 points

There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.

4. Good

6.23 points

A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.

3. Satisfactory

5.53 points

Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.

2. Less Than Satisfactory

5.25 points

Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.

1. Unsatisfactory

0 points

Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.

Cost or Budget Justification

18.2 points

Criteria Description

Cost or Budget Justification

5. Excellent

18.2 points

The cost or budget justification issue meets all criteria for the assignment, as indicated by the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.

4. Good

16.2 points

The cost or budget justification issue meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail.

3. Satisfactory

14.38 points

The cost or budget justification is provided and meets the basic criteria for the assignment as indicated in the assignment instructions.

2. Less Than Satisfactory

13.65 points

The cost or budget justification is incomplete, missing relevant information.

1. Unsatisfactory

0 points

The cost or budget justification is not provided.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

7 points

Criteria Description

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5. Excellent

7 points

Writer is clearly in command of standard, written, academic English.

4. Good

6.23 points

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

3. Satisfactory

5.53 points

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

2. Less Than Satisfactory

5.25 points

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

1. Unsatisfactory

0 points

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Thesis Development and Purpose

7 points

Criteria Description

Thesis Development and Purpose

5. Excellent

7 points

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

4. Good

6.23 points

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

3. Satisfactory

5.53 points

Thesis is apparent and appropriate to purpose.

2. Less Than Satisfactory

5.25 points

Thesis is insufficiently developed or vague. Purpose is not clear.

1. Unsatisfactory

0 points

Paper lacks any discernible overall purpose or organizing claim.

Target Population or Audience

18.2 points

Criteria Description

Target Population or Audience

5. Excellent

18.2 pointsThe target population or audience meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.

4. Good

16.2 points

The target population or audience meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail.

3. Satisfactory

14.38 points

The target population or audience is provided and meet the basic criteria for the assignment as indicated in the assignment instructions.

2. Less Than Satisfactory

13.65 points

The target population or audience is incomplete, missing relevant information.

1. Unsatisfactory

0 points

The target population or audience is not addressed.

Paper Format (use of appropriate style for the major and assignment)

2.8 points

Criteria Description

Paper Format (use of appropriate style for the major and assignment)

5. Excellent

2.8 points

All format elements are correct.

4. Good

2.49 points

Appropriate template is fully used. There are virtually no errors in formatting style.

3. Satisfactory

2.21 points

Appropriate template is used. Formatting is correct, although some minor errors may be present.

2. Less Than Satisfactory

2.1 points

Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.

1. Unsatisfactory

0 points

Template is not used appropriately, or documentation format is rarely followed correctly.

Benefits of Quality Improvement Initiative

18.2 points

Criteria Description

Benefits of Quality Improvement Initiative

5. Excellent

18.2 points

The benefit of the quality improvement initiative meet all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.

4. Good

16.2 points

The benefit of the quality improvement initiative meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail.

3. Satisfactory

14.38 points

The benefits of the quality improvement initiative are provided and meet the basic criteria for the assignment as indicated in the assignment instructions.

2. Less Than Satisfactory

13.65 points

The benefits of the quality improvement initiative are incomplete, missing relevant information.

1. Unsatisfactory

0 points

The benefits of the quality improvement initiative are not provided.

Purpose of the Quality Improvement Initiative

21 points

Criteria Description

Purpose of the Quality Improvement Initiative

5. Excellent

21 points

The purpose of the quality improvement initiative meets all criteria for the assignment, as indicated in the assignment instructions, is provided in detail, and demonstrates higher level thinking by incorporating prior learning or reflective thought.

4. Good

18.69 points

The purpose of the quality improvement initiative meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail.

3. Satisfactory

16.59 points

The purpose of the quality improvement initiative is provided and meets the basic criteria for the assignment as indicated in the assignment instructions.

2. Less Than Satisfactory

15.75 points

The purpose of the quality improvement initiative is incomplete, missing relevant information.

1. Unsatisfactory

0 points

The purpose of the quality improvement initiative is not provided.

Documentation of Sources

4.2 points

Criteria Description

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5. Excellent

4.2 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

4. Good

3.74 points

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

3. Satisfactory

3.32 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

2. Less Than Satisfactory

3.15 points

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

1. Unsatisfactory

0 points

Sources are not documented.

Interprofessional Collaboration Required to Implement the Quality Improvement Initiative

18.2 points

Criteria Description

Interprofessional Collaboration Required to Implement the Quality Improvement Initiative

5. Excellent

18.2 points

The interprofessional collaboration that would be required to implement the quality improvement initiative is clearly discussed and meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.

4. Good

16.2 points

The interprofessional collaboration that would be required to implement the quality improvement is discussed and meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail.

3. Satisfactory

14.38 points

The interprofessional collaboration that would be required to implement the quality improvement is discussed and meets the basic criteria for the assignment as indicated in the assignment instructions

2. Less Than Satisfactory

13.65 points

The interprofessional collaboration that would be required to implement the quality improvement initiative is incomplete, missing relevant information.

1. Unsatisfactory

0 points

The interprofessional collaboration that would be required to implement the quality improvement initiative is not discussed.

Basis Upon Which the Program or Project Will Be Evaluated

18.2 points

Criteria Description

Basis Upon Which the Program or Project Will Be Evaluated

5. Excellent

18.2 points

The basis, upon which the quality improvement initiative will be evaluated as indicated by the assignment instructions, is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.

4. Good

16.2 points

The basis upon which the quality improvement initiative will be evaluated is provided in detail.

3. Satisfactory

14.38 points

The basis upon which the quality improvement initiative will be evaluated meets the basic criteria for the assignment as indicated in the assignment instructions.

2. Less Than Satisfactory

13.65 points

The basis upon which the quality improvement initiative will be evaluated is incomplete, missing relevant information.

1. Unsatisfactory

0 points

The basis upon which the quality improvement initiative will be evaluated is not provided.

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