Project pressure ulcer reductionRunning head HEALTH C.docxbriancrawford30935
Project pressure ulcer reduction
Running head: HEALTH CARE CHANGE PROJECT MATRIX
1
HEALTH CARE CHANGE PROJECT MATRIX
4
Health Care Change Project Matrix
Objective:
To reduce the incidence of newly acquired pressure ulcers development in California Health Medical Center (CHMC) to 10% within six months of implementing the new evidence-based protocol.
Objectives
Content
Describe the methods to be used to implement the proposed solution
An electronic system to document pressure ulcer risk assessment and incidence will be created within the hospital’s current electronic medical record system, EPIC.
The system facilitates recording pressure ulcer incidence that would trigger wound consult nurses to provide timely advice on and validation of the categories of pressure ulcers.
Staff charge nurses will conduct pressure ulcer assessments in admission. Instead of documenting in paper form, they will directly record these findings on an initial risk assessment electronic form and simultaneously make an e-referral to the wound consult nurse if a patient has a pressure ulcer that is a stage 2 or higher.
Having an electronic pressure ulcer risk and incidence form for each patient allows various healthcare professionals and members of the interdisciplinary team to have secure access to reliable and current information in real-time (Plaskitt, Heywood, and Arrowsmith, 2015).
Develop a plan for implementing the proposed solution
Per Wager et al (2009), it is crucial that a team is organized that serves “to plan, coordinate, budget, and manage all aspects of the new system implementation” (p. 244). A team will be assembled to gain much-needed support for the program. This implementation team is vital in engaging various stakeholders in providing support and commitment to the project. The team members include charge nurses, wound consultant nurses, quality improvement nurses, an MD champion and department managers from areas such as education, equipment and information technology (IT) and administration.
An immersion event will be launched to inform and engage all staff members in the project. The event will allow necessary information to be disseminated, share goals and desired outcomes as well as the rationale behind the project.
Shedenhelm et al (2010), states that providing education through a variety of methods allows training to be received well for recipients with diverse learning styles. Furthermore, ongoing training should be developed and advertised through educational newsletters and emails that provide education reminders and other important information. Shedenhelm et al (2010), also emphasizes provision of multiple opportunities through multiple sites locations at varied times increases turnout. Furthermore, each nursing units will be provided pressure ulcer training bundles that including competencies will be presented.
Regular communication with various constituent groups such be conducted and a means for reporting problems.
12Plan for Evaluating the Impact of the Inte.docxmoggdede
1
2
Plan for Evaluating the Impact of the Intervention
Anne Marie WouapetName
Walden University
NURS 8310 Section 03, Epidemiology and Population HealthClass
April 29, 2018Date
Plan for Evaluating the Impact of the Intervention
Hospital-acquired infections have been determined throughout this project to be a significant problem in the United States health care system. Epidemiologic data show that there is still a considerable number of patients who die as a result of infections that they have acquired while receiving care (Umscheid et al., 2011). The older population was found to be at a higher risk of acquiring these infections because of their deteriorating immune systems (Sievert et al., 2013). Therefore, a proposed intervention to eliminate the dangers of infection was created. The intervention proposes that nurses go through hand washing education for an extended period to enhance their compliance to hand hygiene after the education program. In studying the potential impacts of this intervention, it was determined that hand washing education is usually effective in changing perceptions and behaviors with regards to hand hygiene, but the compliance to what has been learned is often not maintained. Therefore, this intervention suggests that the education is based on the practice environment and that the nurses are monitored for an extended period. The following is an evaluation plan aiming at assessing the potential outcomes of the proposed intervention.
Evaluation Plan
This evaluation plan is designed to assess the expected outcomes from the implementation of the program (Friis & Sellers, 2014). This plan will investigate the extent to which the hand washing intervention plan will help to reduce the rate of hospital-acquired in infections in the healthcare facilities in which the intervention will be implemented. The plan includes an evaluation of the short-term, medium-term, and long-term changes expected to occur after the implementation of the intervention.
Stakeholders Involved in the Intervention
For the expected outcome to be achieved, the following stakeholders will be required to participate in the intervention program. Evaluating the participation of the stakeholders is essential in determining their contribution to the outcome of the program (Centers for Disease Control, 2011). The program will require the participation of the Director of Nursing, who will be responsible for guiding the nurses included in the intervention to ensure that they participate in the program as required. The intervention will also require the participation of the Directors of the respective health care facilities where the intervention will be implemented to ensure that they provide the resources needed for the program to be implemented and approve the use of the hospital data to evaluate the outcomes of the program. The hospitals included will also need to employ super ...
Project pressure ulcer reductionRunning head HEALTH C.docxbriancrawford30935
Project pressure ulcer reduction
Running head: HEALTH CARE CHANGE PROJECT MATRIX
1
HEALTH CARE CHANGE PROJECT MATRIX
4
Health Care Change Project Matrix
Objective:
To reduce the incidence of newly acquired pressure ulcers development in California Health Medical Center (CHMC) to 10% within six months of implementing the new evidence-based protocol.
Objectives
Content
Describe the methods to be used to implement the proposed solution
An electronic system to document pressure ulcer risk assessment and incidence will be created within the hospital’s current electronic medical record system, EPIC.
The system facilitates recording pressure ulcer incidence that would trigger wound consult nurses to provide timely advice on and validation of the categories of pressure ulcers.
Staff charge nurses will conduct pressure ulcer assessments in admission. Instead of documenting in paper form, they will directly record these findings on an initial risk assessment electronic form and simultaneously make an e-referral to the wound consult nurse if a patient has a pressure ulcer that is a stage 2 or higher.
Having an electronic pressure ulcer risk and incidence form for each patient allows various healthcare professionals and members of the interdisciplinary team to have secure access to reliable and current information in real-time (Plaskitt, Heywood, and Arrowsmith, 2015).
Develop a plan for implementing the proposed solution
Per Wager et al (2009), it is crucial that a team is organized that serves “to plan, coordinate, budget, and manage all aspects of the new system implementation” (p. 244). A team will be assembled to gain much-needed support for the program. This implementation team is vital in engaging various stakeholders in providing support and commitment to the project. The team members include charge nurses, wound consultant nurses, quality improvement nurses, an MD champion and department managers from areas such as education, equipment and information technology (IT) and administration.
An immersion event will be launched to inform and engage all staff members in the project. The event will allow necessary information to be disseminated, share goals and desired outcomes as well as the rationale behind the project.
Shedenhelm et al (2010), states that providing education through a variety of methods allows training to be received well for recipients with diverse learning styles. Furthermore, ongoing training should be developed and advertised through educational newsletters and emails that provide education reminders and other important information. Shedenhelm et al (2010), also emphasizes provision of multiple opportunities through multiple sites locations at varied times increases turnout. Furthermore, each nursing units will be provided pressure ulcer training bundles that including competencies will be presented.
Regular communication with various constituent groups such be conducted and a means for reporting problems.
12Plan for Evaluating the Impact of the Inte.docxmoggdede
1
2
Plan for Evaluating the Impact of the Intervention
Anne Marie WouapetName
Walden University
NURS 8310 Section 03, Epidemiology and Population HealthClass
April 29, 2018Date
Plan for Evaluating the Impact of the Intervention
Hospital-acquired infections have been determined throughout this project to be a significant problem in the United States health care system. Epidemiologic data show that there is still a considerable number of patients who die as a result of infections that they have acquired while receiving care (Umscheid et al., 2011). The older population was found to be at a higher risk of acquiring these infections because of their deteriorating immune systems (Sievert et al., 2013). Therefore, a proposed intervention to eliminate the dangers of infection was created. The intervention proposes that nurses go through hand washing education for an extended period to enhance their compliance to hand hygiene after the education program. In studying the potential impacts of this intervention, it was determined that hand washing education is usually effective in changing perceptions and behaviors with regards to hand hygiene, but the compliance to what has been learned is often not maintained. Therefore, this intervention suggests that the education is based on the practice environment and that the nurses are monitored for an extended period. The following is an evaluation plan aiming at assessing the potential outcomes of the proposed intervention.
Evaluation Plan
This evaluation plan is designed to assess the expected outcomes from the implementation of the program (Friis & Sellers, 2014). This plan will investigate the extent to which the hand washing intervention plan will help to reduce the rate of hospital-acquired in infections in the healthcare facilities in which the intervention will be implemented. The plan includes an evaluation of the short-term, medium-term, and long-term changes expected to occur after the implementation of the intervention.
Stakeholders Involved in the Intervention
For the expected outcome to be achieved, the following stakeholders will be required to participate in the intervention program. Evaluating the participation of the stakeholders is essential in determining their contribution to the outcome of the program (Centers for Disease Control, 2011). The program will require the participation of the Director of Nursing, who will be responsible for guiding the nurses included in the intervention to ensure that they participate in the program as required. The intervention will also require the participation of the Directors of the respective health care facilities where the intervention will be implemented to ensure that they provide the resources needed for the program to be implemented and approve the use of the hospital data to evaluate the outcomes of the program. The hospitals included will also need to employ super ...
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1. Applying Process Improvement Models
Applying Process Improvement ModelsApplying Process Improvement ModelsI shall use
the Plan-Do-Study-Act (PDSA) cycle as the process improvement model in developing my
practice project on Catheter-Associated Urinary Tract Infections (CAUTI) management plan.
The PDSA cycle was modified from Walter A Stewhart’ Plan-Do-Check-Act (PDCA) cycle by
one W Edwards Edwards Deming. According to Deming, the ‘check’ phase in the PDCA cycle
emphasized inspection over-analysis. PDSA has grown to become the most commonly used
model for process improvement, and it encompasses completing the sequences, then
repeating the process until the achievement of the desired outcomes (Spath, 2013). CAUTIs
comprise one of the most prevalent hospitals acquired infections (HAI) globally.
Furthermore, the prevalence of the cases is subject to changes. In my view, PDSA is the most
appropriate model for long-term management of CAUTIs in hospitals because it caters for
any changes that may come with a new infection conditions.ORDER COMPREHENSIVE
SOLUTION PAPERS ON Applying Process Improvement Models1). Plan: The phase would
involve objectives, processes, and action-plan establishment for the delivery of the results
that are desired. CAUTI infections will be reduced through the creation and implementation
of a multidisciplinary CAUTI prevention plan. The plan would be a master-piece on how the
process improvement for CAUTI prevention would be implemented. There would also be a
plan for performance measurements across the organization. There should be a plan to
integrate CAUTI risk prevention strategies into the organizations’ processes.2). DO: The
members of the the multidisciplinary team would include staff from all the concerned
departments. Successful CAUTI prevention teams include a team leader, nurse, and
physician champions, executive partners, frontline nurses, infection prevention and
discharge planners or case managers, risk managers, etc. Apart from being in charge of the
CAUTI management, the team of planners would give weekly, monthly, annual reports
concerning the progress of their undertakings. Furthermore, they would be responsible for
educating the staff and patients and their families regarding CAUTI infection
preventions.Lastly, they shall be in charge of case risk evaluations and risk scoring
throughout the hospital. Secondly, the CAUTI prevention team, all the staff, and patients,
especially in the acute care unit, will have a weekly CAUTI risk meeting. All the case and risk
reports will be dispatched to the concerned individuals, such as department managers,
patients, and the Board, etc., on a weekly, monthly, annual basis. A dedicated CAUTI risk
management head shall be appointed to be in charge of the management of all cases,
including prevention and treatment strategies. The prevention strategies would be based on
2. evidence-based measures, including care for urinary catheter during placement, urinary
catheters’ timely removal based on nurse-driven processes, and inappropriate short-term
catheter use’ prevention (American Nurses Association, 2020).3). Study: The phase would
involve analyzing the incident monitoring reports and other scoring tools to determine
whether all the implemented prevention strategies for CAUTI have yielded any positive
results. The necessary the information would be collected from the patients and their
families, facility staff, prevention committee, hourly-round feedbacks, etc.4). Act: The phase
would involve acting on the outcome or result gathered from the previous phase ad making
appropriate and necessary changes. For instance, the facility would need to fine-tune the
prevention measures to optimize the positive outcomes or find other alternative CAUTI
prevention strategies if the current ones have not been successful.ReferencesAmerican
Nurses Association. (2020). ANA CAUTI Prevention Tool. Retrieved March 10, 2020, from
Nursing World: https://www.nursingworld.org/practice-policy/work-environment/health-
safety/infection-prevention/ana-cauti-prevention-tool/Spath, P. L. (2013). Continuous
Improvement. Introduction to Healthcare Quality Management (2 ed., pp. 117-119).
Chicago, Illinois, the United States of America: Health Administration Press.
