Assignment: Applying Measurement Tools to a Practice Problem (Capstone Part 2)

Assignment: Applying Measurement Tools to a Practice Problem (Capstone Part 2)

Assignment: Applying Measurement Tools to a Practice Problem (Capstone Part 2)

Applying Measurement Tools to a Practice Problem: Capstone Part 2

The Measures identified from the Interviews, the Challenges to Obtaining the Data, and Strategies for Measuring Quality Indicator in the Literature

            The Director of Nursing at St. Joseph East Pain and Rehabilitation Center was interviewed to discuss the time-out practice problem in the surgical section of the facility. Some quality measures were identified during the interview. The primary measure was a high in the number of cases of surgeries on the wrong patient and the wrong site in the facility, which necessitated the training of nurses in the surgical unit on the concept of time-out. This measure indicated the provision of inadequate and unsafe patient care.

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The available data indicated a 20% increase in the cases of operations to the wrong site and patient within one year in the surgical unit. The process of obtaining this data was faced with some challenges. First, nurses were reluctant to provide the actual number of cases of surgeries on the wrong patient and the wrong site in the surgical unit. Providing the actual figures would indicate the provision of poor quality and unsafe patient care. By so doing the medical facility would be acting in contrary to the quality standards set by organizations such as the Joint Commission on Accreditation of Healthcare Organizations (HCAHO). Secondly, data about some cases of surgeries on the wrong patient and the wrong site in the surgical unit was not available since it was not documented. Some nurses fail to document the major mistakes that they make during care delivery. According to Krishna and Khyati (2017), improper documentation limits communication between a healthcare organization and the outsiders.

The cases of surgeries on the wrong patient and the wrong site in the surgical unit are measured by comparing the actual cases and the quality standards set by organizations such as HCAHO. Deviation from these standards indicates compromised care.

Gaps in the Data and Additional Sources

            Some gaps were identified in the data about cases of surgeries on the wrong patient and the wrong site in the surgical unit. First, the data did not indicate the patient population at a high risk of this clinical problem. Lack of this data hinders the efforts to improve the quality of care among the most affected population. Additionally, the data did not include the primary causes of this medical error. Lack of the root cause of this issue makes it hard for the facility’s management to resolve this preventable medical error. According to Lin et al. (2018), a healthcare organization’s management is responsible for minimizing or eliminating preventable medical error in the medical facility. This data can be obtained for the records of the surgical unit. Additionally, patients’ details can be acquired from electronic healthcare records. EHRs play a significant role in minimizing medical errors by providing comprehensive patients’ information at the point of care (Balestra, 2017). This problem is relevant to the nursing practice since it reflects the quality of care provided to the patients. Addressing this clinical problem is substantial to the nursing practice since it will improve the clinical outcomes resulting in patient satisfaction.

References

Balestra, M. L. (2017). Electronic health records: patient care and ethical and legal implications for nurse practitioners. The Journal for Nurse Practitioners, 13(2), 105-111.

Krishna, R., & Khyati, G. V. (2017). Nursing errors in the documentation: a review. Ruas-Uas JMC, 3(2), 1-5.

Lin, A., Wernick, B., Tolentino, J. C., & Stawicki, S. P. (2018). Wrong-site procedures: Preventable never events that continue to happen. Vignettes in Patient Safety, 2, 2113.

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Capstone Project- Part 2
The first order (Part 1) #226133 and the writer #1747.

Location of Practice Experience: Saint Joseph Pain and Rehabilitation Center

Conduct a collaboration interview with two or three key leaders in your practice setting to determine the measures for your practice problem and associated challenges impacting measurement for your practice problem (include confidentiality, anonymity, access issues, etc.). Perform an existing evidence review on your practice problem and search for evidence that demonstrates how your practice problem is measured across the country.

By Day 4
Post a description of the measures identified from the interviews, the challenges to obtaining the data that were discussed, and a summary of how this quality indicator is measured in the literature. Discuss any gaps in the data that were identified and additional sources that might be needed to obtain this data. Be sure to support your practice problem with the literature that indicates the relevance of this problem for nursing practice. Provide evidence from practice and data that is available.

This has to be wrote in APA 7th edition and sources have to 5 years or less.