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Posted: November 6th, 2023

NUR 630 Overview of Quality in Health Care Essay

NUR 630 Overview of Quality in Health Care

The purpose of this assignment is to apply the concepts you have learned in this course to a situation you have encountered. Choose one quality or patient safety concern with which you are familiar and that you have not yet discussed in this course. In a 1,250-1,500-word NUR 630 Overview of Quality in Health Care essay, reflect on what you have learned in this course by applying the concepts to the quality or patient safety concern you have selected. Include the following in your essay:

Briefly describe the issue and associated challenges.
Explain how EBP, research, and PI would be utilized to address the issue.
Explain the PI or QI process you would apply and discuss why you chose it.
Describe your data sources, including outcome and process data.
Explain how the data will be captured and disseminated.
Discuss which organizational culture considerations will be essential to the success of your work. This assignment uses a rubric.
Use a minimum of four peer-reviewed, scholarly sources as evidence.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

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Overview of Quality in Health Care

Quality in healthcare is essential to providing safe and effective care to patients. It encompasses a wide range of factors, including clinical outcomes, patient satisfaction, and efficiency. Healthcare organizations are increasingly focused on improving quality, as it leads to better patient outcomes, lower costs, and increased competitiveness.

One way to improve quality is through evidence-based practice (EBP). EBP is the process of using the best available scientific evidence to make decisions about patient care. It involves identifying the evidence, evaluating its quality, and applying it to practice. EBP can be used to address a wide range of quality issues, such as improving patient safety, reducing costs, and increasing patient satisfaction.

Another important tool for improving quality is performance improvement (PI). PI is a systematic approach to identifying and addressing areas where quality can be improved. It involves four steps: planning, implementation, evaluation, and feedback. PI can be used to improve both clinical and non-clinical processes.

Research also plays an important role in improving quality. Research helps to identify new and better ways to provide care, and it can also be used to evaluate the effectiveness of existing practices.

Using EBP, research, and PI to address a quality or patient safety concern

One quality or patient safety concern that is common in healthcare is hospital-acquired infections (HAIs). HAIs are infections that patients contract while they are in the hospital. They can be serious and even life-threatening.

EBP can be used to address the issue of HAIs. For example, research has shown that hand hygiene is one of the most effective ways to prevent HAIs. EBP can be used to implement and evaluate hand hygiene programs in hospitals.

PI can also be used to address the issue of HAIs. For example, hospitals can use PI to identify areas where HAIs are most common and to develop and implement interventions to reduce them.

Research can also be used to address the issue of HAIs. For example, researchers are developing new ways to prevent and treat HAIs, such as new antibiotics and vaccines.

PI or QI process

The PI or QI process that would be most appropriate to address the issue of HAIs is the Model for Improvement. The Model for Improvement is a four-step process that involves:

Aim: Setting a clear and specific aim for improvement.
Measures: Identifying measures that will be used to track progress towards the aim.
Change: Making changes to the process or system that is being targeted for improvement.
Plan-Do-Study-Act (PDSA) cycles: Testing the changes and making adjustments as needed.

Data sources

The data sources that would be used to track progress towards the aim of reducing HAIs include:

Outcome data: The number of HAIs that occur over time.
Process data: Hand hygiene compliance rates, rates of central line-associated bloodstream infections, and rates of catheter-associated urinary tract infections.

Data capture and dissemination

The data would be captured and disseminated using a variety of methods, including:

Electronic health records (EHRs): EHRs can be used to track hand hygiene compliance rates and rates of HAIs.
Point-of-care surveys: Point-of-care surveys can be used to collect data on hand hygiene compliance rates and other factors that contribute to HAIs.
Quality improvement dashboards: Quality improvement dashboards can be used to display data on HAIs and other quality indicators in a real-time or near-real-time manner.

Organizational culture considerations

A positive organizational culture is essential to the success of any quality improvement initiative. A positive organizational culture is one that values safety, quality, and continuous improvement. It is also a culture where employees feel comfortable speaking up about problems and where they are empowered to make changes.

There are a number of things that healthcare organizations can do to create a positive organizational culture, such as:

Setting clear expectations for quality and safety.
Providing employees with the training and resources they need to achieve quality and safety goals.
Creating a culture of open communication and respect.
Celebrating successes and learning from failures.

Conclusion

Quality in healthcare is essential to providing safe and effective care to patients. EBP, research, and PI are all important tools for improving quality. By using these tools, healthcare organizations can address a wide range of quality and patient safety concerns, including HAIs.

References

Agency for Healthcare Research and Quality. (2023). National Healthcare Quality Report. Retrieved from https://

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