Discuss how an effective leader in this context might address ethical practices, diversity, equity, and inclusion in leading the team and the quality improvement effort. · Leadership style(s) or approach(es) to be utilized. · Identify two different leadership approaches that might be utilized to lead the team. Briefly describe the approaches using 1-2 citations/references (published within the last five years) for support.
Project Charter
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Part 1 |
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| Project Charter Information | |||||||||||||||
| Project Name | Hourly rounds to prevent patient falls | ||||||||||||||
| Project Site | White Plains Hospital | ||||||||||||||
| Contact at site | Name with credentials:
Organizational Email: Phone Number: |
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| Preceptor | Name with credentials: Margaret Brock DNP, NEA- BC Assistant VP of Quality & Magnet Program
Email: Phone Number: |
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| Executive Sponsor | Identify this person by role and title (no names) and briefly describe why this person was selected (rationale for the selection). | ||||||||||||||
| Gap Analysis | Worrying trends in patient falls raise concerns about the levels of vigilance and effectiveness of human, technical, and administrative measures adopted across the facility. Falls as a result of patient frailty cause prolonged hospitalization, premature placement in nursing homes, anxiety, and increased medical costs. Fall risks are multifactorial, hence, the need for evidence-based assessment and prevention (LeLaurin & Shorr, 2019). In this sense, increasing patient falls raises questions about the facility’s ability to balance patient prevention with other safety and quality prioties for patients. | ||||||||||||||
| Evidence to Support the Need | Falls are among the most reported safety incidents. A significant number of falls result in physical injuries, fractures, and other adverse outcomes that undermine patients experiences. Affected patients may experience declining confidence, delayed functional recovery, prolonged hospital stays, and additional costs (Francis et al., 2019). Thus, accurate and complete identification of underlying risk factors is necessary to reduce the incidence of falls and nurture a culture of vigilance across the care continuum. Hourly rounds are among the viable and sustainable interventions that enable the care team to assess patients based on their needs and assistance (King et al., 2018). The processes entail effective use of falls prevention checklists to examine factors such as bed positioning, bathroom condition, pain control, call lights, and access to personal items associated with falls (Wash et al., 2018). Thus, hourly round is an evidence-based approach that the nursing team can use to avoid fall injuries, maximize patient satisfaction, and reduce medical costs. | ||||||||||||||
| PICOT | In patients admitted in an acute care nursing unit (P) does hourly round (I) compared to no rounding (C), reduce rate of falls (O) over a period of four weeks (T)? | ||||||||||||||
| Project Aim | The aim of the project is to reduce patient falls by implementing hourly rounding. Patient falls increase hospitalization stay, medical costs, and emotional, physical, and mental distress. In this case, hourly rounds are among the tailored prevention interventions that enable the care team to capture and respond to factors that increase the risk of falling. Insituting hourly rounds will encourage the nursing team to respond to a patient’s needs by assessing the level of pain, position, access to washrooms, and other aspects associated with falls. | ||||||||||||||
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Part II |
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| Stakeholders | |||||||||||||||
| Stakeholder | Identify the key stakeholders for your project. Think of key stakeholders (internal and external). This might include patients/clients, families, community leaders and organizations, health agencies, systems within the organization etc. List between 3-4 potential stakeholder members | ||||||||||||||
| Initials or ficitious name | Title, Role or Affiliation. | Connection to the project. | Potential impact (how affected). | Contribution to the project. | Barriers or anticipated challenges if any | ||||||||||
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