Proposed Changes to Improve Quality and Safety Outcomes NUR FPX 6212 Assessment 1 Quality and Safety Gap Analysis
NUR FPX 6212 Assessment 1 Quality and Safety Gap Analysis
Documentation will be recorded per agency policy and for future readmission rates. The nurse will follow up with the client and the in-home aide the following day and in one week to ensure understanding and compliance. The client and the in-home aide will be instructed to contact the office immediately if there is a readmission to the hospital. The nurse will review documentation and contact the client and in-home aide for information on potential reasons for the readmission.
Prioritization of Proposed Practice Changes
NUR FPX 6212 Assessment 1 Quality and Safety Gap Analysis
The goal of the in-home care provider is to implement changes that will decrease the 30-day readmission rate into the hospital for home care clients. Top priority will be increasing the client’s understanding of their discharge instructions. The second step will include selecting members of the administrative staff that will combine with the nurses to review the new procedures for the in-home aides and training them on the procedures necessary to assist with the client’s understanding of the discharge instructions. After the team is selected, the team members will meet daily for one week to develop strategies for conducting the training with the in-home aides. This will include brainstorming for ideas and developing a tool for effective training. The in-home aides will be educated on the new procedures by select administrative staff and the nurses to ensure understanding.
NUR FPX 6212 Assessment 1 Quality and Safety Gap Analysis
The new procedures will positively impact the in-home care provider. The clients will receive support from both the nurse and the in-home aide, increasing the chance of understanding the discharge instructions as well as compliance. This increase in understanding and compliance should decrease the readmissions to the hospital and keep the clients healthier and safe at home.
Organizational Support and Effects on Quality and Safety Outcomes
NUR FPX 6212 Assessment 1 Quality and Safety Gap Analysis
Organizational support is imperative for the success of changes in facilities. Leadership support is needed as well to implement the positive changes into the daily practices of all involved in the organization. A strong support system from the leadership team of the facility inspires staff to work together to achieve the set goals. For a program to be successful in a healthcare workplace, team leaders that communicate effectively on all levels are necessary (Leadership Support, 2019). Reducing the rate of 30-day readmissions is challenging but possible with a positive organizational support system.
Fostering a Culture of Quality and Safety
NUR FPX 6212 Assessment 1 Quality and Safety Gap Analysis
Quality healthcare and safety for all clients is a top priority for healthcare facilities. The roles of both nurses and in-home aides must be clearly defined and outlined for all staff to understand. This clear understanding will help positively impact all newly discharged clients, giving them a higher comfort level and promoting safety and independence. Nurses will review all discharge information with clients to ensure understanding. The in-home aides will be available to keep the clients on track with achieving the goal of correctly following discharge instructions. Clients will be able to contact the office for any questions or concerns. Nurse follow-ups as well as the in-home aides’ availability will greatly increase the success of this program.
Conclusion
NUR FPX 6212 Assessment 1 Quality and Safety Gap Analysis
The introduction of a new program involving both nurses and in-home aides assisting clients with discharge instructions will immediately impact the rate of readmissions to the hospital. Increasing the amount of time the nurses and in-home aides spend with discharge instructions and patient education will increase the client’s compliance and safety. In turn, this will lead to healthier clients and a reduction in readmissions due to the client not correctly following the discharge instructions. Clients will remain safely in their homes with the support of the nurses and in-home aides therefore increasing their level of independence and knowledge.
NUR FPX 6212 Assessment 1 Quality and Safety Gap Analysis
References
DeSai, C., Janowiak, K., Secheli, B., P