NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initative Proposal
Phillip October 3, 2023 No Comments

NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initiative Proposal

NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initiative Proposal

Student Name

Capella University

NURS-FPX 6016 Quality Improvement of Inter-professional Care

Prof. Name

Date

Introduction

Hello everyone, my name is Norma  and I am a Registered Nurse at Valley Hospital. I welcome you all to my presentation on Data Analysis and Quality Improvement Initiative Proposal. The topic for today’s presentation is to discuss the quality improvement initiative proposal based on the data analysis of our hospital’s dashboard metrics. For this purpose, we will first analyze the dashboard metrics to find the particular health issue that our hospital is majorly concerned about. Furthermore, based on this data analysis, we will devise the Quality Improvement Initiative Proposal (QIIP) for Medication adverse events.

The need for this assessment and QIIP is that the primary goal of every hospital is to deliver high-quality care treatments that improve patients’ health, quality of life, and safety in terms of the medication process. Moreover, without improving the quality of every health department in the hospital, the quality of care treatment provided will be compromised which may result in severe complications and mortalities. Therefore, this presentation focuses on QIIP for a particular health issue which will be based on the dashboard data of our hospital. So, let’s first look into the hospital’s dashboard data metrics.

 Dashboard Metrics and Quality Improvement

Healthcare organizations globally utilize quality dashboards to provide metrics and analytics to clinical teams and managers to track care quality and plan quality improvement accordingly. Some of the dashboard metrics that have been recommended to follow in hospitals such as performance indicators, data quality, identification of causes, communication from ward to board, etc. The implementation of dashboards in hospitals can improve services at local levels. Furthermore, it can help organizations to understand and renew local health policies (Randell et al., 2020; Salgado et al., 2022).   

Dashboard Data Analysis and Healthcare Issue

To propose the Quality Improvement Initiative Proposal, the quality management department of Valley Hospital was approached to obtain the data. Moreover, patient health reports were assessed to find the quality of care being provided. All the patients’ data were scrutinized while abiding by the standards of the HIPAA Act to keep the patient’s health information protected and secured. The dashboard metrics found were patient satisfaction and patient safety, treatment errors, and hospital readmission rates. These metrics played an important role in identifying the data to obtain major health concerns and improve the quality of care treatments. 

Data Analyzed

Patient satisfaction was only 40%  which was due to the major occurrence of medication errors with a rate of 30/100 patients experiencing damaging medication errors. Patient safety metrics showed that 10 patients expired as a result of these medication errors (Randell et al., 2020). Furthermore, medication errors were the top most occurring among treatment errors, and hospital readmission rates enhanced as a result of these events. The analysis report shows that medication errors are a major health issue in Valley Hospital that requires a quality improvement initiative proposal.  

The quality of the data can be seen from the analysis as it gives the quantitative estimate of changes required in the Valley Hospital to prevent further adverse medication events. But the knowledge gaps present are the missing information on the type of medication errors i.e. wrong dose, wrong medication, and wrong route of administration could have provided better analysis to narrow down the results. 

Selected Quality Improvement Initiative Proposal

After the healthcare issue of adverse medication events was identified, there was a need for a quality improvement initiative proposal to improve the care treatment, patient safety, and, hence, patient satisfaction. Based on this particular health issue, the six sigma DMAIC model is the proposed quality improvement initiative to be implemented in Valley Hospital. The DMAIC model consists of 5 steps: Define, Measure, Analyze, Improve, and Control (Ahmed, 2019). First, the target areas of improvement should be identified so that the aim is in front of all healthcare staff. In this case, the target areas of improvement are nursing practices as the nurses are forefront healthcare staff who are responsible for providing care treatment to patients in terms of medication administration. Other improvement areas that can be targeted to avoid adverse medication events are prescribing and dispensing of medication by physicians and pharmacists, respectively.

This model can be effectively implemented to improve all the dashboards metrics as mentioned above. For example, to reduce the number of incidences of adverse medication events in a hospital, first, the hospital team should identify and define this problem among all members. The selected team will gather data in the second step i.e. measure. In this case, data includes the number of adverse medication events occurring, the extent to which patients are affected by these events, and number of fatal and non-fatal injuries, etc. Once the baseline data is gathered, the next step of analysis begins. In this step, the underlying causes are found by root-cause analysis. The next step of improvement is the major step which includes the improvement plans to minimize medication errors to occur in the first place. Lastly, the system changes are monitored and the results are evaluated.

Evidence-Based Strategies

Some of the evidence-based strategies that can be helpful to improve the quality of care by reducing medication-associated events are as follows:

  1.  Use of computerized provider order entry at times of transitions in care or when paired with clinical decision support systems
  2. Involving clinical pharmacists to oversee the medication dispensing process and using the ‘Tall man’ lettering strategy to overcome confusion between look-alike and sound-alike medications, using automated dispensing cabinets to minimize medication errors due to high-risk medications.
  3. Adherence to the “Five Rights” of medication administration to ensure safe administration. (Five rights include Right medication, Right dose, Right time, Right route, and Right patient)
  4. Incorporating technologies like Barcode medication administration to ensure that the right patient is acquiring the correct medication  (Agency for Healthcare Research and Quality, 2019).

The unknown information about the type of medication-associated adverse events creates difficulty in focusing the proposal on that particular area of interest. This missing information could have improved the proposal if it were available. 

Inter-professional Perspectives and Needed Actions

Inter-professional Perspective

To provide effective, qualified, and safe care treatment to patients, inter-professional teams are required so that every team member works for a joint and shared goal of improving patient health. Every worker in the hospital works to improve patient safety and fulfill their duties to obtain the feeling of serving mankind. Adverse events like medication errors affect the work-life quality along with the patient’s health.

This can lead to health professionals’ detention or penalty fine. Both ways the costs are increased upon patients, healthcare staff, and overall on the hospital. As such adverse medication events can result in further treatment in case of non-fatal injuries. Together the inter-professional team can improve patient safety by reducing medication events (Manias, 2018). In Valley Hospital, hospital administration, physicians, nurses, pharmacists, IT members i.e. nurse informattcists. All the healthcare staff was concerned about the dashboard metric analysis and eager to perform better in their duties to not only enhance patient safety but also improve cost-effectiveness and work-life quality.   

Needed Actions

All these inter-professional team members should unite as one team to have shared goals of improving patient safety, cost-effectiveness, and work-life quality. The following are the specified needed actions by the inter-professional team to fulfill the aforementioned goals:

  • Communication through tools like guidelines, protocols, and communication logs
  • Participation of pharmacists in a clinical setting
  • Collaborative medication review on admission and at discharge (Manias, 2018)
  • Collaborative educational workshops and conferences (Irajpour et al., 2019)

NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initiative Proposal

These needed actions will help the inter-professional teams improve patient safety as communication through guidelines and policies will raise awareness about the appropriate task performances. Furthermore, pharmacists can help nurses with medication and their use to avoid wrong medication errors and other related errors. Besides, medication reviews should be done in a collaborative manner both at the time of admission and discharge. This will prevent medication-associated adverse events and improve the cost-effectiveness of treatment. Lastly, collaborative educational workshops will improve work-life quality by integrating efforts of all health professionals to educate each other about the new advances in promoting medication safety. 

The assumptions on which the suggestions are based include that health professionals from all departments of the hospital will improve patient safety by reducing medication-associated adverse events, having good work-interrelationships, sharing common goals, and better job performance will make them feel more competent with less mental stress of not doing enough as a health professional and enhances the job satisfaction.

Effective Collaboration Strategies

The quality of inter-professional care can be promoted by utilizing effective collaboration strategies. As inter-professional collaboration is required in fulfilling common goals, therefore, it is imperative to incorporate several effective collaboration strategies so that inter-professional communication and collaboration is enhanced. In healthcare systems, inter-professional care such as healthcare provided by physicians, pharmacists, nurses, lab technologists, and other related team members is required to provide patients with high-quality, safe, and effective care treatments. Some of the evidence-based collaboration strategies to improve the quality of inter-professional care are as follows:

  • The clarification of roles among the inter-professional team members enables them to understand each other’s roles and scopes. This makes them explore interdependencies between their roles and improves each other’s scope with consideration of repetition. In this way, members identify their limitations and collaborate with one another adequately on the basis of knowledge, expertise, scope, and responsibilities. This will eventually promote the quality of inter-professional care (White-Williams & Shirey, 2021).
  • Inculcating inter-professional values and ethics by creating a transparent, open, and willing-to-collaborate environment will promote effective collaboration. For this purpose, all inter-professional team members should be educated on these ethical behaviors to facilitate collaboration among them. This can be possible by adding these code values to the organization’s onboarding and leadership development programs. Furthermore, adding inter-professional values and ethics as a part of the orientation program can promote inter-professional collaboration among new staff (McLaney et al., 2022). 
NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initiative Proposal
  • Utilizing effective communication tools can promote effective collaboration. These tools can be using a common language understandable by all inter-professional members and use technologies for the exchange of information e.g. social media, hospital communication portals, etc. (De Las Heras-Pedrosa et al., 2020). Timely and effective exchange of information through these communication tools can enhance effective collaboration. Moreover, it will promote the quality of inter-professional care.

The assumptions on which these suggestions are based include inter-professional team will have a shared vision and goals to improve patient safety and quality of care. Moreover, with effective collaboration all health professionals will be able to perform their duties well and job satisfaction will be enhanced.

Conclusion

Coming to the conclusion, healthcare systems often experience various adverse events due to various reasons and factors. A similar case of adverse medication events was identified by analyzing the dashboard metrics of Valley Hospital. The data analyzed showed that medication-associated errors were resulting in increased hospital readmission rates, several mortalities, and enhanced non-fatal injuries. This called for a quality improvement initiative proposal to change these poor healthcare statistics. DMAIC model was the chosen quality improvement initiative proposal to look deeply into the root causes of such adverse medication events and make changes accordingly to improve the quality of care of patients in hospitals.

Following these results, inter-professional perspectives were found that were willing to contribute to providing the best care treatment to patients and needed actions were specified. Lastly, effective collaboration strategies were developed to improve inter-professional care in hospital settings e.g. communication tools, role clarification, and following inter-professional values and ethics. This is the end of our presentation. If you have any questions, please feel free to ask. Thank you.

References

Ahmed, S. (2019). Integrating DMAIC approach of lean six sigma and theory of constraints toward quality improvement in healthcare. Reviews on Environmental Health, 34(4), 427–434. https://doi.org/10.1515/reveh-2019-0003

Agency for Healthcare Research and Quality. (2019, September 7). Medication errors and adverse drug events https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events 

De Las Heras-Pedrosa, C., Rando-Cueto, D., Jambrino-Maldonado, C., & Paniagua-Rojano, F. J. (2020). Analysis and study of hospital communication via social media from the patient perspective. Cogent Social Sciences, 6(1). https://doi.org/10.1080/23311886.2020.1718578 

NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initiative Proposal

Irajpour, A., Farzi, S., Saghaei, M., & Ravaghi, H. (2019). Effect of inter-professional education of medication safety program on the medication error of physicians and nurses in the intensive care units. Journal of Education and Health Promotion, 8(196).  https://doi.org/10.4103/jehp.jehp_200_19 

Manias, E. (2018). Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review. ResearchGate, 17(3). https://www.researchgate.net/publication/322284148_Effects_of_interdisciplinary_collaboration_in_hospitals_on_medication_errors_an_integrative_review 

McLaney, E., Morassaei, S., Hughes, L., Davies, R., Campbell, M., & Di Prospero, L. (2022). A framework for interprofessional team collaboration in a hospital setting: Advancing team competencies and behaviours. Healthcare Management Forum, 35(2). https://doi.org/10.1177/08404704211063584 

Randell, R., Alvarado, N., McVey, L., Ruddle, R. A., Doherty, P., Gale, C., Mamas, M., & Dowding, D. (2020). Requirements for a quality dashboard: Lessons from national clinical audits. AMIA Annual Symposium Proceedings, 2019, 735–744. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153077/ 

Salgado, M., Nogueira, P., Torres, A., & Oliveira, M. D. (2022). Setting requirements for a dashboard to inform portuguese decision-makers about environment health in an urban setting. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.837433 

White-Williams, C., & Shirey, M. R. (2021). Taking an interprofessional collaborative practice to the next level: Strategies to promote high performing teams. Journal of Interprofessional Education & Practice, 26, 100485. https://doi.org/10.1016/j.xjep.2021.100485