2-1 Short Paper Applying a Framework to Organizational Data

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Southern New Hampshire University *

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Health Science

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Apr 3, 2024

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1 2-1 Short Paper: Applying a Framework to Organizational Data 2-1 Short Paper: Applying a Framework to Organizational Data Jennifer St. Denis Southern New Hampshire University IHP-604-Q3472 Healthcare Quality Improvement Dr. Thompson March 10, 2024

2 2-1 Short Paper: Applying a Framework to Organizational Data To: The Director of ABC Surgical Center From: The Assistant Director of ABC Surgical Center Date: March 10, 2024 Subject: Justification for Quality Improvement Initiatives Dear Director, I hope this memo finds you well. I am addressing your concerns regarding our center's proposed quality improvement initiatives. After thoroughly analyzing the center's organizational metrics, I have identified several areas for improvement. These initiatives are based on evidence- based literature and aim to reduce the risk of patient falls in our facility. Prompt 3. Falls by AHRQ Firstly, I would like to highlight the significance of patient falls in our center. Over the past 30 days, we have experienced five patient falls, significantly higher than the national average at a rate of 26.74 falls per 1,000 patient days. “ Each year, roughly 700,000 to 1 million patient falls occur in U.S. hospitals, resulting in around 250,000 injuries and up to 11,000 deaths. About 2% of hospitalized patients fall at least once. Approximately one in four falls result in injury, with about 10% resulting in serious injury. These incidents have raised concerns about patient safety and may require immediate action.” ( LeLaurin, et al, 2019) To support the need for change, I have provided you with a comprehensive analysis of the organizational metrics related to the fall incidents. These metrics include patient demographics, risk factors, and incidence patterns. By analyzing this data, we can identify patterns and trends that may contribute to the occurrence of falls. This data and evidence-based literature allow us to develop targeted interventions to prevent future incidents. 1. Elements of evidence-based literature

3 2-1 Short Paper: Applying a Framework to Organizational Data By relying on evidence-based practices, we can ensure that our quality improvement initiatives are based on the most current and reliable information available. “ Evidence-based clinical and organizational decision-making is required to strengthen the quality of health care and improve patient outcomes.” (Gifford et al., 2019) 2. Report Validity The Agency for Healthcare Research and Quality (AHRQ) has identified several critical elements that make up evidence-based literature (Krewski et al., 2022) 1. Validity: The report's validity refers to its reliability, accuracy, and trustworthiness. To assess a report's validity, it is crucial to consider how it was collected, the credibility of the source, and the methods used to test its conclusions (Source: AHRQ). 2. Data collection: Reliable data collection is essential for evidence-based reports. It is necessary to determine if the study utilized appropriate methodologies, such as random sampling, to minimize biases and ensure the findings are generalizable. 3. Credibility of the sources: Assessing the credibility of the report's source involves considering factors such as the author's qualifications and expertise, the rigor of the methodology, and conflicts of interest. 4. Validity of the report's conclusions: To assess the validity of the report's findings, the strength of the evidence, the validity and reliability of the methods used, and the presence of confounding variables must be considered. 3. Report applicability The applicability of your chosen report to your surgical center depends on various factors. (Baxter et al., 2019) These factors may include: 1. Relevance: The report's findings and recommendations should directly relate to the

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