BHA-FPX4010-Emilia Bagiryan, assessment 4-attempt 1

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Capella University *

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4004

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Medicine

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Dec 6, 2023

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Develop a Research Plan Emilia Bagiryan Capella University BHA-FPX4010: Intro to Health Care Research Professor Jason Roberts October, 2023 1

Table of Content. Introduction Problem Statement Purpose Statement Qualitative Research Question Data Collection, Reliability, Validity Alighnment of the Parts of Research Conclusion References

Introduction In this document, I will elucidate a research problem, state the purpose, and formulate a research question within the framework of my research proposal. Furthermore, I will elucidate and delineate the selected data collection method as it applies to my research plan. Lastly, I will expound upon the concepts of measurement reliability and validity, providing illustrative examples for clarity Problem Statement Annually, in the United States, approximately four to six thousand surgeries are documented to result in patients having some type of surgical item unintentionally left inside their body after the surgical procedure. Annually, healthcare professionals in the United States perform over twenty-eight million surgeries, and the highest rate of surgical mishaps is reported in this country(Hibbert, 2020). Medical errors rank as the third leading cause of death in the United States(Ahmad et al, 2021). According to The Joint Commission (TJC), unintended retention of foreign objects (URFO) stands as the third most frequent sentinel event within healthcare settings. Sentinel events are defined by the TJC as unexpected occurrences resulting in a patient's death or causing physical or psychological harm. URFO encompasses any material inadvertently left inside a patient's body during surgery, such as sponges, clips, needles, and caps(Sirihorachai et al, 2022). The presence of these retained devices has the potential to lead to septic injuries, necessitating additional surgical procedures to address any resulting health complications in patients. In 2017, an estimated four to six thousand surgeries in the United States were documented as having patients discharged from the hospital with retained surgical items (RSIs) left in their bodies(Hibbert, 2020). Several factors contribute to these unintended surgical incidents, and they

can be categorized into two groups: those related to the surgical procedure itself and those related to the surgical process(Fenel, 2016). Therefore, in order to apply effective corrective measures, it is crucial to identify which category of factors is significant for the implementation of corrective strategies. Our problem statement underscores a patient safety issue that demands immediate attention to rectify these types of surgical errors. The key terms within the problem statement that substantiate the issue are "surgical," "equipment," and "bodies." These terms emphasize the significance of the problem and draw attention to the need for changes aimed at enhancing patient safety. Moreover, findings from the research indicate the imperative need for thorough evaluation and correction of this Hospital-Acquired Condition (HAC) problem to mitigate its impact on patient outcomes. Purpose Statement What measures can hospitals and surgical facilities take to mitigate or eliminate the occurrence of retained foreign objects in patients following surgical procedures and increase patient quality of care? RSIs are significantly more likely to occur, with a ninefold increase in cases when surgeries are conducted in emergency situations and a fourfold increase when the surgery proves more complex than initially anticipated by the surgeon(WHO, 2009). This study aims to either develop a new user-friendly safety model or enhance an existing one to reduce the incidence of Hospital- Acquired Conditions (HACs), with particular emphasis on preventing retained surgical items. The adoption of multiple safety protocols, notably the Five Safer Surgery Steps introduced by The World Health Organization in 2009, is expected to significantly reduce RSI errors. These Five Safer Surgery Steps encompass briefing, sign-in, time-out, sign-out, and debriefing, and adheringto these steps is anticipated to yield positive results in preventing such issues(WHO, 2009). The

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