Analysis Of The PDSA Cycle

The lack of knowledge and confidence of obtaining a manual blood pressure is an ever growing issue in the healthcare field. This paper will outline the importance of taking a manual blood pressure accurately. Providing the proper blood pressure measurement can determine a patient’s care and outcome when in a healthcare facility. I will talk about the pros and cons of manual blood pressures and personal experience of this vital skill in the healthcare field. I will also provide some simple but effect ways to increase confidence and knowledge by just basic education. All of my information and numbers will be supported by using references and studies in the use of manual blood pressure monitoring.

Modern medical advancements have significantly decreased the prevalence and severity of infectious disease as well as the treatment of acute, traumatic conditions. Pharmacological research has also gained insight into the management of chronic disease. Still, there is an epidemic of chronic, treatable diseases like stroke, heart disease, and kidney disease. Hypertension proves to be the underlying factor associated with these diseases. Hypertension is often referred to as the silent killer because of its indication in deadly disease, and the importance of monitoring ones blood pressure is vital. Lifestyle, diet, and genetic predisposition are all factors of high blood pressure. Chronic high blood pressure above safe levels, known as hypertension, puts elevated physical stress on the renal and cardiovascular systems. By controlling this factor in patients, healthcare providers can decrease cardiovascular events, improve health outcomes, and decrease overall mortality. Patient education is often overlooked in its role in the control and prevention of high blood pressure. This paper analyzes the causes and physiology behind high blood pressure as they relate to the current nursing interventions. The role of nurses is discussed in relation to patient education regarding high blood pressure, and educational approaches are analyzed.

Cooper L.A., & Roter D.L., & Carson K.A., & Bone L.R., & Larson S.M., & Miller E.R. III, & Levine D.M. (2011). A randomized trial to improve patient-centered care and hypertension control in underserved primary care patients. Journal of General Internal Medicine, 26, 1297 â[euro]" 1304. 10.1007/s11606-011-1794-6

The second part of The Model for Improvement is the PDSA cycle. This is the testing phase of the model. The acronym PDSA stands for Plan, Do, Study, and Act. This is a four step process which is a simple way to test and make changes to the process. If The Model for Improvement is applied to Mr. B’s scenario, the aim of the improvement plan would be to make sure that patients coming into the emergency room receive the appropriate dose of medications, that the patients are monitored correctly, and that the staff is educated about proper medication administration. The measures part, How will we know a change is an improvement, could be answered by compiling data with the number of patients receiving hydromorphone in the emergency room, what type of monitoring was used

Identify two areas of nursing practice, which evidence-based practice has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice? Please support your response with a minimum of two supporting peer reviewed articles.

CQI is an ever changing process in where the clinical needs of patients were being identified, discussed and corrected. This is where the individualized approach is being made, by the whole team, in accordance to the accepted level of laboratory results paired with what they are lacking or excessive. Doing CQI will enable the entire team to provide the highest care the patient needs. This will reduce other complications inside the treatment area which may affect the care being provided to the other patients. CQI develops evidence-based practice guidelines to improve care of ESRD subjects. These guidelines are put into practice through professional education programs. It must be patient centered to improve quality and cost outcomes of care.

Notifying the physician of the client’s change in blood pressure from 140 to 88 mm Hg systolic

The SCHC addressed meaningful use by recording patient demographics, maintaining an active medication lists and incorporating clinical lab test results into the HER, as apart of their meaningful use objectives. For recording patient demographics, they maintained data for accurate billing and ensured that the practice workflow was adjusted to capture all of the necessary patient data. They addressed active medication lists by following the requirements for e-prescribing. Patients were able to review their active medication list during their visit. Changes to the medication list were reviewed with the nurse and adjusted within the EHR system by the doctor. They communicated information for the care coordination process by making test results efficient and safe to access. Physicians were able to make real time decisions when they receive the test results from LabCorp, Quest, and other health

Two patient verifier completed. Per PA Wu , the patient was informed that she has added an additional bp med to his current regimen. Asked the patient that he has any swelling in legs. The pt says no. Informed the patient that only a 30 day supply was ordered on his Lisinipril. Please record bp readings for the next seven days at the same time then email reading via Micare. If bp in not controlled then a f/u with his provider is needed. The patient agrees and verbalized

There are three parts of the concerns during and after seeing the result of implementing the new QI system IHC. The clinical programs worries

Hello Stephanie! Nurses work the closest to the patients and are continuelly developing and refining ways to bridge the gap between quality outcomes and patient safety. A significant portion of our documentation is recorded on the EHR and error reporting system and since we do know our patients so well this provides an excellent opportunity for the EHR system to monitor for consistent identification of patients who are at risk, a timely communications to other healthcare providers, better decision-making for the care delivery as well as data collection and reporting that all help in the preventing the occurrence of pressure

Intervention: Recent UAS assessment it was recommend by ARN to reduce hours from 2 days/5hours to 2days/4hours. On 03/07/2016, member verbalized to CM that he wishes to remain with 2 days and 5 hours. He has an unsteady gait, experiences dizziness (new medication Flomax 0.4 milligram), moderate pain due to Dx. Osteoarthritis and is at risk of falling (score 11). Also, member goes to the bathroom frequently due to Enlarged prostate. For those reasons, its recommendable that member continue PCA days/hours as coordinated. In addition, CM contacted via email Care Management Supervisor, Qi Zheng, on 03/08/2016 to informed and requested to continue current PCA services. Care Manager Supervisor, agreed to

The PDSA cycle diagram presented and the run chart are exceptionally done. The PDSA cycle should be able to answer the following questions: what exactly are we going to do, when and how we do it, what were the results, and what are we going to make based on our findings (Center for Medicare and Medicaid Services, 2017). The PDSA presented answers all four questions thoroughly and precisely.

The PDCA cycle will be used to address the quality issue. P stands for plan, D stands for do, C stands for check and A stands for act. Planning stage is when the patient 's needs, opportunities and the root cause of the issue are identified. The hand hygiene mechanisms have to be evaluated to identify the origin of the problem. In Do stage, changes are made gradually to avoid interrupting the organizational activities. Staffs are trained, problems and observations are documented, the solutions are generated, implemented and data are analyzed. During the Check stage, the results are analyzed, compared to the predicted outcome and summarize the lesson learned before drawing conclusions. In Act stage, the changes are standardized while monitoring it, gaps are identified and PDCA cycle might continue if the goal is not met.

Two recent peer review audits of twenty charts at Southmore Medical Clinic revealed that we were practicing with only a 45% compliance rate with the Joint National Committee (JNC) 8 guideline recommendations for managing HTN. In Southmore Clinic HTN management protocol is based on JNC 6 guidelines and HTN parameters are more relaxed due to patients' noncompliance and the physician's laid back attitude. Therefore, the revision of existing protocol and the aggressive management of HTN is recommended in conjunction with JNC 8 guidelines (see Appendix A for more details).