Quality Improvement Project Proposal

This prospective, pre-post quality improvement (QI) project was conducted at the University of Pittsburg Medial Center, Presbyterian Hospital, a tertiary academic medical center in Medical Intensive care unit (MICU). A multidisciplinary team consisted of physicians, pharmacists, and nurses, assessed in detail twenty-seven possible non-pharmacologic interventions that display positive impact on delirium. The remaining nine non-pharmacological interventions were combined into a protocol entitled “Give your patient M.O.R.E.” This acronym can be defined as music, opening of blinds, reorientation and cognitive stimulation, and eye/ear protocols. The purpose was to determine if the implementation of the evidence-based non-pharmacological protocol

What do you consider to be the key issues for quality improvements in the NHS quality-improvement program as it goes forward?

Studies show that the national average for an adolescent’s first sexual intercourse encounter is seventeen years old. Despite this number being very close to the average age in other industrialized countries, the United States holds a higher percentage of teenage pregnancy and sexually transmitted disease (STD) contraction than those countries (Harper et al, 2010, p. 125). It’s becoming evident that while a majority of the nation’s youth is sexually active, they are not doing so with the appropriate knowledge to keep themselves and others healthy.

The nurse is challenged with the care of patients over a lifespan. Each stage of life brings its own physical and emotional changes which directs the care needs. The care needs of the pediatric patient will be much different from the needs of the geriatric population. The geriatric population has very specific needs which has prompted the government to establish the Quality Assurance & Performance Improvement (QAPI) program. The QAPI provides the framework for nursing facilities to develop and implement changes which address deficiencies the facility was found to have. Also, the QAPI program requires practices and policy be put in place to monitor care of the residents. The purpose of this paper is to list some of the changes the elderly go through as they age, and demonstrate these changes in a quality improvement project. After review of literature, I will discuss the challenges, barriers, and solutions as related to quality improvement. Lastly, I will discuss the quality of care for the geriatric in the future.

Quality improvement data is followed in all health care setting. The use of Cerner EHRs allows data to be obtained from patient charts to analyze core measures. According to the joint commission influenza and pneumococcal vaccinations measures should be addressed in all hospital in-patients (The Joint Commission, 2015). Data can be retrieved on those patient who were diagnosed with pneumonia to determine if they received the vaccinations for pneumonia and influenza. As well as tracking the time frame between diagnosis and treatment, and additionally the patient outcome. This is captured through the documentation of the clinical staff. The information can be analyzed to determine the quality improvement changes that need to be implemented to improve patient outcomes.

Quality Improvement (QI) is an organizational approach that leads to the quality of patient care and services through use of specific set of guidelines, principles, and methodology. This is so that there is assurance that quality care is provided for every patient. Principles of quality improvement focus on measurements. These measurements involve data collection used to improve the quality of care, and patient outcomes. Any good quality improvement program ensures strengthening the systems through analyzes and processes.

"Approximately four million teens get a sexually transmitted disease every year" (Scripps 1). Today’s numbers of sexually active teens differ greatly from that of just a few years ago. Which in return, projects that not only the risk of being infected with a sexually transmitted disease (STD) has risen, but the actual numbers of those infected rise each year as well. These changes have not gone unnoticed. In fact have produced adaptations as to how society educates its young adults about sex, using special programs, various advertising, and regulating sexual education courses in public schools. One major adaptation is the advancement and availability of

Falls are a major cause of injury and death in the frail older population with Alzheimer’s disease. Residents in the long-term care settings experience falls for many reasons and are likely to endure injuries more than those in other settings. Preventing falls in this setting posed significant challenge, many have cognitive problems, aged related changes, chronic medical conditions, medication effects, and physical limitations requiring dedicated interdisciplinary efforts (Vance, 2011).

For many young adults, sex is an uncomfortable topic to discuss with others. In fact, many college students now report relying on the internet as their main source of sexual health information (Rennis, McNamara, Seidel, & Shneyderman, 2015). While the internet can be a useful resource for learning about certain topics, many students are unaware of how to find credible sources online (Rennis et al., 2015). When it comes to safe sex and STI prevention, schools across the U.S. need to make sure that students have access to reliable sexual health information. Although some action has been taken toward addressing the issue, sexually transmitted diseases continue to remain a prevalent issue

As a hospital, quality care should be a priority for patients that are going to be treated for a sickness, or any type of procedure that is going to take place. A lot of times a patient gets an infection while they were at the hospital, on top of being treated for what they original came in for. Health facilities should be environments of healing, which they are, but they also have tons of various types of germs and infections, which grasp onto individuals that have weak immune systems/are sick. Some infections that are at hospitals are Tuberculosis, VRE, VAP, C-Diff, UTI, and MRSA. Preventive measures to stop the spread of the infections is lacking tremendously in the work and aim to provide safety for all patient’s health. The work

After the interview with my nurse manager, I came up with the PICO question which states: “Does the computerized physician order entry (CPOE) system reduce the number of medication errors compared to the common paper system being used today?” This question is important and I selected it because the population that the Belvoir Community hospital serves includes army officers of all ages both active and retired including their spouses and children. This group includes two sub groups of highly vulnerable persons which include the very young and the very old, who have a high-risk effect for medication errors because the potential adverse drug event is three times greater than an adult hospitalized patient (Levine et al., 2001). CPOE is not a panacea, but it does represent an effective tool for bringing real-time, evidence-based decision support to physicians. Nurses are the last defense level of protection against medication errors, and are solely responsible for the dispensing, administering, and monitoring of medications. In healthcare, computers can be used to help facilitate clear and accurate communication between health care professionals. When using a CPOE system it allows physicians to type in prescriptions right into the device or computer which significantly lessens any mistakes that can occur when

Despite the growing burden of diabetes and the lack of diabetes care providers, barriers and resistance for utilization of Advanced Practice Registered Nurses (ARPRNs) to provide diabetes care continues to exist. According to the Centers for Disease Control and Prevention (CDC) (2017), an estimated 30.3 million people have diabetes, with greater than 90% having Type Two Diabetes. In Saline County, Kansas, 12 % of the population has been diagnosed with diabetes (Robert Wood Johnson Foundation, 2016). A previous gap analysis identified the lack of outpatient diabetes education and management services in Saline County, Kansas. Follow-up SWOT (strength, weakness, opportunities and threats) identified barriers and potential solutions that must

Teens have difficulty grasping the consequences of unprotected sex for themselves, their parents, family members and possibly their unborn child. Unprotected sex among teenagers in El Paso has become an issue seeing as they are not receiving the right information they need to know about sex and how to prevent it, sexually transmitted diseases can be passed on through sexual contact in which can be harmful and be passed on from one person to another, and teen pregnancy and STD’s bring substantial social and economic costs through immediate and long-term impacts on teen parents and their children. Nowadays social media and technology seem to really take a toll on teenagers, the both has impacted teens in a way that it is all they are on. My proposal of fixing this solution is getting the message across through social media and doing presentations at different schools, this will impact teenagers mostly because this is the generation where social media has become a part of their lives. To those with low education about unprotected sex, will pay attention to what is being said, which will be no problem since Google and the internet are there to provide answers to their questions. Lastly, teens do not pay attention to adults in general, but if they listen to what a teen has to say then they will most likely understand, thus a presentation at their school will help them learn more.

Continue building your proposal for BJB’s Strategic Planning Committee by adding 1,050-to 1,750-words outlining the strategies for addressing quality management issues and determining an effective means of deploying the quality management initiative.

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