Prof. Name

Hi to everyone! Welcome to my session. My name is_____. Today’s presentation is about Hospital-Acquired Pressure Ulcers (HAPU) as a patient outcome Nursing-Sensitive Quality Indicator (NSQI), to educate and train nurses on the importance of Quality Indicators (QI) in the medical setting. Nurses should assess and enhance this QI to boost the care standard and patient satisfaction in medical settings. The agenda of this presentation is:

  • Introduction of National Database of Nursing-Sensitive Quality Indicators (NDNQI) and NSQIs
  • The significance of monitoring HAPU as NSQI and its part in nursing practice 
  • Collection and distribution of QI data 
  • Role of nurses and interprofessional teams in gathering and reporting HAPU-related data
  • The significance of NSQIs in creating regulations for nurses to utilize healthcare technologies

Introduction of National Database of Nursing-Sensitive Quality Indicator

The American Nursing Association developed the NDNQI in 1998. It is the national nurse database that offers annual and quarterly data on the framework, procedure, and result variables used to assess nursing services at the facility level. NDNQI strives to increase nursing efficiency and patient safety. It serves as a benchmark for clinical nursing (Alshammari et al., 2023). NDNQI aspires to put together interdisciplinary groups to improve patient outcomes by boosting the standards of care.

Nursing Sensitive Quality Indicators (NSQIs)

NSQIs are measures for change in a patient’s medical conditions, which are directly related to nursing care practices. These indicators act as the framework for observing the standard of nursing practices. NSQIs are credible tools because they include objective evaluation, clinical procedure enhancement, assessment of nursing care efficiency and effectiveness, and the capacity for patients to make educated decisions while selecting a medical facility for treatment (Oner et al., 2021).

For this tutorial presentation, I have chosen HAPU as a critical NSQI. Tracking this indicator is essential to minimizing patient harm and providing efficient care. Monitoring the occurrence and severity of HAPU enables medical staff, particularly nurses, to pinpoint areas for enhancement for efficient patient care. 

Healthcare-Associated Pressure Ulcers

HAPUs represent the most dangerous events in the clinical setting. HAPU, or pressure injuries, are lesions to the skin that involve tissue injury resulting from the intrusion of pressure or stress. HAPUs pose mental, physiological, and social difficulties due to patients’ lower quality of life, rising reliance on others, and susceptibility. HAPUs affect almost 2.5 million patients in America, putting patient safety at risk (VanGilder et al., 2021). It imposes a financial burden on patients and medical systems. It costs between $9.1 and $11.6 billion annually.

Medical care expenses are $20,900 to $151,700 for each HAPU case (Yu et al., 2022). It indicates inadequacies in nursing care practices, like poor skin evaluations, inadequate turning guidelines, and improper pressure displacement measures. Furthermore, monitoring these HAPU cases provides significant information for quality enhancement programs and standard conformity, resulting in improved patient safety and treatment.

New nurses must be proficient and familiar with HAPU data to employ Evidence-Based Practice (EBP) care strategies and enhance nursing care, reducing patient safety issues. This understanding enables nurses to deliver proactive, holistic care, promoting patient safety and recovery (Gedamu et al., 2021). Knowledge of the significance of HAPU avoidance and monitoring allows new nurses to assist in mitigating patient harm and enhancing healthcare quality.

Collection and Distribution of Quality Indicator Data

For collecting the QI data related to HAPU, my organization uses two digital systems. These include Electronic Health Records (EHR) and the Medicare Patient Safety Monitoring System (MPSMS). EHR collects data on regular skin evaluations performed by nurses during admissions of patients and at their transfers, periodically throughout their stay. The EHR offers a complete framework that encourages nurses to track the HAPU stage, size, position, risk evaluation, and diagnosis (Song et al., 2021). MPSMS records cases of pressure-related injuries that happen despite efforts to prevent them.

The organization discovers data about HAPU signs, such as their position, size, and severity, and also data on empl


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