MSN FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initiative Proposal KP ​​​​​​​ Introduction MSN FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initiative Proposal KP

MSN FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initiative Proposal KP

 Introduction

MSN FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initiative Proposal KP

There has been a constant need to improve the quality of care in many hospitals worldwide. Improved quality of health care means that the patients have a favorable prognosis. The working condition will be conducive for the health care workers and an overall improvement in the performance of the health facility. This improvement can only be achieved if there is good and effective teamwork among the medical staff, continuous professional development, and utilization of practical quality improvement innovations (Goodman et al., 2018). The main objective of the quality improvement initiative is to improve the quality of health care provided to patients and minimize errors that may be present in the health care system. Nurses play an essential role in quality improvement since they are constantly interacting with patients, which partly determines the patient’s outcome. This proposal will analyze and interpret dashboard information displaying the critical care metrics and product and data collected from the care delivery process (Horntverdt et al., 2018).

Problem areas

A hospital-acquired pressure injury is a preventable adverse effect in many health organizations; its prevalence is usually reported through the national database of nursing quality indicators (NDNQI). Many hospitals are involved in this NDNQI program to report the cases of adverse effects and thus provide a basis for nursing quality improvement; pressure ulcer is still considered a global problem even though guidelines, education, and equipment are readily available (Waung and Beringer, 2020). The Heart Hospital reported very high-pressure injury rates in 2015, with a prevalence of 5.53%, which exceeded the NDNQI magnet benchmark of 1.74% for 2015 (Boyle et al., 2017). The total number of hospital-acquired pressure injuries reported was 120, with the majority in intensive care units; for instance, out of the total of 120 pressure injuries occurring in the Heart Hospital, more than 50% took place in the intensive care unit setting (Boyle et al., 2017).

Orlando Heart Hospital is a cardiac facility in Orlando, and its Cardiothoracic Intensive care Unit started an attempt to reduce Pressure Injuries to serve Post cardiac surgery patients. In April then, the program was undertaken by other patient care units.

Available Knowledge.

A pressure injury is any localized damage to the skin and underlying soft tissue that occurs mainly above a bony prominence due to pressure or in combination with shear (Ayello and sabbald, 2017). A pressure injury is a very traumatizing experience for patients and at the same time costly as a lot of resources such as time, both nursing and surgical, and medication are used in the management (Ayello and Sabbald, 2017). Pressure injury occurs due to pressure exerted on the skin and underlying tissues resulting in disruption of the local blood flow leading to ischemia and necrosis. Some of its etiological causes include shearing, which can be defined as pressure occurring when layers of skin are forced down due to gravity or friction. Second, friction is the pressure caused by clothing or bedding rubbing the skin’s surface, commonly seen on the elbows and heels. Thirdly moisture wet skin may cause rashes that make it susceptible to breaking (Black, 2019). A pressure injury is staged according to severity as follows (Wassel et al.,2020):

Prevention measures include relief of the causative pressure, such as air mattresses