Dashboard Analysis And Nursing Plan DUE Essay.

In order for health care facilities to enhance and improve the care they deliver to their patients, they rely on data collected within their facility and from surveys sent out to patients. The information collected is formatted into a quarterly dashboard where goals are set for each quality indicator and then interpreted if the facility met those goals. Through the use of dashboards and quality indicators proactive decisions can be made based on actual events occurring, rather than changing the plan of care based on assumptions.

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The dashboard is effective in determining particular areas in which improvements would be beneficial to not only the care of the patient but the overall morale of the health care facility. The dashboard is also helpful in strategic planning, where the assessment of performance can be undertaken (Tomlinson, Hewitt, & Blackshaw, 2013). The overall objective of this paper is to analyze areas where the facility excels, and determining a plan of action to improve negative performance by utilizing evidenced based practice.Dashboard Analysis And Nursing Plan DUE Essay.

After carefully analyzing the data presented in this week’s dashboard, communication between the nurses and the patients excels. Nurses develop a good rapport with the majority of their patients and give thorough explanations of the care provided. However, their promptness and attention to detail needs to be an area addressed to improve patient outcomes. Thus, could also be the result of negative data reflected on the dashboard that represents patient safety measures such as falls, pressure ulcers, mislabeled specimens and uncontrolled pain. Patient safety is crucial in the plan of care and if not carefully addressed could lead to adverse events and outcomes.Dashboard Analysis And Nursing Plan DUE Essay.

Paying attention to details is important for avoiding errors, maintaining efficiency, preventing injuries, making a good impression and analyzing information. Attention to detail improves accuracy in performing tasks. Preventing errors is valuable when providing care to all patients. Careful management of details contributes to overall efficiency and success in the healthcare facility. Reducing errors also contributes to patient satisfaction. By developing a nurse-patient relationship you are able to address needs and concerns of the patient, as well as pick up on detail-oriented cues that will need implemented for each individual patient in order to maintain a balance of trust and communication during the patients stay.Dashboard Analysis And Nursing Plan DUE Essay.

Attention of detail leads to patient safety. Patient safety throughout the hospital should be developed by the leadership. Leadership assumes a role in establishing a culture of safety that minimizes hazards and patient harm by focusing on processes of care. The leaders of the organization are responsible for fostering an environment through their personal example; emphasizing patient safety as an organizational priority; providing education to medical and hospital staff regarding the commitment to reduction of medical errors; supporting proactive reduction in medical/health care errors; and integrating patient safety priorities into the new design and redesign of all relevant organization processes, functions and services (IHI, 2017).Dashboard Analysis And Nursing Plan DUE Essay.

There are many quality indicators that fall into the category of patient safety such as: medication errors or adverse events, pressure ulcers, falls, restraint use, nosocomial infections, VTE, etc. Various tools can be set in place to ensure adequate monitoring of these areas to protect the patients and the facility. Conducting a thorough head-to-toe physical examination on admission is a high priority. Patients come into the hospital and we treat their presenting symptoms, however many times there may be an underlining problem that needs addressed to ensure an optimal outcome and patient experience. A full physical assessment gives you a thorough picture of the patient’s condition.Dashboard Analysis And Nursing Plan DUE Essay.

Best practice would be to conduct a fall risk assessment and a skin risk assessment on each patient every shift or as needed if there has been a change in the patient’s condition. With a fall risk assessment, it can determine what interventions need put in place to ensure patients are free from physical injury while in our care. The fall risk assessment we use at our facility is similar to the one presented by John Hopkins, called the JHFRAT (Hopkins Medicine, 2017). The fall risk assessment tool addresses various patient safety indicators such as: age, history of falls within 6 months, elimination of bowel and bladder (incontinence, urgency or frequency), medications (PCA/opiates, anticonvulsants, antihypertensive, diuretics, hypnotics, laxatives, sedatives, psychotropic, etc.), use of patient care equipment (IV infusion, chest tube, indwelling catheter, SCDs, etc.), mobility (unsteady gait or needs assistance), sensations (decrease in hearing, vision, etc.), and cognition (impulsive behavior, sedation, or altered mental status). If the patient scores greater than 6 then they are required to wear fall risk socks, fall risk bracelet, and bed/chair alarms are put in place. This is a great tool as we can reassess it multiple times throughout the day to ensure the safety of the patient and decrease the rate of falls on our dashboard to improve quality indicators. It also shows the patients that we are concerned for their safety and are putting all measures of safety in place to ensure a positive outcome.Dashboard Analysis And Nursing Plan DUE Essay.

Another best practice tool we can utilize would be the skin risk assessment to prevent and manage pressure ulcers. The Braden Scale for predicting pressure sore risk is a clinically validated tool that allows nurses and other health care providers to reliably score a patient/client’s level of risk for developing pressure ulcers. It measures functional capabilities of the patient that contribute to either higher intensity and duration of pressure or lower tissue tolerance for pressure. Lower levels of functioning indicate higher levels of risk for pressure ulcer development (NLM, 2013).Dashboard Analysis And Nursing Plan DUE Essay. The Braden Scale uses various categories to determine the patient’s skin risk such as: sensory perception (ability to respond meaningfully to pressure-related discomfort), moisture (degree to which skin is exposed to moisture), physical activity (degree of physical activity), mobility (ability to change and control body positions), nutrition (usual food intake pattern), and friction and shear risk. A score of 18 or below alerts the nurse that the patient may be at risk for pressure areas, a score 9 or less determines that the patient is high risk. Interventions should be put in place to prevent pressure ulcers for at risk patients. The nurses should be required to inspect patients skin each shift, manage moisture on the skin, conduct a skin risk assessment each shift or as needed if there is a change in the patient’s condition, minimize pressure to bony prominence by reposition patient every 1-2 hours, increasing nutrition intake and hydration (if the patient is unable to consume these orally then intravenous methods need to be implemented). By completing each of these steps for all patients it will prevent secondary diagnosis and prolonging of patient stay. Maintaining skin integrity will increase the patient’s outcome and satisfaction.Dashboard Analysis And Nursing Plan DUE Essay.

Through the use of quality indicators and data collection we have the ability to improve our patient satisfaction and the care we deliver on a daily basis. By utilizing best practices to maintain patient safety and recognizing the needs and concerns of our patients we can achieve high standards. We must realize though that perfect scores across the dashboard is unrealistic. Health care and evidenced-based practices are always changes and the care we are providing is becoming more acute. By continuing our education and having our patient’s safety as our number one priority we will continue to excel in the health care continuum.Dashboard Analysis And Nursing Plan DUE Essay.

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Running head: 1 DASHBOARD ANALYSIS AND NURSING PLAN 2

DASHBOARD ANALYSIS AND NURSING PLAN 2

WEEK 5 ASSIGNMENT: DASHBOARD ANALYSIS AND NURSING PLAN

Walden University

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1 NURS 4005/NURS 4006: TOPICS IN CLINICAL NURSING

2 DASHBOARD ANALYSIS AND NURSING PLAN THE DATA COLLECTED FROM WITHIN A HEALTHCARE FACILITY AND SURVEYS SENT OUT TO PATIENTS ENABLES A HEALTHCARE FACILITY TO IMPROVE ITS CARE DELIVERY TO PATIENTS. 1 THE INFORMATION COLLECTED IS FORMATTED INTO A QUARTERLY DASHBOARD WHERE GOALS ARE SET FOR EACH QUALITY INDICATOR AND THEN INTERPRETED IF THE FACILITY MET THOSE GOALS. THROUGH THE USE OF DASHBOARDS AND QUALITY INDICATORS, PROACTIVE DECISIONS CAN BE MADE BASED ON ACTUAL EVENTS OCCURRING, RATHER THAN CHANGING THE PLAN OF CARE BASED ON ASSUMPTIONS. THE DASHBOARD IS EFFECTIVE IN DETERMINING PARTICULAR AREAS IN WHICH IMPROVEMENTS WOULD BE BENEFICIAL TO NOT ONLY THE CARE OF THE PATIENT, BUT THE OVERALL MORALE OF THE HEALTH CARE FACILITY. THE DASHBOARD IS ALSO HELPFUL IN STRATEGIC PLANNING, WHERE THE ASSESSMENT OF PERFORMANCE CAN BE UNDERTAKEN (TOMLINSON., 2013). THE PAPER ANALYZES AREAS WHERE THE FACILITY EXCELS AND DETERMINING STRATEGY TO IMPROVE NEGATIVE PERFORMANCE BY UTILIZING EVIDENCED-BASED PRACTICE.Dashboard Analysis And Nursing Plan DUE Essay.

AFTER CAREFULLY ANALYZING THE DATA PRESENTED IN THIS WEEK’S DASHBOARD, COMMUNICATION BETWEEN THE NURSES AND THE PATIENTS EXCELS. NURSES DEVELOP A GOOD RAPPORT WITH THE MAJORITY OF THEIR PATIENTS AND GIVE THOROUGH EXPLANATIONS OF THE CARE PROVIDED. HOWEVER, NURSES’ PROMPTNESS AND ATTENTION TO DETAIL A NEED TO BE AN AREA

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ADDRESSED TO IMPROVE PATIENT OUTCOMES. THUS, IT COULD ALSO BE THE RESULT OF NEGATIVE DATA REFLECTED ON THE DASHBOARD THAT REPRESENTS PATIENT SAFETY MEASURES SUCH AS FALLS, PRESSURE ULCERS, MISLABELED SPECIMENS, AND UNCONTROLLED PAIN. PATIENT SAFETY IS CRUCIAL IN THE PLAN OF CARE AND, IF NOT CAREFULLY ADDRESSED, COULD LEAD TO ADVERSE EVENTS AND OUTCOMES.

Nurses need to focus on details to minimize the chances of errors, ensure efficiency, preventing injuries, provide a good impression, and analyze information. Emphasizing on the improvement of details enhances tasks’ performance accuracy. It is essential to avoid errors during treatment to ensure quality services to all patients. 1 CAREFUL MANAGEMENT OF DETAILS INFLUENCES GENERAL EFFICIENCY AND SUCCESS IN THE HEALTHCARE FACILITY. Error minimization also leads to the satisfaction of the patient. 1 BY DEVELOPING A NURSE-PATIENT RELATIONSHIP, YOU CAN ADDRESS NEEDS AND CONCERNS OF THE PATIENT, AS WELL AS PICK UP ON DETAIL-ORIENTED CUES THAT WILL NEED IMPLEMENTATION FOR EVERY PATIENT TO MAINTAIN A BALANCE OF TRUST AND COMMUNICATION DURING THE PATIENTS STAY.Dashboard Analysis And Nursing Plan DUE Essay.

THE ATTENTION OF DETAIL LEADS TO PATIENT SAFETY. THE LEADERSHIP SHOULD DEVELOP PATIENT SAFETY THROUGHOUT THE HOSPITAL. Leadership plays a crucial role in building and developing a culture. This created safety culture reduces hazards since the main emphasis is on processes of care (IHI, 2017). The organization’s managers should take the responsibility of creating a conducive working environment by being role models. For instance, they should;Dashboard Analysis And Nursing Plan DUE Essay.

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· Ensure patient safety as health care facility priority · Offer education to the hospital staff concerning the dedication to reduce errors witnessed in medication processes ·Dashboard Analysis And Nursing Plan DUE Essay. Strengthen proactive methods for reducing care errors · Incorporate patient safety priorities into the new treatment models of all relevant organization processes and functions Many quality indicators fall into the category of patient safety, such as medication errors or adverse events, pressure ulcers, falls, restraint use, nosocomial infections, VTE, etc. 1 VARIOUS TOOLS CAN BE SET IN PLACE TO ENSURE ADEQUATE MONITORING OF THESE AREAS TO PROTECT THE PATIENTS AND THE FACILITY. CONDUCTING A THOROUGH HEAD-TO-TOE PHYSICAL EXAMINATION ON ADMISSION IS A HIGH PRIORITY. PATIENTS COME INTO THE HOSPITAL, AND WE TREAT THEIR SYMPTOMS, HOWEVER, MANY TIMES THERE MAY BE AN UNDERLINING PROBLEM THAT NEEDS TO BE ADDRESSED TO ENSURE AN OPTIMAL OUTCOME AND PATIENT EXPERIENCE. A FULL PHYSICAL ASSESSMENT GIVES YOU A THOROUGH PICTURE OF THE PATIENT’S CONDITION.

THE BEST PRACTICE WOULD BE CONDUCTING A FALL RISK ASSESSMENT AND A SKIN RISK ASSESSMENT ON EACH PATIENT EVERY SHIFT OR AS NEEDED IF THERE HAS BEEN A CHANGE IN THE PATIENT’S CONDITION. WITH A FALL RISK ASSESSMENT, IT CAN DETERMINE WHAT INTERVENTIONS NEED PUT IN PLACE TO ENSURE PATIENTS ARE FREE FROM PHYSICAL INJURY WHILE IN OUR CARE. THE FALL RISK ASSESSMENT WE USE AT OUR FACILITY IS SIMILAR TO THE ONE PRESENTED BY JOHN HOPKINS, CALLED THE JHFRAT (HOPKINS MEDICINE, 2017). THE FALL RISK ASSESSMENT APPROACH ADDRESSES VARIOUS VICTIM SAFETY INDICATORS SUCH AS;Dashboard Analysis And Nursing Plan DUE Essay.

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· AGE AND HISTORY OF FALLS WITHIN SIX MONTHS · ELIMINATION OF BLADDER AND BOWEL (URGENCY, INCONTINENCE, AND FREQUENCY) · MEDICATIONS (ANTICONVULSANTS, ANTIHYPERTENSIVE, HYPNOTICS, LAXATIVES, SEDATIVES, PSYCHOTROPIC, AND DIURETICS,) · USE OF PATIENT CARE EQUIPMENT (A IV INFUSION, A CHEST TUBE, INDWELLING CATHETER, AND IV INFUSION) · MOBILITY (UNSTEADY GAIT OR NEEDS ASSISTANCE) · SENSATIONS (A DECREASE IN HEARING, AND VISION) · COGNITION (IMPULSIVE BEHAVIOR, SEDATION, OR ALTERED MENTAL STATUS) IF THE PATIENT SCORES GREATER THAN SIX, THEN THEY ARE REQUIRED TO WEAR FALL RISK SOCKS, FALL RISK BRACELETS, AND BED/CHAIR ALARMS ARE PUT IN PLACE. THIS FALL RISK ASSESSMENT IS A GREAT TOOL AS WE CAN REASSESS IT MULTIPLE TIMES THROUGHOUT THE DAY TO ENSURE THE SAFETY OF THE PATIENT AND DECREASE THE RATE OF FALLS ON OUR DASHBOARD TO IMPROVE QUALITY INDICATORS. IT ALSO SHOWS THE PATIENTS THAT WE ARE CONCERNED FOR THEIR SAFETY AND ARE PUTTING ALL MEASURES OF SAFETY IN PLACE TO ENSURE A POSITIVE OUTCOME.

ANOTHER BEST PRACTICE TOOL WE CAN UTILIZE WOULD BE THE SKIN RISK ASSESSMENT FOR COMBATING AND MANAGING PRESSURE ULCERS. 3 A CLINICALLY VALIDATED TOOL IS THE BRADEN SCALE THAT PREDICTS PRESSURE SORE RISK. The tool also permits health practitioners to confidently score the level of risk of a client for pressure ulcer development. 1 THE TOOL MEASURES A PATIENT’S FUNCTIONAL CAPABILITIES THAT LEAD TO EITHER HIGH INTENSITY OR REDUCED TISSUE TOLERANCE FOR PRESSURE.

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HIGH LEVELS OF RISK FOR ULCER PROBLEM IS ASSOCIATED WITH LOWER LEVELS OF FUNCTIONING (NLM, 2013). The Braden scale employs different categories to establish skin risk of a patient, such as exposure to moisture, physical activity, meaningful response to pressure-based discomfort, nutrition, and friction and shear risk, regulation, and control of body positions. 1 A SCORE OF 18 OR BELOW ALERTS THE NURSE THAT THE PATIENT MAY BE AT RISK FOR PRESSURE AREAS, A SCORE OF 9, AND BELOW INDICATES THAT A PATIENT VULNERABLE TO AREAS WITH HIGH PRESSURE. INTERVENTIONS FOR TREATMENT SHOULD AVAILED TO PREVENT PRESSURE ULCERS FOR AT-RISK PATIENTS. The nurses should;

1 · INSPECT THE PATIENTS’ SKIN ON EACH SHIFT · MANAGE MOISTURE ON THE SKIN SURFACE · CONDUCT A SKIN RISK ASSESSMENT OR AS NEEDED IN CASE OF A CHANGE IN A CLIENT’S CONDITION · MINIMIZE PRESSURE TO BONY PROMINENCE BY REPOSITION PATIENT EVERY 1-2 HOURS · INCREASE NUTRITION INTAKE AND HYDRATION (IF THE PATIENT IS UNABLE TO CONSUME THESE ORALLY THEN INTRAVENOUS METHODS NEED TO BE IMPLEMENTED). BY COMPLETING EACH OF THESE STEPS FOR ALL PATIENTS, IT WILL PREVENT SECONDARY DIAGNOSIS AND PROLONGING OF PATIENT STAY.Dashboard Analysis And Nursing Plan DUE Essay.

4 · MAINTAIN SKIN INTEGRITY TO INCREASE THE PATIENT’S OUTCOME AND SATISFACTION THROUGH THE USE OF QUALITY INDICATORS AND DATA COLLECTION, WE CAN IMPROVE OUR PATIENT SATISFACTION AND THE CARE WE DELIVER DAILY. 1 BY UTILIZING THE BEST PRACTICES TO MAINTAIN PATIENT SAFETY AND RECOGNIZING THE NEEDS AND CONCERNS OF OUR

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PATIENTS, WE CAN ACHIEVE HIGH STANDARDS. WE MUST REALIZE THAT PERFECT SCORES ACROSS THE DASHBOARD IS UNREALISTIC. 4 HEALTH CARE AND EVIDENCED-BASED PRACTICES ARE ALWAYS CHANGING, AND THE CARE WE ARE PROVIDING IS BECOMING MORE ACUTE. 1 BY CONTINUING OUR EDUCATION AND HAVING OUR PATIENT’S SAFETY AS OUR NUMBER ONE PRIORITY, WE WILL CONTINUE TO EXCEL IN THE HEALTH CARE CONTINUUM.Dashboard Analysis And Nursing Plan DUE Essay.