Drafting the Report
Analyze organizational functions, processes, and behaviors in high-performing health care organizations or practice settings.
Determine how organizational functions, processes, and behaviors affect outcome measures associated with the systemic problem identified in your gap analysis.
Identify the quality and safety outcomes and associated measures relevant to the performance gap you intend to close. Create a spreadsheet showing the outcome measures.
Identify performance issues or opportunities associated with particular organizational functions, processes, and behaviors and the quality and safety outcomes they affect.
Outline a strategy, using a selected change model, for ensuring that all aspects of patient care are measured and that knowledge is shared with the staff.
Writing and Supporting Evidence
Write coherently and with purpose, for a specific audience, using correct grammar and mechanics.
Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.
NURS_FPX6212_Assessment_3.1..docx.pdf
rubric5.docx
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Outcome Measures, Issues, and Opportunities
Name
Capella University
NURS-FPX6212: Healthcare Quality and Safety Management
Prof
October 2023
2
Introduction
In the dynamic and continually developing landscape of medical care, the job of attendant
innovators in upholding quality and security could not be more significant. As a medical
caretaker pioneer, I stand before the executive initiative group and our regarded partners to
introduce this far-reaching report, expanding upon the leader rundown submitted before. This
report aims to dig into the significant problems that influence the quality and security of care
inside our medical services association while underlining their considerable effect on quiet
results. As well as revealing insight into these fundamental issues, this report will proactively
present methodologies for tending to them and guaranteeing that all parts of patient consideration
are carefully estimated, assessed, and refined. The medical services field is one where change is
not simply a choice but a need, and we must embrace this change, chart an improvement course,
and give the best quality of care to the people who depend on us for their prosperity. This report
is a compass directing us toward a future where medical services quality and security stand as
steadfast mainstays of our association’s central goal and vision.
Analyzing Organizational Functions, Processes, and Behaviors
High-performing medical services associations are recognized by their remarkable
hierarchical capabilities, carefully planned processes, and a culture of commendable behaviour.
These associations focus on persistent consideration as their central objective, reliably going for
the gold in all features of their activities.
First, powerful correspondence is the foundation of high-performing medical services
associations. They perceive that reasonable and open correspondence is not just a best practice
but also an outright need to guarantee patient well-being and quality consideration (OECD, n.d.).
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Medical care experts participate in the straightforward exchange in these associations, embracing
normalized specialized devices and strategies. This participation encourages a culture where data
streams flawlessly among all partners, including medical caretakers, doctors, unified well-being
experts, patients, and their families. The outcome is diminished mistakes, upgraded joint effort,
and, at last, quiet results.
Furthermore, cooperation and coordinated effort are vital to the progress of high-
performing medical care associations. They comprehend that patient consideration is an
aggregate exertion, requiring the organized mastery of a different group of medical care
suppliers. Colleagues work solidly, share experiences and data, and effectively partake in
dynamic cycles. Interdisciplinary coordinated effort has yet to be empowered; it is implanted in
the way of life. This cooperative soul supports the nature of care and guarantees that patients
benefit from an all-encompassing way to deal with their medical service needs.
Finally, these associations are resolved to confirm based practice as a crucial component
of their medical services conveyance model. They focus on keeping up to date with the most
recent clinical rules, research discoveries, and best practices, effectively integrating this
information into everyday consideration schedules (OECD, n.d.). Fundamentally, proof-based
practice is not just a goal but also a standard. This commitment to putting together consideration
choices concerning soundproofing guarantees that patients get medicines and medications
grounded in the most recent examination, prompting better clinical results and, by and large,
more excellent care. Besides, it cultivates a culture of consistent learning and expert
improvement among medical care staff, eventually helping the association and its patients.
Effect on Outcome Measures
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The fundamental issue recognized in the past gap examination, precisely the raised pace
of hospital-acquired infections (HAIs) inside our medical care association, affects different result
measures. These result estimates are essential to the quality and security of care conveyed to our
patients. As we dig into the impacts of this issue on result measures, it becomes clear that tending
to HAIs is not simply a question of clinical concern but an essential objective.
Outcome Measure Associated Measures HAI Incidence Rate Number of HAIs
Length of hospital stay Mortality rate related to HAIs Healthcare costs related to HAIs
Hand Hygiene
Compliance Observation rate of hand hygiene Adherence to hand hygiene protocols Reduction in HAIs related to hand
hygiene
Patient Engagement Patient satisfaction scores Patient involvement in care decisions
As a matter of some importance, HAIs straightforwardly influence patient results.
Patients who get contaminations during their clinic stay experience many unfortunate
consequences. These may include delayed hospitalization, deferred recovery, and an expanded
mortality gamble (Gidey et al., 2023). Thus, the HAI occurrence rate is a crucial result measure
that reflects the nature of care and its potential life-saving ramifications. Decreasing HAIs can
fundamentally improve patient recuperation times, diminish medical care costs, and, in
particular, save lives.
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Besides, the effect of HAIs reaches out past individual patient results to fundamental
measures, for example, length of emergency clinic stay and medical services costs. HAIs add to
expanded hospitalization, causing stress on medical services assets and growing the monetary
weight on the two patients and the association. By decreasing the HAI rate, we can successfully
diminish the length of medical clinic stays, mitigate the financial consequences on patients, and
enhance the use of medical services assets. These are all indispensable result estimates that
straightforwardly affect the medical services framework’s productivity and manageability.
In addition, HAIs highlight the significance of patient security and the related result
measures. Patients and their families are confident in our capacity to give safe consideration.
High paces of HAIs disintegrate this trust and adversely influence patient fulfilment scores
(Gidey et al., 2023). It is not just a moral objective but also an essential one to Guarantee patient
well-being. Further developing well-being estimates improves the patient experience and
reinforces the standing of our association, settling on it as a favoured decision for medical care
administrations in the local area. Consequently, patient fulfilment and well-being results are
connected to our capacity to address the HAI issue successfully.
Strategy for Improvement
Plan Phase
Establish a Multidisciplinary Team: The foundation of our procedure is the production of
a multidisciplinary group containing specialists spreading over different clinical and non-clinical
divisions. This group will act as the main thrust behind the HAI decrease drive. By gathering
people with different viewpoints, abilities, and encounters, we intend to advance an all-
encompassing and complete way to deal with critical thinking. This cooperative collaboration
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will be fundamental in analyzing the multi-layered nature of HAIs, distinguishing main drivers,
and creating compelling arrangements.
Develop and Implement Standardized Hand Hygiene Protocols: An essential part of our
system is resolving the issue of conflicting hand cleanliness rehearses among medical services
faculty, which has been recognized as a critical supporter of HAIs. To correct this, we will leave
on the turn of events and deliberate execution of normalized hand cleanliness conventions (Pan
America Health Organization, 2023). These conventions will be carefully created, fastidiously
lined up with proof-based accepted procedures, and consistently refreshed to mirror the most
recent rules in contamination anticipation. Significantly, they will incorporate all medical care
workforce, from attendants and doctors to united well-being experts and care staff, underlining
the fundamental significance of hand cleanliness as a significant disease counteraction measure.
Do Phase
Conduct Staff Training: With the execution of normalized hand cleanliness conventions,
extensive staff preparation projects will be created and enthusiastically carried out across the
association. These preparation projects will envelop different modalities, remembering hands-on
instructional meetings, instructive materials, and regular boosts to guarantee that all medical care
staff know and reliably stick to the conventions (Mouajou et al., 2022). Hearty instruments,
including direct perception and reviews, will be laid out to screen consistency, empowering us to
follow adherence and quickly address any resistance areas.
Enhance Patient Education and Engagement: Perceiving that patient commitment and
schooling are urgent components of contamination counteraction, we will upgrade our patient
training materials and systems. These materials will give precise, concise, and available data
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concerning disease counteraction measures. Additionally, we will effectively connect with
patients in significant conversations about their considerations, including disease anticipation
methodologies. This commitment will engage patients as educated accomplices in their well-
being, cultivating a feeling of shared liability and empowering them to partake in their
consideration effectively.
Study Phase
Monitor Compliance and Outcomes: To measure the viability of our mediations, we will
establish a vigorous framework for persistent observing. Key execution markers will incorporate
hand cleanliness consistency rates and the frequency of HAIs after some time. Information will
be gathered and dissected fastidiously, permitting us to distinguish patterns, expected regions for
development, and any obstructions that might hinder progress. This insightful methodology will
empower us with information-driven choices, guaranteeing that our systems stay deft and
receptive to advancing difficulties and open doors.
Solicit Feedback: Perceiving the significant viewpoints of our cutting-edge medical
services suppliers and patients, we will lay out organized criticism instruments. These
components will empower and work with open correspondence, empowering staff and patients to
give input, voice concerns, and give thoughts for development (World Health Organization,
2023). The experiences assembled from this criticism will be instrumental in moulding our
continuous endeavours. We immovably trust that those on the bleeding edges have abundant
standard information and encounters that can illuminate and refine our techniques, making them
more viable and versatile.
Act Phase
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Continuous Improvement: Expanding on the information, input, and progressing
investigation, we will set out on an excursion of consistent improvement. This iterative
interaction is crucial to the outcome of our system. As we reveal new experiences and
information, we will acclimate to our conventions, preparing projects and patient commitment
methodologies. This approach guarantees that our techniques stay dynamic and receptive to
developing difficulties, arising best practices, and the consistently changing landscape of medical
services.
Cultivate a Culture of Continuous Improvement: Regardless of the strategic components
of our procedure, we will effectively cultivate a culture of consistent improvement inside our
association. This culture will focus on persistent well-being, proof-based rehearses, and dynamic
commitment, everything being equal, from medical care staff to patients and their families
(Bijani et al., 2021). By inserting this culture profoundly into our hierarchical DNA, we mean to
guarantee that our obligation to diminish HAIs is not a momentary undertaking but a getting-
through responsibility that reverberates throughout our association over the long haul.
Conclusion
In conclusion, tending to quality and security issues, like HAIs, is essential to working on
quiet results in our medical care association. We can progress toward a more secure and better
medical services climate by zeroing in on hierarchical capabilities, cycles, and ways of behaving,
recognizing pertinent result gauges, and carrying out a complete methodology. Connecting with
partners, including medical services suppliers and patients, is fundamental in this excursion
toward greatness in medical services. We anticipate carrying out these progressions and having a
constructive outcome on persistent consideration and security.
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References
Mouajou, V., Adams, K., DeLisle, G., & Quach, C. (2022). Hand hygiene compliance in the
prevention of hospital-acquired infections: a systematic review. Journal of Hospital
Infection, 119, 33-48. https://doi.org/10.1016/j.jhin.2021.09.016
Bijani, M., Abedi, S., Karimi, S., & Tehranineshat, B. (2021). Major challenges and barriers in
clinical decision-making as perceived by emergency medical services personnel: a
qualitative content analysis. BMC Emergency Medicine, 21(1).
https://doi.org/10.1186/s12873-021-00408-4
Gidey, K., Gidey, M. T., Hailu, B. Y., Gebreamlak, Z. B., & Niriayo, Y. L. (2023). Clinical and
economic burden of healthcare-associated infections: A prospective cohort study. PLOS
ONE, 18(2), e0282141. https://doi.org/10.1371/journal.pone.0282141
OECD. (n.d.). High-Level Policy Forum. https://www.oecd.org/health/health-21-century/Policy-
Forum-Issue-Notes.pdf
Pan America Health Organization. (2023). Paho.org.
https://www3.paho.org/english/dd/pin/Number21_last.htm
World Health Organization. (2023, September 11). Patient Safety. World Health Organization;
World Health Organization: WHO. https://www.who.int/news-room/fact-
sheets/detail/patient-safety
https://doi.org/10.1016/j.jhin.2021.09.016
https://www.who.int/news-room/fact-sheets/detail/patient-safety
https://www.who.int/news-room/fact-sheets/detail/patient-safety
https://www3.paho.org/english/dd/pin/Number21_last.htm
https://www.oecd.org/health/health-21-century/Policy-Forum-Issue-Notes.pdf
https://www.oecd.org/health/health-21-century/Policy-Forum-Issue-Notes.pdf
https://doi.org/10.1371/journal.pone.0282141
https://doi.org/10.1186/s12873-021-00408-4
,
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
· Competency 1: Analyze quality and safety outcomes from an administrative and systems perspective.
· Identify typical quality and safety outcomes and their associated measures.
· Competency 3: Determine how specific organizational functions, policies, processes, procedures, norms, and behaviors can be used to build reliability and high-performing organizations.
· Analyze organizational functions, processes, and behaviors in high-performing organizations.
· Determine how organizational functions, processes, and behaviors support and affect outcome measures for an organization.
· Identify performance issues or opportunities associated with particular organizational functions, processes, and behaviors and the quality and safety outcomes they affect.
· Competency 4: Synthesize the various aspects of the nurse leader’s role in developing, promoting, and sustaining a culture of quality and safety.
· Outline a strategy for ensuring that all aspects of patient care are measured and that knowledge is shared with the staff.
· Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
· Write coherently and with purpose, for a specific audience, using correct grammar and mechanics.
· Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.
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