Discussion 1: What strategy would be best to approach this issue—quality improvement, evidence-based practice, or research?
Discussion 1: What strategy would be best to approach this issue—quality improvement, evidence-based practice, or research?
Topic 1 DQ 1
Assessment Description
You are assigned to a quality team on a rehabilitation floor where patient falls are on the rise. What strategy would be best to approach this issue—quality improvement, evidence-based practice, or research? Support your choice with one or two examples and one or two references.
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NUR 630 Topic 1 DQ 1
Within the rehabilitation framework, quality improvement (QI) is the best strategy to address increased patient falls on floors in rehabilitation settings. QI focuses on systematic and evidence-based approaches to attaining enhanced results and health facilities (Krishnasamy et al., 2023). It employs techniques like the Plan-Do-Study-Act (PDSA) cycle, which allows quick testing and intervention delivery.
QI uncovers improvement opportunities in cycles and is very suitable for solving complex issues like patient falls, which often originate from multiple root causes; it fits well in this case. In this manner, the QI team may identify the primary root causes of falls, for instance, inadequate staffing at certain times, specifically located rooms, or ineffective fall risk assessment tools. Such findings could help deliver specific therapies and monitor the effectiveness of these actions.
These tools allow the team to track fall rates in real time and immediately see the impact of implemented measures when using run charts. According to Barrett et al. (2023), the ability to input real-time data to this improvement plan ensures that it is a responsive and flexible method of reducing falls. While research and evidence-based practice (EBP) do have their utility, QI is more suitable for this situation because the process can be initiated and progress continually based on the outcomes achieved.
As research may be undertaken in line with a more extended strategy, EBP might guide the actions chosen. QI provides the framework for the rapid, cyclic alterations to address a current issue, such as increasing fall rates. A recent publication by Hammontree et al. (2023) is an evidence-based, practical, comprehensive guide for nurses that includes detailed insights into quality improvement in healthcare settings. Furthermore, in their article, Krishnasamy et al. (2023) share some tips regarding the use of statistics for improvement in healthcare.
References
Barrett, B., Chavez, M., Bradley, S., Arriola, N., Broderick, V., Ramrattan, A., Bulat, T., & Cowan, L. (2023). A call to action for fall injury prevention: quality improvement in the Department of Veterans Health Administration. Innovation in Aging, 7(Supplement_1), 699–699. https://doi.org/10.1093/geroni/igad104.2268
Hammontree, S., Potts, M., Neiberger, A., Olds, D., English, D., & Myers, J. S. (2023). Outpatient oncology fall risk: A quality improvement study. Kansas Journal of Medicine, 16(2), 200–206. https://doi.org/10.17161/kjm.vol16.20271
Krishnasamy, K., Tan, P. M., Zakaria, M. I., & Chinna, K. (2023, July 3). A comprehensive unit-based safety intervention program for the prevention of falls in hospitals. Preprints.org. https://doi.org/10.20944/preprints202307.0117.v1
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