NR 447 Week 6 Assignment; Fishbone and PDSA Quality Improvement Assignment Template

Problem to Examine in Root Ra琀椀onale for Problem Brief Descrip琀椀on of Literature Cause Analysis (RCA): Selection: Suppor琀椀ng the Need for Quality The unit's fall rate exceeds Falling is a serious problem Improvement the norm, which leads to for hospitalized patients, Patient and staff education resulting in increased dramatically reduced hospital more pa琀椀ent injuries and falls, as shown in a meta- longer hospital stays. education costs and longer analysis of fall prevention recovery times. Reducing techniques (Morris et al., 2022). the number of falls improves The Fall TIPS Program reduced patient safety and falls by 19%, resulting in healthcare information. significant cost savings and reduced care costs related with inpatient falls (Dykes et al., 2023). © 2023. Chamberlain University LLC. All rights reserved. 2 3. Write ONE SMART Goal for the PDSA Quality Improvement Project: Reduce patient falls by 15% by Q4 by applying consistent use of fall risk assessment on every shift change. 4. Plan: To 'SMART' the goal, we will mandate fall risk assessments upon the transition of all deemed high risk patients. They will be trained staff to use the assessment tools correctly. 5. Do: 1. Select ONE For a three-month trial period, nurses performed fall risk assessments at each shift change Contribu琀椀ng Factor From during the project. According to hypotheticals, 10% of the fall rate was reduced after the Fishbone for implementation. PDSA: Inconsistent use of fall risk 6. Study: assessments When we collected the data, we discovered that the project caused falls to drop, and did not meet our 15% reduction target. This partially succeeded as the consistency improved for fall risk assessments. 2. List 2-4 7. Act: Interprofessional Stakeholders: The team recommended continuing with the fall risk assessment practice and adding • Nursing staff patient education on fall prevention to maintain the improvements. We will repeat the PDSA • Hospital quality improvement cycle to try and get fall rates reduced further. team © 2023. Chamberlain University LLC. All rights reserved. • Patient care technicians 4