NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators

NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators

Informatics and Nursing Sensitive Quality Indicators

I would want to discuss the significance of nursing-sensitive quality measures. The National Healthcare Quality Indicator Database is a database for assessing the quality of healthcare. The database compares hospitals in different states and regions (Wee, & Lai, 2021). The Public Health Care Quality Measurement Database has advantages in terms of improving quality, nursing and customer recruiting, employee training, and allocation of resources. The Nursing – sensitive Indicators database includes a wide range of nursing care disciplines.

Selected Quality Indicator

CAUTIs are a critical indication of treatment quality, which is why I’m focused on them today. They have a serious impact on the patient and treatment quality. According to the Centers for Disease Control and Prevention, CAUTIs are the leading cause of injury-related death among older adults in the United States (Dewi, & Santoso, 2020). 

The implication and Importance of the Selected Quality Indicator

Today, we will discuss a safety concern that our facility, like other healthcare institutions, is now addressing based on the NDNQI: CAUTIs, or catheter-associated urinary infections, are the most frequent kind of universal health care infection and the most commonly diagnosed infection in acute care. They are responsible with 45% of all illnesses. In the United States, CAUTIs cost between $424 million and $451 million per year; CAUTIs most often occur with the use of indwelling catheters (Dewi, & Santoso, 2020). This is particularly important because indwelling catheters are often placed in emergency departments. Because of the increase in CAUTIs, organizations have developed several measures and standards to reduce the number of CAUTIs. In our center, a paid infection control team has been established

Interdisciplinary Team’s Role in Collecting and Reporting Quality Indicator Data

Press Gainey, according to its website, is a prominent supplier in patient experience measures, helps in detecting, and providing best for health systems. Press Gainey currently works with more than 26,000 healthcare facilities in the United States. Press Gainey asks 20 questions of patients about how they receive care in our facilities. Their opinions are shared with the facility’s interdisciplinary team, where they are evaluated and policy adjustments are made. The NDNQI data shows the impact of nurses on the quality of care (Zhang, & Liu, 2021). Therefore, this report can be used to make changes in specific areas. The NDNQI data can also help patients This not only improves care but also prevents the costly consequences of unnecessary medical incidents. According to the United States Agency for Healthcare Research and Quality, preventable medical incidents result in $17 billion to $29 billion in economic losses annually (Johnston, & Magnan, 2019).

Impact of Interdisciplinary Team on Data Collection

Interdisciplinary collaboration is needed to develop innovative approaches to improve the safety and efficiency of patient care. Multidisciplinary strategies to reduce CAUTIs and improve outcomes are one way to achieve this. When healthcare professionals work in multidisciplinary collaboration to design and implement SRR interventions that reduce patients’ risk of CAUTIs, CAUTIs rates decrease (Sage, & Harris, 2018). These teams have the potential to improve the efficiency of healthcare facilities and ensure that patients receive quality care. Quality assurance departments (QADs) can facilitate the collection of patient data for statistics with the help of nurses and reporters from different departments. Nurse reporters serve as a bridge between facilities and healthcare professionals, collecting and analyzing data and classifying statistical facts as relevant or irrelevant (Sage, & Harris, 2018).

It consists of an infection control nurse, a nursing assistant, and an infection control physician in multidisciplinary collaboration. As a group, we review the hospital’s numbers quarterly and audit them monthly. We adapt existing standards and develop new guidelines based on the results to improve patient safety (Wee, & Lai, 2021). The CAUTI bundle is another evidence-based strategy we use at the hospital. This bundle is activated when a physician requests a catheter insertion. The package includes six proof rationales that the clinician must choose from in order to assess necessity catheter insertion. In addition to the rationale, a protocol for catheter removal and routine cleaning that is activated every 12 hours is presented. According to the BayCare Health System website, since the introduction of this measure in the second quarter of 2020, only three cases of CAUTI have been reported at our facility (Zhang, & Liu, 2021).

Impact on Quality and Nursing Performance

Nurses are the primary care providers of choice in the U.S. healthcare system and have a significant impact on patients’ healthiness care skill. Nurses offer patient care in hospital settings in a secure, effective, and caregiver way. Through standardized nursing indicators, the NDNQI is essential to ensuring patient safety and quality of care. Leaders and stakeholders use NDNQI data to identify organizational best practices to improve patient care and staff job safety (Sage, & Harris, 2018).

The Robert Johnson Foundation funds the Joint Commission, which can be used on our campuses. The Joint Panel is a process that evaluates and enhances the quality of medical institutions. Its criteria are based on reports from healthcare professionals and patients and are focused on patient quality and safety of care. In most states, providers must be licensed and accredited by The Joint Commission to receive Medicaid funding. BayCare was placed in the 82nd percent for quality of care and the 91st percent for quality of treatment last year (Zhang, & Liu, 2021).

Use of Nursing Sensitive Quality Indicator to Enhance Patient Safety, Patient Care, and Organizational Performance

Nurses must regard patient care as an essential aspect of health promotion as health care transitions from acute to doctor care. As a nurse, you know this. The most effective strategies for achieving nursing goals are patient satisfaction and safety. These measures have been carefully selected for your new position in the organization (Dewi, & Santoso, 2020). They can also facilitate your initial orientation and give you the time you need to be successful in our organization long-term. Patient satisfaction surveys can improve your perception of healthcare quality. You should understand the significance of user care in healthcare as a nurse. Given your new role in a care setting, it is normal for you and many others in your situation to struggle to adapt to the culture of the company. On the other hand, this can also lead to lower NPQI scores and lower patient satisfaction in surveys (Zhang, & Liu, 2021). 

Evidence-Based Practice Guidelines

Measuring the quality of CAUTIs is critical to the organizations we work with, as I believe that CAUTIs cannot be measured and therefore cannot be improved. CAUTIs statistics can help evaluate the effectiveness of CAUTIs prevention methods. The relationship between number of rooms on call and the incidence of CAUTIs on medical units is concerning., whether or not there is a risk of injury (Wee, & Lai, 2021). The same is true for floor preservation, both physically and environmentally. We, therefore, decided to record the time of the CAUTIs, the name of the patient, and the amount of damage. Incident reports are filed electronically to the State Health Department using the computerized incident reporting system to guarantee that an average amount of CAUTIs is recorded as during monthly reporting period. The monthly reports are used to assess the patient’s progress in the facility. At monthly performance improvement meetings, this material is also discussed with facility personnel and key stakeholders. It also provides an NQDI score that is consistent with similar organizations (Sage, & Harris, 2018).

CAUTIs are therefore documented the patient’s identity, and the amount of harm, if any. The event data is then sent out to eHealth Services using the computerized reporting system so that the average amount of CAUTIs may be used for the monthly report. The monthly report can be used to track the status of incidents in the facility (Johnston, & Magnan, 2019). This information is also discussed with facility staff and key stakeholders at monthly quality improvement meetings, where standardized NQDI CAUTIs results are compared to similar facilities.

Conclusion

CAUTIs can be caused by a variety of factors and require the intervention of many professionals. Nurses on responsibility devote a lot of phase with patients (Dewi, & Santoso, 2020). It is important to observe the environment, ensure that needs are being met, and monitor patients who ignore safety rules. Accurate assessment, specific interventions, and proper documentation are necessary for the MDS to collect the necessary data. CAUTIs prevention also includes rehabilitation, health care professionals, and triage (Sage, & Harris, 2018). Our hospitals work closely together to improve CAUTIs injuries, a quality indicator that touches the sensibilities of nurses.

I hope you all recognize the importance of your involvement in CAUTIs prevention and ensuring that CAUTIs are properly documented. It also explains how this data can be used more broadly to assess the quality of care in your facility.

References

Johnston, M., & Magnan, M. A. (2019). Using a CAUTIs prevention checklist to reduce hospital CAUTIs: results of a quality improvement project. AJN The American Journal of Nursing, 119(3), 43-49.

Zhang, P., & Liu, L. P. (2021). Design of assessment tool for unplanned endotracheal extubation of artificial airway patients. Nursing Open, 8(4), 1696-1703.

Sage, L., & Harris, J. (2018). Nursing quality indicator outcomes in hospitals with a clinical nurse leader: a scoping review protocol. JBI Evidence Synthesis, 16(4), 885-891.

Wee, K. Z., & Lai, A. Y. (2021). Work engagement and patient quality of care: a meta-analysis and systematic review. Medical Care Research and Review, 10775587211030388.

Dewi, N. F., & Santoso, R. K. (2020, April). Effect of nursing satisfaction level on service quality at inpatient installation in x hospital. In 3rd International Conference on Vocational Higher Education (ICVHE 2018) (pp. 294-298). Atlantis Press.

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