Measure for a Specific Quality Outcome

Specific Quality Outcome is related to patient safety as there is an important and concerning global issue, i.e., patient fall. Senior citizens under 65 have a high unintentional death rate due to falls and injuries. According to the measures of the Agency for Healthcare Research and Quality, it is estimated that almost one million people fall in hospitals, leading to severe injuries like fractures, lacerations, and much more. The ratio of patient falls in older people is high. It can be due to difficulty moving from one place to another, or sometimes a patient is in a hurry due to excessive urination issues (Soffin et al., 2019). 

NURS FPX 6414 Assessment 2 Video Presentation and Spreadsheet: Proposal to Administration

According to the estimation provided by the Centers for Disease Control and Prevention (CDC), almost 2.8 million people are admitted to the hospital yearly due to the patient falling and causing injury. The approach behind controlling these issues was to identify patients with a high risk of falling, especially those with mobility issues. The aim and approach are to develop therapies or solutions that can reduce the rate of patient falls. It can be possible only when we identify the issue behind patient falls and provides a solution focusing on factors that can cause patients to fall. Factors may be intrinsic and extrinsic. Intrinsic factors include mobility, depression, age, gender, mental condition, previous falls, weak bones, excessive urination issues, and the medication provided to the patients. Extrinsic factors involve environmental factors, footwear issues, wheelchair use, floor surface, and many more. The primary aim is to reduce mortality due to hospital patient falls (Centers for Disease Control and Prevention, 2020). 

Data Measures and Data Trending for Quality Outcome

Galet et al. (2018) provided a literature review that gave us an estimation of patient falls. According to this estimation, out of 931 patients, 633 were those with a high risk of falls, and the reason was that those patients were mentally unstable or had diarrhea (Galet et al., 2018). Patient safety is one of the concerning aspects of every healthcare organization. Healthcare organizations can reduce the risk of patient falls by focusing on safety issues like identifying the issue behind patients’ falls. Nurses must give more attention to patients with a high risk of falls. It is also essential that nurses and healthcare staff help elderly patients with mobility issues and provide patients with information about safety precautions. Patient safety is one of the best approaches to reducing the risk of patients falling and getting injured. This assessment will help the interdisciplinary team to know the ratio of patient falls in the hospital and the reason behind each patient fall. This assessment will guide patients and healthcare staff about the benchmark measures regarding patient falls and the approaches that can reduce mortality due to this issue (Wåhlin et al., 2019). 

It is estimated that more patients fall due to extrinsic factors than intrinsic factors. A literature review by van Rensburg et al. (2020) provides data regarding intrinsic and extrinsic factors of patient fall. According to intrinsic factor-like age, women have a 52.2% probability of falling while men have a 47.85% probability. So, women’s probability of falling during the 60s is higher. Other ratios include a mentally unstable patient having a probability of 8.2%, a depression patient having a 32% probability, and so on. If we talk about extrinsic factors, according to the literature review, environmental factors like wet floors have a high probability of 11.9% that will cause patients to fall. So both benchmark data are essential to know so we can avoid risk factors contributing to high mortality rates in patients around the globe (van Rensburg et al., 2020). 

NURS FPX 6414 Assessment 2 Video Presentation and Spreadsheet: Proposal to Administration

According to WHO, almost 37% of patients who fall need more attention from healthcare staff. To overcome these issues, WHO provides prevention strategies like training nurses, safer environmental conditions, and extreme patient care. It will reduce mortality risk among patients, especially those aged (World Health Organization, 2021). 

Najafpour et al. (2019) also provided a literature review on factors that can cause patient falls. One of the factors influencing patient fall is the length of the stay, and according to the estimation odds ratio [OR] = 1.01; CI=0.32 to 0.73. Along with this, he identified various other factors through Morse Fall Scale. He estimated that along with accidental falls, patient falls could also occur due to nurses’ negligence, especially at night. He also estimated that almost 1% of actual fall incident is due to nurses’ negligence and system error. The data is rational as it is taken from an evidence-based literature review (Najafpour et al., 2019). 

Patient Care Program

The Integrated Care Model (ICM) was established to increase patient safety for those with fall injuries. Understanding the underlying causes and potential therapies to address the health issues is necessary to implement this approach. It comprises models for people, groups, or particular diseases. To control mortality due to patient falls, this program or model will help us identify and reduce the risk factors that can cause the patient to fall. Also, nurses need training about how to treat patients, especially elderly patients, if they have any issues that can cause them to fall. It tracks the use of care programs and newly launched care management programs. The ultimate goal is to provide patients with desired treatment plans that satisfy their needs and ensure their safety. The Specific Quality Outcomes identify the reason for a patient fall, provide the patient with safety, enhance patient safety through the Integrated Care Model, and provide the best training to the nurses to avoid mortality due to patient fall. The spreadsheet is designed to show you the dataset’s Specific Quality Outcomes, benchmark data identification, categories to measure data, and prevalence rate. With this spreadsheet, we can quickly identify patient fall issues and the solution to overcome these issues (Seiffert et al., 2020).

Spreadsheet Report

The Percentage of Americans (Patient Fall)

Conclusion

Patient fall is considered one of the concerning issues around the globe as it is the cause of high mortality rate in the healthcare system. Various issues like injuries, fractures, and even deaths can be caused due to falling of a patient in the hospital. Various strategies are described to decrease the death rate due to patient falls. Moreover, it is also estimated that patient fall is high in aged patients because they need more attention and care (King et al., 2018). 

References

Centers for Disease Control and Prevention. (2020, September 30). Facts about falls. Www.cdc.gov. https://www.cdc.gov/falls/facts.html

King, B., Pecanac, K., Krupp, A., Liebzeit, D., & Mahoney, J. (2018). Impact of fall prevention on nurses and care of fall risk patients. The Gerontologist, 58(2), gnw156.

https://doi.org/10.1093/geront/gnw156

Najafpour, Z., Godarzi, Z., Arab, M., & Yaseri, M. (2019). Risk factors for falls in hospital in-patients: a prospective nested case control study. International Journal of Health Policy and Management, 8(5), 300–306. 

https://doi.org/10.15171/ijhpm.2019.11

Seiffert, L. S., Wolff, L. D. G., Ferreira, M. M. F., Cruz, E. D. de A., & Silvestre, A. L. (2020). Indicators of effectiveness of nursing care in the dimension of patient safety. Revista Brasileira de Enfermagem, 73(3). 

https://doi.org/10.1590/0034-7167-2018-0833

Soffin, E. M., Gibbons, M. M., Ko, C. Y., Kates, S. L., Wick, E. C., Cannesson, M., Scott, M. J., & Wu, C. L. (2019). Evidence Review Conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery. Anesthesia & Analgesia, 128(3), 454–465. https://doi.org/10.1213/ane.0000000000003663

van Rensburg, R. J., van der Merwe, A., & Crowley, T. (2020). Factors influencing patient falls in a private hospital group in the Cape Metropole of the Western Cape. Health SA Gesondheid, 25. 

https://doi.org/10.4102/hsag.v25i0.1392

Wåhlin, C., Kvarnström, S., Öhrn, A., & Nilsing Strid, E. (2019). Patient and healthcare worker safety risks and injuries. Learning from incident reporting. European Journal of Physiotherapy, 22(1), 44–50. 

https://doi.org/10.1080/21679169.2018.1549594

World Health Organization. (2021, April 26). Falls. Who.int; World Health Organization: WHO. https://www.who.int/news-room/fact-sheets/detail/falls