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The Role of the Leader in Evaluating Data to Improve Quality and Safety
Quality and safety has been acknowledged as significant issues in constructing the delivery of appropriate and approachable health care. To improve safety and quality the leader must analyze data and interpret the information to develop s system for clinical performance by supervising, motivating and constructing a quandary solving plan to deal with the scheme of medical inaccuracy. The purpose of this paper is to explain the significance of the responsibility of the leader in evaluation of data to perk up safety and quality aspects.
In the telemetry unit, patients are in an unremitting electronic supervision. Telemetry practice is a very significant tool in hospitals since it helps physicians to examine heart rhythm, heart rate, breathing from different locations in the nursing station. Telemetry is usually recommended subsequent to heart attack, or when a patient is developing some problem or is acutely ill. Data evaluation in the telemetry is very vital because it helps nurses to monitor the patients by reading the bedside monitors or telemetry readouts while evaluating the patients. This will help the nurses and other hospital personnel to respond swiftly to an emergency (Guo, 2008).
The average age of patients in the telemetry unit is 72.4 years old, and every patient in the unit has heart disease. The data shows that 68% of the falls were women, who are more susceptible to diuretics. Women are more susceptible to osteoarthritis since bone mass decreases quicker in women as compared to men due to poor nutrition, sedimentary lifestyles and hormonal alterations are therefore more probable of falls. Peripheral sensations dwindle with age and loss of foot affectionate sense in the aged contributes to postural unsteadiness. Postural permanence is an expertise that relies on the harmonization of sensory and motor systems to direct body activities. As component of the aging development people cannot hear, see, feel, smell or taste like they used to do in the early years. The data reveal that fifteen falls in the four-month phase happened between seven in the evening to eleven in the dawn.
Data also reveal that 12% of the patients have secondary diagnosis of disorientation. Confusion in the old age that happens late in the sunset is known as sundowner’s disorder and is amplified perplexity, confusion and is general in telemetry patients. Data reveals that there was only one fall during the eleven pm shift to the three am shift, and on the three to seven shift there was only one fall, the nursing subordinate provides supplementary support for the patients and nurses as well as other basic health care to patients in nursing homes or in hospitals.
Data reveals that there were nine falls between 7 in the morning to eleven in the evening. There were seven falls between 11 in the evening to 3 in the morning. And finally there were 14 falls in the 3 in the morning fall to seven in the evening shift. There was a total of 47 seven falls in the 4 months of data evaluation of the elderly people. Some of the old age disorders that causes falls are irreversible, chronic and degenerative ranging from mild to severe hence they require close attention. Appropriate data entry and interpretation is very crucial in the nursing practice. The patients are in diuretics and thus they require constant check up and monitoring so that the doctors can check potassium levels and monitor how the kidneys of the patients are functioning (Murphy, 2012).
Quality improvement plan
Quality health concern is defined as the extent of how health services increase the probability of achieving desired health results and are consistent with existing professional acquaintance. Quality health care should meet the following aims set by Institute of Medicine. The six aims include: efficient, safe, timely, equitable, effective and patient-centered. The process of care measures help to access whether the health concern performs procedures that have been established to attain the aspired objectives and evade those processes that are inclined toward impairment (Murphy, 2012).
The objectives of evaluating health care value are to establish the impact of health care on aspired upshots and evaluate the extent to which health concern adheres to procedures approved by the professional consensus and is unswerving with patient predilections. Measures of safety and quality can follow up the process of quality enhancement initiatives using external standards. Total quality model is another significant strategy since involve teamwork, systems thinking, organizational management, and change and defined processes to create an atmosphere for advancing health care quality (Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK2682/).
Quality improvement is defined as systematic, data-guided operations structured to bring instant advancement in delivering health care in specific settings. Medical errors are usually caused by process or system failures, thus it is vital to adopt process-advancement procedures to acknowledge ineffective care, inefficiencies, and preventable mistakes to persuade changes related with those systems. Quality improvement includes: effects analysis, lean, Plan-Do- Study-Act, failure modes, root-cause analysis, and six sigma models. These techniques involve evaluating performance and using results to update change (Rowe, 2013).
Support and commitment. Leaders should work as a team and always place the patient as the center of care regardless of the prevailing cultural changes. Nurse leaders should be committed to empowering the patients and their families by partnering in their personal care.
Transformational leadership is another quality that leaders should embrace changes in nursing practice. Nurse leaders need to be updated about safety measures of improving safety. Nurses can learn to improve care by learning from errors by incorporating safety procedures in their daily work flow.
Safety and quality is very crucial in creating the delivery of successful and approachable health care. Quality improvement involves appropriate analysis and interpretation of data to develop a scheme for clinical performance by constructing a quandary solving plan to deal with errors in nursing. Appropriate data evaluation is crucial since nurses are required to respond quickly to emergencies especially if they are attending to old patients.
Aged patients are more susceptible to many diseases especially women. Aged patients experience hormonal changes, poor nutrition and sedimentary lifestyles which place them at high risk of certain disorders. Patients suffering from certain disorders can benefit from telemetry unit services since they will learn about their conditions, their causes and techniques that can be applied to manage those conditions. Patients under diuretics should be attended frequently so that the nurses can monitor their potassium levels as well as the functioning of their kidneys. Quality of health care is very important since it can reduce number of patient falls.
Guo, K. L. (2008). Quality of health care in the US managed care system: Comparing and highlighting successful states. International Journal of Health Care Quality Assurance, 21(3), 236-248.
Murphy, W. A. (2012). Improving Patient Safety and Quality: A Focus on Falls. Home Health Care Management & Practice, 24(1), 62-64.
Rowe, R. J. (2013). Preventing Patient Falls: What Are the Factors in Hospital Settings That Help Reduce and Prevent Inpatient Falls?. Home Health Care Management & Practice, 25(3), 98-103.
Tools and Strategies for Quality Improvement and Patient Safety. (n.d.). ncbi. Retrieved July 2, 2014, from http://www.ncbi.nlm.nih.gov/books/NBK2682/