NR544 Week 1 Discussion

Describe one patient care scenario where a safety or quality issue is apparent. This can be something you have experienced in your current practice or one you develop for this discussion. Explain the details surrounding the scenario and the impact of the problem.

Select either the DMAIC or PDSA model, and describe how the model could be applied to address the specific issue in your case scenario. Explain how this process would improve patient-related and organizational outcomes. Link for week 2

Solution

Mr. B, a 71-year-old patient is hospitalized for a hip injury following a major fall while at home. The patient, having limited mobility, stays in bed most of the time. The nurses regularly check upon him to give medications. Nonetheless, the nurse rarely re-position Mr. B and after 14 days in the hospital, he is found to have developed skin sores. Now, the healthcare providers have an additional health issue (that was preventable) to address before discharging the patient. This is both a quality and safety issue as it affects the patient’s quality of care and life and is healthy safety. It increases his hospitalization period, reduces his satisfaction levels, and increases both direct and indirect costs of care involved.

The PDSA (Plan-Do-Study-Act) is an iterative, 4-stage problem-solving model used for improving a process or carrying out change (Kay et al., 2022). The PDSA can be used to improve the quality of care delivered through the implementation of an evidence-based intervention, for instance, hourly repositioning…..