Discussion: Promoting Quality and Safety Through Standards

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Discussion: Promoting Quality and Safety Through Standards

In the article “Managing to Improve Quality:

The Relationship Between Accreditation Standards, Safety Practices, and Patient Outcomes,” the authors discuss the growing trend by medical insurance companies to eliminate reimbursement for Never Events. As these types of mistakes should be easily preventable, hospitals have developed protocols to lessen or extinguish the occurrence of these events. In addition, The Joint Commission and the Centers for Medicare and Medicaid have developed core measures to guide health care providers’ efforts in improving patient safety and the quality of care delivered. Review the information at the Joint Commission and Centers for Medicare and Medicaid Web sites on the core measures and standards presented in this week’s Resources.

To prepare for this Discussion, select either a Never Event or a core measure and respond to the following:

  • How has the emphasis on quality of care, patient safety, and clinical care outcomes been impacted by specific standards emanating from CMS and TJC? Cite a core measure or standard in your response.Support your response with references from the professional nursing literature.

Post your responses to the Discussion based on the course requirements. Your initial postings must be 250–350 words (not including the full references). Keep your responses succinct. Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from this week’s Learning Resources. Other scholarly sources may also be used to support your work

 
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Effective communication is vital to constructing an accurate and detailed patient history

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Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health

or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following new patients:

  • 76-year-old Black/African-American male with disabilities living in an urban setting
  • Adolescent Hispanic/Latino boy living in a middle-class suburb
  • 55-year-old Asian female living in a high-density poverty housing complex
  • Pre-school aged white female living in a rural community
  • 16-year-old white pregnant teenager living in an inner-city neighborhood

To prepare:

With the information presented in Chapter 1 in mind, consider the following:

 
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Assignment: The Nurse’s Role in Supporting the Organization’s Strategic Agenda

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Assignment: The Nurse’s Role in Supporting the Organization’s Strategic Agenda

As

hospitals seek to reduce the incidence of Never Events and improve the overall quality of health care provided, it is apparent that ultimate success will require the effort of the entire medical staff. Consider the nurse’s role in supporting the organization’s strategic agenda as it relates to improving clinical outcomes.

For this application you are asked to interview a quality manager in an acute care or long-term care agency of your choice. Your goal is to determine the manager’s view regarding the impact of the direct care nurse’s role in clinical outcomes for the organization. How does this influence the ability of the organization to achieve its strategic agenda? Before you attend the interview, create a list of relevant questions that will help you better understand the effect a nurse can have on the successful treatment of the patient.

Write a 2- to 3-page paper discussing what you learned from this interview. How will what you learned impact how you approach your nursing responsibilities?

At least 2 References APA style

 
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Using the Data/Information/Knowledge/Wisdom Continuum

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Using the Data/Information/Knowledge/Wisdom Continuum

To prepare:

  • Review the information in

Figure 6–2 in Nursing Informatics and the Foundation of Knowledge.

 

  • Develop a clinical question related to your area of practice that you would like to explore.
  • Consider what you currently know about this topic. What additional information would you need to answer the question?
  • Using the continuum of data, information, knowledge, and wisdom, determine how you would go about researching your question.
    • Explore the available databases in the Walden Library. Identify which of these databases you would use to find the information or data you need.
    • Once you have identified useful databases, how would you go about finding the most relevant articles and information?
    • Consider how you would extract the relevant information from the articles.
    • How would you take the information and organize it in a way that was useful? How could you take the step from simply having useful knowledge to gaining wisdom?

 

Write a 3- to 4-page paper that addresses the following:

  • Summarize the question you developed, and then relate how you would work through the four steps of the data, information, knowledge, wisdom continuum. Be specific.
    • Identify the databases and search words you would use.
    • Relate how you would take the information gleaned and turn it into useable knowledge.
  • Can informatics be used to gain wisdom? Describe how you would progress from simply having useful knowledge to the wisdom to make decisions about the information you have found during your database search.

References

http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/vol132008/No1Jan08/ArticlePreviousTopic/StandardizedNursingLanguage.html

OTHER REFERENCES ARE ALSO OK

Using the Data/InformaTon/Knowledge/Wisdom ConTnuumTo prepare:Review the information in Figure 6–2 inNursing Informatics and the Foundation ofKnowledge.Develop a clinical question related to your area of practice that you would like to explore.Consider what you currently know about this topic. What additional information wouldyou need to answer the question?Using the continuum of data, information, knowledge, and wisdom, determine how youwould go about researching your question.oExplore the available databases in the Walden Library. Identify which of thesedatabases you would use to find the information or data you need.oOnce you have identified useful databases, how would you go about finding themost relevant articles and information?oConsider how you would extract the relevant information from the articles.oHow would you take the information and organize it in a way that was useful?How could you take the step from simply having useful knowledge to gainingwisdom?Write a 3- to 4-page paper that addresses the following:Summarize the question you developed, and then relate how you would work through thefour steps of the data, information, knowledge, wisdom continuum. Be specific.oIdentify the databases and search words you would use.oRelate how you would take the information gleaned and turn it into useableknowledge.Can informatics be used to gain wisdom? Describe how you would progress from simplyhaving useful knowledge to the wisdom to make decisions about the information youhave found during your database search.References
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