Quality Improvement

Improved Essays
A deeper insight for quality and safety revolution is at work with United States healthcare system and innovation in current medicine to improve safety and quality is the efficient focus of Quality Improvement. (QI). To correct the gaps in quality improvement overuse, underuse, and misuse of health services, six aims was identified namely safety, effective, patient-centered, timely, efficient, and equitable (IOM, 2012). The nursing profession interest has always been on ethical and justice related to quality of patient care, the distress on insufficient staffing and work situation makes it impossible to claim non-maleficence (Aiken et al., 2012; Martin, 2015). The Institute of Medicine report calls on chasm relates to the difference in qualitative and quantitative and the need for change related to quality and safety care. Total costs of medical errors resulting in injury are estimated to be between $17 billion and $29 …show more content…
Hospital organization restructuring, requesting licensed nurses to distinguish themselves as care coordinators with the intention of being in alignment with several other unlicensed caregivers, this has created a major strain for licensed nurses.
Quality Improvement Strategy: To correct unhealthy nursing consequences and increased patient errors related to inadequate staffing issue at my organization, health care agency organization were contracted for supplemental needs, and overtime can no longer be forced on nurses.
The Six Aims of Improvement: The aim of safety was addressed, with contracted health care supplemental agency to aid inadequate staffing. The hospital pool nurse department was brought in to oversee and cross check unit staffing availability and arrange as needed. With the new approach, there was increase in patient satisfaction, improve safety and quality with nurses

Related Documents

  • Great Essays

    MedStar Union Memorial Hospital (MUMH) is a nonprofit community-based hospital and a nationally rank for their specialty performance in nephrology, orthopedics, heart bypass surgeries & knee replacement, general and medical surgery. The hospital is located in north central Baltimore city area and was founded in 1854 by the “Union Protestant Infirmary” to “provide shelter and medical care to the sick, poor, and disabled”. In 1923, the name was changed to recognize and honor the people who have contributed to its development and foundation. The hospital has the mission to be distinguished by their specialty, quality, educational and clinical research that it serves within the community with a vision: “to be the trusted leader in caring for people…

    • 1156 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Fiscal Concerns in the Health Care Setting Case Study As a manager of a unit, certain responsibilities and obligations are difficult to manage. There are major tasks that are connected, and each flows in a different direction, and the responsibility always lies with the manager. In a healthcare setting, the importance of nurses in contributing to fiscal planning has been recognized. According to Marquis and Huston (2012), nursing managers have to be experts in financial matters to ensure that there are patient and staff satisfaction within their organization. Therefore, to ensure that resources are used wisely and timely in a cost effective manner, nurse managers are supposed to have an appropriate balance when spending allocated finances and…

    • 1091 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Quality Chasm Summary

    • 275 Words
    • 2 Pages

    The Quality Chasm report was published by the Institute of Medicine (IOM) in 2001 urged for fundamental change in health care system through evidence practice to close the gap or chasm between pass health care and future health care to meet the needs of patients. This report provided directions and expectation for performance of healthcare providers, regulators, and policymakers. Important measures to advance evidence based practice, reinforce clinical information systems,monitor accountability of the quality improvement project, and direct the relationship between patients and clinicians were among the new rules that were added into the report (Institute of Medicine, 2001). Furthermore, the first and second committee recommendations in…

    • 275 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    The goal for Nurses to Go, Inc. is to increase the current number of patients from 100 to 280 (increment of around 40%) by June 30th, 2017. Currently, there are 100 patients using the services that Nurses to Go, Inc. has to offer. However, the company is not operating at its highest capacity because it is capable to service around 550 patients. This means that the company is not being efficient because its opportunity costs and capacity costs are high. If the right strategy is implemented and the number of patients increases, Nurses to Go, Inc. would operate more efficiently.…

    • 776 Words
    • 4 Pages
    Decent Essays
  • Improved Essays

    Health Organization Case Study Hospital Corporation of America or HCA is one of the leading providers in healthcare in the United States. Founded in 1968 as a single entity it now encompasses 165 hospitals and 113 freestanding surgery centers located in 20 states and the United Kingdom (Hospital Corporation of America [HCA], n.d.). With over 27 million patient encounters each year they continue to make strides in clinical research and development of protocols utilizing evidence-based practices. In 2014 The Joint Commission released its list of Top Performers on Key Quality Measures and 115 hospitals on the list were HCA facilities (HCA, 2014). This paper will address HCA’s plan for growth and how they hope to affect nurse staffing, resource…

    • 658 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The Registered Nurse Staffing Act (2015) will address all the concerns of the stakeholders, hospitals, patients and registered nurses in regards to safe staffing practices. The Registered Nurse Safe Staffing Act of 2015 amends the title XVII Medicare of Social Security Act to mandate that each hospital funded by Medicare, implements a hospital-wide staffing plan for all nursing services provided by the institution. This plan requires that an appropriate, yet not fixed, number of registered nurses provide direct care on each of the hospital’s unit during each shift. The staffing plan will allow for variation in the number of nurses on each unit/shift based on the characteristics of the patients and the unit. This will result in the delivery of safe quality care.…

    • 966 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Measures can be embraced and implemented to stay away from issues coincidental to performance enhancement program. Activity arrangements must be produced to screen PEPHN with a standard and unmistakable instrument to accomplish the objectives, goals and expected key results that create less mistakes or discrepancies. Solutions must be landed at with appropriate coordination and collaboration between the hospital and the nurses subject to PEPHN. The proposed answers for issues influencing PEPHN implementation are given below:…

    • 75 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    Over recent years there have been increasing concerns regarding both staffing levels and retention of nurses in healthcare facilities. The push for unrealistic workloads, increased violence in the workplace, constant shortages in staffing levels, and higher patient-to-nurse ratios have resulted in faster turnover rates of both experienced and novice nurses. There has always been an understood correlation between the staffing levels at a facility and the quality of care that patients receive, yet there is little regard or understanding as to the effects that this has on the nurses themselves.…

    • 90 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Safe Staffing Ratios on a Med-Surge Unit Angela Lyons Eastern Gateway Community College Abstract Nurses have an integral and important role in the health care system. In order to retain nurses and have quality patient care, acceptable nurse to patient ratios must be obtained. Three of the many benefits of adequate nurse to patient ratios are quality patient care, retention of nurses, and patient safety.…

    • 1026 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    Introduction Trying to find a theory that can be used and have been used to help with such great problem such as nurse shortage was a challenge. After studying and reading many of the theorist models, Jean Watson nursing model stood out the most. The nurse literature reveals when supporting nurse staffing, it can warrant a quality of care from the nurses for their patients (Douglas, K. 2011). This task for the hospital administrator all the way down to the nurse manager, has come a great challenge and difficult task to achieve.…

    • 1088 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    A quality of care for hospitalized patients depends upon the excellence of nursing knowledge, skills and practice, which requires coordinated efforts by many health care professionals. When there are inadequate health care workers, there will be an adverse patient outcome, including increased mortality rate, increased labor and operating cost, reduced efficiency and effectiveness of the care (DesRoch………….). For instance, in out department staff shortage and the turnover rate is very high and it is associated with poor job satisfaction, increased workload, decreased collaboration, ineffective communication and others. Due to the inadequate staffing, level of job satisfaction among working staff is very poor and turnover rate is high. Every day we call the agency and request them to send nurses and nursing assistants.…

    • 767 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Safety Care Delivery

    • 287 Words
    • 2 Pages

    Safety care delivery has always been a priority in medicine especially in nursing. It is without a doubt to care is to be human and so is the flaws of error making behaviors and best stated in the message To Err is Human, and this was in hope of preventing, recognizing and mitigating harm from error, (as cited in Barnsteiner, 2011); Therefore, in the nursing field, we ought to develop a culture of safety in learning organizations, understanding the limits of human factors, and appreciating the reasons for comprehensive reporting mechanisms as essential components in the preparation of patient care delivery. Safety science is to learn the culture of safety and to lessen harm to patients by the provision of both system effectiveness and individual…

    • 287 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Another strategy is to make it mandatory in every state to report events that results in death and serious harm. In addition, put in place voluntary reporting systems to supplement the mandatory reporting system (err). A voluntary reporting systems will target a set or errors that do no or minimal harm and help detect weaknesses that can lead to serious harm. Laws should be put in place to protect the confidentiality of parties involved and the information obtained. Physicians and health care organizations worry over lawsuits but by protecting their confidentiality this lifts their fear and make them feel free to report medical errors.…

    • 785 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Knowledge of nursing sensitive indicators is very critical to a successful nursing career (Sauls, 2013). These indicators create a framework, and has the most effects of nursing practice and patient care. The deployment of care is displayed by the caliber of nursing staff, the skill set and training of the staff. Events that are determined to be nursing sensitive have greatly altered nursing care (Montalvo, 2007). Many aspects displayed with Mr. J indicators could have aided the nurses in preventing occurrences that affect patient care and safety.…

    • 982 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Improving Patient Safety

    • 690 Words
    • 3 Pages

    The first aim for improvement listed in the article was Safety, this is also probably the most important when it comes to saving patients’ lives and coincide the most with the Joint Commission’s safety goals. The “safe” aim for improvement is to avoid injuries from care (Wolfe 2001). This can be done by making sure to identify patients correctly using two identifiers. It can also be done by using medicines safely. Medication safety is improved by using the three checks when administering medications to patients, and by the six rights of patient medication administration.…

    • 690 Words
    • 3 Pages
    Improved Essays