NHS6016 Week 9 Assignment-Data Analysis and Quality Improvement Initiative
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SLIDE 1 – INTRODUCTION
Hello, my name is XXXX and I will be taking your through this presentation where we analyze data related to diagnosis and care for patients with End stage kidney decease, and the role of nephrology nurses in promoting patient and nurse safety within the acute dialysis units through collaboration and advocacy within the cancer care hospice unit. Quality improvement initiative aim to enhance the level of patient care and will incorporate evidence based approaches through collection and analysis of related data. Quality improvement initiative is usually undertaking to ensure that changes taken will improve the level of care in the said hospital. Data analysis is usually done through documentation of available evidence and comparing this data with the national benchmark metrics. The comparison is important in ensuing that the healthcare organisation assess its performance and meets its quality improvement goals. Data analysis is also important in ensuring that the multidisciplinary team takes corrective action on improving such undertakings. The paper will looking at multidisciplinary approaches and its effectiveness in preventing adverse events related to nephrology nursing during and after dialysis.
SLIDE 2: AHRQ QUALITY INDICATORS
According to the Agency for Healthcare Research and Quality, there are four vital quality indicators that hospitals need to adopt in order to meet their benchmark metrics. These quality indicators include: Patient safety which reflects on the quality of care inside hospitals but focus on the potentially avoidable complications and adverse events. This is the main focus for the quality improvement initiative proposal. Other indicators will include inpatient quality indicators that reflect on patient care inside the hospital a like inpatient mortality for medical condition as well as surgical procedures. The third indicator is pediatric and third one is on prevention.
SLIDE 3: DATA ANALYSIS
When compared to Medicare for the general population, patients with end stage kidney disease (ESKD) often experience the worst quality metrics during the end of life care. This also includes a higher percentage of patients that will experience hospitalization and number of in-hospital death. There will also be a lower percentage of patients that will be referred to hospice. It is also important to ensure that access to quality end of life care and patient safety is observed through improving the experiences of patients, care providers and the nurses together with members of the multidisciplinary team. Studies show that there are about 808,000 people in the United States with end of stage renal disease where 69% are on dialysis and 31% are scheduled for a kidney transplant. Statistics also show that men are 1.6 times more than women to develop end stage kidney disease (ESKD), with the black population being 4 times more likely to develop the condition. Unfortunately as many as 9 out of 10 do not know they have CKD until the condition advances.
SLIDE 4: EVALUATION OF QUALITY DATA
The benchmark represents guidelines from the American Nephrology Nurses Association which states that a nephrology nurse is supposed to advocate for the rights, health, quality and safety of patients. It is also required for nurse to identify the impact of allocation of resources on the potential harm, task complexity and desired outcomes. Also it is important to advocate for resources that will enhance nephrology nursing practice. Usually the early stages have no symptoms and the early indications will include various health problems such as kidney failure, heart attack or stroke. One of the most important aspects is the levels of patient care during dialysis and overall treatment of patients with ESKD.. There is also a challenge when it comes to communication, since the data indicates that there is reluctance of caregiver when communicating with the patient family, and this could impact the levels of care. In regard to patient care patients have not been receiving enough help when it comes to pain management, as the data indicates that the benchmark metrics have been going down over the years, and this is likely to lead to adverse events.
SLIDE 5: QUALITY IMPROVEMENT
The proposed quality improvement model based on the data present is the Plan Do Study Act (PDSA) model where there will be a plan for collecting data to review and compare this data with the national benchmark metrics Do, is where the hospital multidisciplinary team will try out on a small scale, Study- where time will be set aside to analyze data and evaluate the results for the test. Act will also look at refining the changes based on what was learnt from the test.
SLIDE 6: QUALITY IMPROVEMENT MODEL
Another proposed quality improvement model will be the six Sigma which is widely used me healthcare as a strategy for improving quality patient care and safety. To ensure that the health and safety of patients is improvement. In this quality improvement initiative, the six sigma approach will be a better model to analyze healthcare delivery of the nephrology nursing team, and measures taken to reduce adverse events. The proposed interventions will also go a long way to improve the effectiveness in delivery of high quality care for patients undertaking dialysis and other form of care associate with ESKD.
SLIDE 7: QUALITY IMPROVEMENT PROPOSALS
Among the proposed quality improvement initiatives to ensure proper care for patients in the during dialysis procedures and reduce cases of adverse events will include the following:
First there is need to set up a caregiver training unit where the multidisciplinary team will refresh their competencies and skills for delivery of within the nephrology care unit. Second the community surrounding the healthcare facility also needs to be empowered in caring for patients and making referrals in a timely manner to avoid adverse events related to kidney disease complications. This is because studies show that patients who are referred early have chances of living longer and complications related to their condition is also not so advanced. More funding should also be provided to the hospitals to ensure that infrastructure in the hospital is able to facilitate falls prevention, and other factors that could lead to adverse events. Continued assessment is also another important strategy that will ensure that patient care needs are identified and attended to.
SLIDE 8: INTEGRATION OF PROFESSIONAL PERSPECTIVES FOR QUALITY IMPROVEMENT
To ensure that professional perspective are incorporated in development of the quality improvement initiatives, the multidisciplinary team will be high involved and this will include: physicians, nephrology nurses, doctors, caregivers and Electronic health records staff. This team will be involved in formulation of the caregiver education program, budgeting of the hospice facilities, organisation of training materials for the communities and patient families. The team will also play a very important role in establishing efficiency and reducing cost of care during hospice care.
SLIDE 9: COLLABORATIVE APPROACHES
Collaborative approaches will be made possible through proper communication as this will ensure that the healthcare providers are able to build a rapport between each other and with the patients. Collaborative approaches will also include other stakeholders who are responsible for policy development and budgeting to support the quality improvement strategies. According to Piumatti et al., (2021), poor communication between staff can lead to failure to implementing quality initiative in healthcare institutions and staff may not get a chance to voice their concerns in regard to patient care. The SBAR communication model will be used to allow the assessment of situations, backgrounds and efficiency of the recommended quality improvement initiatives.
SLIDE 10: CONCLUSION
In summary, based on the data presented from American Nephrology Nurses Association, ESKD care still has to focus on three areas of concern to enhance quality improvement. This is because the benchmark metrics curve indicates that quality care is reducing instead of increasing. With the proposed strategies, there will be reduction of adverse events, in the nephrology nursing unit as it is witnessed currently. The data related to ESKD also indicated that there is need to improve communication and quality care facilities for caregivers and to the patients whom they care for. Continued education is thus very important for caregivers and the rest of the multidisciplinary team is this will ensure they improve on their skills.
Thank you.
