Health care providers gather and track quality patient indicator scores to monitor patients’ safety and outcomes and decrease the number of adverse events. Nursing leaders implemented a Quality Workbook Committee (QWC) within a hospital setting to improve patient outcomes and the facility’s reported scores for nurse-sensitive patient indicators. The practice-focused question for this quality improvement evaluation project examined whether the implementation of the QWC improved nurse-sensitive patient indicator scores. Watson’s theory of human caring was used to evaluate the gap in practice, and Rosswurm and Larabee’s model for evidence-based practice change provided guidance for planning the project. Sources of evidence were 2017 end-of-year organization report cards. The 4 specific areas chosen for evaluation were: patient falls, hospital-acquired pressure ulcers, pain reassessment scores, and medication scanning rates. Results from an analysis of variance showed improvements in 3 of the 4-nurse-sensitive patient indicator scores. Hospital-acquired pressure ulcers decreased by 13 pressure ulcers, pain reassessment rates increased by 18.42%, and medication scanning scores increased by 4.03%. However, patient falls increased by 15, suggesting the need for further evaluation measures. Project findings may help nursing leaders to improve nurse-sensitive patient indicator scores and promote social change by reducing hospital adverse events, length of hospitalization stays, and wasted healthcare resources.
|Advisor:||Long, Janice, Riedel, Eric|
|Commitee:||Garner, Mary C., Hadley, Nancy|
|School Location:||United States -- Minnesota|
|Source:||DAI-B 80/03(E), Dissertation Abstracts International|
|Subjects:||Nursing, Health care management|
|Keywords:||Nurse sensitive patient indicator scores, Quality improvement, Quality workbook|
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