Evidence based practice activities CaroMont Health has implemented several

Evidence based practice activities caromont health

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Evidence-based practice activities. CaroMont Health has implemented several different evidence-based practices throughout the organization to improve patient care. Among those activities are nurse drive catheter removal, utilization of the Braden Risk Assessment in conjunction with new pressure injury interventions, the recent implementation of bedside assessment mobility tool (BMAT), and the Pain, Agitation, and Delirium (PAD) protocol (T. Overman, personal communication, July 16, 2019). All the evidence-based practices work to improve patient safety, patient outcomes, and patient satisfaction which in turn will benefit the organization positively. Quality improvement projects. Quality improvement is a constant at CaroMont Health. The culture keeps accountability, reliability, and excellence at the forefront of the organization. The organization uses the Lean methodology to assist in quality improvement. Classes are offered to all employees interested in learning the Lean process. Some of the quality improvement projects being implemented at CaroMont Health include the creation of a transfer center that would funnel all calls for admissions from outside the hospital would follow the same process. Another quality improvement project is the implementation of discharge milestones which will assist in starting the discharge process for a patient sooner and will decrease the actual time it takes to when the discharge order is written (T. Overman, July 16, 2019). Recommendation for Organization Change Recommendation My recommendation for change will be to implement a falls prevention program. Falls prevention is of high importance for any healthcare organizations as a fall is a dreaded
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CONSULTATIVE CHANGE RECOMMENDATIONS 9 consequence for any patient in a hospital. When a patient falls in a hospital, especially when they are injured, can lead to an increased length of stay, increased costs, and prolonged recovery (Dacenko-Grawe & Holm, 2008). Additionally, as of 2008, the Centers for Medicare & Medicaid Services (CMS) no longer reimburses hospitals for any cost related to patient falls (Fehlberg et al., 2017). The goals for implementing this fall prevention program will be to increase the appropriate assessment of at-risk patients and use fall prevention interventions, to reduce the overall fall rate for the hospital, and ultimately increase patient safety. The fall prevention program would include multiple factors beginning with the organizational support of the program. The program would also include evaluating a patient’s fall risk upon admission to the hospital, implementing interventions for those deemed at risk, observation, and surveillance of those patients, then auditing the program to ensure it is working to decrease falls and improve patient safety. For any patient falls that do occur a patient fall analysis will be completed along with submitting a Quantros report to analyze, if possible, as to why the patient fall occurred. A multidisciplinary fall prevention committee will need to be
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  • Spring '17
  • Health care provider, CaroMont Health

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