of a comprehensive unit based safety program CUSP these speak to multiple areas

Of a comprehensive unit based safety program cusp

This preview shows page 8 - 11 out of 13 pages.

of a comprehensive unit-based safety program (CUSP) these speak to multiple areas of prevention and patient safety and satisfaction and include central line associated blood stream infection (CLABSI), catheter associated urinary tract infection (CAUTI), falls, ventilator associated event (VAE), hospital acquired pressure injuries (HAPI’s), CDIFF and MRSA prevention, and patient satisfaction. Quality improvement projects There are many quality improvements projects in place. The largest focus for the organization currently has been HAPI prevention. There have been many changes around this measure which includes a look and change made to documentation, a camera capture system for
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9 CONSULTATIVE CHANGE RECOMMENDATION wounds to enhance wound, ostomy, continence (WOC) nurse assistance (Cathy Fernald, personal communication, February 14, 2020). Changing the documentation completed by physicians. This is done for every measure. Evaluating the effectiveness of the preventative measures in place, creating transparency of events and issues and implementing quality improvement projects to effect better outcomes on the community served. Recommendation for Organization Change Recommendation Looking at the complexity of such a large organization the recommended change that would have the greatest effect for patient-centeredness is creating a strong teach-back model to ensure better delivery and reception of health information. By ensuring understanding and effective teaching it allows the patient to be a true participant in their care. This also will help create a healthier community and increase compliance with treatment plans and chronic disease management. This will be achieved through staff education., simulation training, and direct observations of teach-back from leadership. Rationale for Recommended Change The weaknesses identified speak to the overall health of the community. Looking at the social determinants and diagnoses most prevalent in the community served, it is important to make sure the education the patient and family needs is being understood to ensure a healthier population. Teach-back is a model of providing education that helps ensure delivery of information and a true understanding. “Health literacy is ‘the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions” (Griffy et al., 2015, p. 10). This is the driver for the importance of using teach-back to confirm
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10 CONSULTATIVE CHANGE RECOMMENDATION understanding of information. Low Health literacy has been shown to be a large determinant of health outcomes and they tend to have less knowledge about chronic disease management, less medication adherence, and higher rates of hospitalization (Griffy et al., 2015). “The teach-back technique, whereby a patient is prompted to ‘teach-back’ to a provider the information conveyed and receive clarifying feedback, is an often-recommended intervention to improve and confirm comprehension” (Griffy et al., 2015, p. 11). With this method of education, patients should be
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