C2 FMEA Table Running head Organizational Systems Task 2 9 Updated 2119 D

C2 fmea table running head organizational systems

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C2. FMEA Table
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Running head: Organizational Systems Task 2 9 Updated: 2/1/19 D. Intervention Testing Utilizing the Plan-Do-Study-Act (PDSA) Cycle will accelerate the improvement process with least resistance. Performing an initial trial implementation on a small scale will provide data and feedback regarding the efficacy of the changes. PDSA starts with a plan for testing the intervention. Implementing a time-out tool as part of the moderate sedation policy will likely meet initial resistance. Compliance will be verified by performing chart audits. The second step in the cycle will be to perform a trial run on a small scale to test the time-out tool. At this time, data collection of problems and observations are collected and analyzed. Next the data is analyzed and compared to the initial predictions. The last step is to make changes based on what observations were made during the test. Once required modifications are identified, planning begins for the next test run. Steps in the Improvement Plan Process * Failure Mode Likelihood of Occurrence (1–10) Likelihood of Detection (1–10) Severity (1–10) Risk Priority Number (RPN) 1. moderate sedation policy knowledge assessment and education Staff fails to participate in assessment for fear of retribution, and they do not attend education sessions 5 3 9 135 2. Time-Out Procedure performance Staff fails to perform time- out procedure. Additional education needed. 4 3 8 96 3. Continuous telemetry monitoring of patient until discharge criteria is met Telemetry monitoring is not applied, additional education or reinforcement, provide a checklist? 3 6 9 162 4. 1:1 RN monitoring There is not enough staff for 1:1 staff assignment, 1:1 monitoring is not performed 5 6 8 240 Total RPN (sum of all RPN’s): 633
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Running head: Organizational Systems Task 2 10 Updated: 2/1/19 E. Demonstrate Leadership Promoting Quality Care Nurses are at the forefront of patient care. The professional nurse demonstrates leadership in promoting quality care by maintaining high standards of care. Standards are in place to assure the same quality of care is given to all patients. Nurses whom maintain continuing education and licensure requirements provide reassurance of competence and ability to provide quality care. Engaging patients and connecting with them to form a therapeutic relationship is the basis for patients feeling the highest level of quality care. Maintaining safe and effective, patient-centered care is the core of professional nurses providing quality care. Improving Patient Outcomes The professional nurse demonstrates leadership in improving patient outcomes by providing person-centered high quality and compassionate care. Teaching is a specific way nurses can assure improved patient outcomes which is evaluated with patient teach-back. When patients are discharged, they have lost their consistent reminding and support from nurses.
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