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Identifying A Practice Problem In Need Of Improvement
Need for improvement
The measurable patient-centred practice problem related to the quality of safety include measuring fall-related injury rates. This is crucial to determine because it allows to make patients safe. This is because when the rates are improving it indicates that the nurse is doing a good job. However when the rates are falling there is a need for adopting adequate measures that assure enhancement of care (Moher et al., 2009). The primary requirement of measuring fall is to identify what is constituted as fall. An unplanned fall of a patient on the floor with or without injury must be recorded and counted as fall.
The proposed solution is to estimate the falls rate by counting the number of falls. This will be measured in days of the month such as 1 time or more in a month. To obtain the right measure the people will have to agree on the number of falls (Shamseer, 2015). The staff members will accompany the patients in walks for assuring their safety. The staff is encouraged to record the accurate number of falls even when they are high. This requires building an environment of trust in which the hospital will not accuse the staff members. Maintaining records accurately will help to estimate the right number of falls. This will allow tracking of the injurious fall rate and the borderline falls CITATION Sus172 \l 1033 (Slade, Carey, Hill, & Morri, 2017). This will allow the practitioner to compare relatively injurious falls with a total number of falls.
Falls prevention interventions are critical for enhancing the quality of safety of the patients. bias in measuring the falls must be eliminated for attaining the reliable data. Identification of accurate measures will allow ranking the risks as; low, high and no risk.
References
BIBLIOGRAPHY Slade, S. C., Carey, D. L., Hill, A.-M., & Morri, M. E. (2017). Effects of falls prevention interventions on falls outcomes for hospitalised adults: protocol for a systematic review with meta-analysis. BMJ Open, 7 (11).
Shamseer, L, Moher, D, Clarke, M. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) elaboration and explanation. BMJ, 2015.
Moher, D, Liberati, A, Tetzlaff, J. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med,151 (264).
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