You Are The Nurse Leader Or Administrator At A Long Term Car
You Are The Nurse Leaderadministrator At A Long Term Care Facility N
You are the Nurse Leader/Administrator at a long-term care facility (not hospital). The rates of resident falls have been increasing over the last 6 months to a year in your facility causing some serious injuries for some of the residents. You, as a doctorate of nursing prepared leader, have to adequately describe the issue & create a Process Improvement project using the Six Sigma (DMAIC) process to address and solve the problem. During this part, you will address the DMA - Define, Measure & Analyze stages. A MINIMUM of 5 relevant evidence based sources (best are peer-reviewed articles) should be used and published within the last 5 years. Below are the (DMA) relevant issues to include in your Process Improvement Project: DEFINE: •Define the issue: What process are you trying to improve? •Describe the team and stakeholders •Plan out the project •Make a plan for the change MEASURE: •What metrics will you measure •How will you measure success •How will you collect baseline data ANALYZE: •How will you analyze the data you collect •What will you use to display data •What is the reason for your wastes, delays, etc
Paper For Above instruction
Introduction
Resident falls in long-term care facilities present significant safety concerns and contribute to morbidity, mortality, and increased healthcare costs. Over the past year, our facility has experienced a troubling rise in fall incidents, which has resulted in severe injuries among residents. Addressing this issue requires a structured and evidence-based approach, and the Six Sigma DMAIC (Define, Measure, Analyze, Improve, Control) process offers a systematic framework for process improvement. This paper focuses on the initial three stages—Define, Measure, and Analyze—to identify the problem's scope, establish baseline data, and analyze the root causes associated with the increased falls.
Define Stage
The primary issue to be addressed is the rising rate of resident falls in our long-term care facility. The process targeted for improvement is the fall prevention protocol, including resident assessment, staff response times, environmental hazards, and intervention strategies. The objective is to reduce fall rates by identifying deficiencies within current processes and implementing targeted improvements.
The team assembled for this project includes multidisciplinary stakeholders such as nursing staff, physical and occupational therapists, facility management, quality improvement personnel, and resident representatives or family members. Their roles involve providing insights into current practices, assisting in data collection, and facilitating change implementation.
The project plan involves conducting a thorough assessment of current fall data, process mapping of resident care workflows, and setting measurable goals for fall reduction. An initial timeline of 3 to 6 months is proposed, with regular team meetings to monitor progress. The change strategy involves staff education, environmental modifications, and refining assessment protocols, all grounded in evidence-based practices.
Measure Stage
Key metrics to be measured include the fall incidence rate per 1,000 resident days, the severity of fall-related injuries, and staff compliance with prevention protocols. Success will be measured by a decrease in the fall rate, fewer injury-related admissions, and improved adherence to prevention strategies.
Baseline data will be collected retrospectively for the past 12 months to establish pre-intervention fall rates and injury severity. Data collection methods include incident report reviews, electronic health record audits, and staff compliance checklists. Data accuracy is critical to establishing reliable benchmarks for subsequent stages.
Analyze Stage
Data analysis involves identifying patterns and root causes of increased falls using statistical tools such as Pareto charts, root cause analysis, and process flow diagrams. Data will be visualized through run charts and histograms to identify trends and outliers.
Potential causes for increased falls may include environmental hazards, inadequate resident assessments, delayed response times, or insufficient staff training. Wastes such as unnecessary movement or delays in implementing interventions will be scrutinized using lean tools to optimize workflows. Analyzing delays and inefficiencies aids in identifying areas for targeted improvement, contributing to a reduction in fall incidents.
In conclusion, the Define, Measure, and Analyze stages provide a comprehensive understanding of the fall problem and lay the foundation for subsequent improvement and control phases, aiming for safer resident environments and enhanced quality of care.
References
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- Baker, S., Hill, K., & McConnell, S. (2020). Resident risk factors for falls in nursing homes: A systematic review. International Journal of Nursing Studies, 108, 103569. https://doi.org/10.1016/j.ijnurstu.2020.103569
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- Johnson, L., & Phelan, A. (2018). Staff training interventions and fall prevention outcomes. Nursing Research, 67(4), 308-315. https://doi.org/10.1097/NNR.0000000000000285
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