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Preventing Pressure Ulcers: A Quality Improvement Initiative Sample Brief: Pressure Ulcer assessment, prevention and quality improvement initiative will help decrease overall healthcare cost, patient mortality, and improve patient outcomes. Quality improvement measures can provide new education to staff and patients by establishing protocols for prevention to be used by all nursing departments. Patient care benefits from this streamlined approach, thus improving patient outcomes. These pressure ulcer prevention initiatives improve patient care by decreasing the number of pressure ulcers in specific at-risk patient populations by employing continuity of nursing care on all shifts, which then decreases the amount of time patients remain in the hospital, leading to faster discharges and lower overall complication rates from inpatient stays. A quality indicator for a pressure ulcer is the rate at which a breakdown in the skin occurs in four stages. Skin integrity is assessed by all nurses on all shifts. The author Gage defines them into four categories. Some pressure ulcers that cannot be measures are called “unclassified”by Gage. perform Pressure Ulcers are staged using a number system. A stage one pressure ulcer is nonblancheable erythema. (Gage. W., 2015) A stage two pressure ulcer is defined by Gage as” partial thickness loss of dermis”. (Gage, W., .2015) A stage three pressure ulcer is a full thickness skin loss. (Gage, W., 2015) A stage four pressure ulcer is full thickness tissue loss. (Gage, W., 2015) Pressure ulcers can sometimes be tricky to stage due to skin loss or tissue loss. Nurses therefore should assess patients every shift. Performing excellent nursing care across the continuum is key to decrease in pressure ulcers. Excellence in nursing care happens during …
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?Nursing can be a struggle at times, especially when not working with a good team of people. The team that us nurses must learn to lead, collaborate, and understand, is made up of the doctors, other nurses, nurses aids/er techs, physician assistants, LVNs, medical assistants, and …
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One of the biggest issues in the hospital is the readmission and death rates after leaving thehospital within 30 days of being discharged for pneumonia, copd, stroke, heart failure. I looked on the Medicare database for my hospital, Kaiser Foundation Hospital in Fontana. Per this database, the readmissions rates were no different than the national average, as well as the death rates.
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?I can’t believe this class is already over and how much we have learned! Looking back on when I first started, I had hoped to learn and understand statistics and how to apply it to my everyday life. I remember reading the first chapters and how different polls are taken and the margin of error, and how that affects the polls. I found this to be especially interesting ...