Performance improvement theory and models
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Performance improvement theory and models
Performance improvement theories and models
In the daily operations of the acute geriatric care facility for patients suffering from chronic conditions such as cancer, diabetes, and hypertension, several challenges are experienced in providing care. One of the most common challenges is that of patient falls. Patient falls are often caused by a lack of coordination and strength in self-care performance and inadequate patient monitoring. It is a biting challenge that contributes to lengthy patient stays, morbidity, and extreme cases, which may even contribute to fatal injuries (Callis, 2016). Moreover, it also contributes to lessened patient satisfaction and may add to care costs. However, several performance improvement models, theories, or approaches may be adopted to address the menace of geriatric patient falls. Using a root cause analysis model, we can identify the causes of the issue and develop an evidence-based solution. The first step is identifying the problem to understand the causes of patient falls in the acute care settings (Avanecean et al., 2017). Secondly, there is the adoption of a selected evidence-based practice to mitigate the challenge. For instance, the increased nursing monitoring and use of smart bed technologies are feasible strategies. After instituting these policies, there is an evaluation of their effectiveness in preventing the challenge. Increased nursing rounds are meant to increase patient supervision to assist patients more with self-care activities, which largely contribute to the frequency of patient falls. Evaluation of the interventions is done by assessing patient falls rates and getting comments from the practitioners. If the measures such as increased nursing rounds and smart beds are found to be effective, then the facility may permanently adopt them. The use of evidence-based practices effectively minimizes the challenges of acute care settings, such as geriatric patient falls.
References
Callis, N. (2016). Falls prevention: Identification of predictive fall risk factors. Applied nursing research, 29, 53-58.
Avanecean, D., Calliste, D., Contreras, T., Lim, Y., & Fitzpatrick, A. (2017). Effectiveness of patient-centered interventions on falls in the acute care setting compared to usual care: a systematic review. JBI Database of Systematic Reviews and Implementation Reports, 15(12), 3006-3048.
Performance improvement theory and models
Question
Select a problem that you have experienced or identified within your workplace or in a health care setting. What steps would you take to address the problem?
Base this writing on an acute care hospital setting, please with good command of English.