Quality Improvement Tools :SBAR

Quality Improvement Tools :SBAR

Quality Improvement Tools :SBAR,Have you ever used a pro and con list to work through a challenging decision? Have you checked items or steps off a notepad as you completed them? The seven tools of quality—and their many derivatives—assist healthcare professionals in a similar way, by breaking down complex processes so that they can be more easily understood. These instruments also assist in analyzing data so that quality improvement decisions can be made. *For this Discussion, you will reflect on the quality improvement tools you have used in the nursing workplace and the impact they have had. To Prepare: Include headings and conclusion Review the quality tools described in Chapter 4 of the Johnson and Sollecito text; the Neuhauser, Myhre, and Alemi workbook; and the American Society for Quality website. Consider a situation when you used a quality tool in a healthcare setting. **Post a description of the quality improvement tools (use the SBAR) you have used or have been introduced to in healthcare. Provide an example of how you have used a quality improvement tool in the past and the effect it had on you, the organization, and/or patients. Be specific and provide examples.Quality Improvement Tools :SBAR,Quality Improvement (QI) Tools in Healthcare (Nursing): A Reflection Using the SBAR Approach,There are several examples of quality improvement tools that can be used in healthcare generally and nursing in particular. They include Ishikawa (fishbone) diagrams, process maps, and run charts (AAFP, n.d.; AAO, n.d.; IHI, n.d.). This paper provides a description of the use of a fishbone diagram in the past, by way of the SBAR approach.,Situation,There was a problem of high rates of nosocomial infections (Kouchak & Askarian, 2012) in the nursing unit in which I worked. Many patients were getting sick again with new infections just at the time that they were about to be discharged from hospital. It was clear that there was a problem in the structure, policies, or procedures of the unit.,Background ,The nursing unit was a surgical unit that had patients awaiting surgery and those recovering from surgery. It had ten individual beds that were separated by open cubicles. There were only two hand-washing locations on either side of the unit, but at the entrance to each cubicle there was a hand sanitizing agent. However, many of the nurses found it cumbersome to keep sanitizing their hands before entering each cubicle. As a result, they did not use them some of the time. The unit had three registered nurses (including myself), three enrolled nurses, and two nurse aids.,Assessment,As the nurse leader I used a fishbone diagram to isolate the problem. I looked at the nurses, equipment, procedures, the environment, and the materials. We established that the nurses were cross-contaminating the patients by not washing their hands/ sanitizing them before touching the next patient.Quality Improvement Tools :SBAR,Recommendation ,All nurses were to wash their hands and sanitize properly before entering a new cubicle to prevent cross-infection. The implementation of this infection control measure succeeded in bringing down the number of new hospital-acquired infections within one month. The organization got better patient reviews and I also learnt the use of the fishbone QI tool in practice.,References,American Academy of Family Physicians [AAFP] (n.d.). Basics of quality improvement. Retrieved 10 June 2020 from https://www.aafp.org/practice-management/improvement/basics.html#:~:text=Quality%20improvement%20tools%20are%20standalone,.ihi.org)).,American Academy of Otolaryngology [AAO] (n.d.). Basic quality improvement tools. Retrieved 10 June 2020 from https://www.entnet.org/content/basic-quality-improvement-tools,Institute for Healthcare Improvement [IHI] (n.d.). Cause and effect diagram. Retrieved 10 June 2020 from http://www.ihi.org/resources/Pages/Tools/CauseandEffectDiagram.aspx#:~:text=A%20cause%20and%20effect%20diagram,Equipment%2C%20Environment%2C%20and%20People.,Kouchak, F. & Askarian, M. (2012). Nosocomial infections: The definition criteria. Iranian Journal of Medical Sciences, 37(2), 72–73. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3470069/,Quality Improvement Tools :SBAR, 

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