Running Head: QUALITY IMPROVEMENT: FALLS IN THE EMERGENCY ROOM
QUALITY IMPROVEMENT: FALLS IN THE EMERGENCY ROOM
QUALITY IMPROVEMENT: FALLS IN THE EMERGENCY ROOM
NURS-4220 Leadership Competencies in Nursing and Healthcare
September 19, 2021
Emergency rooms should have the entire associated technologies essential for the patient’s treatment in their hour of need. This fact needs to be kept in mind that there is a need to take rapid action in emergency cases rather than focusing on the detailed analysis. In this way, several falls have occurred in the emergency department that negatively affected the patients. The emergency room nurses must focus on overcoming the falls to improve the quality of services (Gray-Miceli, 2017). Nevertheless, it becomes a challenge to reduce the entire falls suddenly, so this report is made to reduce the falls in the emergency room by 10% in the next six months.
The emergency room is in charge of providing emergency care to patients in an emergency situation. There is a need for advanced technology, beds, active management participation, and leadership planning in this context. When the emergency room is compromise on any single factor, then it has a direct impact on increasing the fall. For instance, if the fall rate is 2.7% per 1000 beds in one year, but the leadership is working, it can manage the fall rate (Goldsack, 2015). On the other hand, if the fall rate is 1.6% per 1000 beds in one year, but the leadership is not focusing on fall rates, it is considered a challenging situation for the emergency rooms. It is worthy to say that the active participation of the management and leadership is essential to overcome the fall rates from emergency rooms (Goldsack, 2015).
The purpose of this paper is to see if there is a way of reducing falls in the emergency room by 10% in a time frame of six months. The purpose is comprehensive, so it becomes easy to plan by focusing on the fall rate in the given time.
It is analysed that the concentration on the fall rates is essential for improving the services in the emergency room. This fact needs to be kept in mind that the emergency room consists of nurses who have experience dealing with emergency patients. It is found that the emergency room nurses ignored several falls for the rapid treatment of the patients. They argued that the focus on the falls might require more time and resources that are challenging for treating in an emergency (Morris, 2017). In this way, there is a need to plan for the leadership and the ER nurses to quickly adapt the planned factors to reduce falls in emergency rooms.
The falls in the emergency room produced negative consequences for the services of the health care department. In this way, there is a need to overcome the falls that can be possible with the help of measuring the falls along with preventive practices by the ER nurses (Preventive falls in hospitals, 2013). It is found that the advancement of technology and improvement in nursing practices is considered to be beneficial to prevent falls in the emergency rooms (Gray-Miceli, 2017). There is a need for statistical information to highlight the fall rates that influence the treatment plan in the emergency department. In this context, it is found that the fall rate varies from 1.3 to 8.9.
Meanwhile, the active participation of the employees is essential to overcome the fall rate and its severity from emergency rooms (Goldsack, 2015). It is reported that the ratio of falls is increased in inpatients, whereas the percentage of falls is less in injured patients. This fact needs to be kept in mind that there is a need to make a plan to prevent falls rather than focusing on the ratio (Morris, 2017). It is found that the percentage of falls is less in injured patients, but the falls in injured patients create a severe problem for the patient. It is the responsibility of the ER nurses to treat critically all of the patients, especially the patient with injuries. It is considered the best way to reduce the severity of falls (Alert, 2015).
When it comes to talking about the quality improvement process, it is referred to as the plan essential to overcome the associated problems to improve the quality. Firstly, there is a need to overcome the target the falls that influence the treatment plan. Meanwhile, the management has to evaluate the problems along with associated consequences (Silver, 2016). The next step is the improvement plan for overcoming the problem. In the end, the project should implement for the sake of improving the quality of emergency services.
There is a need to focus on the fall rate that directly impacts the quality of services in the emergency room. In this way, Mobility Interaction Fall and Berg Balance Scale are used for focusing on the level of fall. When the fall rate is determined, then it becomes easy to make a suitable improvement plan according to the hour of need (Lundin‐Olsson, 2000). The discussion is mainly about the emergency rooms in the US that are a developed country. In this way, the emergency rooms have enough resources and appropriate teams to serve the patients better. The problem is found because of irresponsible leadership that influences the fall rate. Therefore, the quality can quickly improve because of focusing on the adoption of appropriate leadership styles.
When it comes to talking about the emergency room nurses, they provide an essential role in regulating emergency room falls. It is found that the nurses are ignored the critical cases that have a direct impact on increasing the fall rate. In this way, Mobility interaction fall is selected to improve the quality because it is critically focused on the elderly that are the suspects for falls in the emergency room (Lundin‐Olsson, 2000). On the other hand, there is also a need for statistics for the patients, so it becomes easy for the medical department to arrange the facilities. In this context, Berg Balance Scale is useful for improving quality.
It is concluded that the improvement of quality for preventing falls in the emergency room is essential. In this context, the emergency room has enough resources to regulate the way the fall risks are done and monitored, but there is a problem because of planning and ignorance of the fall rate. Therefore, the department has to make a plan for the progress by focusing on the entire associated factors. In this way, it becomes easy to improve the quality along with overcoming the fall rates.
Alert, S. E. (2015). Preventing falls and fall-related injuries in health care facilities. The Joint Commission, 55, 1-55.
Goldsack, J., Bergey, M., Mascioli, S., & Cunningham, J. (2015). Hourly rounding and patient falls: what factors boost success?. Nursing2020, 45(2), 25-30.
Gray-Miceli, D., Mazzia, L., & Crane, G. (2017). Advanced practice nurse-led statewide collaborative to reduce falls in hospitals. Journal of nursing care quality, 32(2), 120-125.
Lundin‐Olsson, L., Nyberg, L., & Gustafson, Y. (2000). The mobility interaction fall chart. Physiotherapy research international, 5(3), 190-201.
Morris, R., & O’Riordan, S. (2017). Prevention of falls in hospital: clinical Medicine, 17(4), 360.
Preventive falls in hospitals (2013). 5. How do you measure fall rates and fall prevention practices?. Agency for Healthcare Research and Quality. https://www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html
Silver, S. A., Harel, Z., McQuillan, R., Weizman, A. V., Thomas, A., Chertow, G. M., … & Chan, C. T. (2016). How to begin a quality improvement project. Clinical Journal of the American Society of Nephrology, 11(5), 893-900.