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Assessment 4 Informatics and Nursing-Sensitive Quality Indicators

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95 views5 pages

Assessment 4 Informatics and Nursing-Sensitive Quality Indicators

Uploaded by

Fredrick Mutati Nthoka
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© © All Rights Reserved
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Informatics and Nursing-Sensitive Quality Indicators

Walter Kosgei

Capella University

NURS-FPX 4040: Managing Health Information and Technology

Dr. Comer

December, 2024
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Assessment 4 Informatics and Nursing-Sensitive Quality Indicators

Script

Good morning, everyone. Today, I'll discuss an essential aspect of nursing care:

Patient fall with injury is widely recognized as a significant nursing-sensitive quality

indicator. But first, let's unveil what exactly nursing-sensitive quality indicators are.

According to the National Database of Nursing-Sensitive Quality Indicators (NDNQI), care

outcomes correspond to surgical quality indicators (Burns et al., 2020). In other words, they

depict the extent of efforts targeting the nursing interventions that potentially support patient

safety and health status.

For this presentation, I've chosen to focus on falls with injury, which measures the

occurrence of patient falls that result in harm or injury during their hospitalization. This

quality indicator is critical because fall incidents are among the seven most common adverse

events in hospitals; fall with injury could significantly harm the patient, the family, and the

healthcare system (Montejano-Lozoya et al., 2020). This means that patients who have fallen

with injury may take longer to recover, require other treatments, or be stuck with a disability

for the rest of their lives, thus making the tracking of this aspect important for patient safety.

This indicator is crucial since it immediately impacts the quality of care and safety of

patients. Reporting falls with injury allows healthcare professionals to track and correct

incidences using preventive measures (Hada & Coyer, 2021). New nurses should especially

know about this indicator, as falls can be avoided with proper interventions. They must

understand how to recognize the signs of patients who are likely to fall, prevent them from

falling, and report the incidents correctly to improve their quality of care.

Collection and Distribution of Quality Indicator Data

In this case, discussing how information on falls with injury is reported and released

is appropriate. Most healthcare organizations gather data through incident reporting systems,
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patient charts, and direct observation during client care. Nurses play a significant role in this

process. They have to record all the falls in detail, including the time of the incident,

circumstances that led to the fall, and the extent of injuries sustained. Nurses also become

involved in documenting the specifics of the preventions applied and exerted as interventions

against the risk of falls, for example, the results of the fall risk assessment or changes in the

environment (Hada & Coyer, 2021). When entering data, nurses ensure that the data to be

analyzed is accurate to enhance fall prevention programs.

The data collected is then usually consolidated and analyzed at different

organizational levels. This aggregate data is then disseminated through reports to nursing

leadership, quality improvement teams, and other departments. Sharing such data on a

frequent basis enables the organization to understand trends in risks, determine the efficacy of

its fall prevention measures, and consider necessary changes (Wåhlin et al., 2020). For

instance, the increased incidence of falls in a given unit may lead to changes in staffing

patterns, environment, or care delivery patterns.

Nurses also contribute to supporting high-quality results by being very careful when

entering data. When there is a fall, it is necessary to record it comprehensively—the reason

for the fall, the time of the fall, the measures taken to prevent such an outcome, and whether

an injury has occurred (Burns et al., 2020). Due to the accuracy of the data entries, the

healthcare team can monitor the results and use the data to formulate decisions that will help

amend patient protection and care delivery.

Conclusion

Patient falls with injury are a critical nursing-sensitive quality indicator that directly

impacts patient safety and the quality of care provided. Nurses play an essential role in

identifying, preventing, and documenting falls, and understanding this indicator is

fundamental for new nurses to provide the best care possible. By collecting and distributing
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accurate data on falls with injury, healthcare organizations can continuously improve their

fall prevention strategies and, in turn, ensure a safer environment for patients.

Thank you for your attention, and I hope this information has given you a clearer

understanding of the importance of monitoring falls with injury as a nursing-sensitive quality

indicator.
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References

Burns, Z., Khasnabish, S., Hurley, A. C., Lindros, M. E., Carroll, D. L., Kurian, S., ... &

Dykes, P. C. (2020). Classification of injurious fall severity in hospitalized adults.

The Journals of Gerontology: Series A, 75(10), e138-e144.

https://academic.oup.com/biomedgerontology/article/75/10/e138/5697448

Hada, A., & Coyer, F. (2021). Shift‐to‐shift nursing handover interventions associated with

improved inpatient outcomes—Falls, pressure injuries and medication administration

errors: An integrative review. Nursing & Health Sciences, 23(2), 337-351.

https://onlinelibrary.wiley.com/doi/abs/10.1111/nhs.12825

Montejano-Lozoya, R., Miguel-Montoya, I., Gea-Caballero, V., Mármol-López, M. I., Ruíz-

Hontangas, A., & Ortí-Lucas, R. (2020). Impact of nurses' intervention in the

prevention of falls in hospitalized patients. International journal of environmental

research and public health, 17(17), 6048. https://www.mdpi.com/1660-

4601/17/17/6048

Wåhlin, C., Kvarnström, S., Öhrn, A., & Nilsing Strid, E. (2020). Patient and healthcare

worker safety risks and injuries. Learning from incident reporting. European Journal

of Physiotherapy, 22(1), 44-50.

https://www.tandfonline.com/doi/full/10.1080/21679169.2018.1549594

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