Informatics and Nursing Sensitive Quality Indicators- Patient Safety Indicators

The National Database of Nursing Quality Indicators (NDNQI) is a program for measuring the quality of nursing nationally. The program gives healthcare facilities their unit-level performance information in comparison with state, national, and regional percentile distributions. The program provides hospitals and other healthcare facilities with data comparison reports to help them improve the quality of care they provide to patients.

Nursing-sensitive quality indicators refer to the aspects of patient care that are influenced by the actions of nurses directly. These elements include structural, process, and outcome indicators. Structural indicators reflect the availability of qualified nurses, their skills, and their education and certification levels. Process indicators are used in measuring the methods used in assessing patients and nursing interventions. Job satisfaction of nurses is also part of the process indicators. Outcome indicators denote patient outcomes determined to be nursing-sensitive due to their dependence on the quantity and quality of nursing care. Nursing-sensitive quality indicators show the influence of nurses on the quality of patient care (Mangold & Pearson, 2017).

I have chosen the patient safety indicators as the topic of discussion for this assignment. Patient safety is an increasingly important national priority in healthcare. Monitoring patient safety indicators is important because it provides a quantitative basis for healthcare providers and planners aimed at attaining an improvement in care and the processes by which the care is provided. These indicators have an impact on the quality of care as they are based on standards of care provided by evidence-based practices, academic literature, or panels of experts in the absence of scientific evidence (Asgari et al., 2015). By monitoring patient safety indicators, nurses can evaluate how their actions impact patient outcomes and take corrective measures where weaknesses are noted.

New nurses should be aware of patient safety indicators because their actions are directly linked to patient outcomes. Having a look at the hospital’s patient safety indicators can help new nurses identify where the hospital is strong or weak in patient safety. This can inform the new nurses to capitalize on their strengths while finding ways to improve upon their weak points.

Collection and Distribution of Quality Indicator Data

The hospital has an electronic health records system. Through this system, management of patient care is improved, medication errors are reduced, unnecessary investigations are avoided, and communication and interactions among care teams, other providers involved in care, and patients are improved. The electronic health record system enables healthcare providers in the hospital to ensure medication adherence. The system is designed in a way that it provides medication alerts, thus notifying care teams of potential adverse outcomes from drug allergies, over and under-dosage, and drug interactions (Backman et al., 2015). These alerts contribute to patient safety improvement.

Another way the hospital collects data on patient safety indicators is by providing patients and their families with questionnaires to fill out and giving them interviews during and after they have been attended to gauge how best they were served. Their feedback is important in informing healthcare professionals of areas that need to be improved on. Also, healthcare professionals are also provided with questionnaires to fill out and interviews on key aspects of their work, including job satisfaction and patient safety. The results are used to implement strategies to improve working conditions which are directly linked to patient safety. From staff surveys, hospital management can also identify the skills gap and find ways of upgrading the competencies of their staff.

Besides, the hospital has checklists such as the postoperative checklist that is used to record any postoperative complications, their causes, and corrective actions. This, therefore, contributes to improved patient care.

After gathering aggregate data on patient safety indicators, the data is disseminated through staff meetings in which clinicians and physicians are given time to analyze the data before it is discussed. Areas needing improvements are pointed out, and the responsible staff members are given the support required for the implementation of the improvements. Sensitive data is discussed at the hospital executive board meeting, and the outcomes of deliberations are communicated to the staff through emails, notice boards, and departmental meetings. The hospital also organizes annual seminars in which some of the information gathered from monitoring patient safety indicators is analyzed, and reports on the way forward are produced.

Nurses have an important role in supporting accurate reporting and high-value results. They are responsible for completing the checklists provided by the hospital and filing all important information related to patient safety. They are also required to provide accurate feedback to the surveys and interviews given to them so that it can help improve the hospital’s working environment. Accurately entering data about nursing interventions and recording outcomes can help nurses defend themselves against malpractice claims when they occur.

References

Asgari, H., Esfahani, S. S., Yaghoubi, M., Javadi, M., & Karimi, S. (2015). Investigating selected patient safety indicators using medical records data. Journal of education and health promotion, 4.

Backman, C., Vanderloo, S., Momtahan, K., D’Entremont, B., Freeman, L., Kachuik, L., … & Forster, A. (2015). Implementation of an electronic data collection tool to monitor nursing-sensitive indicators in a large academic health sciences center.

Mangold, K., & Pearson, J. (2017). Making Sense of Nursing-Sensitive Quality Indicators. Journal for Nurses in Professional Development, 33(3), 159-160.

National Database of Nursing Quality Indicators (NDNQI). (n.d). What is NDNQI? Retrieved from https://nursingandndnqi.weebly.com/what-is-ndnqi.html

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Instructions- Prepare an 8–10 minute audio training tutorial (video is optional) for new nurses on the importance of nursing-sensitive quality indicators.

Introduction- The focus of Assessment 4 is on how informatics supports the monitoring of nursing-sensitive quality indicator data. You will develop an 8–10 minute audio (or video) training module to orient new nurses in a workplace to a single nursing-sensitive quality indicator critical to the organization. Your recording will address how data are collected and disseminated across the organization along with the nurses’ role in supporting accurate reporting and high-quality results.

Informatics and Nursing Sensitive Quality Indicators- Patient Safety Indicators

Preparation- As you begin to prepare this assessment, you are encouraged to complete the Canadian Quality Assessment Framework activity. Quality healthcare delivery requires systematic action. Completion of this will help you succeed with the assessment as you consider how the triad of structure (such as the hospital, clinic, provider qualifications/organizational characteristics) and process (such as the delivery/coordination/education/protocols/practice style or standard of care) may be modified to achieve quality outcomes.

This assessment requires you to prepare an 8–10 minute audio training tutorial (with optional video) for new nurses on the importance of nursing-sensitive quality indicators. To successfully prepare for your assessment, you will need to complete the following preparatory activities:

·Select a single nursing-sensitive quality indicator that you see as important to a selected type of healthcare system.