UOP NSG468 Full Course Latest 2020 December

NSG468 INFLUENCING QUALITY WITHIN HEALTHCARE

Week 1 Discussion

Quality and Patient Safety

What is the difference between quality and patient safety?

While responding to this question, make sure to address the following:

Describe the difference.

Explain your rationale.

Cite specific examples from practice or literature.

 

NSG468 INFLUENCING QUALITY WITHIN HEALTHCARE

Week 2 Discussion

Regulation vs. Accreditation

What are the key differences between regulation and accreditation? What accreditation standards and regulations are most commonly cited or used in your practice setting or one that you’re most interested in working?

 

NSG468 INFLUENCING QUALITY WITHIN HEALTHCARE

Week 3 Discussion

Defining Quality

How are nursing interventions integrated into a multidisciplinary plan of care in your practice setting or one that you’re most interested in working?

 

NSG468 INFLUENCING QUALITY WITHIN HEALTHCARE

Week 4 Discussion

Quality Management

How does the management of quality drive patient safety in your organization or one that you’re most interested in working? How do you think it is or could improve health care systems?

 

 

 

NSG468 INFLUENCING QUALITY WITHIN HEALTHCARE

Week 5 Discussion

Quality Factors

Respond to the following in a minimum of 175 words:

 What factors do you see in practice that influence quality, safe, patient-centered care?

Have those factors shifted or changed as your role as an RN has progressed or changed?

Do you think the factors will continue to change?

What factors do you see affecting safe, quality patient-centered in 10 years?

 

NSG468 INFLUENCING QUALITY WITHIN HEALTHCARE

Week 1 Assignment  

Quality and Safety in Practice

This assignment is designed to highlight the role you play in quality, safe patient care on a daily basis.

Identify a patient care case from your own practice experience that involves quality and safety.

Note: If you are not practicing or have nor practice, use a case that has received media attention or one from the textbook.

Summarize the situation.

Describe your (or the nurse’s) role in the patient care situation.

Explain the role the patient played in their own quality- or safety-related situation.

Evaluate the relationship between the patient’s care and the outcome.

Identify how the care environment affected the situation, including the nurse or provider, the patient, and the outcome.

Determine whether a quality model was employed. If yes, identify and explain it. If not, identify one that could have improved the situation.

Explain what actions you might take to improve the outcome or prevent an adverse outcome in the future.

Format your assignment as one of the following:

18- to 20-slide presentation

3- to 4-minute podcast

15- to 20-minute oral presentation

875-word paper

Another format approved by your instructor

 

NSG468 INFLUENCING QUALITY WITHIN HEALTHCARE

Week 2 Assignment  

Regulatory Agencies and Accrediting Bodies

This assignment is designed to give you a greater understanding of regulatory agencies and accreditation bodies, including their functions, public reporting requirements, and the how they impact quality and safety.

Select and evaluate a regulatory agency or accrediting body.

Discuss the history of the agency or body.

Explain the reason for its existence.

Summarize the agency’s public reporting of quality indicators:

Frequency

Where they are reported

Why public reporting of these metrics is important

Explain how the agency or body operates:

Current function

Organizational structure

Governance

Analyze the impact the agency or body has on quality at each level of health care:

Health care organizations

Nursing practice

Patient care

Cite at least two sources in an APA-formatted reference page.

Format your assignment as one of the following:

18- to 20-slide presentation

3- to 4-minute podcast

15- to 20-minute oral presentation

875-word paper

Another format approved by your instructor

Submit your assignment.

Resources:

Center for Writing Excellence

Reference and Citation Generator

Grammar and Writing Guides

 

NSG468 INFLUENCING QUALITY WITHIN HEALTHCARE

Week 3 Assignment  

Nurse-Sensitive Indicators

This assignment is designed to illustrate the importance of nurse-sensitive indicators in relationship to patient outcomes.

Select a condition or a disease.

Identify the nurse-sensitive indicators that relate to your selection and indicate if they are structural, process, or outcome in nature.

Create a plan of care showing how you would employ the indicators to improve the outcome.

Cite at least two sources in an APA-formatted reference page.

Format your plan of care and summary of the disease and nurse-sensitive indicator outcomes as one of the following:

18- to 20-slide presentation

3- to 4-minute podcast

15- to 20-minute oral presentation

875-word paper

Another format approved by your instructor

Submit your assignment.

 

NSG468 INFLUENCING QUALITY WITHIN HEALTHCARE

Week 4 Assignment  

Multifactorial Medication Mishap RCA

Read the Multifactorial Medication Mishap case study (Used with permission: Agency for Healthcare Research and Quality Patient Safety Network).

Complete the root cause analysis worksheet to analyze the case.

Multifactorial Medication Mishap Case Study:

The Case A previously healthy 50-year-old man was hospitalized while recovering from an uncomplicated spine surgery. Although he remained in moderate pain, clinicians planned to transition him from intravenous to oral opioids prior to discharge. The patient experienced nausea with pills but told the bedside nurse he had taken liquid opioids in the past without difficulty. The nurse informed the physician that the patient was having significant pain, and liquid opioids had been effective in the past. When the physician searched for liquid oxycodone in the computerized prescriber order entry (CPOE) system, multiple options appeared on the list —two formulations for tablets and two for liquid (the standard 5 mg per 5 mL concentration and a more concentrated 20 mg per mL formulation). At this hospital, the CPOE system listed each choice twice, one entry with the generic name and one entry with a brand name. In all, the physician saw eight different choices for oxycodone products. The physician chose the concentrated oxycodone liquid product, and ordered a 5-mg dose. All medication orders at the hospital had to be verified by a pharmacist. The pharmacist reviewing this order recognized that the higher concentration was atypical for inpatients but assumed it was chosen to limit the volume of fluid given to the patient. The pharmacist verified the order and, to minimize the risk of error, added a comment to both the electronic medication administration record (eMAR) and the patient-specific label that the volume to be given was 0.25 mL (5 mg). For added safety, the pharmacist personally retrieved, labeled, and delivered the drug and a calibrated syringe to the bedside nurse to clarify that this was a high concentration formulation for which the volume to administer was 0.25 mL (a smaller volume than would typically be delivered). Shortly thereafter, the nurse went to the bedside to administer the drug to the patient for his ongoing pain. She gave the patient 2.5 mL (50 mg) of liquid oxycodone, a volume that she was more used to giving, and then left for her break. A covering nurse checked on the patient and found him unconscious—a code blue was called. The patient was given naloxone (an agent that reverses the effect of opioids), and he responded well. He was transferred to the intensive care unit for ongoing monitoring and a continuous infusion of naloxone to block the effect of the oxycodone. By the following morning, the patient had returned to his baseline with no apparent adverse effects.

Write a 525 word-summary in which you:

Explain why a root cause analysis was appropriate for this situation.

Analyze the impact of using tools like RCA, FMEA, and PDSA on the quality and safety of patient care.

Cite a minimum of two peer-reviewed or evidence-based sources published within the last five years to support your summary in an APA-formatted reference page.

 

NSG468 INFLUENCING QUALITY WITHIN HEALTHCARE

Week 5 Assignment  

Quality Factors

Evaluate factors that influence quality, safe, patient-centered care. Consider:

Technology

Communication

Collaboration

Shared decision making

Laws, regulations, and policies

Analyze changes in technology and their effect on quality patient care.

Explain the roles of communication, collaboration, and shared decision making.

Consider communication and collaboration between health care team members, between the patient and staff, and involving insurance companies.

Cite a minimum of two peer-reviewed sources in an APA-formatted reference page.

Format your assignment as one of the following:

18- to 20-slide presentation

3- to 4-minute podcast

15- to 20-minute oral presentation

875-word paper

Another format approved by your instructor