Quality Improvement Assessment

Running head: QUALITY IMPROVEMENT
QUALITY IMPROVEMENT
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QUALITY IMPROVEMENT1
There exists a diverse range of problems in the health care settings and these problems
ranges from the organizational health care delivery problems to the individual patient
satisfaction problems and the individualistic and collective problems faced by the clinical
staffs and the health assistants in the clinical setting (Vilela, Prado & de Carvalho Jericó,
2016). It is important and also very much critical to understand that the nurses are the clinical
staffs provide the most critical and the core integral patient care services and in collaboration
with the professionals of the other disciplines such as the medical staffs and the allied health
staffs (Nikhithasri, Ramya & Kishore, 2017). There are however, various multi-faceted issues
that arise with the nurses, especially the new graduate nurses who lack the clinical reasoning
skills, the critical thinking skills, the collaborative and the interpersonal skills, the
intrapersonal self-management and the clinical decision making skills that lead to the
causation of various nursing and patient care related problems in the health care organization
framework and very much in the high faced clinical scenario in the acute care wards such as
intensive care units, intensive coronary care units, in the post-surgical and in the
perioperative settings (Schutijser et al., 2018). These issues or rather the severe clinical
service delivery issues are medication administration errors by the nurses and the lack of
hand hygiene compliance by the nurses. The medication administration error leads to the
development or rather the causation of adverse medication or drug events in a clinical
scenario that can be life threatening, demoralizing and dissatisfying as well and the lack of
hand hygiene compliance can lead to the causation of the hospital acquired infections that
only affect the admitted patient adversely but also deteriorates the prognosis of the patient
and also decreases the rate of recovery of the patient – by complicating the clinical recovery
process. Health information technology play a crucial role in the development of the more
secure nursing and healthcare database management and a basic data set in nursing consists
of the patient’s data, interpersonal data, and institutional data and at the tertiary level – the

QUALITY IMPROVEMENT2
community level data of a certain disease affecting a certain population (Alomari et al.,
2018).
There are various quality improvement parameters that can be incorporated to
improve these nursing problem areas. Workplace disruptions, negative perception amongst
the new graduate nurses about the hand hygiene compliance and about the right and lengthy
procedures to be followed to administer the right medications to the patient are the various
key issues that to the complications and disruptions of safe and secure patient centered
nursing practice. Lack of compliance with the health information technology tools, negative
attitudes about the right ways of medication administration, lack of application of practical
knowledge and lack of translation in nursing practice pertaining to the hand washing
guidelines are the various complex challenges to the health quality improvement and delivery
of a safe nursing service (Stevens, 2017). First and the foremost quality improvement change
would be involved is nursing education. Nursing education through the staff development
sessions and by incorporation the seminars, workshops is critical also very important as a
primary tool in the management of medication administration errors, hand hygiene
compliance and safe patient centered care practice. The nurses should be trained with the
electronic medical records so that they can access the right data at the right time (Rouse,
2017). Nursing Minimum data set that consist of the essential data pertaining to nursing roles
and functions in a specific clinical case scenario is a great tool and the quality change should
surely incorporate the use of electronic medical records, the use of nursing data sets in order
to compare the nursing functions and nursing performances across various departments of the
same organization is a vital aspect of quality improvement in the health care organization
(.Edemekong & Haydel, 2019) Practical training of the new graduate nurses is critical and
important area of quality improvement. A nurse often faces the clinical collaboration
problems with other members of the multidisciplinary team (MDT) and this is due to chiefly