Impact of Nursing-Sensitive Quality Indicators on Patient Safety

This report examines the critical role of nursing-sensitive quality indicators (QIs) in healthcare, specifically focusing on the control of nosocomial infections and the promotion of patient safety. It introduces the National Database of Nursing Quality Indicators (NDNQI) and its significance in monitoring and improving healthcare quality. The report justifies the selection of the 'Controlling rate of nosocomial infection and promoting patient safety' QI, highlighting its direct impact on patient safety and positive outcomes. It emphasizes the need for nurses to be familiar with QIs to adhere to infection control guidelines, including proper hand hygiene and personal protective equipment (PPE) usage. The report also details how organizations collect and disseminate data on QIs, referencing sources like the CDC and the WHO. Finally, it underscores the vital role of nurses in promoting positive outcomes through improved adherence to infection control protocols, ultimately enhancing patient safety and care.

Importance of
nursing-sensitive
quality indicators
:PRESENTED BY:

Selection of a nursing-sensitive
quality indicator:
The nursing quality indicators
specifically focus on three aspects
of nursing that include, structure,
process and outcome.
The Nursing-Sensitive Quality
Indicator that has been chosen for
this project include: ‘Controlling rate
of nosocomial infection and
promoting patient safety.’

What is NDNQI®
 NDNQI® refer to the National Database of Nursing Quality
Indicators that comprises of a database of the quality
management program.
 The program was developed in the year 1998 by a collective
effort of the American Nurses Association.
 The database allows care professionals to browse through the
important patient data on subjects such as Nursing Hours per
Patient Day, Assault/Injury Rates, Fall/Injury rates, Nursing Staff
Skill Mix, Percentage of HAI and so on
(Lippincottsolutions.lww.com, 2019)
 Accordingly, nurses can work on the identified quality area
priority and adapt measures to improve quality of care delivery.

Justification for selection of
quality indicator.
 The rationale for the choice of the
quality indicator can be explained
as the increased prevalence of
nosocomial infections within the
patient post 72 hours of
hospitalization.
 Research data suggests that the
current prevalence rate of
nosocomial infection within the
healthcare organizations is
equivalent to 1.7 million annually
which can be considered equivalent
to1 in every 17 patients that is
hospitalised acquires nosocomial
infections (Twigg et al., 2016).

Impact of the selected QI on
patient safety.
 The quality indicator that has
been selected elicits a direct
impact on the level of patient
safety and is responsible for
promoting positive patient
outcome.
 Improved compliance with
infection control guidelines can
help to reduce the incidence rate
of nosocomial infections and
promote increased patient safety.

Why do nurses need to be familiar
with the QI?
 Nursing professionals must be aware
about the prioritised quality indicator
so as to understand the implication
of the quality indicator on the safety
and care outcome of the patient.
 Appropriate knowledge about the QI
can help nursing professionals to
adhere with the infection control
guideline in terms of proper donning
of PEP and complying with the hand
hygiene routine (Haque et al., 2018).
 Improved compliance with hand
hygiene protocol and proper donning
of PEP can help acquire positive
patient outcome.

How does the organization collect
data on the QI?
 The organization collects data on the QI by means of the reports
published by the Centre of Disease Control, U.S, NDNQI database
as well as the annual WHO report.
 In addition to this, the electronic health record data maintained
by the organization also helps to retrieve data on the prevalence
of infection.

How does the organization
disseminate aggregate data?
 The organization disseminates aggregate data to professionals by
means of publishing quarterly report on prevalence of HAI.
 The report is also published on the official website of the
healthcare organization so as to inform public about the quality
of patient care being delivered by the hospital.

Role of nurses in promoting
positive outcome?
 Nurses are required to interact closely
with patients for imparting effective
care.
 Lack of adherence with appropriate
infection control guidelines and non-
compliance with hand hygiene
protocol has been identified as
scholarly literatures as the single
reason that deteriorated the quality of
patient care outcome (Bae et al.,
2015).
 Improved accountability and
compliance with the infection control
guidelines can help to improve patient
safety and acquire positive patient
outcome.

References:
Bae, S. H., Brewer, C. S., Kelly, M., & Spencer, A. (2015). Use of temporary
nursing staff and nosocomial infections in intensive care units. Journal of
clinical nursing, 24(7-8), 980-990.
Haque, M., Sartelli, M., McKimm, J., & Bakar, M. A. (2018). Health care-
associated infections–an overview. Infection and drug resistance, 11,
2321.
Lippincottsolutions.lww.com (2019). NDNQI Measures Aim to Improve
Healthcare Safety and Quality. [online] Lippincottsolutions.lww.com.
Available at:
http://lippincottsolutions.lww.com/blog.entry.html/2015/12/29/ndnqi_meas
ures_aimt-7dhX.html [Accessed 29 Aug. 2019].
Twigg, D. E., Pugh, J. D., Gelder, L., & Myers, H. (2016). Foundations of a
nursing-sensitive outcome indicator suite for monitoring public patient
safety in Western Australia. Collegian, 23(2), 167-181.

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