NUR 621 Identify two quality metrics used in your clinical workplace

NUR 621 Identify two quality metrics used in your clinical workplace

NUR 621 Identify two quality metrics used in your clinical workplace

There are several quality measures used in healthcare. The measures used to assess and compare the quality of health care organizations are classified as either a structure, process, or outcome measure. “Structural measures give consumers a sense of a health care provider’s capacity, systems, and processes to provide high-quality care. Process measures indicate what a provider does to maintain or improve health, either for healthy people or for those diagnosed with a health care condition. These measures typically reflect generally accepted recommendations for clinical practice. Outcome measures reflect the impact of the health care service or intervention on the health status of patients.” (Agency for Healthcare Quality and Research, 2021)

One quality metrics used in the VA is Mission Act Quality Standards comparison data. This allows consumers to examine VA and regional community provider performance on key clinical quality and experience metrics. This metric aids patients in understanding the quality of care available in their geographic region. The metrics included indicators of inpatient, outpatient, and patient experience performance that align with three central tenants of VA care. “Effective care is based on scientific knowledge of what is likely to provide benefit to veterans, Safe Care that avoids harm from the care that is intended to help veterans, and veteran -centered care that anticipates and responds to Veterans and their caregivers.” (United States Department of Veterans Affairs, 2021). The quality metrics are measured by surveys and evaluation of weekly incident reports. The information is shared with nurses via the monthly townhall meetings, electronic mail, and weekly news letters.

 

Another quality metric used at the VA is catheter associated urinary tract infection rates. The number of patients who contract UTI’s during their inpatient stay that have indwelling catheters is measured daily. The system keeps track of everyone in the facility that has a catheter and charts are audited daily to see if CHG baths were performed. Cultures and labs are consistently drawn to evaluate the range of WBC’s and possible signs of infection. The results are shared with staff on a monthly basis via e-mail and in monthly town hall meetings.

 

Overall, I think that having quality metrics is a benefit to the VA system. Quality metrics helps to keep us aware of areas of improvement as well as areas that are doing well. It is important to consistently perform evaluations to maintain a high level of quality service.

 

Mission Act Quality Standards. (2021). United States Department of Veterans Affairs. http//:accesstocare.va.gov

 

Types of Healthcare Quality Measures. (2021). Agency for Healthcare Quality and Researchhttp://ahrq.gov

I am employed in day surgery and we are currently tracking operating room (OR) efficiency by monitoring surgical start times and as well as surgical site infections (SSIs). The OR is responsible for generating revenue for healthcare organizations around the world but is also one of the most expensive areas to manage according to Gómez-Ríos et al. (2019). Therefore, it is imperative that strategies are implemented to increase efficiency and utilization.

At our facility OR start times and other pertinent data are documented in the VISTA electronic health record. The perioperative nurse manager is responsible for gathering, analyzing, and reporting this information monthly. Unfortunately, dissemination of this information is not always consistent. However, I believe everyone should be fully informed because it is critical in improving on-going processes and patient care.

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SSIs are responsible for 20% of all hospital-acquired infections (Ban et al., 2017). Surgical site infections are tracked

NUR 621 Identify two quality metrics used in your clinical workplace
NUR 621 Identify two quality metrics used in your clinical workplace

by the VA Surgical Quality Improvement Program (VASQIP) which is part of the VA National Surgery Office (NSO). This department is responsible for reviewing and reporting data on all patients who undergo surgery within the VA healthcare system including its significance and implications for patient care as well as the quality of the care provided. However, this information is reported to leadership, but not to nursing staff unless requested. This is a significant patient safety issue that requires a multidisciplinary approach and therefore, data should be routinely reported and readily accessible to nursing staff.

 

References

 

Ban, K. A., Minei, J. P., Laronga, C., Harbrecht, B. G., Jensen, E. H., Fry, D. E., Itani, K. M., Dellinger, E. P., Ko, C. Y., & Duane, T. M. (2017). American College of surgeons and surgical infection society: Surgical site infection guidelines, 2016 update. Journal of the American College of Surgeons, 224(1), 59-74. https://doi.org/10.1016/j.jamcollsurg.2016.10.029

 

Gómez-Ríos, M., Abad-Gurumeta, A., Casans-Francés, R., & Calvo-Vecino, J. (2019). Keys to optimize the operating room efficiency. Revista Española de Anestesiología y Reanimación (English Edition), 66(2), 104-112. https://doi.org/10.1016/j.redare.2018.08.011

I am employed in day surgery and we are currently tracking operating room (OR) efficiency by monitoring surgical start times and as well as surgical site infections (SSIs). The OR is responsible for generating revenue for healthcare organizations around the world but is also one of the most expensive areas to manage according to Gómez-Ríos et al. (2019). Therefore, it is imperative that strategies are implemented to increase efficiency and utilization.

At our facility OR start times and other pertinent data are documented in the VISTA electronic health record. The perioperative nurse manager is responsible for gathering, analyzing, and reporting this information monthly. Unfortunately, dissemination of this information is not always consistent. However, I believe everyone should be fully informed because it is critical in improving on-going processes and patient care.

 

SSIs are responsible for 20% of all hospital-acquired infections (Ban et al., 2017). Surgical site infections are tracked by the VA Surgical Quality Improvement Program (VASQIP) which is part of the VA National Surgery Office (NSO). This department is responsible for reviewing and reporting data on all patients who undergo surgery within the VA healthcare system including its significance and implications for patient care as well as the quality of the care provided. However, this information is reported to leadership, but not to nursing staff unless requested. This is a significant patient safety issue that requires a multidisciplinary approach and therefore, data should be routinely reported and readily accessible to nursing staff.

 

References

 

Ban, K. A., Minei, J. P., Laronga, C., Harbrecht, B. G., Jensen, E. H., Fry, D. E., Itani, K. M., Dellinger, E. P., Ko, C. Y., & Duane, T. M. (2017). American College of surgeons and surgical infection society: Surgical site infection guidelines, 2016 update. Journal of the American College of Surgeons, 224(1), 59-74. https://doi.org/10.1016/j.jamcollsurg.2016.10.029

 

Gómez-Ríos, M., Abad-Gurumeta, A., Casans-Francés, R., & Calvo-Vecino, J. (2019). Keys to optimize the operating room efficiency. Revista Española de Anestesiología y Reanimación (English Edition), 66(2), 104-112. https://doi.org/10.1016/j.redare.2018.08.011

There are a number of reasons why hospitals or other healthcare institutions choose to use a particular metrics for staffing. Some may want to prioritize financial performance, others may want to prioritize patient care, but most organization choose a particular metric system so that they can adequately distribute their resources all over the hospital, so that they can function more effectively. There are different forms of metrics that are used in different healthcare institutions, but the two that are use in the hospital that I work at is the average hospital stay and bed occupancy rate. The average hospital stay bases its metrics on the average time patients stay in the hospital while the bed occupancy rate monitors the availability of hospital beds (Ramsey et al., 2018). The reason why the hospital uses this form of metrics is because it is a government funded institution and making profit like other private hospitals is not high among its priority list like other private hospitals. Its not uncommon to find patients staying for more than two hundred days in an acute mental health unit something which would be unfathomable in the private world. The metrics should be shared with staff, so that they can know if they are short at the beginning of a shift and be able to adjust their assignment accordingly i.e., they can assign patients among each other according to the level of their acuity.

Reference:

Ramsey, Z., Palter, J. S., Hardwick, J., Moskoff, J., Christian, E. L., & Bailitz, J. (2018). Decreased Nursing Staffing Adversely Affects Emergency Department Throughput Metrics. Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 19(3), 496–500. https://doi.org/10.5811/westjem.2018.1.36327