MSN FP6212 Assessment1 1.docxs.docx MSN-FP6212 Quality and Safety Gap Analysis Capella

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MSN FP6212 Assessment1 1.docxs.docx MSN-FP6212 Quality and Safety Gap Analysis Capella University Health Care Quality Safety Management MSN-FP6212 Systemic Problem A current problem on the tw... o Medical/Surgical Units at UPMC Altoona is increased fall rates. Fall prevention has been an ongoing quality improvement project for these units. Leadership and nurses from both areas have been collaborating together and piloting new ideas to decrease the fall rates and increase quality and safety for their patients. The current fall rate for the 10th floor, which is the general Medical/Surgical Unit, is 3.82 compared to last years score of 4.56. The total number of falls for this year on the 10th floor is 51 compared to last year which totaled 65. Th current fall rate for the 14th floor, which is the Medical/Surgical Oncology and Palliative Unit, is 4.56 compared to last years rate of 2.87. The total number of falls for this year on the 14th Floor is 53 compared to last years total number of falls being 31. Although there has been a decrease in the number of falls for the 10th floor, the goal is to have no falls. The 14th floor is contributing their increase in the number of falls due to loss of experienced staff and an increase in graduate nurses. Their census has also been higher compared to previous years due to a unit within the hospital being shut down because of staffing shortages. There have been adverse events that have occurred from the falls on both units. Some falls have increased the length of stay, t. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. .. . . . . . . . . . . . . . . . . . .. . . . . [Show More]

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