SCENARIO: Imagine you are the assistant director

SCENARIO: Imagine you are the assistant director of ABC Surgical Center, a free-standing surgical center that typically sees outpatient surgical patients with same-day discharge, though the facility is staffed and prepared for overnight stays when they are required. Unfortunately, the center has experienced five patient falls within the past 30 days (during which there were only 187 patient days which is a rate of 26.74 falls per 1,000 patient days). You have suggested new quality improvement initiatives based on an analysis of the center’s organizational metrics listed in the chart below. Your manager, the director of ABC, questions the need for the change and the validity of the evidence-based literature you shared with her. The director has asked you to research the justification for the need for a change. You have also decided to include a discussion on the validity of the research in the memo. Evidenced-based literature is the foundation of policy and decision-making in healthcare. Discuss the following evidence-based literature in your memo. Older Adult Falls Data by the CDC https://www.cdc.gov/falls/data/index.html Falls by AHRQ https://www.cdc.gov/falls/data/index.html Preventing Falls in Hospitals by AHRQ https://www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html Specifically, you must address the following: Elements of evidence-based literature: Identify the critical elements of evidence-based literature in your reports. Report validity: Defend the validity of the report. How was the data collected? How would you assess the credibility of the report’s source? How would you assess the validity of the report’s conclusions? Report applicability: Discuss how your reports may or may not be applicable to your surgical center. Metric comparison: Compare your surgical center’s metrics with data from your evidence-based reports. Recommendations: Recommend changes for your surgical center based on the evidence-based reports. How rapidly should your recommendations be implemented? Organizational culture improvements: Discuss potential organizational culture improvements the director would be creating by adopting your recommendations. SCIENCE HEALTH SCIENCE NURSING NURSING nr 704

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