Initiating Change in the Hospital

Initiating Change in the Hospital Name Institution Course Tutor Date

Introduction  HAPU are major complications for hospitalized patients.  They results in non-healing wounds, sepsis, and even death  These injuries amplify the burden of care  A reduction in HAPU would certainly reduce the cost of care  This presentation focuses on the implementation of a Pink Paper Reminder System to resolve HAPUs

Targeted Goals

 To enhance the quality of care  To reduce the rate of HAPU in the hospital.  To increases nurses' attention in providing care  To offer helpful reminders for the prevention of pressure ulcers

Measurement of change

Comparison of pre-and post-implementation results will help to determine if the anticipated change was achieved. Data for comparison will include:Incidences of pressure injuries, The burden and cost of care The length of hospitalization Number of deaths. Level of satisfaction

Projected Outcomes

 The new System is expected: To assist nurses to focus attention on patient care  To improve nurse’s compliance with care delivery protocols.  To reduce the incidences of pressure injuries.  To reduce the burden and cost of care.  To protect patients from unnecessary suffering

Actions to achieve the outcomes

 The project activities include:  A brief educational session.  The categorization of at-risk patients.  Identification of suitable preventative measures  Notifying the hospital administration of the proposed intervention

Stakeholders  Stakeholders will be: the hospital administration,  nurses,  nurse informaticists,  physicians, and patients.

 The nurse informaticist will design the pink paper.  The nurses will assess the patient’s level of risk.  Nurses will all provide injury prevention care  The hospital management will allocate the required resources.

Budget

 The projected budget for the project is approximately $10,000.  Finances will cater to the printing costs and wages for facilitators  The hospital accountant will be the project finance manager  The accountant will approve the release of funds  The accountant will follow-up with the team to ensure money was utilized appropriately.

Timeframe

 The project will be implemented over one month.  Project milestones will include: appropriate identification of the at-risk patients  The use of the pink paper reminder system to flag high-risk patients.  The identification of the best pressure ulcer prevention tactics

Potential Setbacks

 Resistance among nurses  A negative attitude towards the new system.  Insufficient finances

Risk Management Plan

 Privacy and confidentiality of patients will be safeguarded  Pressure ulcers prevention tasks will be performed for all patients  No patient will be denied treatment based on lowpressure injury risk.

Evidence-Based Model

 The best evidence base model is the John Hopkins, Evidence-based Practice Model.  This model is clinician focused  It allows for appropriate application of interventions  It facilitates the cultivation of a culture guided by evidence.

Evaluation Plan

 Evaluation will focus on major project activities  The project budget and resources utilization will be evaluated.  The time used to implement the project will also be assessed.  The ability of the new system to reduce the incidence of pressure ulcers will be assessed.  Data will be collected through observation of hospital records

References  Shieh, D. C., Berringer, C. M., Pantoja, R., Resureccion, J., Rainbolt, J. M., & Hokoki, A. (2018).

Dramatic reduction in hospital-acquired pressure injuries using a pink paper reminder system.

Advances in skin & wound care, 31(3), 118-122. http://doi:10.1097/01.ASW.0000527966.72494.61  Wyant T., (2017). Adopt an Evidence-Based Practice Model to Facilitate Practice Change. https://voice.ons.org/news-and-views/adopt-an-evid ence-based-practice-model-to-facilitate-practice-chan ge